214 SOUTH ATLANTIC BLVD., ALHAMBRA, CA 91801 · CCN 555272
Composite
3.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
113
Model
v1.2
Reads as: riskier than 3.7% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
CA median
National median
National p25–p75
Total nurse
3.86
3.95
3.28
2.90–3.77
RN
0.11
0.38
0.39
0.25–0.58
Weekend total
3.79
3.79
3.11
—
Weekday total
3.89
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.7
3.86
0.11
1.12
2.63
3.79
0.0%
2025Q3
92
61.9
3.84
0.12
1.03
2.69
3.79
0.0%
2025Q2
91
63.7
3.93
0.13
1.07
2.74
3.77
0.1%
2025Q1
90
66.0
3.97
0.10
1.12
2.75
3.83
0.0%
2024Q4
92
64.7
4.06
0.26
1.16
2.64
3.87
0.0%
2024Q3
92
69.7
3.79
0.12
1.03
2.64
3.69
0.3%
2024Q2
91
72.6
3.82
0.09
1.00
2.73
3.67
0.3%
2024Q1
91
75.8
3.73
0.06
0.99
2.68
3.58
0.2%
2023Q4
92
77.4
3.56
0.10
0.98
2.48
3.27
0.0%
2023Q3
92
83.3
3.65
0.12
0.90
2.63
3.64
0.0%
2023Q2
91
81.1
3.85
0.15
0.91
2.79
3.76
0.0%
2023Q1
90
81.6
3.90
0.13
1.03
2.74
3.78
0.1%
2022Q4
92
85.9
3.70
0.14
0.98
2.57
3.67
0.3%
2022Q3
92
84.3
3.78
0.14
0.96
2.68
3.67
0.2%
2022Q2
91
82.9
3.96
0.15
1.01
2.81
3.79
0.2%
2022Q1
90
84.1
3.66
0.15
0.89
2.62
3.57
0.1%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
28
D × 22E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-16
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-01-30
2026-01-16
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
2026-01-30
2026-01-16
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2026-01-30
2026-01-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-30
2026-01-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-01-30
2026-01-16
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
2026-01-30
2026-01-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-30
2025-12-23
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2025-12-31
2024-11-07
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-11-18
2024-11-07
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-11-24
2024-11-07
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-11-18
2024-11-07
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
2024-11-12
2024-11-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-11-27
2024-11-07
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-11-18
2024-11-07
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-11-27
2024-11-07
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2024-11-27
2024-11-07
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2024-11-24
2024-11-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-12
2024-01-17
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-02-01
2023-11-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-12-08
2023-11-16
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
2023-12-08
2023-11-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-12-08
2023-11-16
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
2023-12-08
2023-11-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-12-08
2023-11-16
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2023-12-08
2023-11-16
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.
D
2023-12-08
2023-11-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-08
2023-11-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-12-08
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
13
Owner
Role
Pct
From
Status
Source
ATHERTON BAPTIST HOMES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
MEDINA, JOELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
current
pecos_ownership
MEDINA, JOELLE
ADP OF THE SNF
—
2025-03-14
current
pecos_ownership
MEREDITH, BRETT
CORPORATE OFFICER
—
2024-10-01
current
pecos_ownership
NASSIF, TAREK
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
NASSIF, TAREK
ADP OF THE SNF
—
2025-03-14
current
pecos_ownership
PASCUAL, MA JOCELYN
CORPORATE OFFICER
—
2002-05-01
current
pecos_ownership
BRETT MEREDITH
CORPORATE OFFICER
100%
2024-10-01
ended 2026-05-18
pecos_ownership
MA JOCELYN PASCUAL
CORPORATE OFFICER
100%
2002-05-01
ended 2026-05-18
pecos_ownership
JOELLE MEDINA
ADP OF THE SNF
—
2025-03-14
ended 2026-05-18
pecos_ownership
JOELLE MEDINA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
ended 2026-05-18
pecos_ownership
TAREK NASSIF
ADP OF THE SNF
—
2025-03-14
ended 2026-05-18
pecos_ownership
TAREK NASSIF
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
0
$1,593
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
1
$1,668
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
2
$2,133
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
3
$2,378
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
4
$2,483
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
5
$3,121
2024-12-31
CENSUS_ACS5
zcta 91801
acs median gross
$1,981
2024-12-31
CENSUS_ACS5
zcta 91801
acs recent mover gross
$2,472
2024-12-31
CENSUS_ACS5
zip 91801
payment standard 110
0
$2,266
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 90
0
$1,854
2025-10-01
HUD_USER_SAFMR
zip 91801
safmr
0
$2,060
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 110
1
$2,530
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 90
1
$2,070
2025-10-01
HUD_USER_SAFMR
zip 91801
safmr
1
$2,300
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 110
2
$3,157
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 90
2
$2,583
2025-10-01
HUD_USER_SAFMR
zip 91801
safmr
2
$2,870
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 110
3
$4,004
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 90
3
$3,276
2025-10-01
HUD_USER_SAFMR
zip 91801
safmr
3
$3,640
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 110
4
$4,455
2025-10-01
HUD_USER_SAFMR
zip 91801
payment standard 90
4
$3,645
2025-10-01
HUD_USER_SAFMR
zip 91801
safmr
4
$4,050
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.