Composite
37.4 / 100 percentile
Screener / 055271
B
LA SIERRA CARE CENTER
snfCA
2424 M STREET, MERCED, CA 95340 · CCN 055271 · chain WIN WIN ENTERPRISES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
68
Model
v1.2
Reads as: riskier than 37.4% 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 model5ML signals2Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies38Licensure0Ownership47Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 63.9 | 45.0 | 0.30 | 0.2308 | 14.75 | in index |
| regulatory risk | 47.8 | 36.8 | 0.30 | 0.2308 | 11.03 | in index |
| chow risk | 56.1 | 37.9 | 0.15 | 0.1154 | 6.47 | in index |
| financial risk | 25.3 | 30.8 | 0.30 | 0.2308 | 5.84 | in index |
| staffing risk | 29.4 | 29.5 | 0.25 | 0.1923 | 5.65 | 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.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | WINTNER JACOB | 35 facilities |
| connection | Owner spans multiple chains | 5 chains | SMEDRA IRA | 30 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.0 | C | 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 | 20.9 | A | v0.6 | default · in composite | |
| financial risk | 30.8 | 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 | 3.0 | — | 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 | 36.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 29.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.7 | C | 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 | 32.7 | B | 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 | 46.4 | C | 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 | 35.5 | B | 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 | 36.7 | B | 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 | 36.7 | B | 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 | 29.5 | B | 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 | 29.5 | B | 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)
3.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
77.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.97 | -0.79 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.22 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.67 | -0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.97 | -0.93 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.22 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.67 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | 3.67 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.39 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.55 | 3.79 | 3.11 | — |
| Weekday total | 3.72 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 66.0 | 3.67 | 0.39 | 0.77 | 2.50 | 3.55 | 0.0% |
| 2025Q3 | 92 | 64.6 | 3.67 | 0.28 | 0.89 | 2.50 | 3.51 | 0.0% |
| 2025Q2 | 91 | 62.7 | 3.74 | 0.27 | 1.10 | 2.37 | 3.48 | 0.0% |
| 2025Q1 | 90 | 61.0 | 3.55 | 0.33 | 1.01 | 2.21 | 3.32 | 0.0% |
| 2024Q4 | 92 | 62.8 | 3.44 | 0.29 | 0.85 | 2.29 | 3.27 | 0.0% |
| 2024Q3 | 92 | 63.9 | 3.59 | 0.29 | 0.96 | 2.35 | 3.35 | 0.0% |
| 2024Q2 | 91 | 61.8 | 3.63 | 0.22 | 0.94 | 2.48 | 3.43 | 0.0% |
| 2024Q1 | 91 | 62.1 | 3.53 | 0.28 | 0.79 | 2.46 | 3.44 | 0.0% |
| 2023Q4 | 92 | 64.1 | 3.52 | 0.25 | 0.90 | 2.37 | 3.44 | 0.0% |
| 2023Q3 | 92 | 59.9 | 3.46 | 0.21 | 0.88 | 2.37 | 3.49 | 0.0% |
| 2023Q2 | 91 | 64.4 | 3.34 | 0.22 | 0.83 | 2.29 | 3.41 | 1.5% |
| 2023Q1 | 90 | 60.9 | 3.29 | 0.13 | 0.92 | 2.25 | 3.25 | 4.8% |
| 2022Q4 | 92 | 59.4 | 3.14 | 0.12 | 0.81 | 2.21 | 3.18 | 7.4% |
| 2022Q3 | 92 | 57.3 | 3.25 | 0.20 | 0.75 | 2.31 | 3.24 | 4.5% |
| 2022Q2 | 91 | 54.1 | 2.91 | 0.18 | 0.82 | 1.91 | 2.81 | 0.0% |
| 2022Q1 | 90 | 53.0 | 3.06 | 0.15 | 0.94 | 1.97 | 3.17 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
38C × 1D × 20E × 13F × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-02-23 |
| 2026-01-23 | 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 | 2026-02-23 |
| 2026-01-23 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-02-23 |
| 2026-01-23 | 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 | 2026-02-23 |
| 2026-01-23 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2026-02-23 |
| 2026-01-23 | Health | F0803 | Ensure 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. | E | 2026-02-23 |
| 2026-01-23 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2026-02-23 |
| 2026-01-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-23 |
| 2026-01-23 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-02-23 |
| 2026-01-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-23 |
| 2026-01-23 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2026-02-23 |
| 2025-11-19 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-12-11 |
| 2025-04-03 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-21 |
| 2024-10-23 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-11-04 |
| 2024-08-23 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-09-23 |
| 2024-08-23 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-09-23 |
| 2024-08-23 | 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 | 2024-09-23 |
| 2024-08-23 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-23 |
| 2024-08-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-23 |
| 2024-08-23 | Health | F0732 | Post nurse staffing information every day. | C | 2024-09-23 |
| 2024-08-23 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-23 |
| 2024-08-23 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-09-23 |
| 2024-08-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-09-23 |
| 2024-08-23 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-09-23 |
| 2024-08-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-23 |
| 2024-08-23 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-23 |
| 2024-08-23 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | 2024-09-23 |
| 2023-10-09 | 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 | 2023-10-26 |
| 2021-04-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-05-11 |
| 2021-04-29 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2021-04-29 |
| 2021-04-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-05-20 |
| 2021-04-29 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2021-06-10 |
| 2021-04-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2021-06-10 |
| 2021-04-29 | 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 | 2021-05-20 |
| 2021-04-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-06-10 |
| 2021-04-29 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2021-06-10 |
| 2021-04-29 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2021-06-10 |
| 2021-04-29 | Health | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | D | 2021-05-11 |
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
47| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-02-07 | current | pecos_ownership |
| 2424 M STREET LLC | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| 2424 M STREET LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| 2424 M STREET LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| BERING PROPERTIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| BH ALLIANCE | INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| BRETSCH, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-25 | current | pecos_ownership |
| BUTENKO, JULIE | ADP OF THE SNF | — | 2023-07-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | current | pecos_ownership |
| CAPELA, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | current | pecos_ownership |
| DAROUZE, MICHAEL | ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| DAROUZE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-22 | current | pecos_ownership |
| HASSELL, LANCE | ADP OF THE SNF | — | 2022-04-25 | current | pecos_ownership |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| JENMAX ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| JK-CSH JV LLC | ADP OF THE SNF | — | 2006-11-01 | current | pecos_ownership |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | current | pecos_ownership |
| MANHATTAN FIVE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| MANOHARAN, ARUN | ADP OF THE SNF | — | 2024-08-24 | current | pecos_ownership |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-01 | current | pecos_ownership |
| SALAZAR, PAULINA | ADP OF THE SNF | — | 2020-12-14 | current | pecos_ownership |
| SILVEIRA, SKYLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-01 | current | pecos_ownership |
| SMEDRA, IRA | ADP OF THE SNF | — | 2014-04-01 | current | pecos_ownership |
| THE HYMAN & BETTY INGBER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-10-10 | current | pecos_ownership |
| THE JACOB WINTNER TRUST | INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | ADP OF THE SNF | — | 2007-02-01 | current | pecos_ownership |
| WINTNER, JACOB | INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| IRA SMEDRA | CORPORATE OFFICER | 50% | 2014-04-01 | ended 2026-05-18 | pecos_ownership |
| IRA SMEDRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| 2424 M STREET LLC | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 2424 M STREET LLC | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 2424 M STREET LLC | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ARUN MANOHARAN | ADP OF THE SNF | — | 2024-08-24 | ended 2026-05-18 | pecos_ownership |
| GREGORY BRETSCH | MANAGING CONTROL - GOVERNING BODY | — | 2019-02-25 | ended 2026-05-18 | pecos_ownership |
| HEIDI CAPELA | ADP OF THE SNF | — | 2023-04-03 | ended 2026-05-18 | pecos_ownership |
| JACOB WINTNER | CORPORATE OFFICER | — | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| JULIE BUTENKO | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 | ended 2026-05-18 | pecos_ownership |
| LANCE HASSELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-25 | ended 2026-05-18 | pecos_ownership |
| LINDA LUTZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL DAROUZE | ADP OF THE SNF | — | 2025-07-15 | ended 2026-05-18 | pecos_ownership |
| MICHAEL DAROUZE | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-22 | ended 2026-05-18 | pecos_ownership |
| PAULINA SALAZAR | ADP OF THE SNF | — | 2020-12-14 | ended 2026-05-18 | pecos_ownership |
| PAULINA SALAZAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-01 | ended 2026-05-18 | pecos_ownership |
| SKYLER SILVEIRA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-12-01 | 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.
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 — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06047 | acs median gross | 0 | $1,057 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 0 | $1,116 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 1 | $1,073 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 1 | $1,213 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 2 | $1,217 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 2 | $1,503 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 3 | $1,489 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 3 | $2,067 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 4 | $1,801 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 4 | $2,503 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 5 | $2,317 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | acs median gross | $1,343 | 2024-12-31 | CENSUS_ACS5 | |
| county 06047 | acs recent mover gross | $1,623 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95340 | acs median gross | 0 | $871 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95340 | acs median gross | 1 | $961 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95340 | acs median gross | 2 | $1,273 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95340 | acs median gross | 3 | $1,670 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95340 | acs median gross | 4 | $2,095 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95340 | acs median gross | $1,317 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95340 | acs recent mover gross | $1,830 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95340 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 110 | 1 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 90 | 1 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | safmr | 1 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 110 | 2 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 90 | 2 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | safmr | 2 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 110 | 3 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 90 | 3 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | safmr | 3 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 110 | 4 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | payment standard 90 | 4 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95340 | safmr | 4 | $2,330 | 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.