Composite
94.4 / 100 percentile
Screener / 295067
D
ORMSBY POST ACUTE REHABILITATION
snfNVSFF: SFF
3050 N ORMSBY ROAD, CARSON CITY, NV 89703 · CCN 295067 · chain COUVE FINANCIAL SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 94.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals2Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies96Licensure0Ownership33Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 93.7 | 82.4 | 0.30 | 0.2308 | 21.62 | in index |
| regulatory risk | 91.5 | 89.2 | 0.30 | 0.2308 | 21.12 | in index |
| staffing risk | 66.2 | 66.2 | 0.25 | 0.1923 | 12.73 | in index |
| billing conduct | 40.8 | 35.9 | 0.30 | 0.2308 | 9.42 | in index |
| chow risk | 49.5 | 47.6 | 0.15 | 0.1154 | 5.71 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.7 vs natl | RIKER MICHELLE | 5 facilities |
| connection | Owner spans multiple chains | 8 chains | HERZKA YISROEL | 70 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 70.2 | D | v0.6 | default · in composite | |
| financial risk | 82.4 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 89.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 66.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 77.3 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 57.3 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 74.3 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 80.8 | F | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 89.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 89.2 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 66.2 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 66.2 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.91 | -1.56 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.71 | +0.39 | |
| Occupancy | 0.74 | -0.13 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
27.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Chain size (log) | 3.71 | -0.96 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.91 | -0.25 | |
| Staffing trend, last 4 quarters | -0.45 | -0.23 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.04 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.60 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.82 | 3.46 | 3.11 | — |
| Weekday total | 3.13 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 89.0 | 3.04 | 0.60 | 0.60 | 1.84 | 2.82 | 12.5% |
| 2025Q3 | 92 | 86.5 | 2.99 | 0.64 | 0.59 | 1.77 | 2.73 | 11.1% |
| 2025Q2 | 91 | 86.1 | 3.06 | 0.52 | 0.59 | 1.94 | 2.87 | 5.6% |
| 2025Q1 | 90 | 77.9 | 3.31 | 0.24 | 0.82 | 2.25 | 3.12 | 0.9% |
| 2024Q4 | 92 | 74.7 | 3.49 | 0.23 | 0.82 | 2.45 | 3.34 | 5.7% |
| 2024Q3 | 92 | 71.2 | 3.67 | 0.36 | 0.77 | 2.55 | 3.49 | 33.1% |
| 2024Q2 | 91 | 82.0 | 2.73 | 0.39 | 0.41 | 1.92 | 2.36 | 2.3% |
| 2024Q1 | 91 | 83.9 | 2.33 | 0.34 | 0.47 | 1.52 | 2.08 | 0.0% |
| 2023Q4 | 92 | 82.3 | 2.06 | 0.37 | 0.42 | 1.28 | 1.82 | 0.0% |
| 2023Q3 | 92 | 74.1 | 2.05 | 0.31 | 0.56 | 1.18 | 1.96 | 0.0% |
| 2023Q2 | 91 | 73.5 | 2.42 | 0.26 | 0.74 | 1.43 | 2.13 | 0.0% |
| 2023Q1 | 90 | 72.8 | 2.89 | 0.36 | 0.85 | 1.67 | 2.64 | 21.2% |
| 2022Q4 | 92 | 74.0 | 2.77 | 0.47 | 0.56 | 1.74 | 2.50 | 56.0% |
| 2022Q3 | 92 | 69.9 | 2.79 | 0.45 | 0.59 | 1.76 | 2.48 | 54.5% |
| 2022Q2 | 91 | 73.1 | 1.75 | 0.53 | 0.36 | 0.86 | 1.64 | 12.2% |
| 2022Q1 | 90 | 70.8 | 1.89 | 0.57 | 0.39 | 0.93 | 1.70 | 11.9% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-29 | Fine | $60,464 | CMS provider data |
| 2024-05-29 | Payment Denial | — | CMS provider data |
Total fines on record: $60,464
Deficiencies
96C × 3D × 66E × 14F × 12J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-04-30 |
| 2026-03-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-30 |
| 2025-03-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-04-14 |
| 2025-03-27 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-04-14 |
| 2025-03-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-14 |
| 2025-03-27 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-14 |
| 2025-03-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-04-14 |
| 2025-03-27 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-04-14 |
| 2025-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-14 |
| 2025-03-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-14 |
| 2025-03-27 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2025-04-14 |
| 2025-03-27 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2025-04-14 |
| 2024-09-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-03 |
| 2024-09-18 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-11-03 |
| 2024-09-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-03 |
| 2024-09-18 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-11-03 |
| 2024-05-29 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-07-24 |
| 2024-05-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-24 |
| 2024-05-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-24 |
| 2024-05-29 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-07-24 |
| 2024-05-29 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-24 |
| 2024-05-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2024-07-24 |
| 2024-05-29 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-07-24 |
| 2024-05-29 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-24 |
| 2024-05-29 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-07-24 |
| 2024-05-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-07-24 |
| 2024-05-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-24 |
| 2024-05-29 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2024-07-24 |
| 2024-05-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-24 |
| 2024-05-29 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-24 |
| 2024-05-29 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-07-24 |
| 2024-05-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-24 |
| 2024-05-29 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-07-24 |
| 2024-05-29 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-07-24 |
| 2024-05-29 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2024-07-24 |
| 2024-05-29 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2024-07-24 |
| 2024-05-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-24 |
| 2024-05-29 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-07-24 |
| 2024-05-29 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-07-24 |
| 2024-05-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-24 |
| 2024-05-29 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-07-24 |
| 2024-05-29 | Health | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | C | 2024-07-24 |
| 2024-05-29 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | C | 2024-07-24 |
| 2024-05-29 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-24 |
| 2024-05-29 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | 2024-07-24 |
| 2024-05-29 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-07-24 |
| 2024-05-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-24 |
| 2024-05-29 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-07-24 |
| 2024-05-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-07-24 |
| 2024-05-29 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-07-24 |
| 2024-05-29 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2024-07-24 |
| 2024-05-29 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2024-07-24 |
| 2024-05-29 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2024-07-24 |
| 2024-05-29 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-07-24 |
| 2024-05-29 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2024-07-24 |
| 2024-05-29 | Health | F0946 | Provide training in compliance and ethics. | F | 2024-07-24 |
| 2024-05-29 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-07-24 |
| 2024-02-16 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-03-11 |
| 2024-02-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-11 |
| 2024-02-16 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-11 |
| 2024-02-16 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-11 |
| 2024-02-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-11 |
| 2023-10-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-30 |
| 2023-07-05 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-15 |
| 2023-07-05 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-07-29 |
| 2023-07-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-07-29 |
| 2023-07-05 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-08-15 |
| 2023-07-05 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-07-29 |
| 2023-07-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-29 |
| 2023-07-05 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-29 |
| 2023-07-05 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-07-29 |
| 2023-07-05 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-08-15 |
| 2023-07-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-29 |
| 2023-07-05 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-07-29 |
| 2023-07-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-07 |
| 2023-07-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-29 |
| 2023-07-05 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2023-08-15 |
| 2023-07-05 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-08-15 |
| 2023-07-05 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-15 |
| 2023-07-05 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-08-15 |
| 2023-07-05 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-08-15 |
| 2023-07-05 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | 2023-08-15 |
| 2023-07-05 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2023-08-15 |
| 2023-07-05 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2023-08-15 |
| 2023-07-05 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-08-15 |
| 2023-07-05 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-08-15 |
| 2023-07-05 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-08-15 |
| 2023-07-05 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2023-08-15 |
| 2023-07-05 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2023-08-15 |
| 2023-07-05 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2023-08-15 |
| 2023-07-05 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2023-08-15 |
| 2023-07-05 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2023-08-15 |
| 2023-07-05 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2023-08-15 |
| 2023-07-05 | Health | F0946 | Provide training in compliance and ethics. | E | 2023-08-15 |
| 2023-07-05 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-08-15 |
| 2023-07-05 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2023-08-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CH PACIFIC NORTHWEST HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| EARL, STEVEN | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| GOODIE, ANTOINE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| HERZKA, YISROEL | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| NEVADA SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| NEVADA SNF CONSULTING LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| ORMSBY SNF OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| ORMSBY SNF OPERATIONS LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| ORMSBY SNF REALTY LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (NV) LLC | DIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| PERLMAN, HAROLD | ADP OF THE SNF | — | 2025-03-03 | current | pecos_ownership |
| PORTERFIELD, KELLY | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| RIKER, MICHELLE | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| ROJAS, ALELI | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| SPIELMAN, SHIMON | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| YENOWITZ, YITZCHOK | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| YITZCHOK YENOWITZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| YISROEL HERZKA | INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| ALELI ROJAS | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| ANTOINE GOODIE | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| HAROLD PERLMAN | ADP OF THE SNF | — | 2025-03-03 | ended 2026-05-18 | pecos_ownership |
| KELLY PORTERFIELD | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| MICHELLE RIKER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| SHIMON SPIELMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| STEVEN EARL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-08-31 | — | ORMSBY SNF OPERATIONS LLC | EVERGREEN AT CARSON CITY LLC | chow |
Comparable trades — NV snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATIONthis facility | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32510 | acs median gross | 0 | $887 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | fmr | 0 | $1,105 | 2025-10-01 | HUD_USER_FMR |
| county 32510 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | fmr | 1 | $1,212 | 2025-10-01 | HUD_USER_FMR |
| county 32510 | acs median gross | 2 | $1,303 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | fmr | 2 | $1,546 | 2025-10-01 | HUD_USER_FMR |
| county 32510 | acs median gross | 3 | $1,651 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | fmr | 3 | $2,150 | 2025-10-01 | HUD_USER_FMR |
| county 32510 | acs median gross | 4 | $1,818 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | fmr | 4 | $2,593 | 2025-10-01 | HUD_USER_FMR |
| county 32510 | acs median gross | 5 | $1,125 | 2024-12-31 | CENSUS_ACS5 |
| county 32510 | acs median gross | $1,248 | 2024-12-31 | CENSUS_ACS5 | |
| county 32510 | acs recent mover gross | $1,362 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89703 | acs median gross | 0 | $778 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89703 | acs median gross | 1 | $898 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89703 | acs median gross | 2 | $1,381 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89703 | acs median gross | 3 | $1,829 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89703 | acs median gross | $1,203 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89703 | acs recent mover gross | $1,795 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89703 | payment standard 110 | 0 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 90 | 0 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | safmr | 0 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 110 | 1 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 90 | 1 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | safmr | 1 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 110 | 2 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 90 | 2 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | safmr | 2 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 110 | 3 | $2,365 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 90 | 3 | $1,935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | safmr | 3 | $2,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 110 | 4 | $2,761 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | payment standard 90 | 4 | $2,259 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89703 | safmr | 4 | $2,510 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.