1001 N. MOUNTAIN STREET, CARSON CITY, NV 89703 · CCN 295104
Composite
50.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 50.3% 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
NV median
National median
National p25–p75
Total nurse
4.40
3.62
3.28
2.90–3.77
RN
0.83
0.64
0.39
0.25–0.58
Weekend total
3.98
3.46
3.11
—
Weekday total
4.57
3.68
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
65.5
4.40
0.83
1.10
2.47
3.98
5.1%
2025Q3
92
61.9
4.52
0.79
1.31
2.42
4.00
5.9%
2025Q2
91
67.4
4.43
0.90
1.07
2.46
3.92
10.8%
2025Q1
90
68.7
4.56
1.00
1.10
2.47
3.81
12.3%
2024Q4
92
67.0
4.46
0.95
1.20
2.32
3.93
10.6%
2024Q3
92
50.9
4.24
0.92
0.90
2.42
3.90
2.0%
2024Q2
91
48.6
3.77
0.80
0.74
2.23
3.61
0.3%
2024Q1
91
47.7
3.78
0.83
0.80
2.15
3.70
2.1%
2023Q4
92
44.7
4.09
0.95
0.98
2.16
4.15
0.0%
2023Q3
92
48.0
4.13
0.86
0.98
2.29
4.10
0.0%
2023Q2
91
50.8
4.38
0.77
1.21
2.40
4.07
0.0%
2023Q1
90
55.3
4.21
0.72
1.13
2.36
3.99
0.0%
2022Q4
92
54.3
4.24
0.73
1.24
2.27
4.14
0.3%
2022Q3
92
56.3
4.42
0.67
1.50
2.25
4.14
0.0%
2022Q2
91
55.6
4.36
0.91
1.10
2.35
4.31
0.0%
2022Q1
90
56.2
4.63
1.00
1.14
2.49
4.53
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
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
25
D × 22E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-12
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-10
2026-03-12
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2026-04-10
2026-03-12
Health
F0610
Respond appropriately to all alleged violations.
D
2026-04-10
2026-03-12
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-04-10
2026-03-12
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
2026-04-10
2026-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-10
2026-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-10
2026-03-12
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
2026-04-10
2026-03-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-10
2026-03-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-10
2025-01-16
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-02-19
2025-01-16
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.
D
2025-02-19
2025-01-16
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-02-19
2025-01-16
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
E
2025-02-19
2024-03-08
Health · complaint
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2024-05-01
2024-01-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-02-16
2024-01-16
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
2024-02-16
2024-01-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-02-16
2024-01-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-16
2024-01-16
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
2024-02-16
2024-01-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-02-16
2024-01-16
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-02-16
2024-01-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-02-16
2024-01-16
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-02-16
2024-01-16
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
2024-02-16
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
CARSON TAHOE REGIONAL HEALTHCARE
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2019-03-01
current
pecos_ownership
D. D. & F.
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2019-03-01
current
pecos_ownership
DELAMARTER, BRIAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
42%
2019-03-01
current
pecos_ownership
VISLOCKY, GREGORY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2019-03-01
current
pecos_ownership
DELAMARTER, ELIZABETH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-03-01
current
pecos_ownership
DELAMARTER, HAROLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-03-01
current
pecos_ownership
MITCHELL, THOMAS
W-2 MANAGING EMPLOYEE
—
2019-03-01
current
pecos_ownership
PRESTIGE CARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-01
current
pecos_ownership
THOMAS MITCHELL
W-2 MANAGING EMPLOYEE
100%
2019-03-01
ended 2026-05-18
pecos_ownership
BRIAN DELAMARTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
42%
2019-03-01
ended 2026-05-18
pecos_ownership
GREGORY VISLOCKY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2019-03-01
ended 2026-05-18
pecos_ownership
HAROLD DELAMARTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-03-01
ended 2026-05-18
pecos_ownership
ELIZABETH DELAMARTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-03-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$303,139
—
$303,139
—
—
1
—
2023-12-31
$2,216,005
—
$899,224
$1,316,781
—
9
—
2022-12-31
$2,198,977
—
$864,530
$1,334,447
—
9
—
2021-12-31
$4,360,293
$1,351,793
$643,924
$1,622,809
$10,571
9
—
2020-12-31
$4,446,654
$1,132,673
$671,670
$1,871,121
$6,697
12
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 32510
acs median gross
0
$887
2024-12-31
CENSUS_ACS5
county 32510
fmr
0
$1,105
2025-10-01
HUD_USER_FMR
county 32510
acs median gross
1
$995
2024-12-31
CENSUS_ACS5
county 32510
fmr
1
$1,212
2025-10-01
HUD_USER_FMR
county 32510
acs median gross
2
$1,303
2024-12-31
CENSUS_ACS5
county 32510
fmr
2
$1,546
2025-10-01
HUD_USER_FMR
county 32510
acs median gross
3
$1,651
2024-12-31
CENSUS_ACS5
county 32510
fmr
3
$2,150
2025-10-01
HUD_USER_FMR
county 32510
acs median gross
4
$1,818
2024-12-31
CENSUS_ACS5
county 32510
fmr
4
$2,593
2025-10-01
HUD_USER_FMR
county 32510
acs median gross
5
$1,125
2024-12-31
CENSUS_ACS5
county 32510
acs median gross
$1,248
2024-12-31
CENSUS_ACS5
county 32510
acs recent mover gross
$1,362
2024-12-31
CENSUS_ACS5
zcta 89703
acs median gross
0
$778
2024-12-31
CENSUS_ACS5
zcta 89703
acs median gross
1
$898
2024-12-31
CENSUS_ACS5
zcta 89703
acs median gross
2
$1,381
2024-12-31
CENSUS_ACS5
zcta 89703
acs median gross
3
$1,829
2024-12-31
CENSUS_ACS5
zcta 89703
acs median gross
$1,203
2024-12-31
CENSUS_ACS5
zcta 89703
acs recent mover gross
$1,795
2024-12-31
CENSUS_ACS5
zip 89703
payment standard 110
0
$1,177
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 90
0
$963
2025-10-01
HUD_USER_SAFMR
zip 89703
safmr
0
$1,070
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 89703
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 89703
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 89703
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 110
4
$2,761
2025-10-01
HUD_USER_SAFMR
zip 89703
payment standard 90
4
$2,259
2025-10-01
HUD_USER_SAFMR
zip 89703
safmr
4
$2,510
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.