Composite
62.6 / 100 percentile
Screener / 325047
C
Casa De Oro Center
snfNMSFF: SFF Candidate
1005 Lujan Hill Road, Las Cruces, NM 88005 · CCN 325047 · chain HCCF MANAGEMENT GROUP XI LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
158
Model
v1.2
Reads as: riskier than 62.6% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies97Licensure0Ownership27Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.6 | 93.9 | 0.30 | 0.2308 | 22.06 | in index |
| staffing risk | 80.2 | 80.2 | 0.25 | 0.1923 | 15.42 | in index |
| chow risk | 59.0 | 40.6 | 0.15 | 0.1154 | 6.81 | in index |
| billing conduct | 20.2 | 25.1 | 0.30 | 0.2308 | 4.66 | in index |
| financial risk | 17.8 | 25.5 | 0.30 | 0.2308 | 4.11 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet enforcement cluster | 40% fined | PEAK MEDICAL LLC | 5 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 | 25.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 26.3 | B | v0.6 | default · in composite | |
| financial risk | 25.5 | B | 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 | 9.3 | — | 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 | 93.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.2 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 49.0 | C | 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 | 29.0 | B | 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 | 31.1 | B | 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 | 31.5 | B | 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 | 93.8 | 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 | 93.8 | 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 | 80.2 | F | 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 | 80.2 | F | 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)
9.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.24 | +0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.85 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 21.00 | +0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
0.0
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 | 21.00 | -2.47 | |
| Chain size (log) | 5.24 | -1.84 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.85 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 2.80 | +0.18 | |
| Facility size (log beds) | 5.07 | -0.15 |
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 | NM median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.80 | 2.82 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 2.63 | 2.65 | 3.11 | — |
| Weekday total | 2.86 | 2.88 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 133.6 | 2.80 | 0.28 | 0.93 | 1.60 | 2.63 | 8.5% |
| 2025Q3 | 92 | 132.2 | 2.65 | 0.21 | 0.88 | 1.55 | 2.47 | 4.3% |
| 2025Q2 | 91 | 133.9 | 2.80 | 0.20 | 0.95 | 1.64 | 2.52 | 3.9% |
| 2025Q1 | 90 | 133.6 | 2.65 | 0.25 | 0.92 | 1.48 | 2.36 | 5.0% |
| 2024Q4 | 92 | 126.4 | 2.65 | 0.40 | 0.80 | 1.45 | 2.30 | 7.3% |
| 2024Q3 | 92 | 129.7 | 2.57 | 0.49 | 0.66 | 1.43 | 2.10 | 4.4% |
| 2024Q2 | 91 | 129.5 | 2.65 | 0.45 | 0.68 | 1.53 | 2.21 | 3.0% |
| 2024Q1 | 91 | 129.9 | 2.56 | 0.42 | 0.74 | 1.40 | 2.39 | 2.1% |
| 2023Q4 | 92 | 128.1 | 2.55 | 0.38 | 0.81 | 1.37 | 2.18 | 1.5% |
| 2023Q3 | 92 | 123.4 | 2.63 | 0.39 | 0.79 | 1.45 | 2.32 | 0.0% |
| 2023Q2 | 91 | 123.4 | 2.66 | 0.30 | 0.92 | 1.44 | 2.41 | 2.4% |
| 2023Q1 | 90 | 130.4 | 2.76 | 0.33 | 0.95 | 1.48 | 2.51 | 2.2% |
| 2022Q4 | 92 | 126.7 | 2.69 | 0.33 | 0.95 | 1.40 | 2.41 | 13.9% |
| 2022Q3 | 92 | 121.9 | 2.64 | 0.23 | 0.96 | 1.45 | 2.39 | 20.8% |
| 2022Q2 | 91 | 119.8 | 2.61 | 0.28 | 0.90 | 1.44 | 2.35 | 17.0% |
| 2022Q1 | 90 | 117.3 | 2.82 | 0.36 | 0.93 | 1.52 | 2.60 | 13.2% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-13 | Fine | $34,515 | CMS provider data |
| 2025-05-13 | Payment Denial | — | CMS provider data |
| 2024-10-28 | Fine | $34,039 | CMS provider data |
| 2024-10-28 | Payment Denial | — | CMS provider data |
| 2023-11-20 | Payment Denial | — | CMS provider data |
Total fines on record: $68,554
Deficiencies
97C × 1D × 30E × 57F × 6K × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-09 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-05-01 |
| 2026-04-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-01 |
| 2026-02-05 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-03-18 |
| 2026-02-05 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-03-18 |
| 2026-02-05 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-18 |
| 2026-02-05 | 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. | E | 2026-03-18 |
| 2026-02-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-03-18 |
| 2026-02-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-18 |
| 2026-02-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-18 |
| 2026-02-05 | Health | F0687 | Provide appropriate foot care. | D | 2026-03-18 |
| 2026-02-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-03-18 |
| 2026-02-05 | 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. | E | 2026-03-18 |
| 2026-02-05 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2026-03-18 |
| 2026-02-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-18 |
| 2026-02-05 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-18 |
| 2025-08-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-12-10 |
| 2025-08-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-10-01 |
| 2025-08-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-12-10 |
| 2025-08-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-10-01 |
| 2025-08-21 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-12-10 |
| 2025-08-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-12-10 |
| 2025-05-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-10 |
| 2025-05-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-07-10 |
| 2025-05-13 | Health · complaint | 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 | 2025-07-10 |
| 2025-03-03 | 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 | 2025-04-11 |
| 2025-03-03 | 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 | 2025-04-11 |
| 2025-03-03 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2025-04-11 |
| 2025-03-03 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-04-11 |
| 2025-03-03 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-04-11 |
| 2025-01-08 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-11-24 |
| 2024-10-28 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-11-19 |
| 2024-10-28 | Health · complaint | 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 | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-11-19 |
| 2024-10-28 | 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. | E | 2024-11-19 |
| 2024-10-28 | 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. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-19 |
| 2024-10-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-11-19 |
| 2024-10-28 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-11-19 |
| 2024-10-28 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-11-19 |
| 2024-10-28 | 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. | E | 2024-11-19 |
| 2024-10-28 | 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 | 2024-11-19 |
| 2024-10-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-19 |
| 2024-10-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-19 |
| 2024-10-28 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-11-19 |
| 2024-10-28 | 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. | F | 2024-11-19 |
| 2024-06-20 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | F | 2024-08-06 |
| 2024-06-20 | Health · complaint | 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. | C | 2024-08-06 |
| 2024-06-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-06 |
| 2024-06-20 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-08-06 |
| 2024-06-20 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-08-06 |
| 2024-06-20 | 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 | 2024-08-06 |
| 2024-06-20 | Health · complaint | 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. | E | 2024-08-06 |
| 2024-06-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-06 |
| 2024-02-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-03-26 |
| 2024-02-28 | 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. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | 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. | E | 2024-03-26 |
| 2024-02-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-03-26 |
| 2023-11-20 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-01-18 |
| 2023-11-20 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-01-18 |
| 2023-11-20 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2024-01-18 |
| 2023-11-20 | Health · complaint | 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 | 2024-01-18 |
| 2023-11-20 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-01-18 |
| 2023-11-20 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-01-18 |
| 2023-11-20 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-01-18 |
| 2023-11-20 | 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. | E | 2024-01-18 |
| 2023-11-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-01-18 |
| 2023-11-20 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | 2024-01-18 |
| 2023-11-20 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-01-18 |
| 2023-11-20 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-01-18 |
| 2023-11-20 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2024-01-18 |
| 2023-11-20 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-01-18 |
| 2023-11-20 | 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. | E | 2024-01-18 |
| 2023-11-20 | 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 | 2024-01-18 |
| 2023-11-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-18 |
| 2023-11-20 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-01-18 |
| 2023-11-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-18 |
| 2023-11-20 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2024-01-18 |
| 2023-11-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-01-18 |
| 2023-11-20 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-01-18 |
| 2023-11-20 | 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. | E | 2024-01-18 |
| 2023-08-15 | 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. | E | 2023-09-20 |
| 2023-08-15 | 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. | E | 2023-09-20 |
| 2023-08-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-09-20 |
| 2023-08-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-09-20 |
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
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PEAK MEDICAL LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-02 | current | pecos_ownership |
| BERG, MICHAEL | CORPORATE OFFICER | — | 2015-03-02 | current | pecos_ownership |
| BRIDGEFORD, LAURA | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| DODSON, GEETANJALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-23 | current | pecos_ownership |
| GEN OPERATIONS I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2012-12-01 | current | pecos_ownership |
| GEN OPERATIONS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2012-12-01 | current | pecos_ownership |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| GENESIS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| MENDELSON, AVI | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| PEAK MEDICAL LLC | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| SNYDER, MARY | ADP OF THE SNF | — | 2024-04-01 | current | pecos_ownership |
| SUN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| SUNBRIDGE HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-04-20 | current | pecos_ownership |
| WHITMAN, ARNOLD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2012-12-01 | ended 2026-05-18 | pecos_ownership |
| ARNOLD WHITMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2015-02-02 | ended 2026-05-18 | pecos_ownership |
| HCCF MANAGEMENT GROUP XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2015-02-02 | ended 2026-05-18 | pecos_ownership |
| ZAC PROPERTIES XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2015-02-02 | ended 2026-05-18 | pecos_ownership |
| STEVEN FISHMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2015-02-02 | ended 2026-05-18 | pecos_ownership |
| SUNDANCE REHABILITATION HOLDCO INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| WELLTOWER OP, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| AVI MENDELSON | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| GEETANJALI DODSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-23 | ended 2026-05-18 | pecos_ownership |
| LAURA BRIDGEFORD | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| MARY SNYDER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BERG | CORPORATE OFFICER | — | 2015-03-02 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — NM snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Luna Wellness Rehabilitation LLC | — | — | — | 66 | LUNA WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Manzano Del Sol by Purehealth | — | — | — | 117 | MM OPS ALBUQUERQUE LLC |
| 2024-11-01 | Socorro Wellness & Rehabilitation | — | — | — | 66 | SOCORRO WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Grants Wellness & Rehabilitation LLC | — | — | — | 80 | GRANTS WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Betty Dare Wellness & Rehabilitation LLC | — | — | — | 90 | BETTY DARE WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Las Cruces Village Nursing & Rehabilitation LLC | — | — | — | 94 | LAS CRUCES VILLAGE NURSING & REHABILITATION LLC |
| 2024-05-01 | Las Cruces Wellness & Rehabilitation LLC | — | — | — | 75 | LAS CRUCES WELLNESS & REHABILITATION LLC |
| 2024-02-01 | Princeton Health & Rehabilitation | — | — | — | 369 | 369 ALBUQUERQUE OPS LLC |
| 2023-10-01 | Los Alamos Wellness & Rehabilitation | — | — | — | 66 | LOS ALAMOS WELLNESS & REHABILITATION LLC |
| 2023-08-24 | San Juan Care Center | — | — | — | 93 | SAN JUAN CARE CENTER LLC |
| 2023-08-11 | Gallup Nursing & Rehabilitation LLC | — | — | — | 62 | GALLUP NURSING & REHABILITATION LLC |
| 2023-07-01 | La Vida Buena Healthcare | — | — | — | 102 | LA VIDA BUENA HEALTHCARE 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 35013 | acs median gross | 0 | $654 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | fmr | 0 | $744 | 2025-10-01 | HUD_USER_FMR |
| county 35013 | acs median gross | 1 | $787 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | fmr | 1 | $951 | 2025-10-01 | HUD_USER_FMR |
| county 35013 | acs median gross | 2 | $909 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | fmr | 2 | $1,042 | 2025-10-01 | HUD_USER_FMR |
| county 35013 | acs median gross | 3 | $1,093 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | fmr | 3 | $1,449 | 2025-10-01 | HUD_USER_FMR |
| county 35013 | acs median gross | 4 | $1,349 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | fmr | 4 | $1,580 | 2025-10-01 | HUD_USER_FMR |
| county 35013 | acs median gross | 5 | $1,301 | 2024-12-31 | CENSUS_ACS5 |
| county 35013 | acs median gross | $934 | 2024-12-31 | CENSUS_ACS5 | |
| county 35013 | acs recent mover gross | $1,168 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 88005 | acs median gross | 0 | $299 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88005 | acs median gross | 1 | $751 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88005 | acs median gross | 2 | $883 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88005 | acs median gross | 3 | $1,162 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88005 | acs median gross | $890 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 88005 | acs recent mover gross | $976 | 2024-12-31 | CENSUS_ACS5 | |
| zip 88005 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 110 | 3 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 90 | 3 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | safmr | 3 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 110 | 4 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | payment standard 90 | 4 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88005 | safmr | 4 | $1,580 | 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.