CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 12:30 UTC
Screener / 056301
C

GOLDEN MODESTO CARE CENTER

snfCA
1900 COFFEE ROAD, MODESTO, CA 95355 · CCN 056301 · chain VERITAS HEALTH SOLUTIONS LLC
Composite
74.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 74.7% 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 signals4Components16CHOW radar1Distress radar1Staffing16Penalties16Deficiencies71Licensure0Ownership34Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk91.389.00.300.230821.07in index
financial risk89.676.90.300.230820.68in index
staffing risk30.730.80.250.19235.90in index
billing conduct22.727.40.300.23085.24in index
chow risk44.542.70.150.11545.13in 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

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+21.9 vs natlCH CAFIVE HOLDINGS LLC5 facilities
connectionOwner spans multiple chains8 chainsHERZKA YISROEL70 facilities
connectionOwner fleet enforcement cluster50% finedWITZCORP LLC10 facilities
connectionOwner fleet enforcement cluster46% finedVERITAS HEALTH SOLUTIONS LLC11 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 typeScoreGradeModelStatusRegistry model notes
billing conduct27.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk60.4Cv0.6default · in composite
financial risk76.9Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.0—v0.1default · in compositeR22/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 risk89.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk30.8Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk60.0Cv0.1supersededPre-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 risk40.0Bv0.2supersededPre-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 risk75.7Dv0.3supersededPre-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 risk75.3Dv0.4supersededPre-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 risk88.9Fv0.1supersededPre-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 risk88.9Fv0.2supersededPre-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 risk30.8Bv0.1supersededPre-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 risk30.8Bv0.2supersededPre-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
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.41-1.51
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.91-0.60
No PBJ staffing report0.00+0.42
Chain size (log)2.48+0.13
Total nurse staffing (HPRD)3.64-0.12
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership1.00-0.69
Occupancy0.91-0.66
Fine amount, 12m (log)10.65-0.60
Deficiencies, last 12 months5.00+0.50
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Staffing trend, last 4 quarters-0.54-0.28
Current owner tenure (years)3.41-0.25
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 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.643.953.282.90–3.77
RN0.140.380.390.25–0.58
Weekend total3.603.793.11—
Weekday total3.664.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492108.73.640.141.032.473.601.8%
2025Q392107.03.760.161.092.503.741.4%
2025Q291107.33.910.281.022.603.887.8%
2025Q190107.14.770.300.993.484.7018.0%
2024Q492103.54.180.261.002.924.1111.5%
2024Q392102.13.740.290.962.493.681.7%
2024Q291102.23.770.281.002.503.672.1%
2024Q191104.73.730.290.982.463.675.8%
2023Q49298.83.580.300.912.373.516.5%
2023Q392103.04.280.251.232.804.2125.9%
2023Q291101.84.790.281.582.944.6551.0%
2023Q19093.34.260.281.282.704.2041.5%
2022Q49294.33.690.281.072.343.5135.7%
2022Q39287.83.810.261.122.433.7128.6%
2022Q29188.83.850.351.022.483.7631.1%
2022Q19096.83.680.361.022.313.5535.3%
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

16
fines by year
$212.2k$106.1k232425
DateTypeFineSource
2025-08-21Fine$42,114CMS provider data
2024-12-11Fine$33,430CMS provider data
2024-09-19Payment Denial—CMS provider data
2024-04-26Fine$60,834CMS provider data
2023-11-13Fine$4,587CMS provider data
2023-11-06Fine$4,587CMS provider data
2023-10-17Fine$4,587CMS provider data
2023-10-10Fine$4,587CMS provider data
2023-10-02Fine$4,587CMS provider data
2023-09-25Fine$4,587CMS provider data
2023-09-18Fine$4,587CMS provider data
2023-09-11Fine$4,587CMS provider data
2023-09-05Fine$4,587CMS provider data
2023-08-28Fine$4,587CMS provider data
2023-08-17Fine$166,302CMS provider data
2023-08-17Payment Denial—CMS provider data
Total fines on record: $348,550

Deficiencies

71
C × 1D × 33E × 24F × 3G × 7H × 3
deficiencies by survey year
26131820222426
SurveyTypeTagDeficiencyScopeCorrected
2026-03-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-05-05
2026-01-16Health · complaintF0760Ensure that residents are free from significant medication errors.E2026-02-20
2025-08-21Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-09-19
2025-08-21Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-09-19
2025-08-21Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2025-09-19
2025-04-09Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2025-04-10
2025-03-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-12
2025-03-18Health · complaintF0808Ensure 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.D2025-04-12
2024-12-11Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-01-10
2024-12-11Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-01-10
2024-10-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-11-14
2024-10-10Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-14
2024-10-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-11-14
2024-09-19HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-10-19
2024-09-19HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-10-19
2024-09-19HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-10-19
2024-09-19HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-10-19
2024-09-19HealthF0760Ensure that residents are free from significant medication errors.D2024-10-19
2024-09-19HealthF0880Provide and implement an infection prevention and control program.E2024-10-19
2024-04-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-06-05
2023-12-21Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-01-26
2023-11-22Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-05-27
2023-11-21Health · complaintF0583Keep residents' personal and medical records private and confidential.D2023-02-21
2023-11-08Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2023-12-08
2023-11-08Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-08
2023-10-10Health · complaintF0808Ensure 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.E2023-11-16
2023-09-26Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-10-20
2023-09-26Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-10-20
2023-09-05Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-09-28
2023-08-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-10-09
2023-08-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H2023-09-23
2023-08-17Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2023-09-23
2023-08-17Health · complaintF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E2023-09-23
2019-08-09HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2019-09-09
2019-08-09HealthF0641Ensure each resident receives an accurate assessment.D2019-09-09
2019-08-09HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.H2019-09-09
2019-08-09HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2019-09-09
2019-08-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2019-09-09
2019-08-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H2019-09-09
2019-08-09HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2019-09-09
2019-08-09HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2019-09-09
2019-08-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2019-09-09
2019-08-09HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E2019-09-09
2019-08-09HealthF0908Keep all essential equipment working safely.E2019-09-09
2019-08-09HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2019-09-09
2018-05-18HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2018-06-19
2018-05-18HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2018-06-19
2018-05-18HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C2018-06-19
2018-05-18HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2018-06-19
2018-05-18HealthF0583Keep residents' personal and medical records private and confidential.D2018-06-19
2018-05-18HealthF0584Honor 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.E2018-06-19
2018-05-18HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2018-06-19
2018-05-18HealthF0641Ensure each resident receives an accurate assessment.D2018-06-19
2018-05-18HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2018-06-19
2018-05-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2018-06-19
2018-05-18HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2018-06-19
2018-05-18HealthF0660Plan the resident's discharge to meet the resident's goals and needs.G2018-08-15
2018-05-18HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2018-06-19
2018-05-18HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2018-06-19
2018-05-18HealthF0692Provide enough food/fluids to maintain a resident's health.E2018-06-19
2018-05-18HealthF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2018-06-19
2018-05-18HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2018-06-19
2018-05-18HealthF0803Ensure 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.E2018-06-19
2018-05-18HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2018-06-19
2018-05-18HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2018-06-19
2018-05-18HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2018-06-19
2018-05-18HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.F2018-06-19
2018-05-18HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2018-06-19
2018-05-18HealthF0880Provide and implement an infection prevention and control program.E2018-06-19
2018-05-18HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2018-06-19
2018-05-18HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2018-06-19
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

0
No 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

34
OwnerRolePctFromStatusSource
CAFIVE OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-03-01currentpecos_ownership
CH CAFIVE HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST61%2023-03-01currentpecos_ownership
BARIAS, KARENOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
CAFIVE OPCO MANAGER LLCOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
CAFIVE OPCO MANAGER LLCADP OF THE SNF—2025-04-09currentpecos_ownership
CAFIVE SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
CAFIVE SNF CONSULTING LLCADP OF THE SNF—2025-04-09currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF—2025-04-09currentpecos_ownership
DICKERSON, RYANADP OF THE SNF—2023-03-01currentpecos_ownership
EARL, STEVENOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
HERZKA, YISROELADP OF THE SNF—2023-03-01currentpecos_ownership
MEADOR, DANIELADP OF THE SNF—2023-03-01currentpecos_ownership
MODESTO SNF OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
MODESTO SNF OPERATIONS LLCADP OF THE SNF—2025-04-09currentpecos_ownership
MODESTO SNF REALTY LLCADP OF THE SNF—2025-04-09currentpecos_ownership
SOUZA, JOANNEOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
SPIELMAN, SHIMONADP OF THE SNF—2023-03-01currentpecos_ownership
VERITAS HEALTH SOLUTIONS LLCADP OF THE SNF—2025-04-09currentpecos_ownership
VERITAS HEALTH SOLUTIONS LLCOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
WITZCORP LLCADP OF THE SNF—2023-03-01currentpecos_ownership
YENOWITZ, YITZCHOKADP OF THE SNF—2023-03-01currentpecos_ownership
AVALON REALTY - HY-LOND MODESTOCorporation, partnership or other organization has financial interest in provider100%2023-01-01ended 2023-02-28hcris_a_8_1
AVALON REALTY - HY-LOND MODESTOCorporation, partnership or other organization has financial interest in provider100%2020-01-01ended 2020-12-31hcris_a_8_1
AVALON REALTY - HY-LOND MODESTOCorporation, partnership or other organization has financial interest in provider100%2021-01-01ended 2021-12-31hcris_a_8_1
AVALON REALTY - HY-LOND MODESTOCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
YISROEL HERZKA5% OR GREATER INDIRECT OWNERSHIP INTEREST61%2023-03-01ended 2026-05-18pecos_ownership
YITZCHOK YENOWITZ5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-03-01ended 2026-05-18pecos_ownership
DANIEL MEADOROPERATIONAL/MANAGERIAL CONTROL—2023-03-01ended 2026-05-18pecos_ownership
JOANNE SOUZAOPERATIONAL/MANAGERIAL CONTROL—2023-03-01ended 2026-05-18pecos_ownership
KAREN BARIASADP OF THE SNF—2023-03-01ended 2026-05-18pecos_ownership
RYAN DICKERSONADP OF THE SNF—2023-03-01ended 2026-05-18pecos_ownership
SHIMON SPIELMANOPERATIONAL/MANAGERIAL CONTROL—2023-03-01ended 2026-05-18pecos_ownership
STEVEN EARLMANAGING CONTROL - GOVERNING BODY—2023-03-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-03-01—MODESTO SNF OPERATIONS LLCAVALON CARE CENTER - MODESTO HYLOND LLCchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED 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
GeoKindBRAmountAs ofSource
county 06099acs median gross0$1,0422024-12-31CENSUS_ACS5
county 06099fmr0$1,2552025-10-01HUD_USER_FMR
county 06099acs median gross1$1,1672024-12-31CENSUS_ACS5
county 06099fmr1$1,3562025-10-01HUD_USER_FMR
county 06099acs median gross2$1,5542024-12-31CENSUS_ACS5
county 06099fmr2$1,7582025-10-01HUD_USER_FMR
county 06099acs median gross3$1,8022024-12-31CENSUS_ACS5
county 06099fmr3$2,4422025-10-01HUD_USER_FMR
county 06099acs median gross4$2,1922024-12-31CENSUS_ACS5
county 06099fmr4$2,8232025-10-01HUD_USER_FMR
county 06099acs median gross5$2,6742024-12-31CENSUS_ACS5
county 06099acs median gross$1,6232024-12-31CENSUS_ACS5
county 06099acs recent mover gross$1,8342024-12-31CENSUS_ACS5
zcta 95355acs median gross0$1,2412024-12-31CENSUS_ACS5
zcta 95355acs median gross1$1,6092024-12-31CENSUS_ACS5
zcta 95355acs median gross2$1,7832024-12-31CENSUS_ACS5
zcta 95355acs median gross3$1,9062024-12-31CENSUS_ACS5
zcta 95355acs median gross4$2,2912024-12-31CENSUS_ACS5
zcta 95355acs median gross5$3,3102024-12-31CENSUS_ACS5
zcta 95355acs median gross$1,7952024-12-31CENSUS_ACS5
zcta 95355acs recent mover gross$1,9682024-12-31CENSUS_ACS5
zip 95355payment standard 1100$1,5182025-10-01HUD_USER_SAFMR
zip 95355payment standard 900$1,2422025-10-01HUD_USER_SAFMR
zip 95355safmr0$1,3802025-10-01HUD_USER_SAFMR
zip 95355payment standard 1101$1,6392025-10-01HUD_USER_SAFMR
zip 95355payment standard 901$1,3412025-10-01HUD_USER_SAFMR
zip 95355safmr1$1,4902025-10-01HUD_USER_SAFMR
zip 95355payment standard 1102$2,1232025-10-01HUD_USER_SAFMR
zip 95355payment standard 902$1,7372025-10-01HUD_USER_SAFMR
zip 95355safmr2$1,9302025-10-01HUD_USER_SAFMR
zip 95355payment standard 1103$2,9482025-10-01HUD_USER_SAFMR
zip 95355payment standard 903$2,4122025-10-01HUD_USER_SAFMR
zip 95355safmr3$2,6802025-10-01HUD_USER_SAFMR
zip 95355payment standard 1104$3,4102025-10-01HUD_USER_SAFMR
zip 95355payment standard 904$2,7902025-10-01HUD_USER_SAFMR
zip 95355safmr4$3,1002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · GOLDEN MODESTO CARE CENTER (056301) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency