Composite
94.3 / 100 percentile
Screener / 056425
D
STUDEBAKER HEALTHCARE CENTER
snfCA
13226 STUDEBAKER RD, NORWALK, CA 90650 · CCN 056425 · chain AHM TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 94.3% 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.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies108Licensure0Ownership17Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.4 | 89.1 | 0.30 | 0.2308 | 21.09 | in index |
| billing conduct | 89.4 | 59.3 | 0.30 | 0.2308 | 20.63 | in index |
| financial risk | 84.2 | 71.0 | 0.30 | 0.2308 | 19.43 | in index |
| chow risk | 60.7 | 59.4 | 0.15 | 0.1154 | 7.00 | in index |
| staffing risk | 12.2 | 12.3 | 0.25 | 0.1923 | 2.35 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 59.3 | C | 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 | 93.8 | F | v0.6 | default · in composite | |
| financial risk | 71.0 | D | 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 | 0.0 | — | 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 | 89.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 12.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.9 | F | 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 | 67.9 | D | 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 | 65.0 | 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 | 71.5 | D | 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 | 89.1 | 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 | 89.1 | 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 | 12.3 | A | 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 | 12.3 | A | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.49 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Deficiencies, last 12 months | 40.00 | +0.80 | |
| Occupancy | 0.94 | -0.70 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 4.23 | -0.24 |
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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 40.00 | -5.99 | |
| Occupancy | 0.94 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.23 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Current owner tenure (years) | 3.49 | -0.24 |
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 | 4.23 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.86 | 3.79 | 3.11 | — |
| Weekday total | 4.38 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 93.0 | 4.23 | 0.24 | 0.94 | 3.05 | 3.86 | 0.0% |
| 2025Q3 | 92 | 92.0 | 4.25 | 0.21 | 1.00 | 3.04 | 3.81 | 0.0% |
| 2025Q2 | 91 | 92.2 | 4.17 | 0.19 | 0.97 | 3.01 | 3.81 | 0.0% |
| 2025Q1 | 90 | 93.8 | 4.12 | 0.18 | 0.97 | 2.97 | 3.77 | 2.7% |
| 2024Q4 | 92 | 93.8 | 4.19 | 0.18 | 0.93 | 3.08 | 3.93 | 15.2% |
| 2024Q3 | 92 | 90.5 | 3.96 | 0.20 | 0.90 | 2.85 | 3.73 | 16.4% |
| 2024Q2 | 91 | 88.4 | 4.04 | 0.19 | 0.95 | 2.90 | 3.71 | 14.7% |
| 2024Q1 | 91 | 90.0 | 3.73 | 0.19 | 0.90 | 2.63 | 3.56 | 19.7% |
| 2023Q4 | 92 | 84.8 | 3.71 | 0.18 | 1.01 | 2.52 | 3.56 | 12.7% |
| 2023Q3 | 92 | 79.0 | 3.87 | 0.16 | 1.15 | 2.55 | 3.59 | 11.4% |
| 2023Q2 | 91 | 72.1 | 3.98 | 0.21 | 1.20 | 2.57 | 3.76 | 12.2% |
| 2023Q1 | 90 | 57.9 | 3.97 | 0.19 | 1.23 | 2.54 | 3.78 | 8.4% |
| 2022Q4 | 92 | 56.1 | 3.69 | 0.07 | 1.11 | 2.51 | 3.65 | 10.9% |
| 2022Q3 | 92 | 55.9 | 3.55 | 0.25 | 0.97 | 2.33 | 3.52 | 33.3% |
| 2022Q2 | 91 | 50.3 | 3.41 | 0.32 | 0.84 | 2.25 | 3.29 | 17.9% |
| 2022Q1 | 90 | 51.8 | 3.68 | 0.34 | 0.93 | 2.41 | 3.43 | 5.0% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-19 | Fine | $27,378 | CMS provider data |
| 2024-01-19 | Payment Denial | — | CMS provider data |
Total fines on record: $27,378
Deficiencies
108D × 53E × 46F × 8J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-27 | 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 | 2026-05-22 |
| 2026-04-02 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2026-05-01 |
| 2026-04-02 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-01 |
| 2026-02-20 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2026-03-24 |
| 2026-02-20 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2026-03-24 |
| 2026-02-20 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2026-03-24 |
| 2026-02-20 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-03-24 |
| 2026-02-20 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-03-24 |
| 2026-02-20 | 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 | 2026-03-24 |
| 2026-02-20 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-03-24 |
| 2026-02-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-03-24 |
| 2026-02-20 | 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. | E | 2026-03-24 |
| 2026-02-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-03-24 |
| 2026-02-20 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-03-24 |
| 2026-02-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-24 |
| 2026-02-20 | 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 | 2026-03-24 |
| 2026-02-20 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2026-03-24 |
| 2026-02-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-24 |
| 2026-02-20 | 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 | 2026-03-24 |
| 2026-02-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2026-03-24 |
| 2026-02-20 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-03-24 |
| 2026-02-20 | 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. | E | 2026-03-24 |
| 2026-02-20 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-03-24 |
| 2026-02-20 | 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. | D | 2026-03-24 |
| 2026-02-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-03-24 |
| 2026-02-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2026-03-24 |
| 2026-02-20 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-03-24 |
| 2026-02-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-24 |
| 2026-02-20 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2026-03-24 |
| 2026-02-20 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-03-24 |
| 2026-02-20 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2026-03-24 |
| 2026-02-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-03-24 |
| 2026-02-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-04 |
| 2026-02-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-04 |
| 2026-02-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-04 |
| 2025-12-02 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-12-12 |
| 2025-12-02 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-12 |
| 2025-09-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-10-09 |
| 2025-09-10 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-10-09 |
| 2025-09-10 | Health · complaint | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | 2025-10-09 |
| 2025-05-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-06-07 |
| 2025-05-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-07 |
| 2025-05-09 | Health · complaint | 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 | 2025-06-07 |
| 2025-05-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-07 |
| 2025-01-31 | 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. | E | 2025-02-28 |
| 2024-12-20 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-17 |
| 2024-12-20 | 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 | 2025-01-17 |
| 2024-12-20 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-01-17 |
| 2024-12-20 | 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 | 2025-01-17 |
| 2024-12-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-01-17 |
| 2024-12-20 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-01-17 |
| 2024-12-20 | 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 | 2025-01-17 |
| 2024-12-20 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-01-17 |
| 2024-12-20 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-01-17 |
| 2024-12-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-01-17 |
| 2024-12-20 | 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 | 2025-01-17 |
| 2024-12-20 | 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. | E | 2025-01-17 |
| 2024-12-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-01-17 |
| 2024-12-20 | 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. | E | 2025-01-17 |
| 2024-12-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-17 |
| 2024-12-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-17 |
| 2024-12-12 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2025-01-10 |
| 2024-11-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-19 |
| 2024-11-04 | Health · complaint | 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 | 2024-12-03 |
| 2024-10-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-21 |
| 2024-10-23 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-11-21 |
| 2024-10-23 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-11-21 |
| 2024-10-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-21 |
| 2024-09-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-08 |
| 2024-08-20 | 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 | 2024-09-18 |
| 2024-06-18 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2024-07-17 |
| 2024-05-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-06-11 |
| 2024-02-23 | 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 | 2024-03-23 |
| 2024-02-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-23 |
| 2024-02-20 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-19 |
| 2024-02-20 | 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 | 2024-03-19 |
| 2024-02-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-03-19 |
| 2024-01-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-02-21 |
| 2024-01-19 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-02-21 |
| 2024-01-19 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-02-21 |
| 2024-01-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-02-21 |
| 2024-01-19 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2024-02-21 |
| 2024-01-19 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-02-21 |
| 2024-01-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-02-21 |
| 2024-01-19 | 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 | 2024-02-21 |
| 2024-01-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-02-21 |
| 2024-01-19 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-02-21 |
| 2024-01-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-21 |
| 2024-01-19 | 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 | 2024-02-21 |
| 2024-01-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-21 |
| 2024-01-19 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-02-21 |
| 2024-01-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-21 |
| 2024-01-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-02-21 |
| 2024-01-19 | Health | F0908 | Keep all essential equipment working safely. | F | 2024-02-21 |
| 2024-01-19 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-02-21 |
| 2023-12-04 | 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. | E | 2023-12-20 |
| 2023-12-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-12-20 |
| 2023-12-04 | Health · complaint | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2023-12-20 |
| 2023-12-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-20 |
| 2023-12-04 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2023-12-20 |
| 2023-12-03 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-02 |
| 2023-12-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-02 |
| 2023-12-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-02 |
| 2023-12-03 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2024-01-02 |
| 2023-12-03 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-01-02 |
| 2023-12-03 | Health · complaint | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-01-02 |
| 2023-10-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-11-21 |
| 2023-10-27 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-11-28 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AHM TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 | current | pecos_ownership |
| AHM TRUST | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| FLORIN, LOUIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | current | pecos_ownership |
| FLORIN, LOUIS | ADP OF THE SNF | — | 2025-05-30 | current | pecos_ownership |
| MAYER, AARON | CORPORATE OFFICER | — | 2023-02-01 | current | pecos_ownership |
| MAYER, RONALD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-05-30 | current | pecos_ownership |
| NGUYEN, HUNG MANH | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-22 | current | pecos_ownership |
| NGUYEN, HUNG MANH | ADP OF THE SNF | — | 2025-05-30 | current | pecos_ownership |
| PACIFICARE HEALTH MANAGEMENT LLC | ADP OF THE SNF | — | 2023-02-01 | current | pecos_ownership |
| AARON MAYER | CORPORATE OFFICER | 100% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| VILLA ELENA PROPERTIES | Individual has financial interest in both related organization and provider | 56% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| VILLA ELENA PROPERTIES | Individual has financial interest in both related organization and provider | 56% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| VILLA ELENA PROPERTIES | Individual has financial interest in both related organization and provider | 56% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| HUNG MANH NGUYEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-22 | ended 2026-05-18 | pecos_ownership |
| HUNG MANH NGUYEN | ADP OF THE SNF | — | 2025-05-30 | ended 2026-05-18 | pecos_ownership |
| LOUIS FLORIN | ADP OF THE SNF | — | 2025-05-30 | ended 2026-05-18 | pecos_ownership |
| LOUIS FLORIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-02-01 | — | STUDEBAKER HEALTHCARE CENTER LLC | VILLA ELENA CONVALESCENT HOSPITAL INC | chow |
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
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 90650 | acs median gross | 0 | $1,551 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 1 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 3 | $2,674 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 4 | $2,696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 5 | $1,886 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | $2,090 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90650 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90650 | payment standard 110 | 0 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 0 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 0 | $2,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 1 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 1 | $2,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 1 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 2 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 2 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 2 | $2,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 3 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 3 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 3 | $3,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 4 | $4,345 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 4 | $3,555 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 4 | $3,950 | 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.