Composite
90.2 / 100 percentile
Screener / 555214
D
PROFESSIONAL POST ACUTE CENTER
snfCA
81 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903 · CCN 555214 · chain WHEATEN LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 90.2% 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 radar1Staffing16Penalties5Deficiencies77Licensure0Ownership41Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 95.6 | 66.2 | 0.30 | 0.2308 | 22.06 | in index |
| regulatory risk | 88.2 | 85.5 | 0.30 | 0.2308 | 20.35 | in index |
| financial risk | 67.9 | 57.7 | 0.30 | 0.2308 | 15.67 | in index |
| staffing risk | 32.4 | 32.5 | 0.25 | 0.1923 | 6.23 | in index |
| chow risk | 22.2 | 21.5 | 0.15 | 0.1154 | 2.56 | 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 | 66.2 | D | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 17.9 | A | v0.6 | default · in composite | |
| financial risk | 57.7 | C | 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 | 3.9 | — | 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 | 85.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 32.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.5 | D | 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 | 48.5 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 65.8 | D | 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 | 57.9 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 85.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 85.5 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 32.5 | 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 | 32.5 | 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)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.90 | -0.58 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.29 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.60 | -0.11 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.29 | -1.29 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Occupancy | 0.90 | -0.63 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.60 | -0.16 | |
| 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 | 3.60 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.53 | 3.79 | 3.11 | — |
| Weekday total | 3.63 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.9 | 3.60 | 0.48 | 0.62 | 2.50 | 3.53 | 0.0% |
| 2025Q3 | 92 | 82.8 | 3.65 | 0.48 | 0.64 | 2.52 | 3.57 | 0.0% |
| 2025Q2 | 91 | 87.2 | 3.65 | 0.50 | 0.63 | 2.53 | 3.58 | 0.0% |
| 2025Q1 | 90 | 92.7 | 3.63 | 0.43 | 0.66 | 2.54 | 3.60 | 0.0% |
| 2024Q4 | 92 | 91.8 | 3.63 | 0.45 | 0.67 | 2.51 | 3.55 | 0.0% |
| 2024Q3 | 92 | 88.9 | 3.65 | 0.40 | 0.75 | 2.49 | 3.51 | 0.0% |
| 2024Q2 | 91 | 85.7 | 3.64 | 0.28 | 0.87 | 2.50 | 3.54 | 12.1% |
| 2024Q1 | 91 | 83.3 | 3.49 | 0.35 | 0.71 | 2.43 | 3.38 | 9.4% |
| 2023Q4 | 92 | 89.6 | 3.72 | 0.28 | 0.81 | 2.63 | 3.73 | 14.8% |
| 2023Q3 | 92 | 87.7 | 3.53 | 0.29 | 0.77 | 2.47 | 3.47 | 10.7% |
| 2023Q2 | 91 | 83.3 | 3.44 | 0.16 | 0.78 | 2.50 | 3.38 | 6.9% |
| 2023Q1 | 90 | 84.9 | 3.20 | 0.19 | 0.65 | 2.36 | 3.14 | 1.7% |
| 2022Q4 | 92 | 85.8 | 3.21 | 0.25 | 0.61 | 2.36 | 3.05 | 1.3% |
| 2022Q3 | 92 | 85.8 | 3.13 | 0.20 | 0.61 | 2.32 | 3.14 | 0.5% |
| 2022Q2 | 91 | 84.0 | 3.23 | 0.20 | 0.64 | 2.38 | 3.22 | 0.3% |
| 2022Q1 | 90 | 84.1 | 3.31 | 0.15 | 0.69 | 2.48 | 3.40 | 0.6% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-08 | Fine | $79,560 | CMS provider data |
| 2024-01-04 | Fine | $61,204 | CMS provider data |
| 2023-10-17 | Fine | $2,447 | CMS provider data |
| 2023-09-25 | Fine | $5,244 | CMS provider data |
| 2023-07-12 | Fine | $134,999 | CMS provider data |
Total fines on record: $283,454
Deficiencies
77D × 26E × 35F × 8G × 7H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-04 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-03-05 |
| 2026-03-04 | Health · complaint | 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 | 2026-03-05 |
| 2025-08-13 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-09-18 |
| 2025-08-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-09-18 |
| 2025-07-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-08 |
| 2025-04-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-12 |
| 2025-02-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-11 |
| 2024-09-19 | 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 | 2024-10-08 |
| 2024-09-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-08 |
| 2024-09-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-20 |
| 2024-09-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-20 |
| 2024-09-03 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-09-20 |
| 2024-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-06-18 |
| 2024-02-28 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-03-28 |
| 2024-02-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-03-28 |
| 2024-02-27 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-15 |
| 2024-02-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-15 |
| 2024-02-27 | Health · complaint | F0732 | Post nurse staffing information every day. | D | 2024-03-15 |
| 2024-02-15 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2024-03-28 |
| 2024-02-15 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-03-28 |
| 2024-02-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-28 |
| 2024-02-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-28 |
| 2024-02-15 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-28 |
| 2024-02-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-28 |
| 2024-02-14 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-03-22 |
| 2024-01-04 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-02-27 |
| 2024-01-04 | Health · complaint | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2024-02-27 |
| 2023-11-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-12-24 |
| 2023-11-22 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-12-24 |
| 2023-11-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-24 |
| 2023-11-22 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-12-24 |
| 2023-11-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-24 |
| 2023-08-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-15 |
| 2023-07-19 | Health · complaint | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | G | 2023-08-19 |
| 2023-07-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-07-17 |
| 2021-05-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-08-17 |
| 2021-05-19 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2021-08-17 |
| 2021-05-19 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2021-08-17 |
| 2021-05-19 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | 2021-08-23 |
| 2021-05-19 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | G | 2021-08-23 |
| 2021-05-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | 2021-08-23 |
| 2021-05-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-08-17 |
| 2021-05-19 | 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. | E | 2021-08-17 |
| 2021-05-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-08-17 |
| 2021-05-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-08-17 |
| 2021-05-19 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2021-08-17 |
| 2021-05-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2021-08-17 |
| 2021-05-19 | 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. | D | 2021-08-17 |
| 2021-05-19 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2021-08-17 |
| 2021-05-19 | 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. | F | 2021-08-17 |
| 2021-05-19 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2021-08-17 |
| 2021-05-19 | Health | F0732 | Post nurse staffing information every day. | E | 2021-08-17 |
| 2021-05-19 | 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 | 2021-08-17 |
| 2021-05-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-08-17 |
| 2021-05-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-08-17 |
| 2021-05-19 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2021-08-17 |
| 2021-05-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-08-17 |
| 2021-05-19 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2021-08-17 |
| 2019-05-01 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2019-06-21 |
| 2019-05-01 | 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 | 2019-06-21 |
| 2019-05-01 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2019-06-21 |
| 2019-05-01 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2019-06-21 |
| 2019-05-01 | 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. | E | 2019-06-21 |
| 2019-05-01 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-06-21 |
| 2019-05-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-06-21 |
| 2019-05-01 | 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 | 2019-06-21 |
| 2019-05-01 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | E | 2019-06-21 |
| 2019-05-01 | 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. | E | 2019-06-21 |
| 2019-05-01 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2019-06-21 |
| 2019-05-01 | 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. | F | 2019-06-21 |
| 2019-05-01 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2019-06-21 |
| 2019-05-01 | 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 | 2019-06-21 |
| 2019-05-01 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2019-06-21 |
| 2019-05-01 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2019-06-21 |
| 2019-05-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-06-21 |
| 2019-05-01 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2019-06-21 |
| 2019-05-01 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2019-06-21 |
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
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-12-19 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2007-02-01 | current | pecos_ownership |
| JENMAX ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2007-02-01 | current | pecos_ownership |
| JK-CSH JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2006-11-01 | current | pecos_ownership |
| MANHATTAN FIVE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2006-11-01 | current | pecos_ownership |
| BERING PROPERTIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 | current | pecos_ownership |
| 81 PROFESSIONAL CENTER LLC | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| 81 PROFESSIONAL CENTER LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| 81 PROFESSIONAL CENTER LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| BH ALLIANCE | INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| BRETSCH, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-25 | current | pecos_ownership |
| BUTENKO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | — | 2025-11-05 | current | pecos_ownership |
| CAPELA, HEIDI | ADP OF THE SNF | — | 2023-04-03 | current | pecos_ownership |
| COPP, NOREEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-14 | current | pecos_ownership |
| FOREMAN, NICOLE | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-08 | current | pecos_ownership |
| FOREMAN, NICOLE | ADP OF THE SNF | — | 2025-11-05 | current | pecos_ownership |
| HASSELL, LANCE | ADP OF THE SNF | — | 2022-04-25 | current | pecos_ownership |
| JENMAX ENTERPRISES LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| JK-CSH JV LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| LUTZ, LINDA | ADP OF THE SNF | — | 2012-02-01 | current | pecos_ownership |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 | current | pecos_ownership |
| SMEDRA, IRA | ADP OF THE SNF | — | 2007-02-01 | 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 | — | 2006-12-15 | current | pecos_ownership |
| WINTNER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 | current | pecos_ownership |
| WHEATEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SMEDRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| FRANCINE WINTNER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| JACOB WINTNER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| THE HYMAN & BETTY INGBER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2013-10-10 | ended 2026-05-18 | pecos_ownership |
| IRA SMEDRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| 81 PROFESSIONAL CENTER LLC | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 81 PROFESSIONAL CENTER LLC | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 81 PROFESSIONAL CENTER LLC | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| HEATHER LANGFORD | OTHER | — | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| WAGNER TULEU | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-10 | 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 06041 | acs median gross | 0 | $1,892 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 0 | $2,485 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 1 | $2,145 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 1 | $2,977 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 2 | $2,794 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 2 | $3,604 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 3 | $4,604 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 4 | $4,772 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | acs median gross | $2,668 | 2024-12-31 | CENSUS_ACS5 | |
| county 06041 | acs recent mover gross | $2,934 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94903 | acs median gross | 0 | $2,032 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 2 | $3,088 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | $2,993 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94903 | acs recent mover gross | $3,501 | 2024-12-31 | CENSUS_ACS5 | |
| zip 94903 | payment standard 110 | 0 | $3,168 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 0 | $2,592 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 0 | $2,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 1 | $3,795 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 1 | $3,105 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 1 | $3,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 2 | $4,598 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 2 | $3,762 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 2 | $4,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 3 | $5,874 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 3 | $4,806 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 3 | $5,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 4 | $6,083 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 4 | $4,977 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 4 | $5,530 | 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.