Composite
56.4 / 100 percentile
Screener / 505264
B
AVAMERE AT PACIFIC RIDGE
snfWA
3625 EAST B STREET, TACOMA, WA 98404 · CCN 505264 · chain AVAMERE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
102
Model
v1.2
Reads as: riskier than 56.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies70Licensure0Ownership97Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.6 | 90.3 | 0.30 | 0.2308 | 21.37 | in index |
| billing conduct | 44.1 | 37.0 | 0.30 | 0.2308 | 10.18 | in index |
| financial risk | 41.4 | 40.4 | 0.30 | 0.2308 | 9.55 | in index |
| chow risk | 79.8 | 60.6 | 0.15 | 0.1154 | 9.21 | in index |
| staffing risk | 1.9 | 2.0 | 0.25 | 0.1923 | 0.37 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.0 | 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 | 66.2 | D | v0.6 | default · in composite | |
| financial risk | 40.4 | 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 | 7.3 | — | 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 | 90.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 2.0 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.1 | 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 | 61.1 | 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 | 41.7 | 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 | 45.9 | C | 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 | 90.3 | 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 | 90.3 | 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 | 2.0 | 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 | 2.0 | 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)
7.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
95.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Total nurse staffing (HPRD) | 5.61 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 23.00 | +0.39 | |
| Chain size (log) | 3.30 | +0.30 | |
| Occupancy | 0.60 | +0.29 |
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 | 23.00 | -2.84 | |
| Total nurse staffing (HPRD) | 5.61 | -1.01 | |
| Chain size (log) | 3.30 | -0.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.60 | +0.63 | |
| Staffing trend, last 4 quarters | 1.13 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 5.61 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 5.17 | 3.51 | 3.11 | — |
| Weekday total | 5.78 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 61.1 | 5.61 | 0.53 | 1.12 | 3.96 | 5.17 | 0.0% |
| 2025Q3 | 92 | 63.1 | 5.50 | 0.39 | 1.27 | 3.84 | 5.03 | 0.0% |
| 2025Q2 | 91 | 69.4 | 5.01 | 0.33 | 1.31 | 3.37 | 4.46 | 0.0% |
| 2025Q1 | 90 | 70.6 | 4.79 | 0.27 | 1.16 | 3.35 | 4.34 | 0.0% |
| 2024Q4 | 92 | 73.8 | 4.48 | 0.35 | 1.07 | 3.06 | 4.12 | 0.0% |
| 2024Q3 | 92 | 76.4 | 4.18 | 0.46 | 1.04 | 2.69 | 3.66 | 0.0% |
| 2024Q2 | 91 | 71.6 | 4.19 | 0.35 | 1.11 | 2.73 | 3.73 | 1.6% |
| 2024Q1 | 91 | 84.8 | 4.07 | 0.30 | 1.11 | 2.66 | 3.54 | 2.7% |
| 2023Q4 | 92 | 78.8 | 3.70 | 0.32 | 0.96 | 2.42 | 3.33 | 2.4% |
| 2023Q3 | 92 | 77.9 | 3.49 | 0.35 | 1.01 | 2.13 | 3.08 | 2.4% |
| 2023Q2 | 91 | 78.0 | 3.35 | 0.32 | 1.00 | 2.04 | 2.85 | 0.4% |
| 2023Q1 | 90 | 76.3 | 3.50 | 0.26 | 1.10 | 2.15 | 2.99 | 2.0% |
| 2022Q4 | 92 | 76.3 | 4.02 | 0.19 | 1.46 | 2.38 | 3.66 | 11.4% |
| 2022Q3 | 92 | 76.0 | 3.50 | 0.19 | 1.13 | 2.17 | 3.06 | 13.2% |
| 2022Q2 | 91 | 69.5 | 3.16 | 0.37 | 0.77 | 2.02 | 2.90 | 2.0% |
| 2022Q1 | 90 | 76.0 | 3.21 | 0.46 | 0.74 | 2.00 | 2.81 | 0.0% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-17 | Fine | $22,432 | CMS provider data |
| 2024-10-04 | Fine | $27,073 | CMS provider data |
| 2024-07-19 | Fine | $8,278 | CMS provider data |
Total fines on record: $57,783
Deficiencies
70B × 1C × 1D × 39E × 21F × 4G × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | 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 | 2026-05-29 |
| 2026-04-24 | 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 | 2026-05-29 |
| 2026-04-24 | 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 | 2026-05-29 |
| 2026-04-24 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-05-29 |
| 2026-04-24 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-29 |
| 2026-04-24 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-05-29 |
| 2026-04-24 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-29 |
| 2026-04-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-05-29 |
| 2026-04-24 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-05-29 |
| 2026-04-24 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-05-29 |
| 2026-04-24 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-29 |
| 2026-04-24 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-05-29 |
| 2026-04-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-29 |
| 2026-04-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-05-29 |
| 2026-04-24 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2026-05-29 |
| 2026-04-24 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2026-05-29 |
| 2026-04-24 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2026-05-29 |
| 2026-04-24 | 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. | F | 2026-05-29 |
| 2026-04-24 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2026-05-29 |
| 2026-04-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-05-29 |
| 2026-04-24 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2026-05-29 |
| 2026-04-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2026-05-15 |
| 2025-12-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-26 |
| 2025-05-20 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-06-04 |
| 2025-03-27 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-03-27 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-05-14 |
| 2025-03-27 | 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. | E | 2025-05-14 |
| 2025-03-27 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-05-14 |
| 2025-03-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-14 |
| 2025-03-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | F | 2025-05-14 |
| 2025-03-27 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-14 |
| 2025-03-27 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-05-14 |
| 2025-03-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-14 |
| 2025-03-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-05-14 |
| 2025-03-27 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-05-14 |
| 2025-03-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-03-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-14 |
| 2025-03-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-03-27 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-05-14 |
| 2025-03-27 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-05-14 |
| 2025-03-27 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | F | 2025-05-14 |
| 2025-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-14 |
| 2025-03-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-14 |
| 2025-03-27 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-05-14 |
| 2025-03-27 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-05-14 |
| 2025-03-27 | 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 | 2025-05-14 |
| 2025-01-17 | 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. | G | 2025-02-04 |
| 2024-10-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-29 |
| 2024-07-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-08-26 |
| 2024-04-26 | 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 | 2024-05-29 |
| 2024-04-26 | 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 | 2024-05-29 |
| 2024-04-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-05-29 |
| 2024-04-26 | 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. | B | 2024-05-29 |
| 2024-04-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-29 |
| 2024-04-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-29 |
| 2024-04-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-29 |
| 2024-04-26 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-29 |
| 2024-04-26 | Health | 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. | E | 2024-05-29 |
| 2024-04-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-05-29 |
| 2024-04-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-29 |
| 2024-04-26 | 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 | 2024-05-29 |
| 2024-04-26 | 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 | 2024-05-29 |
| 2024-04-26 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-05-29 |
| 2023-09-28 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2023-10-30 |
| 2023-06-06 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-07-11 |
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
97| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARI OPERATIONS, LLC | INDIRECT OWNERSHIP INTEREST | — | 2006-01-06 | current | pecos_ownership |
| ARISO LLC | DIRECT OWNERSHIP INTEREST | — | 2006-01-06 | current | pecos_ownership |
| AVAMERE GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2006-01-06 | current | pecos_ownership |
| AVAMERE HEALTH SERVICES LLC | ADP OF THE SNF | — | 2025-07-16 | current | pecos_ownership |
| AVAMERE HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-01-01 | current | pecos_ownership |
| AVAMERE SKILLED ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-01-01 | current | pecos_ownership |
| AVAMERE SKILLED ADVISORS LLC | ADP OF THE SNF | — | 2025-07-13 | current | pecos_ownership |
| BROOKS, ANTHONY | ADP OF THE SNF | — | 2024-10-16 | current | pecos_ownership |
| CAVALLO, GLEN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| CLARK, TONIA | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| FANUNAL, LORIEL | ADP OF THE SNF | — | 2023-01-02 | current | pecos_ownership |
| FEAKIN, CODY | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| FEAKIN, CODY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| FOWLER, KATHERINE | ADP OF THE SNF | — | 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 |
| HASKINS, DAMIEN | ADP OF THE SNF | — | 2025-09-01 | 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 |
| INSKEEP, TODD | ADP OF THE SNF | — | 2022-01-21 | current | pecos_ownership |
| INSKEEP, TODD | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| KARL RICKARD MILER JR REVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | — | 2011-07-11 | current | pecos_ownership |
| KOFSTAD, MARY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| KOFSTAD, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-13 | current | pecos_ownership |
| KRETCHMAR, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| MCKINNEY, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-27 | current | pecos_ownership |
| MIDCAP FINCO LLC | 5% OR GREATER SECURITY INTEREST | — | 2010-01-22 | current | pecos_ownership |
| MILLER, KARL | INDIRECT OWNERSHIP INTEREST | — | 1998-07-01 | current | pecos_ownership |
| MUNRO, JOLYNN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| MUNRO, JOLYNN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 | current | pecos_ownership |
| OKOLI, IKE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| POIRIER, STACY | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| POLSON, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-10 | current | pecos_ownership |
| POLSON, JUSTIN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | 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 |
| REID, MISTY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | current | pecos_ownership |
| REID, MISTY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| SANDERS, AMANDA | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| SCAGLIONE, ANITA | ADP OF THE SNF | — | 2025-05-30 | 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 |
| STAPLES, CAROLYN | MANAGING CONTROL - GOVERNING BODY | — | 2025-10-01 | current | pecos_ownership |
| STAPLES, CAROLYN | ADP OF THE SNF | — | 2023-10-05 | current | pecos_ownership |
| STRIDER, SHELBY | ADP OF THE SNF | — | 2025-07-13 | current | pecos_ownership |
| STRIDER, SHELBY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | current | pecos_ownership |
| STRUNK, COLBY | ADP OF THE SNF | — | 2022-09-06 | current | pecos_ownership |
| STRUNK, COLBY | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| VANDERZANDEN, CARRIE | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | current | pecos_ownership |
| VANDERZANDEN, CARRIE | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| WHYTE, ASHLEY | ADP OF THE SNF | — | 2023-10-01 | current | pecos_ownership |
| KARL MILLER | INDIRECT OWNERSHIP INTEREST | 100% | 1998-07-01 | ended 2026-05-18 | pecos_ownership |
| AMANDA SANDERS | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW SIMPSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW SIMPSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| ANITA SCAGLIONE | ADP OF THE SNF | — | 2025-05-30 | ended 2026-05-18 | pecos_ownership |
| ANTHONY BROOKS | ADP OF THE SNF | — | 2024-10-16 | ended 2026-05-18 | pecos_ownership |
| ASHLEY WHYTE | ADP OF THE SNF | — | 2023-10-01 | ended 2026-05-18 | pecos_ownership |
| CAROLYN STAPLES | ADP OF THE SNF | — | 2023-10-05 | ended 2026-05-18 | pecos_ownership |
| CAROLYN STAPLES | MANAGING CONTROL - GOVERNING BODY | — | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| CARRIE VANDERZANDEN | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| CARRIE VANDERZANDEN | ADP OF THE SNF | — | 2025-01-01 | 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 |
| 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 |
| DAMIEN HASKINS | ADP OF THE SNF | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| GLEN CAVALLO | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| IKE OKOLI | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| JOLYNN MUNRO | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| JOLYNN MUNRO | ADP OF THE SNF | — | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA KRETCHMAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| JUSTIN POLSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-10 | ended 2026-05-18 | pecos_ownership |
| JUSTIN POLSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| KATHERINE FOWLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| KEVIN HILL | ADP OF THE SNF | — | 2022-03-12 | ended 2026-05-18 | pecos_ownership |
| KEVIN HILL | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| KIM GAMES | ADP OF THE SNF | — | 2024-08-15 | ended 2026-05-18 | pecos_ownership |
| LORIEL FANUNAL | OPERATIONAL/MANAGERIAL CONTROL | — | 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 | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-13 | ended 2026-05-18 | pecos_ownership |
| MARY MCKINNEY | ADP OF THE SNF | — | 2023-04-27 | ended 2026-05-18 | pecos_ownership |
| MICHELE POWELSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MICHELE POWELSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-03-25 | ended 2026-05-18 | pecos_ownership |
| MICHELLE FUNDERBERG | 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 |
| 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 |
| SHELBY STRIDER | ADP OF THE SNF | — | 2025-07-13 | ended 2026-05-18 | pecos_ownership |
| SHELBY STRIDER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | ended 2026-05-18 | pecos_ownership |
| STACY POIRIER | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| TODD INSKEEP | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| TODD INSKEEP | ADP OF THE SNF | — | 2022-01-21 | ended 2026-05-18 | pecos_ownership |
| TONIA CLARK | MANAGING CONTROL - GOVERNING BODY | — | 2025-06-01 | 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
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 — 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53053 | acs median gross | 0 | $1,289 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 0 | $1,428 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 1 | $1,465 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 1 | $1,605 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 2 | $1,794 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 2 | $1,971 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 3 | $2,233 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 3 | $2,733 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 4 | $2,564 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 4 | $3,102 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 5 | $2,810 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | acs median gross | $1,806 | 2024-12-31 | CENSUS_ACS5 | |
| county 53053 | acs recent mover gross | $1,963 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98404 | acs median gross | 0 | $1,325 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | 1 | $1,285 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | 2 | $1,365 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | 3 | $1,833 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | 4 | $2,317 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | 5 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98404 | acs median gross | $1,483 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98404 | payment standard 110 | 0 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 90 | 0 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | safmr | 0 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 110 | 1 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 90 | 1 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | safmr | 1 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 110 | 2 | $2,046 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 90 | 2 | $1,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | safmr | 2 | $1,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 110 | 3 | $2,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 90 | 3 | $2,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | safmr | 3 | $2,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 110 | 4 | $3,267 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | payment standard 90 | 4 | $2,673 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98404 | safmr | 4 | $2,970 | 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.