Composite
66.6 / 100 percentile
Screener / 505254
C
Crystal Cove Post Acute
snfWASFF: SFF
1505 CARPENTER ROAD SE, LACEY, WA 98503 · CCN 505254 · chain FOUNDATION HEALTHCARE SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 66.6% 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 radar1Staffing16Penalties5Deficiencies132Licensure0Ownership41Related party4Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.3 | 98.7 | 0.30 | 0.2308 | 22.92 | in index |
| staffing risk | 53.0 | 53.0 | 0.25 | 0.1923 | 10.19 | in index |
| financial risk | 33.4 | 35.8 | 0.30 | 0.2308 | 7.71 | in index |
| chow risk | 60.8 | 42.3 | 0.15 | 0.1154 | 7.02 | in index |
| billing conduct | 29.7 | 31.5 | 0.30 | 0.2308 | 6.85 | 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 | 31.4 | B | 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 | 29.6 | B | v0.6 | default · in composite | |
| financial risk | 35.8 | 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 | 0.1 | — | 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 | 98.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 53.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.4 | 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 | 67.4 | 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 | 46.9 | 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 | 40.4 | 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 | 98.6 | 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 | 98.6 | 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 | 53.0 | C | 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 | 53.0 | C | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
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) | 6.32 | -1.23 | |
| Deficiencies, last 12 months | 39.00 | +0.78 | |
| Occupancy | 0.94 | -0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.39 | -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
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 | 39.00 | -5.80 | |
| Occupancy | 0.94 | -0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.86 | -0.54 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.32 | -0.20 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.24 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 2.96 | 3.51 | 3.11 | — |
| Weekday total | 3.35 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 90.4 | 3.24 | 0.48 | 0.70 | 2.06 | 2.96 | 1.2% |
| 2025Q3 | 92 | 88.3 | 3.28 | 0.34 | 0.68 | 2.26 | 3.06 | 7.6% |
| 2025Q2 | 91 | 79.1 | 3.34 | 0.41 | 0.66 | 2.28 | 3.17 | 6.2% |
| 2025Q1 | 90 | 74.7 | 3.62 | 0.52 | 0.69 | 2.41 | 3.50 | 7.8% |
| 2024Q4 | 92 | 74.1 | 3.28 | 0.45 | 0.63 | 2.20 | 3.26 | 5.9% |
| 2024Q3 | 92 | 71.7 | 3.35 | 0.45 | 0.75 | 2.15 | 3.11 | 15.1% |
| 2024Q2 | 91 | 79.7 | 3.21 | 0.30 | 0.80 | 2.12 | 3.06 | 18.8% |
| 2024Q1 | 91 | 84.2 | 3.32 | 0.27 | 0.91 | 2.14 | 3.20 | 21.1% |
| 2023Q4 | 92 | 83.3 | 3.14 | 0.23 | 0.94 | 1.97 | 3.04 | 22.5% |
| 2023Q3 | 92 | 88.2 | 2.88 | 0.36 | 0.81 | 1.71 | 2.58 | 28.9% |
| 2023Q2 | 91 | 86.4 | 2.90 | 0.28 | 0.85 | 1.78 | 2.57 | 30.9% |
| 2023Q1 | 90 | 79.4 | 2.99 | 0.18 | 1.03 | 1.78 | 2.63 | 11.2% |
| 2022Q4 | 92 | 75.8 | 3.10 | 0.28 | 1.05 | 1.77 | 2.73 | 10.3% |
| 2022Q3 | 92 | 72.4 | 2.48 | 0.26 | 0.88 | 1.35 | 2.12 | 11.9% |
| 2022Q2 | 91 | 72.8 | 2.65 | 0.26 | 0.92 | 1.47 | 2.28 | 17.0% |
| 2022Q1 | 90 | 63.2 | 2.84 | 0.30 | 0.85 | 1.69 | 2.47 | 38.5% |
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 |
|---|---|---|---|
| 2025-12-05 | Fine | $19,115 | CMS provider data |
| 2025-06-27 | Payment Denial | — | CMS provider data |
| 2024-12-26 | Fine | $117,108 | CMS provider data |
| 2024-12-26 | Payment Denial | — | CMS provider data |
| 2024-07-16 | Fine | $85,527 | CMS provider data |
Total fines on record: $221,750
Deficiencies
132D × 68E × 51F × 7G × 4J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-12 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-04-10 |
| 2026-03-12 | Health · complaint | 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 | 2026-04-10 |
| 2026-01-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-03-06 |
| 2026-01-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2026-03-06 |
| 2026-01-13 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2026-03-06 |
| 2026-01-13 | 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 | 2026-03-06 |
| 2026-01-13 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-03-06 |
| 2026-01-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-06 |
| 2026-01-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-03-06 |
| 2026-01-13 | 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 | 2026-03-06 |
| 2026-01-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-03-06 |
| 2026-01-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-06 |
| 2026-01-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-06 |
| 2026-01-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-06 |
| 2026-01-13 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2026-03-06 |
| 2026-01-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-06 |
| 2026-01-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-03-06 |
| 2026-01-13 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2026-03-06 |
| 2026-01-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2026-03-06 |
| 2026-01-13 | 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 | 2026-03-06 |
| 2026-01-13 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-03-06 |
| 2026-01-13 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-03-06 |
| 2026-01-13 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2026-03-06 |
| 2026-01-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-03-06 |
| 2026-01-13 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2026-03-06 |
| 2026-01-13 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-03-06 |
| 2026-01-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-06 |
| 2026-01-13 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2026-03-06 |
| 2026-01-13 | 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 | 2026-03-06 |
| 2026-01-13 | 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. | D | 2026-03-06 |
| 2026-01-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-22 |
| 2025-12-05 | 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. | D | 2025-12-24 |
| 2025-12-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-24 |
| 2025-08-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2025-10-06 |
| 2025-08-22 | Health · complaint | 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 | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-06 |
| 2025-07-16 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-08-18 |
| 2025-06-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-08-15 |
| 2025-03-12 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2025-03-31 |
| 2025-02-07 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-03-31 |
| 2025-02-07 | Health · complaint | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-31 |
| 2025-02-06 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-03-31 |
| 2025-02-06 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-03-31 |
| 2025-02-06 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2025-03-31 |
| 2025-02-06 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2025-03-31 |
| 2025-02-06 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-03-31 |
| 2025-02-06 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2025-03-31 |
| 2025-02-06 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2025-03-31 |
| 2025-02-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-03-31 |
| 2025-02-06 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-03-31 |
| 2025-02-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-31 |
| 2025-02-06 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-03-31 |
| 2025-02-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-03-31 |
| 2025-02-06 | Health | F0687 | Provide appropriate foot care. | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2025-03-31 |
| 2025-02-06 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2025-03-31 |
| 2025-02-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-31 |
| 2025-02-06 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-03-31 |
| 2025-02-06 | 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. | F | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-03-31 |
| 2025-02-06 | 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 | 2025-03-31 |
| 2025-02-06 | Health | 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. | F | 2025-03-31 |
| 2025-02-06 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2025-03-31 |
| 2025-02-06 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-03-31 |
| 2025-02-06 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2025-03-31 |
| 2025-02-06 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-03-31 |
| 2025-02-06 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-03-31 |
| 2025-02-06 | 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. | D | 2025-03-31 |
| 2024-12-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-31 |
| 2024-12-26 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-31 |
| 2024-09-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-09 |
| 2024-08-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-08-30 |
| 2024-08-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-08-30 |
| 2024-07-16 | 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 | 2024-08-15 |
| 2024-07-16 | 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 | 2024-08-15 |
| 2024-05-14 | Health · complaint | 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 | 2024-05-25 |
| 2024-04-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-08 |
| 2024-04-26 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-05-08 |
| 2024-04-26 | Health · complaint | F0926 | Have policies on smoking. | E | 2024-05-08 |
| 2024-03-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-25 |
| 2024-03-11 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-04-25 |
| 2024-03-11 | 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. | D | 2024-04-25 |
| 2024-03-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-04-25 |
| 2024-03-11 | 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 | 2024-04-25 |
| 2024-03-11 | Health | 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. | D | 2024-04-25 |
| 2024-03-11 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-04-25 |
| 2024-03-11 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-04-25 |
| 2024-03-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-04-25 |
| 2024-03-11 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-04-25 |
| 2024-03-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-04-25 |
| 2024-03-11 | 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 | 2024-04-25 |
| 2024-03-11 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-04-25 |
| 2024-03-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-25 |
| 2024-03-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-04-25 |
| 2024-03-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-25 |
| 2024-03-11 | Health | F0687 | Provide appropriate foot care. | D | 2024-04-25 |
| 2024-03-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-25 |
| 2024-03-11 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-04-25 |
| 2024-03-11 | 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. | D | 2024-04-25 |
| 2024-03-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-04-25 |
| 2024-03-11 | 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 | 2024-04-25 |
| 2024-03-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-04-25 |
| 2024-03-11 | 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 | 2024-04-25 |
| 2024-03-11 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2024-04-25 |
| 2024-03-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-04-25 |
| 2024-03-11 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-04-25 |
| 2024-03-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-04-25 |
| 2024-03-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-04-25 |
| 2023-10-18 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-11-03 |
| 2023-10-18 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2023-11-03 |
| 2023-10-18 | 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 | 2023-11-03 |
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 |
|---|---|---|---|---|---|
| ANDERSON, BRANDT | ADP OF THE SNF | — | 2022-01-02 | current | pecos_ownership |
| BERIHUN, ACHASHMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 | current | pecos_ownership |
| BRACY, MCKENNZIE | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| DE ORO, BRIANNA | ADP OF THE SNF | — | 2025-02-24 | current | pecos_ownership |
| FOUNDATION RESOURCE CENTER LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 | current | pecos_ownership |
| FOUNDATION RESOURCE CENTER LLC | ADP OF THE SNF | — | 2025-02-11 | current | pecos_ownership |
| FROST, STEVEN | CORPORATE OFFICER | — | 2020-03-01 | current | pecos_ownership |
| FROST, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 | current | pecos_ownership |
| JOHNSON, CHATEAU | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 | current | pecos_ownership |
| LINDAHL, DAVID | ADP OF THE SNF | — | 2020-03-01 | current | pecos_ownership |
| LINDAHL, JEFFREY | CORPORATE OFFICER | — | 2020-03-01 | current | pecos_ownership |
| LINDAHL, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| LINDAHL, KIRKMAN | CORPORATE OFFICER | — | 2020-03-01 | current | pecos_ownership |
| LINDAHL, KIRKMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| LINDAHL, SCOTT | CORPORATE OFFICER | — | 2020-03-01 | current | pecos_ownership |
| LINDAHL, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| MAINA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-27 | current | pecos_ownership |
| NWANKWO, CHUKWUEMEKA | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| WA 2 WEST | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| WA 2 WEST | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| WA1WEST LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| ZWAHLEN, JAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| FOUNDATION HEALTHCARE SERVICES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY LINDAHL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| KIRKMAN LINDAHL | CORPORATE OFFICER | 25% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT LINDAHL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN FROST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| ACHASHMAN BERIHUN | ADP OF THE SNF | — | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| BRANDT ANDERSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-02 | ended 2026-05-18 | pecos_ownership |
| BRIANNA DE ORO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-24 | ended 2026-05-18 | pecos_ownership |
| CHATEAU JOHNSON | ADP OF THE SNF | — | 2024-12-30 | ended 2026-05-18 | pecos_ownership |
| CHUKWUEMEKA NWANKWO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | ended 2026-05-18 | pecos_ownership |
| DAVID LINDAHL | ADP OF THE SNF | — | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| JAY ZWAHLEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY LINDAHL | CORPORATE OFFICER | — | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MAINA | ADP OF THE SNF | — | 2025-03-27 | ended 2026-05-18 | pecos_ownership |
| KIRKMAN LINDAHL | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| MCKENNZIE BRACY | ADP OF THE SNF | — | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT LINDAHL | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN FROST | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| WA 2 WEST | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
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 |
|---|---|---|---|---|
| 2020-04-01 | — | LOWERS HOLDINGS LLC | LACEY NURSING CENTER, INC. | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE 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 53067 | acs median gross | 0 | $1,416 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | fmr | 0 | $1,538 | 2025-10-01 | HUD_USER_FMR |
| county 53067 | acs median gross | 1 | $1,471 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | fmr | 1 | $1,682 | 2025-10-01 | HUD_USER_FMR |
| county 53067 | acs median gross | 2 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | fmr | 2 | $1,960 | 2025-10-01 | HUD_USER_FMR |
| county 53067 | acs median gross | 3 | $2,036 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | fmr | 3 | $2,613 | 2025-10-01 | HUD_USER_FMR |
| county 53067 | acs median gross | 4 | $2,500 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | fmr | 4 | $3,288 | 2025-10-01 | HUD_USER_FMR |
| county 53067 | acs median gross | 5 | $1,938 | 2024-12-31 | CENSUS_ACS5 |
| county 53067 | acs median gross | $1,736 | 2024-12-31 | CENSUS_ACS5 | |
| county 53067 | acs recent mover gross | $1,940 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98503 | acs median gross | 0 | $1,654 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | 1 | $1,481 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | 2 | $1,722 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | 3 | $2,091 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | 4 | $2,699 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | 5 | $973 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98503 | acs median gross | $1,746 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98503 | acs recent mover gross | $1,850 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98503 | payment standard 110 | 0 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 90 | 0 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | safmr | 0 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 110 | 1 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 90 | 1 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | safmr | 1 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 110 | 2 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 90 | 2 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | safmr | 2 | $1,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 110 | 3 | $2,915 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 90 | 3 | $2,385 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | safmr | 3 | $2,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 110 | 4 | $3,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | payment standard 90 | 4 | $3,006 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98503 | safmr | 4 | $3,340 | 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.