Composite
77.0 / 100 percentile
Screener / 505009
C
AVAMERE REHABILITATION OF SHORELINE
snfWA
1250 NORTHEAST 145TH STREET, SEATTLE, WA 98155 · CCN 505009 · chain AVAMERE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
115
Model
v1.2
Reads as: riskier than 77.0% 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 radar1Staffing16Penalties0Deficiencies91Licensure0Ownership101Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 93.5 | 82.0 | 0.30 | 0.2308 | 21.58 | in index |
| regulatory risk | 63.7 | 55.9 | 0.30 | 0.2308 | 14.70 | in index |
| billing conduct | 53.4 | 40.8 | 0.30 | 0.2308 | 12.32 | in index |
| chow risk | 52.9 | 51.1 | 0.15 | 0.1154 | 6.10 | in index |
| staffing risk | 22.4 | 22.5 | 0.25 | 0.1923 | 4.31 | 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 spans multiple chains | 9 chains | SABRA HEALTH CARE REIT INC | 28 facilities |
| connection | Owner spans multiple chains | 6 chains | MOSS ADAMS LLP | 25 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 | 40.8 | 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 | 77.2 | D | v0.6 | default · in composite | |
| financial risk | 82.0 | 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 | 55.9 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 22.5 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 80.2 | F | 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 | 60.2 | 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 | 68.9 | 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 | 81.4 | 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 | 55.9 | C | 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 | 55.9 | C | 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 | 22.5 | A | 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 | 22.5 | A | 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
15.3
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) | 3.41 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.59 | +0.30 | |
| Chain size (log) | 3.30 | +0.30 | |
| Total nurse staffing (HPRD) | 3.84 | -0.16 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.30 | -0.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.59 | +0.65 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.84 | -0.26 | |
| Current owner tenure (years) | 3.41 | -0.25 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.84 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.64 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.26 | 3.51 | 3.11 | — |
| Weekday total | 4.07 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 68.3 | 3.84 | 0.64 | 0.66 | 2.54 | 3.26 | 0.1% |
| 2025Q3 | 92 | 73.3 | 3.42 | 0.58 | 0.67 | 2.17 | 2.84 | 0.1% |
| 2025Q2 | 91 | 59.6 | 4.07 | 0.68 | 0.79 | 2.60 | 3.55 | 0.3% |
| 2025Q1 | 90 | 65.3 | 3.71 | 0.56 | 0.75 | 2.39 | 3.38 | 0.7% |
| 2024Q4 | 92 | 67.8 | 3.57 | 0.48 | 0.74 | 2.34 | 3.19 | 0.0% |
| 2024Q3 | 92 | 66.7 | 3.60 | 0.49 | 0.73 | 2.38 | 3.17 | 0.0% |
| 2024Q2 | 91 | 67.9 | 3.51 | 0.31 | 0.87 | 2.33 | 3.11 | 3.1% |
| 2024Q1 | 91 | 58.9 | 3.85 | 0.44 | 0.88 | 2.53 | 3.34 | 0.0% |
| 2023Q4 | 92 | 62.3 | 3.76 | 0.45 | 0.79 | 2.52 | 3.27 | 0.0% |
| 2023Q3 | 92 | 63.8 | 3.84 | 0.45 | 0.73 | 2.66 | 3.44 | 0.0% |
| 2023Q2 | 91 | 63.5 | 3.81 | 0.31 | 0.95 | 2.55 | 3.34 | 1.2% |
| 2023Q1 | 90 | 59.6 | 2.44 | 0.13 | 0.71 | 1.61 | 2.01 | 0.0% |
| 2022Q4 | 92 | 64.2 | 3.98 | 0.38 | 1.11 | 2.49 | 3.33 | 3.4% |
| 2022Q3 | 92 | 68.3 | 4.18 | 0.43 | 1.18 | 2.57 | 3.56 | 5.6% |
| 2022Q2 | 91 | 68.1 | 4.11 | 0.59 | 0.97 | 2.55 | 3.52 | 4.1% |
| 2022Q1 | 90 | 66.5 | 4.18 | 0.50 | 0.91 | 2.77 | 3.55 | 2.9% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
91B × 2D × 62E × 25F × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-05-15 |
| 2026-03-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-04-07 |
| 2026-03-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-04-07 |
| 2026-02-12 | 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 | 2026-03-20 |
| 2026-02-12 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-20 |
| 2026-01-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-26 |
| 2026-01-07 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-01-26 |
| 2026-01-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-26 |
| 2025-12-09 | 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. | D | 2025-12-30 |
| 2025-11-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-15 |
| 2025-11-14 | Health · complaint | 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. | D | 2025-12-15 |
| 2025-07-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-20 |
| 2025-07-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-20 |
| 2025-07-18 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-08-20 |
| 2025-05-17 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-10 |
| 2025-05-17 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-06-10 |
| 2025-05-17 | 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 | 2025-06-10 |
| 2025-05-17 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-06-10 |
| 2025-05-17 | 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 | 2025-06-10 |
| 2025-05-17 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-06-10 |
| 2025-05-17 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-06-10 |
| 2025-05-17 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2025-06-10 |
| 2025-05-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-06-10 |
| 2025-05-17 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-06-10 |
| 2025-05-17 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-06-10 |
| 2025-05-17 | 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 | 2025-06-10 |
| 2025-05-17 | 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 | 2025-06-10 |
| 2025-05-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-06-10 |
| 2025-05-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-10 |
| 2025-05-17 | Health | F0687 | Provide appropriate foot care. | D | 2025-06-10 |
| 2025-05-17 | 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. | D | 2025-06-10 |
| 2025-05-17 | Health | 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 | 2025-06-10 |
| 2025-05-17 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-06-10 |
| 2025-05-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-06-10 |
| 2025-05-17 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-06-10 |
| 2025-05-17 | Health | F0732 | Post nurse staffing information every day. | E | 2025-06-10 |
| 2025-05-17 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-06-10 |
| 2025-05-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-06-10 |
| 2025-05-17 | 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 | 2025-06-10 |
| 2025-05-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-10 |
| 2025-05-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-06-10 |
| 2025-05-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-10 |
| 2025-04-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-14 |
| 2025-04-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-14 |
| 2025-03-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-02 |
| 2024-08-12 | 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. | D | 2024-09-12 |
| 2024-08-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-12 |
| 2024-07-09 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-26 |
| 2024-07-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-26 |
| 2024-06-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-22 |
| 2024-06-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-22 |
| 2024-03-19 | 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 | 2024-04-26 |
| 2024-03-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-04-26 |
| 2024-03-19 | 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. | D | 2024-04-26 |
| 2024-03-19 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-04-26 |
| 2024-03-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-04-26 |
| 2024-03-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-04-26 |
| 2024-03-19 | 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 | 2024-04-26 |
| 2024-03-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-04-26 |
| 2024-03-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-26 |
| 2024-03-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-04-26 |
| 2024-03-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-04-26 |
| 2024-03-19 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2024-04-26 |
| 2024-03-19 | Health | F0732 | Post nurse staffing information every day. | E | 2024-04-26 |
| 2024-03-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-04-26 |
| 2024-03-19 | 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 | 2024-04-26 |
| 2024-03-19 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-04-26 |
| 2024-03-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-04-26 |
| 2024-03-19 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2024-04-26 |
| 2024-03-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-04-26 |
| 2024-03-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-26 |
| 2024-03-19 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-04-26 |
| 2024-02-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-09 |
| 2023-09-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-10-04 |
| 2023-07-28 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-08-28 |
| 2022-12-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-01-20 |
| 2022-12-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-01-19 |
| 2022-12-22 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-01-19 |
| 2022-12-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-01-19 |
| 2022-12-22 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2023-01-19 |
| 2022-12-22 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-01-19 |
| 2022-12-22 | 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 | 2023-01-19 |
| 2022-12-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-01-19 |
| 2022-12-22 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-01-19 |
| 2022-12-22 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-01-19 |
| 2022-12-22 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2023-01-19 |
| 2022-12-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-01-19 |
| 2022-12-22 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-02-03 |
| 2022-12-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-01-19 |
| 2022-12-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-01-20 |
| 2022-12-22 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2023-02-07 |
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
101| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARI OPERATIONS, LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| ARISO LLC | DIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| AVAMERE GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| AVAMERE HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| AVAMERE HEALTH SERVICES LLC | ADP OF THE SNF | — | 2025-12-18 | current | pecos_ownership |
| AVAMERE SKILLED ADVISORS LLC | ADP OF THE SNF | — | 2025-12-18 | current | pecos_ownership |
| AVAMERE SKILLED ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| CAVALLO, GLEN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| CHU, CALEB | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| CHU, CALEB | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | current | pecos_ownership |
| CLARK, TONIA | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| CONSOLIDATED BILLING SERVICES INC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| FANUNAL, LORIEL | ADP OF THE SNF | — | 2023-01-02 | current | pecos_ownership |
| FEAKIN, CODY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-12-01 | current | pecos_ownership |
| FEAKIN, CODY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| FEAKIN, CODY | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| FOWLER, KATHERINE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | current | pecos_ownership |
| FUNDERBERG, MICHELLE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| FUNDERBERG, MICHELLE | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| GAMES, KIM | ADP OF THE SNF | — | 2024-08-15 | current | pecos_ownership |
| GRIFFITH, JOSHUA | ADP OF THE SNF | — | 2024-04-01 | current | pecos_ownership |
| HILL, KEVIN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| HILL, KEVIN | ADP OF THE SNF | — | 2022-03-12 | current | pecos_ownership |
| INCOVATE SOLUTIONS, LLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| INSKEEP, TODD | MANAGING CONTROL - GOVERNING BODY | — | 2022-06-01 | current | pecos_ownership |
| INSKEEP, TODD | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| KARL RICKARD MILER JR REVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| KIM, JUN | ADP OF THE SNF | — | 2025-10-13 | current | pecos_ownership |
| KOFSTAD, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-13 | current | pecos_ownership |
| KOFSTAD, MARY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-03-04 | current | pecos_ownership |
| KOFSTAD, MARY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| MANN, HARPREET | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-25 | current | pecos_ownership |
| MANN, HARPREET | ADP OF THE SNF | — | 2025-12-18 | current | pecos_ownership |
| MANNETTI, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | current | pecos_ownership |
| MELCHER, ROBB | MANAGING CONTROL - GOVERNING BODY | — | 2025-12-01 | current | pecos_ownership |
| MIDCAP FINCO LLC | 5% OR GREATER SECURITY INTEREST | — | 2023-03-01 | current | pecos_ownership |
| MILLER, KARL | INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| MOSS ADAMS LLP | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| NANSUBUGA, VIVIAN | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| OKOLI, IKE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| PACIFIC MEDICAL SPECIALTY GROUP | ADP OF THE SNF | — | 2023-02-01 | current | pecos_ownership |
| POWELSON, MICHELE | ADP OF THE SNF | — | 2015-03-25 | current | pecos_ownership |
| POWELSON, MICHELE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| PRESLEY, YOLANDA | ADP OF THE SNF | — | 2025-01-06 | current | pecos_ownership |
| RANDE HOLDINGS, LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| REID, MISTY | ADP OF THE SNF | — | 2025-01-02 | current | pecos_ownership |
| REID, MISTY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| SABRA HEALTH CARE LIMITED PARTNERSHIP | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SABRA HEALTH CARE REIT INC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SABRA HEALTH CARE, LLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SANDERS, AMANDA | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| SIMPSON, ANDREW | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| SIMPSON, ANDREW | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| SNAPMEDTECH,INC. | ADP OF THE SNF | — | 2025-09-08 | current | pecos_ownership |
| STAPLES, CAROLYN | MANAGING CONTROL - GOVERNING BODY | — | 2025-10-01 | current | pecos_ownership |
| STAPLES, CAROLYN | ADP OF THE SNF | — | 2023-10-05 | current | pecos_ownership |
| STRUNK, COLBY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| STRUNK, COLBY | ADP OF THE SNF | — | 2022-09-06 | current | pecos_ownership |
| VANDERZANDEN, CARRIE | ADP OF THE SNF | — | 2025-01-02 | current | pecos_ownership |
| VANDERZANDEN, CARRIE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| KARL MILLER | INDIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| AMANDA SANDERS | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW SIMPSON | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW SIMPSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| CALEB CHU | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| CALEB CHU | ADP OF THE SNF | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| CAROLYN STAPLES | MANAGING CONTROL - GOVERNING BODY | — | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| CAROLYN STAPLES | ADP OF THE SNF | — | 2023-10-05 | ended 2026-05-18 | pecos_ownership |
| CARRIE VANDERZANDEN | ADP OF THE SNF | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| CARRIE VANDERZANDEN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| CODY FEAKIN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| CODY FEAKIN | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| CODY FEAKIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-12-01 | ended 2026-05-18 | pecos_ownership |
| COLBY STRUNK | ADP OF THE SNF | — | 2022-09-06 | ended 2026-05-18 | pecos_ownership |
| COLBY STRUNK | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| GLEN CAVALLO | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| HARPREET MANN | ADP OF THE SNF | — | 2025-12-18 | ended 2026-05-18 | pecos_ownership |
| HARPREET MANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-25 | ended 2026-05-18 | pecos_ownership |
| IKE OKOLI | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA GRIFFITH | ADP OF THE SNF | — | 2024-04-01 | ended 2026-05-18 | pecos_ownership |
| JUN KIM | ADP OF THE SNF | — | 2025-10-13 | ended 2026-05-18 | pecos_ownership |
| KATHERINE FOWLER | ADP OF THE SNF | — | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| KEVIN HILL | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| KEVIN HILL | ADP OF THE SNF | — | 2022-03-12 | ended 2026-05-18 | pecos_ownership |
| KIM GAMES | ADP OF THE SNF | — | 2024-08-15 | ended 2026-05-18 | pecos_ownership |
| KIMBERLY MANNETTI | ADP OF THE SNF | — | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| LORIEL FANUNAL | ADP OF THE SNF | — | 2023-01-02 | ended 2026-05-18 | pecos_ownership |
| MARY KOFSTAD | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MARY KOFSTAD | ADP OF THE SNF | — | 2024-02-13 | ended 2026-05-18 | pecos_ownership |
| MICHELE POWELSON | ADP OF THE SNF | — | 2015-03-25 | ended 2026-05-18 | pecos_ownership |
| MICHELE POWELSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE FUNDERBERG | ADP OF THE SNF | — | 2024-12-31 | ended 2026-05-18 | pecos_ownership |
| MICHELLE FUNDERBERG | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MISTY REID | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| MISTY REID | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ROBB MELCHER | MANAGING CONTROL - GOVERNING BODY | — | 2025-12-01 | ended 2026-05-18 | pecos_ownership |
| TODD INSKEEP | MANAGING CONTROL - GOVERNING BODY | — | 2022-06-01 | ended 2026-05-18 | pecos_ownership |
| TODD INSKEEP | ADP OF THE SNF | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| TONIA CLARK | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| VIVIAN NANSUBUGA | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| YOLANDA PRESLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 | 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 |
|---|---|---|---|---|
| 2023-03-01 | — | SHORELINE OPERATIONS LLC | NORTHWEST CARE-SHORELINE, INC. | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53033 | acs median gross | 0 | $1,721 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 0 | $2,074 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 1 | $1,867 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 1 | $2,146 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 2 | $2,257 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 2 | $2,501 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 3 | $2,706 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 3 | $3,272 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 4 | $3,275 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 4 | $3,847 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 5 | $3,470 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | acs median gross | $2,092 | 2024-12-31 | CENSUS_ACS5 | |
| county 53033 | acs recent mover gross | $2,229 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98155 | acs median gross | 0 | $1,434 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | 1 | $1,710 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | 2 | $2,193 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | 3 | $2,707 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | 5 | $3,023 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98155 | acs median gross | $2,127 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98155 | acs recent mover gross | $2,441 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98155 | payment standard 110 | 0 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 90 | 0 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | safmr | 0 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 110 | 1 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 90 | 1 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | safmr | 1 | $2,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 110 | 2 | $2,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 90 | 2 | $2,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | safmr | 2 | $2,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 110 | 3 | $3,564 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 90 | 3 | $2,916 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | safmr | 3 | $3,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 110 | 4 | $4,191 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | payment standard 90 | 4 | $3,429 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98155 | safmr | 4 | $3,810 | 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.