Composite
49.5 / 100 percentile
Screener / 056110
B
LAGUNA HILLS HEALTH AND REHABILITATION CENTER
snfCA
24452 HEALTH CENTER DRIVE, LAGUNA HILLS, CA 92653 · CCN 056110 · chain WIN WIN ENTERPRISES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
208
Model
v1.2
Reads as: riskier than 49.5% 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 radar1Staffing16Penalties0Deficiencies142Licensure0Ownership36Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 72.9 | 49.1 | 0.30 | 0.2308 | 16.82 | in index |
| regulatory risk | 66.4 | 59.6 | 0.30 | 0.2308 | 15.32 | in index |
| financial risk | 38.5 | 38.7 | 0.30 | 0.2308 | 8.88 | in index |
| staffing risk | 18.9 | 19.0 | 0.25 | 0.1923 | 3.63 | in index |
| chow risk | 30.9 | 29.7 | 0.15 | 0.1154 | 3.57 | 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 | 49.1 | 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 | 34.3 | B | v0.6 | default · in composite | |
| financial risk | 38.7 | 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 | 6.4 | — | 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 | 59.6 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 19.0 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.0 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 38.0 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 47.0 | 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 | 43.3 | 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 | 59.6 | C | 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 | 59.6 | C | 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 | 19.0 | 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 | 19.0 | 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)
6.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 38.00 | +0.75 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.84 | -0.41 | |
| Chain size (log) | 3.22 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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 | 38.00 | -5.62 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.22 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.84 | -0.38 | |
| Total nurse staffing (HPRD) | 3.95 | -0.31 | |
| Facility size (log beds) | 5.34 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 3.95 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.64 | 3.79 | 3.11 | — |
| Weekday total | 4.07 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 174.5 | 3.95 | 0.38 | 1.09 | 2.47 | 3.64 | 0.0% |
| 2025Q3 | 92 | 172.4 | 4.00 | 0.38 | 1.10 | 2.51 | 3.69 | 1.3% |
| 2025Q2 | 91 | 162.1 | 3.92 | 0.37 | 1.11 | 2.44 | 3.72 | 0.0% |
| 2025Q1 | 90 | 161.8 | 3.96 | 0.35 | 1.21 | 2.39 | 3.71 | 0.0% |
| 2024Q4 | 92 | 172.8 | 3.74 | 0.33 | 1.21 | 2.21 | 3.43 | 0.0% |
| 2024Q3 | 92 | 174.4 | 3.66 | 0.33 | 1.21 | 2.13 | 3.40 | 0.0% |
| 2024Q2 | 91 | 179.9 | 3.68 | 0.34 | 1.20 | 2.13 | 3.47 | 0.0% |
| 2024Q1 | 91 | 175.2 | 3.54 | 0.28 | 1.11 | 2.16 | 3.50 | 0.0% |
| 2023Q4 | 92 | 175.6 | 3.46 | 0.20 | 1.18 | 2.08 | 3.38 | 0.0% |
| 2023Q3 | 92 | 179.7 | 3.56 | 0.18 | 1.23 | 2.15 | 3.51 | 0.1% |
| 2023Q2 | 91 | 178.1 | 3.61 | 0.15 | 1.24 | 2.22 | 3.54 | 5.5% |
| 2023Q1 | 90 | 172.2 | 3.37 | 0.17 | 1.04 | 2.16 | 3.24 | 12.9% |
| 2022Q4 | 92 | 159.5 | 3.31 | 0.21 | 1.07 | 2.02 | 3.18 | 3.5% |
| 2022Q3 | 92 | 154.5 | 3.52 | 0.20 | 1.13 | 2.20 | 3.34 | 5.2% |
| 2022Q2 | 91 | 155.8 | 3.52 | 0.18 | 1.09 | 2.24 | 3.34 | 5.0% |
| 2022Q1 | 90 | 134.9 | 3.47 | 0.19 | 1.13 | 2.15 | 3.17 | 1.6% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
142B × 22D × 107E × 12G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | 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 | 2026-04-20 |
| 2026-04-07 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-04 |
| 2026-04-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-04 |
| 2026-03-26 | Health · complaint | 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 | 2026-04-22 |
| 2026-02-04 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-02-25 |
| 2026-02-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-25 |
| 2025-09-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-10-11 |
| 2025-09-11 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-10-11 |
| 2025-09-11 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | 2025-10-11 |
| 2025-08-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-25 |
| 2025-08-25 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-09-25 |
| 2025-08-25 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-25 |
| 2025-08-25 | 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. | B | 2025-09-25 |
| 2025-08-25 | Health | F0583 | Keep residents' personal and medical records private and confidential. | B | 2025-09-25 |
| 2025-08-25 | 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 | 2025-09-25 |
| 2025-08-25 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-25 |
| 2025-08-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-25 |
| 2025-08-25 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-09-25 |
| 2025-08-25 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-25 |
| 2025-08-25 | 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. | B | 2025-09-25 |
| 2025-08-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-25 |
| 2025-08-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-25 |
| 2025-08-25 | 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 | 2025-09-25 |
| 2025-08-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-09-25 |
| 2025-08-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-25 |
| 2025-08-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-25 |
| 2025-08-25 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-09-25 |
| 2025-08-25 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-25 |
| 2025-08-25 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-09-25 |
| 2025-08-25 | 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 | 2025-09-25 |
| 2025-08-25 | 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. | D | 2025-09-25 |
| 2025-08-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-25 |
| 2025-08-25 | Health | F0814 | Dispose of garbage and refuse properly. | B | 2025-09-25 |
| 2025-08-25 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | B | 2025-09-25 |
| 2025-08-25 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-09-25 |
| 2025-08-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-25 |
| 2025-08-25 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2025-09-25 |
| 2025-08-25 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2025-09-25 |
| 2025-07-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-14 |
| 2025-06-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-04 |
| 2025-06-04 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-04 |
| 2025-06-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-04 |
| 2025-01-24 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-02-23 |
| 2025-01-03 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | B | 2025-02-03 |
| 2025-01-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | B | 2025-02-03 |
| 2025-01-03 | 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. | B | 2025-02-03 |
| 2024-10-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | B | 2024-10-28 |
| 2024-09-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-26 |
| 2024-08-27 | 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 | 2024-09-20 |
| 2024-08-27 | 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 | 2024-09-20 |
| 2024-08-27 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-20 |
| 2024-08-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-09-19 |
| 2024-08-19 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-09-13 |
| 2024-08-19 | 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. | B | 2024-09-19 |
| 2024-08-19 | 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 | 2024-09-19 |
| 2024-08-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-09-19 |
| 2024-08-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-09-19 |
| 2024-08-19 | 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. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-09-19 |
| 2024-08-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-09-19 |
| 2024-08-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-19 |
| 2024-08-19 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-09-19 |
| 2024-08-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-09-19 |
| 2024-08-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-09-19 |
| 2024-08-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-19 |
| 2024-08-19 | 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 | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-19 |
| 2024-08-19 | 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. | D | 2024-09-19 |
| 2024-08-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-09-19 |
| 2024-08-19 | 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 | 2024-09-19 |
| 2024-08-19 | 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. | D | 2024-09-19 |
| 2024-08-19 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2024-09-19 |
| 2024-08-19 | 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. | D | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-09-19 |
| 2024-08-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-19 |
| 2024-08-19 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-09-19 |
| 2024-08-19 | 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 | 2024-09-19 |
| 2024-08-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-19 |
| 2024-08-19 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-09-19 |
| 2024-08-19 | Health | F0908 | Keep all essential equipment working safely. | E | 2024-09-19 |
| 2024-08-19 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-19 |
| 2024-07-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-02 |
| 2024-07-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-02 |
| 2024-05-08 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-10 |
| 2024-05-08 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-05-10 |
| 2024-02-13 | 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. | B | 2024-02-15 |
| 2024-02-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-29 |
| 2024-01-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-10 |
| 2023-11-03 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-11-17 |
| 2023-11-03 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-11-17 |
| 2023-10-05 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | 2023-10-05 |
| 2023-10-05 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-10-05 |
| 2023-09-13 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-09-20 |
| 2023-09-13 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-09-20 |
| 2023-09-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-09-20 |
| 2023-09-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-09-28 |
| 2023-09-13 | 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 | 2023-09-25 |
| 2023-09-13 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-09-20 |
| 2023-09-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-13 |
| 2023-09-13 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-09-20 |
| 2023-09-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-10-01 |
| 2023-09-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-20 |
| 2023-09-13 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-09-20 |
| 2023-09-13 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-09-20 |
| 2023-09-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-20 |
| 2023-09-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-20 |
| 2023-09-13 | 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 | 2023-10-02 |
| 2023-09-13 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-10-02 |
| 2023-09-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-03 |
| 2023-09-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-10-02 |
| 2023-09-13 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-09-20 |
| 2023-09-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-09-20 |
| 2023-09-13 | 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 | 2023-10-03 |
| 2023-09-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-10-03 |
| 2023-09-13 | 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. | D | 2023-09-26 |
| 2023-09-13 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-10-03 |
| 2023-09-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-03 |
| 2023-09-13 | 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 | 2023-09-20 |
| 2023-09-13 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2023-09-13 |
| 2023-09-13 | 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 | 2023-09-13 |
| 2023-09-13 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | 2023-09-13 |
| 2023-09-13 | 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. | D | 2023-09-13 |
| 2023-09-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-13 |
| 2023-09-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2023-09-20 |
| 2023-09-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-20 |
| 2023-09-13 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2023-09-13 |
| 2023-09-13 | 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. | D | 2023-09-13 |
| 2023-09-13 | Health | F0908 | Keep all essential equipment working safely. | B | 2023-09-20 |
| 2023-09-13 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2023-09-13 |
| 2023-09-13 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-09-13 |
| 2023-08-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-09-01 |
| 2023-08-10 | 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. | B | 2023-09-01 |
| 2023-08-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | B | 2023-09-01 |
| 2023-08-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-21 |
| 2023-08-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-21 |
| 2023-08-02 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-21 |
| 2023-08-02 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-08-21 |
| 2023-08-02 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-21 |
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
36| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AG FACILITIES OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-08-11 | current | pecos_ownership |
| IRA E SMEDRA LIVING TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2003-08-11 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2003-10-01 | current | pecos_ownership |
| 24452 HEALTH CENTER LLC | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| 24452 HEALTH CENTER LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| 24452 HEALTH CENTER, LLC | ADP OF THE SNF | — | 2004-08-09 | current | pecos_ownership |
| ABUY, JOCELYN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | current | pecos_ownership |
| BUTENKO, JULIE | ADP OF THE SNF | — | 2023-07-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-10-01 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | — | 2025-07-16 | current | pecos_ownership |
| CAPELA, HEIDI | ADP OF THE SNF | — | 2023-04-03 | current | pecos_ownership |
| DALTON, KYLE | ADP OF THE SNF | — | 2025-07-16 | current | pecos_ownership |
| DALTON, KYLE | MANAGING CONTROL - GOVERNING BODY | — | 2024-12-16 | current | pecos_ownership |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-25 | current | pecos_ownership |
| KUIZON, KRISTINA | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | current | pecos_ownership |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 | current | pecos_ownership |
| SMEDRA, IRA | ADP OF THE SNF | — | 2003-08-11 | current | pecos_ownership |
| WINTNER, JACOB | CORPORATE OFFICER | — | 2003-08-11 | current | pecos_ownership |
| ZAHED, SHAHAB | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-10-01 | current | pecos_ownership |
| IRA SMEDRA | CORPORATE OFFICER | 50% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| JACOB WINTNER | CORPORATE OFFICER | 50% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| BH ALLIANCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| 24452 HEALTH CENTER LLC | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 24452 HEALTH CENTER LLC | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 24452 HEALTH CENTER LLC | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| HEIDI CAPELA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | ended 2026-05-18 | pecos_ownership |
| JOCELYN ABUY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| JULIE BUTENKO | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 | ended 2026-05-18 | pecos_ownership |
| KRISTINA KUIZON | MANAGING CONTROL - GOVERNING BODY | — | 2025-04-01 | ended 2026-05-18 | pecos_ownership |
| KYLE DALTON | ADP OF THE SNF | — | 2025-07-16 | ended 2026-05-18 | pecos_ownership |
| KYLE DALTON | MANAGING CONTROL - GOVERNING BODY | — | 2024-12-16 | ended 2026-05-18 | pecos_ownership |
| LANCE HASSELL | ADP OF THE SNF | — | 2022-04-25 | ended 2026-05-18 | pecos_ownership |
| LINDA LUTZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | ended 2026-05-18 | pecos_ownership |
| PAULINA SALAZAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 | ended 2026-05-18 | pecos_ownership |
| SHAHAB ZAHED | ADP OF THE SNF | — | 2013-10-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06059 | acs median gross | 0 | $2,100 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 0 | $2,682 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 1 | $2,115 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 1 | $2,746 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 2 | $2,460 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 2 | $3,236 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 3 | $3,107 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 3 | $4,393 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 4 | $5,246 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | acs median gross | $2,434 | 2024-12-31 | CENSUS_ACS5 | |
| county 06059 | acs recent mover gross | $2,814 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92653 | acs median gross | 0 | $2,362 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92653 | acs median gross | 1 | $2,466 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92653 | acs median gross | 2 | $2,793 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92653 | acs median gross | 3 | $3,131 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92653 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92653 | acs median gross | $2,745 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92653 | acs recent mover gross | $2,721 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92653 | payment standard 110 | 0 | $3,256 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 90 | 0 | $2,664 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | safmr | 0 | $2,960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 110 | 1 | $3,333 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 90 | 1 | $2,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | safmr | 1 | $3,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 110 | 2 | $3,927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 90 | 2 | $3,213 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | safmr | 2 | $3,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 110 | 3 | $5,335 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 90 | 3 | $4,365 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | safmr | 3 | $4,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 110 | 4 | $6,369 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | payment standard 90 | 4 | $5,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92653 | safmr | 4 | $5,790 | 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.