CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 22:25 UTC
Screener / 065267
C

WINDING TRAILS POST ACUTE

snfCO
2800 PALO PKWY, BOULDER, CO 80301 · CCN 065267 · chain PACS HOLDINGS LLC
Composite
79.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 79.0% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk86.183.20.300.230819.87in index
financial risk85.972.60.300.230819.82in index
staffing risk59.159.10.250.192311.37in index
chow risk54.853.00.150.11546.32in index
billing conduct11.310.00.300.23082.61in 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

5
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+32.3 vs natlPANTHER MASTER TENANT LLC9 facilities
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
connectionOwner spans multiple chains5 chainsHANCOCK MARK158 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 typeScoreGradeModelStatusRegistry model notes
billing conduct10.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk81.0Fv0.6default · in composite
financial risk72.6Dv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/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 12m0.1v0.1default · in compositeR22/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 risk83.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk59.1Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk62.1Cv0.1supersededPre-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 risk42.1Bv0.2supersededPre-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 risk55.2Cv0.3supersededPre-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 risk75.9Dv0.4supersededPre-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 risk83.2Fv0.1supersededPre-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 risk83.2Fv0.2supersededPre-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 risk59.1Cv0.1supersededPre-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 risk59.1Cv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.91-1.56
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.51+0.77
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.57+0.37
Deficiencies, last 12 months2.00-0.12
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)5.51-2.01
Deficiencies, last 12 months2.00+1.06
Occupancy0.57+0.75
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.91-0.25
Ownership changes, last 5 years1.00+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 HPRDThis facilityCO medianNational medianNational p25–p75
Total nurse3.153.193.282.90–3.77
RN0.450.570.390.25–0.58
Weekend total3.033.023.11
Weekday total3.193.273.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49285.63.150.450.881.823.036.6%
2025Q39286.43.030.480.831.722.913.1%
2025Q29184.72.990.480.771.742.871.3%
2025Q19085.23.320.560.831.933.064.2%
2024Q49275.83.480.411.062.013.3113.8%
2024Q39269.43.540.370.962.213.4121.0%
2024Q29174.34.120.311.042.783.9844.4%
2024Q19187.12.190.240.601.342.205.5%
2023Q49280.62.440.330.701.412.460.0%
2023Q39262.52.130.430.481.222.1212.9%
2023Q29152.73.100.750.681.672.8536.2%
2023Q19052.43.381.010.511.863.1633.1%
2022Q49255.02.930.620.491.822.8939.6%
2022Q39260.73.080.650.422.022.8846.9%
2022Q29169.23.000.480.661.872.9255.9%
2022Q19078.52.880.480.711.692.7463.2%
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

2
DateTypeFineSource
2024-03-07Fine$90,659CMS provider data
2024-03-07Payment DenialCMS provider data
Total fines on record: $90,659

Deficiencies

69
D × 25E × 23F × 9G × 7J × 2L × 3
deficiencies by survey year
261322232425
SurveyTypeTagDeficiencyScopeCorrected
2025-10-02Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-12-09
2025-10-02Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-09
2024-11-21HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-12-20
2024-11-21Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2024-12-20
2024-11-21HealthF0570Assure the security of all personal funds of residents deposited with the facility.F2024-12-12
2024-11-21HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-12-13
2024-11-21HealthF0679Provide activities to meet all resident's needs.D2024-12-20
2024-11-21HealthF0688Provide 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.D2024-12-20
2024-11-21Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-12-20
2024-11-21HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D2024-12-20
2024-10-15Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2024-11-01
2024-03-07Health · complaintF0578Honor 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.D2024-06-21
2024-03-07Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-06-29
2024-03-07Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2024-04-17
2024-03-07Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-04-17
2024-03-07Health · complaintF0610Respond appropriately to all alleged violations.E2024-04-17
2024-03-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-04-17
2024-03-07Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2024-04-17
2024-03-07Health · complaintF0760Ensure that residents are free from significant medication errors.E2024-04-17
2024-03-07Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-04-17
2024-03-07Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2024-04-17
2024-03-07Health · complaintF0838Conduct 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.F2024-05-09
2024-03-07Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2024-04-17
2024-03-07Health · complaintF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.F2024-04-17
2024-03-07Health · complaintF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2024-04-17
2023-11-20Health · complaintF0585Honor 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.D2023-12-18
2023-11-20Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-12-18
2023-11-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-18
2023-11-20Health · complaintF0880Provide and implement an infection prevention and control program.F2023-12-18
2023-06-15HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-07-18
2023-06-15HealthF0574The resident has the right to receive notices in a format and a language he or she understands.E2023-07-18
2023-06-15HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-07-18
2023-06-15HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-07-18
2023-06-15HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-18
2023-06-15HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-08-18
2023-06-15HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-07-18
2023-06-15HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2023-07-18
2023-06-15HealthF0758Implement 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.D2023-07-18
2023-06-15HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E2023-07-18
2023-06-15HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2023-08-08
2023-06-15HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2023-07-18
2023-06-15HealthF0880Provide and implement an infection prevention and control program.E2023-07-18
2023-06-15HealthF0923Have enough outside ventilation via a window or mechanical ventilation, or both.E2023-07-18
2022-04-19HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-06-14
2022-04-19HealthF0578Honor 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.D2022-06-14
2022-04-19HealthF0585Honor 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.E2022-06-14
2022-04-19HealthF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G2022-06-14
2022-04-19HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2022-06-14
2022-04-19HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-06-14
2022-04-19HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2022-06-14
2022-04-19HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-06-14
2022-04-19HealthF0679Provide activities to meet all resident's needs.E2022-06-14
2022-04-19HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2022-06-14
2022-04-19HealthF0685Assist a resident in gaining access to vision and hearing services.D2022-06-14
2022-04-19HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2022-06-14
2022-04-19HealthF0688Provide 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.E2022-06-14
2022-04-19HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-06-14
2022-04-19HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2022-06-14
2022-04-19HealthF0758Implement 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.E2022-06-14
2022-04-19HealthF0761Ensure 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.E2022-06-14
2022-04-19HealthF0791Provide or obtain dental services for each resident.D2022-06-14
2022-04-19HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.G2022-06-14
2022-04-19HealthF0837Establish 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.G2022-06-14
2022-04-19HealthF0838Conduct 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.F2022-06-14
2022-04-19HealthF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.G2022-06-14
2022-04-19HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G2022-06-14
2022-04-19HealthF0880Provide and implement an infection prevention and control program.L2022-05-18
2022-04-19HealthF0886Perform COVID19 testing on residents and staff.L2022-06-14
2022-04-19HealthF0888Ensure staff are vaccinated for COVID-19L2022-06-14
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

0
No 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

18
OwnerRolePctFromStatusSource
PANTHER MASTER TENANT, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-09-01currentpecos_ownership
PROVIDENCE GROUP NH, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-09-01currentpecos_ownership
ADLESICH, ROBERTW-2 MANAGING EMPLOYEE2024-07-08currentpecos_ownership
APT, FREDERICKCORPORATE OFFICER2023-09-01currentpecos_ownership
HANCOCK, MARKCORPORATE OFFICER2023-09-01currentpecos_ownership
HORTON, CHRISTOPHERCONTRACTED MANAGING EMPLOYEE2023-07-20currentpecos_ownership
JERGENSEN, JOSHUACORPORATE OFFICER2024-01-01currentpecos_ownership
MITCHELL, JOHNCORPORATE OFFICER2023-09-01currentpecos_ownership
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-09-01ended 2026-05-18pecos_ownership
PACS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-09-01ended 2026-05-18pecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
CHRISTOPHER HORTONCONTRACTED MANAGING EMPLOYEE2023-07-20ended 2026-05-18pecos_ownership
FREDERICK APTCORPORATE OFFICER2023-09-01ended 2026-05-18pecos_ownership
JOHN MITCHELLCORPORATE OFFICER2023-09-01ended 2026-05-18pecos_ownership
JOSHUA JERGENSENCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
MARK HANCOCKCORPORATE OFFICER2023-09-01ended 2026-05-18pecos_ownership
ROBERT ADLESICHW-2 MANAGING EMPLOYEE2024-07-08ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-09-01PALO COMMUNITY HEALTHCARE LLC2800 PALO PARKWAY OPERATIONS LLCchow

Comparable trades — CO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01FALCON HEIGHTS REHABILITATION AND NURSING LLC107FALCON HEIGHTS REHABILITATION AND NURSING LLC
2025-07-11Pueblo Heights Nursing and Rehabilitation120CONSTITUTION OPERATIONS LLC
2025-05-16CITY SCAPE REHABILITATION & CARE CENTER LLC60CITY SCAPE REHABILITATION & CARE CENTER LLC
2024-10-16STORYBROOK CARE & REHABILITATION60STORYBROOK CARE & REHABILITATION LLC
2024-10-01CASEY'S POND SENIOR LIVING66NORTHWEST COLORADO VISITING NURSE ASSOCIATION
2024-09-01POUDRE CANYON REHABILITATION AND NURSING, LLC83POUDRE CANYON REHABILITATION AND NURSING LLC
2024-09-01WELLSPRINGS CARE CENTER81WELLSPRINGS CARE CENTER LLC
2024-09-01SOUTH PLATTE REHABILITATION AND NURSING LLC78SOUTH PLATTE REHABILITATION AND NURSING LLC
2024-09-01WESTLAKE HEALTH AND REHABILITATION CENTER107LATHAM RIVER HEALTHCARE, INC.
2024-09-01THORNTON CARE CENTER101THORNTON CARE CENTER LLC
2024-09-01DURANGO HEALTH AND REHABILITATION133CHIMNEY ROCK HEALTHCARE INC
2024-09-01STERLING REHABILITATION AND NURSING, LLC63STERLING REHABILITATION AND NURSING 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
GeoKindBRAmountAs ofSource
county 08013acs median gross0$1,5312024-12-31CENSUS_ACS5
county 08013fmr0$1,5532025-10-01HUD_USER_FMR
county 08013acs median gross1$1,6902024-12-31CENSUS_ACS5
county 08013fmr1$1,7952025-10-01HUD_USER_FMR
county 08013acs median gross2$2,0082024-12-31CENSUS_ACS5
county 08013fmr2$2,1242025-10-01HUD_USER_FMR
county 08013acs median gross3$2,3662024-12-31CENSUS_ACS5
county 08013fmr3$2,8202025-10-01HUD_USER_FMR
county 08013acs median gross4$3,0472024-12-31CENSUS_ACS5
county 08013fmr4$3,2392025-10-01HUD_USER_FMR
county 08013acs median gross5$3,5012024-12-31CENSUS_ACS5
county 08013acs median gross$1,9662024-12-31CENSUS_ACS5
county 08013acs recent mover gross$2,0652024-12-31CENSUS_ACS5
zcta 80301acs median gross0$1,8722024-12-31CENSUS_ACS5
zcta 80301acs median gross1$1,7712024-12-31CENSUS_ACS5
zcta 80301acs median gross2$2,2032024-12-31CENSUS_ACS5
zcta 80301acs median gross3$2,2262024-12-31CENSUS_ACS5
zcta 80301acs median gross4$3,2192024-12-31CENSUS_ACS5
zcta 80301acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 80301acs median gross$2,0742024-12-31CENSUS_ACS5
zcta 80301acs recent mover gross$2,1502024-12-31CENSUS_ACS5
zip 80301payment standard 1100$1,8372025-10-01HUD_USER_SAFMR
zip 80301payment standard 900$1,5032025-10-01HUD_USER_SAFMR
zip 80301safmr0$1,6702025-10-01HUD_USER_SAFMR
zip 80301payment standard 1101$2,1232025-10-01HUD_USER_SAFMR
zip 80301payment standard 901$1,7372025-10-01HUD_USER_SAFMR
zip 80301safmr1$1,9302025-10-01HUD_USER_SAFMR
zip 80301payment standard 1102$2,5082025-10-01HUD_USER_SAFMR
zip 80301payment standard 902$2,0522025-10-01HUD_USER_SAFMR
zip 80301safmr2$2,2802025-10-01HUD_USER_SAFMR
zip 80301payment standard 1103$3,3332025-10-01HUD_USER_SAFMR
zip 80301payment standard 903$2,7272025-10-01HUD_USER_SAFMR
zip 80301safmr3$3,0302025-10-01HUD_USER_SAFMR
zip 80301payment standard 1104$3,8282025-10-01HUD_USER_SAFMR
zip 80301payment standard 904$3,1322025-10-01HUD_USER_SAFMR
zip 80301safmr4$3,4802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.