CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 22:24 UTC
Screener / 555748
D

BERKLEY EAST HEALTHCARE CENTER

snfCA
2021 ARIZONA AVE, SANTA MONICA, CA 90404 · CCN 555748 · chain ASPEN SKILLED HEALTHCARE INC
Composite
92.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
207
Model
v1.2
Reads as: riskier than 92.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies120Licensure0Ownership37Related party6Transactions1Comps12Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.393.50.300.230821.99in index
billing conduct93.864.00.300.230821.65in index
financial risk75.363.10.300.230817.38in index
chow risk58.056.30.150.11546.69in index
staffing risk6.66.70.250.19231.27in 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 typeScoreGradeModelStatusRegistry model notes
billing conduct64.0Cv0.1-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 risk87.7Fv0.6default · in composite
financial risk63.1Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.1—v0.1default · 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 risk93.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk6.7Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk57.6Cv0.1supersededPre-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 risk37.6Bv0.2supersededPre-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 risk48.4Cv0.3supersededPre-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 risk67.5Dv0.4supersededPre-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 risk93.5Fv0.1supersededPre-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 risk93.5Fv0.2supersededPre-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 risk6.7Av0.1supersededPre-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 risk6.7Av0.2supersededPre-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
33.9
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)6.83-1.18
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.58+0.33
Chain size (log)3.40+0.32
Total nurse staffing (HPRD)4.64-0.32
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.40-0.78
Occupancy0.58+0.70
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)4.64-0.60
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Facility size (log beds)5.34-0.20
Current owner tenure (years)6.83-0.19
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 facilityCA medianNational medianNational p25–p75
Total nurse4.643.953.282.90–3.77
RN0.240.380.390.25–0.58
Weekend total4.583.793.11—
Weekday total4.674.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492120.74.640.241.512.894.5817.4%
2025Q392114.34.020.221.302.503.900.0%
2025Q291114.34.680.311.482.904.6612.4%
2025Q190115.14.540.331.452.764.4212.5%
2024Q492100.74.920.391.552.994.8211.1%
2024Q39294.65.050.421.583.054.9912.3%
2024Q29191.84.940.401.592.944.797.6%
2024Q19184.14.920.431.652.834.515.6%
2023Q49287.24.790.321.492.994.587.0%
2023Q39290.24.500.261.532.714.204.1%
2023Q29189.74.380.231.492.654.060.0%
2023Q190112.84.030.271.442.323.8115.5%
2022Q49289.54.660.391.562.714.3018.2%
2022Q39287.04.440.281.492.674.3013.1%
2022Q29197.34.520.271.492.764.097.1%
2022Q190112.84.290.251.372.673.9312.8%
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

3
DateTypeFineSource
2024-06-06Fine$42,770CMS provider data
2024-06-06Payment Denial—CMS provider data
2024-01-16Fine$15,435CMS provider data
Total fines on record: $58,205

Deficiencies

120
D × 90E × 23G × 4J × 3
deficiencies by survey year
713623242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-06HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.E2026-03-26
2026-03-06HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-03-26
2026-03-06HealthF0641Ensure each resident receives an accurate assessment.D2026-03-26
2026-03-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-26
2026-03-06HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-03-26
2026-03-06HealthF0761Ensure 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.D2026-03-26
2026-03-06HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2026-03-26
2025-06-09Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-06-30
2025-05-01Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-05-20
2025-04-29Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-20
2025-04-29Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-20
2025-03-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-10
2024-12-19HealthF0583Keep residents' personal and medical records private and confidential.E2025-01-10
2024-12-19HealthF0693Ensure 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.D2025-01-10
2024-12-19HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-01-10
2024-12-19HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-01-10
2024-12-19HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-01-10
2024-12-19HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-01-10
2024-12-19HealthF0758Implement 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.D2025-01-10
2024-12-19HealthF0761Ensure 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.D2025-01-10
2024-12-19HealthF0803Ensure 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.E2025-01-10
2024-12-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-01-10
2024-12-19HealthF0908Keep all essential equipment working safely.D2025-01-10
2024-11-21Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-12-04
2024-11-15Health · complaintF0625Notify 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.D2024-12-05
2024-11-15Health · complaintF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D2024-12-05
2024-11-15Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-12-05
2024-09-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-09-20
2024-07-31Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E2024-08-26
2024-07-31Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-08-26
2024-07-30Health · complaintF0880Provide and implement an infection prevention and control program.D2024-08-30
2024-07-02Health · complaintF0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.D2024-07-05
2024-06-25Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-07-05
2024-06-06Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-06-28
2024-06-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-06-28
2024-06-06Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-06-28
2024-06-06Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-06-28
2024-05-15Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-05-30
2024-05-15Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-05-30
2024-04-08Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-04-15
2024-02-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-03-21
2024-02-28Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-03-21
2024-01-29Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-28
2024-01-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-28
2024-01-29Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-02-28
2024-01-17Health · 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.D2024-02-12
2024-01-17Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-02-12
2024-01-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-15
2024-01-16Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.G2024-02-15
2023-12-22Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-01-15
2023-12-22Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-01-15
2023-12-22Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2024-01-15
2023-12-22Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-01-15
2023-12-22Health · complaintF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E2024-01-15
2023-11-27HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-12-12
2023-11-27HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.E2023-12-12
2023-11-27HealthF0558Reasonably accommodate the needs and preferences of each resident.G2023-12-12
2023-11-27HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2023-12-12
2023-11-27HealthF0578Honor 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.D2023-12-12
2023-11-27Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-12-12
2023-11-27HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-12-12
2023-11-27Health · complaintF0637Assess the resident when there is a significant change in conditionD2023-12-12
2023-11-27HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-12-12
2023-11-27Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-12
2023-11-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-12
2023-11-27HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2023-12-12
2023-11-27HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-12-12
2023-11-27HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2023-12-12
2023-11-27HealthF0700Try 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.D2023-12-12
2023-11-27HealthF0732Post nurse staffing information every day.E2023-12-12
2023-11-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-12-12
2023-11-27HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-12-12
2023-11-27HealthF0758Implement 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.D2023-12-12
2023-11-27Health · complaintF0760Ensure that residents are free from significant medication errors.D2023-12-12
2023-11-27HealthF0761Ensure 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.E2023-12-12
2023-11-27HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2023-12-12
2023-11-27HealthF0778Help the resident make transportation arrangements to and from radiology services.D2023-12-12
2023-11-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-12-12
2023-11-27Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-12
2023-11-27Health · complaintF0880Provide and implement an infection prevention and control program.E2023-12-12
2023-11-27Health · complaintF0881Implement a program that monitors antibiotic use.D2023-12-12
2023-11-27Health · complaintF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D2023-12-12
2023-11-27Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-12-12
2023-11-27Health · complaintF0887Educate 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.E2023-12-12
2023-11-27HealthF0908Keep all essential equipment working safely.E2023-12-12
2023-11-25Health · complaintF0584Honor 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.D2023-12-06
2023-11-25Health · complaintF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.D2023-12-06
2023-11-25Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-12-06
2023-11-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-12-01
2023-11-15Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-12-01
2023-10-26Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-11-19
2023-10-26Health · complaintF0583Keep residents' personal and medical records private and confidential.D2023-11-19
2023-10-26Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-19
2023-10-26Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2023-11-19
2023-10-26Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-11-19
2023-10-18Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-11-14
2023-10-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-14
2023-10-15Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2023-11-10
2023-10-15Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J2023-11-10
2023-10-07Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-11-12
2023-09-26Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-10-30
2023-09-26Health · complaintF0610Respond appropriately to all alleged violations.D2023-10-30
2023-09-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-10-30
2023-09-26Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-10-30
2023-09-26Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-10-30
2023-09-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-10-30
2023-09-26Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2023-10-30
2023-08-14Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2023-09-25
2023-08-14Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-09-25
2023-08-14Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2023-09-25
2023-08-14Health · complaintF0760Ensure that residents are free from significant medication errors.J2023-09-25
2023-07-31Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2023-08-18
2023-06-27Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-10
2023-06-27Health · complaintF0761Ensure 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.D2023-07-10
2023-06-20Health · complaintF0625Notify 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.D2023-07-07
2023-06-20Health · complaintF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D2023-07-07
2023-06-15Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2023-07-07
2023-06-15Health · complaintF0641Ensure each resident receives an accurate assessment.D2023-07-07
2023-06-15Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2023-07-07
2023-06-07Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-06-21
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

37
OwnerRolePctFromStatusSource
ASMB, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-02-19currentpecos_ownership
ABASTILLAS, KATHLEENOPERATIONAL/MANAGERIAL CONTROL—2023-03-27currentpecos_ownership
ASPEN HEALTHCARE SERVICES LLCADP OF THE SNF—2023-01-01currentpecos_ownership
ASPEN SKILLED HEALTHCARE INCINDIRECT OWNERSHIP INTEREST—2021-02-19currentpecos_ownership
BRADSHAW, JEFFREYADP OF THE SNF—2023-01-01currentpecos_ownership
BRADSHAW, JEFFREYCORPORATE OFFICER—2019-05-24currentpecos_ownership
BRADY, VERNADP OF THE SNF—2023-01-01currentpecos_ownership
BRADY, VERNCORPORATE OFFICER—2019-05-24currentpecos_ownership
CASE, RYANCORPORATE OFFICER—2019-05-24currentpecos_ownership
CASE, RYANADP OF THE SNF—2023-01-01currentpecos_ownership
CASLMON, TIMOTHYOPERATIONAL/MANAGERIAL CONTROL—2023-01-01currentpecos_ownership
JACARANDA HEALTHCARE GROUP LLCINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
JURADO, FRANKADP OF THE SNF—2023-01-01currentpecos_ownership
LEONARD, SUSANOPERATIONAL/MANAGERIAL CONTROL—2020-10-01currentpecos_ownership
NOONAN, KENDRAOPERATIONAL/MANAGERIAL CONTROL—2024-02-12currentpecos_ownership
PAXMAN, MARCUSADP OF THE SNF—2023-01-01currentpecos_ownership
THOMPSON, STEPHENADP OF THE SNF—2023-01-01currentpecos_ownership
VERN BRADY5% OR GREATER INDIRECT OWNERSHIP INTEREST32%2019-05-24ended 2026-05-18pecos_ownership
RYAN CASE5% OR GREATER INDIRECT OWNERSHIP INTEREST32%2019-05-24ended 2026-05-18pecos_ownership
JEFFREY BRADSHAW5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2019-05-24ended 2026-05-18pecos_ownership
ERIC ELSNER5% OR GREATER INDIRECT OWNERSHIP INTEREST4%2021-02-19ended 2026-05-18pecos_ownership
RAJESH PARTI5% OR GREATER INDIRECT OWNERSHIP INTEREST4%2021-02-19ended 2026-05-18pecos_ownership
SHRUTY PARTI5% OR GREATER INDIRECT OWNERSHIP INTEREST4%2021-02-19ended 2026-05-18pecos_ownership
CRAIG ORGILL5% OR GREATER INDIRECT OWNERSHIP INTEREST1%2021-02-19ended 2026-05-18pecos_ownership
JARED KIRKWOOD5% OR GREATER INDIRECT OWNERSHIP INTEREST0%2021-02-19ended 2026-05-18pecos_ownership
PETER BRADSHAW5% OR GREATER INDIRECT OWNERSHIP INTEREST0%2023-07-07ended 2026-05-18pecos_ownership
MARCUS PAXMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST0%2022-04-01ended 2026-05-18pecos_ownership
FRANK JURADOADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
JEFFREY BRADSHAWADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
KATHLEEN ABASTILLASADP OF THE SNF—2023-03-27ended 2026-05-18pecos_ownership
KENDRA NOONANOPERATIONAL/MANAGERIAL CONTROL—2024-02-12ended 2026-05-18pecos_ownership
MARCUS PAXMANADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
RYAN CASEADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
STEPHEN THOMPSONADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
SUSAN LEONARDOPERATIONAL/MANAGERIAL CONTROL—2020-10-01ended 2026-05-18pecos_ownership
TIMOTHY CASLMONADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
VERN BRADYADP OF THE SNF—2023-01-01ended 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
2019-10-01—ASMB, LLCARIZONA & 21ST CORPchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED SAN DIMAS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

34
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90404acs median gross0$1,6372024-12-31CENSUS_ACS5
zcta 90404acs median gross1$2,0962024-12-31CENSUS_ACS5
zcta 90404acs median gross2$2,6152024-12-31CENSUS_ACS5
zcta 90404acs median gross3$2,6292024-12-31CENSUS_ACS5
zcta 90404acs median gross$2,2392024-12-31CENSUS_ACS5
zcta 90404acs recent mover gross$3,5012024-12-31CENSUS_ACS5
zip 90404payment standard 1100$2,6182025-10-01HUD_USER_SAFMR
zip 90404payment standard 900$2,1422025-10-01HUD_USER_SAFMR
zip 90404safmr0$2,3802025-10-01HUD_USER_SAFMR
zip 90404payment standard 1101$2,9262025-10-01HUD_USER_SAFMR
zip 90404payment standard 901$2,3942025-10-01HUD_USER_SAFMR
zip 90404safmr1$2,6602025-10-01HUD_USER_SAFMR
zip 90404payment standard 1102$3,6522025-10-01HUD_USER_SAFMR
zip 90404payment standard 902$2,9882025-10-01HUD_USER_SAFMR
zip 90404safmr2$3,3202025-10-01HUD_USER_SAFMR
zip 90404payment standard 1103$4,6312025-10-01HUD_USER_SAFMR
zip 90404payment standard 903$3,7892025-10-01HUD_USER_SAFMR
zip 90404safmr3$4,2102025-10-01HUD_USER_SAFMR
zip 90404payment standard 1104$5,1592025-10-01HUD_USER_SAFMR
zip 90404payment standard 904$4,2212025-10-01HUD_USER_SAFMR
zip 90404safmr4$4,6902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · BERKLEY EAST HEALTHCARE CENTER (555748) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency