Composite
50.0 / 100 percentile
Screener / 056023
B
AVALON VILLA CARE CENTER
snfCASFF: SFF Candidate
12029 AVALON BLVD, LOS ANGELES, CA 90061 · CCN 056023
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
131
Model
v1.2
Reads as: riskier than 50.0% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies132Licensure0Ownership7Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.6 | 96.3 | 0.30 | 0.2308 | 22.52 | in index |
| billing conduct | 46.7 | 38.1 | 0.30 | 0.2308 | 10.78 | in index |
| chow risk | 54.3 | 36.2 | 0.15 | 0.1154 | 6.27 | in index |
| staffing risk | 31.5 | 31.6 | 0.25 | 0.1923 | 6.06 | in index |
| financial risk | 12.1 | 21.0 | 0.30 | 0.2308 | 2.79 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet enforcement cluster | 40% fined | JACOBS HARRY | 5 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 | 38.0 | 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 | 17.4 | A | v0.6 | default · in composite | |
| financial risk | 21.0 | A | 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 | 5.8 | — | 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 | 96.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 31.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.5 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.5 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 36.8 | B | 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 | 27.0 | 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 | 96.2 | 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 | 96.2 | 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 | 31.6 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 31.6 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
5.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
92.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 52.00 | +1.09 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.90 | -0.58 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| 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 | 52.00 | -8.21 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.63 | |
| Fine amount, 12m (log) | 10.72 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Penalties, last 12 months | 2.00 | -0.17 | |
| Total nurse staffing (HPRD) | 3.62 | -0.17 |
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 | 3.62 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.60 | 3.79 | 3.11 | — |
| Weekday total | 3.63 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 117.8 | 3.62 | 0.28 | 0.88 | 2.46 | 3.60 | 0.0% |
| 2025Q3 | 92 | 117.5 | 3.69 | 0.32 | 0.83 | 2.54 | 3.64 | 0.0% |
| 2025Q2 | 91 | 117.7 | 3.76 | 0.34 | 0.87 | 2.54 | 3.66 | 1.3% |
| 2025Q1 | 90 | 116.0 | 3.79 | 0.38 | 0.85 | 2.55 | 3.69 | 0.0% |
| 2024Q4 | 92 | 113.6 | 3.74 | 0.34 | 0.77 | 2.62 | 3.69 | 0.0% |
| 2024Q3 | 92 | 115.3 | 3.71 | 0.30 | 0.85 | 2.56 | 3.63 | 0.4% |
| 2024Q2 | 91 | 119.7 | 3.65 | 0.33 | 0.80 | 2.52 | 3.57 | 0.3% |
| 2024Q1 | 91 | 114.2 | 3.23 | 0.33 | 0.66 | 2.24 | 3.17 | 0.4% |
| 2023Q4 | 92 | 117.0 | 3.82 | 0.36 | 0.89 | 2.57 | 3.78 | 0.0% |
| 2023Q3 | 92 | 120.0 | 3.80 | 0.37 | 0.90 | 2.53 | 3.78 | 0.0% |
| 2023Q2 | 91 | 120.6 | 3.86 | 0.35 | 0.90 | 2.60 | 3.73 | 0.2% |
| 2023Q1 | 90 | 117.1 | 3.72 | 0.35 | 0.79 | 2.58 | 3.67 | 0.7% |
| 2022Q4 | 92 | 116.0 | 3.74 | 0.39 | 0.78 | 2.57 | 3.69 | 0.5% |
| 2022Q3 | 92 | 113.7 | 3.76 | 0.40 | 0.73 | 2.64 | 3.74 | 7.8% |
| 2022Q2 | 91 | 114.0 | 3.78 | 0.42 | 0.79 | 2.57 | 3.57 | 7.1% |
| 2022Q1 | 90 | 105.9 | 3.85 | 0.44 | 0.78 | 2.63 | 3.63 | 12.3% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-21 | Fine | $45,325 | CMS provider data |
| 2025-11-21 | Payment Denial | — | CMS provider data |
| 2025-01-31 | Fine | $41,457 | CMS provider data |
| 2025-01-31 | Payment Denial | — | CMS provider data |
| 2023-10-16 | Fine | $25,155 | CMS provider data |
| 2023-10-16 | Payment Denial | — | CMS provider data |
Total fines on record: $111,937
Deficiencies
132D × 96E × 26F × 7G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2026-05-20 |
| 2026-04-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-20 |
| 2026-03-12 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-04 |
| 2026-01-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-09 |
| 2026-01-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-12 |
| 2026-01-08 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-02-12 |
| 2026-01-08 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-02-12 |
| 2026-01-08 | 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 | 2026-02-12 |
| 2026-01-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-02-12 |
| 2026-01-08 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2026-02-12 |
| 2026-01-08 | 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 | 2026-02-12 |
| 2026-01-08 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-02-12 |
| 2026-01-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-12 |
| 2026-01-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-02-12 |
| 2026-01-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-02-12 |
| 2026-01-08 | 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. | G | 2026-02-12 |
| 2026-01-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-12 |
| 2026-01-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-02-12 |
| 2026-01-08 | 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. | D | 2026-02-12 |
| 2026-01-08 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | 2026-02-12 |
| 2026-01-08 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-02-12 |
| 2026-01-08 | 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 | 2026-02-12 |
| 2026-01-08 | 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 | 2026-02-12 |
| 2026-01-08 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2026-02-12 |
| 2026-01-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-12 |
| 2026-01-08 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2026-02-12 |
| 2026-01-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-02-12 |
| 2026-01-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-12 |
| 2026-01-08 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2026-02-12 |
| 2025-12-23 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-01-16 |
| 2025-12-23 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-01-16 |
| 2025-12-23 | Health · complaint | F0907 | Provide enough space and equipment to meet each resident's needs | D | 2026-01-16 |
| 2025-12-12 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-01-08 |
| 2025-12-12 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-01-08 |
| 2025-12-12 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-01-08 |
| 2025-12-12 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-08 |
| 2025-12-12 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2026-01-08 |
| 2025-12-12 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-01-08 |
| 2025-11-21 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-12-12 |
| 2025-09-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-09 |
| 2025-09-19 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-10-09 |
| 2025-09-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-10-04 |
| 2025-09-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-10-04 |
| 2025-09-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-04 |
| 2025-09-11 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-10-04 |
| 2025-08-19 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-09-08 |
| 2025-08-19 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2025-09-08 |
| 2025-08-19 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-09-08 |
| 2025-08-06 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-08-24 |
| 2025-08-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-24 |
| 2025-08-06 | 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 | 2025-08-24 |
| 2025-08-06 | Health · complaint | 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. | D | 2025-08-24 |
| 2025-07-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-21 |
| 2025-07-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-21 |
| 2025-06-17 | 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 | 2025-07-17 |
| 2025-06-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-17 |
| 2025-06-06 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-30 |
| 2025-06-06 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-06-30 |
| 2025-05-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-08 |
| 2025-05-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-08 |
| 2025-04-16 | Health · complaint | 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. | D | 2025-05-09 |
| 2025-04-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-09 |
| 2025-02-25 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-03-25 |
| 2025-02-25 | 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 | 2025-03-25 |
| 2025-02-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-25 |
| 2025-02-25 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-25 |
| 2025-02-25 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-03-25 |
| 2025-01-31 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-24 |
| 2025-01-31 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-02-24 |
| 2025-01-31 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-02-24 |
| 2025-01-31 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-24 |
| 2025-01-31 | 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. | F | 2025-02-24 |
| 2025-01-31 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | 2025-02-24 |
| 2025-01-31 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-24 |
| 2025-01-31 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-24 |
| 2025-01-31 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-02-24 |
| 2025-01-31 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-02-24 |
| 2025-01-31 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-24 |
| 2025-01-31 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-24 |
| 2025-01-31 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | 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 | 2025-02-24 |
| 2025-01-31 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-02-24 |
| 2025-01-31 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-02-24 |
| 2025-01-31 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-02-24 |
| 2025-01-31 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2025-02-24 |
| 2025-01-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-24 |
| 2025-01-31 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-24 |
| 2025-01-31 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | D | 2025-02-24 |
| 2025-01-31 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-02-24 |
| 2024-03-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-04 |
| 2024-01-24 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-02-23 |
| 2024-01-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-23 |
| 2024-01-24 | 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. | G | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | 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 | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-28 |
| 2023-12-29 | 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. | E | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-01-28 |
| 2023-12-29 | 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 | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-01-28 |
| 2023-12-29 | 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 | 2024-01-28 |
| 2023-12-29 | 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. | E | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-28 |
| 2023-12-29 | 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 | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-28 |
| 2023-12-29 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-01-28 |
| 2023-12-19 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-01-17 |
| 2023-12-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-31 |
| 2023-11-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-30 |
| 2023-10-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-18 |
| 2023-10-16 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-11-16 |
| 2023-09-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-30 |
| 2023-08-21 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-09-20 |
| 2023-08-21 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-09-20 |
| 2023-08-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-15 |
| 2023-08-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-15 |
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
7| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JACOBS, HARRY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-06-09 | current | pecos_ownership |
| 12029 S AVALON BLVD LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 12029 S AVALON BLVD LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| HARRY JACOBS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-06-09 | ended 2026-05-18 | pecos_ownership |
| 12029 S AVALON BLVD LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 12029 S AVALON BLVD LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 12029 S AVALON BLVD LLC | Corporation, partnership or other organization has financial interest in 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
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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90061 | acs median gross | 0 | $1,026 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | 1 | $1,105 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | 2 | $1,551 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | 3 | $2,423 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | 4 | $2,061 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | 5 | $1,821 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90061 | acs median gross | $1,564 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90061 | acs recent mover gross | $1,773 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90061 | payment standard 110 | 0 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 90 | 0 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | safmr | 0 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 110 | 1 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 90 | 1 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | safmr | 1 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 110 | 2 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 90 | 2 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | safmr | 2 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 110 | 3 | $3,245 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 90 | 3 | $2,655 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | safmr | 3 | $2,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 110 | 4 | $3,619 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | payment standard 90 | 4 | $2,961 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90061 | safmr | 4 | $3,290 | 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.