Composite
24.5 / 100 percentile
Screener / 055916
A
SEQUOIA VISTA
snfCA
3710 WEST TULARE AVENUE, VISALIA, CA 93277 · CCN 055916
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 24.5% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies88Licensure0Ownership18Related party6Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.6 | 89.3 | 0.30 | 0.2308 | 21.14 | in index |
| billing conduct | 48.2 | 38.6 | 0.30 | 0.2308 | 11.12 | in index |
| chow risk | 26.1 | 25.1 | 0.15 | 0.1154 | 3.01 | in index |
| staffing risk | 10.0 | 10.1 | 0.25 | 0.1923 | 1.92 | in index |
| financial risk | 4.8 | 13.3 | 0.30 | 0.2308 | 1.11 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 38.6 | B | 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 | 25.2 | B | v0.6 | default · in composite | |
| financial risk | 13.3 | 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 | 2.1 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 89.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 10.1 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.4 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 66.4 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 30.0 | 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 | 19.2 | A | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 89.2 | 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 | 89.2 | 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 | 10.1 | 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 | 10.1 | 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)
2.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
70.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.68 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 4.36 | -0.26 | |
| 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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Occupancy | 0.93 | -0.78 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.74 | -0.61 | |
| Total nurse staffing (HPRD) | 4.36 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Penalties, last 12 months | 3.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.36 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.12 | 3.79 | 3.11 | — |
| Weekday total | 4.46 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 92.4 | 4.36 | 0.27 | 1.25 | 2.84 | 4.12 | 0.0% |
| 2025Q3 | 92 | 92.1 | 4.13 | 0.24 | 1.26 | 2.63 | 3.83 | 0.2% |
| 2025Q2 | 91 | 89.6 | 4.32 | 0.26 | 1.34 | 2.73 | 3.90 | 0.0% |
| 2025Q1 | 90 | 94.3 | 4.08 | 0.19 | 1.15 | 2.73 | 3.74 | 0.0% |
| 2024Q4 | 92 | 90.6 | 4.11 | 0.20 | 0.95 | 2.96 | 3.87 | 0.0% |
| 2024Q3 | 92 | 88.5 | 4.12 | 0.13 | 0.97 | 3.02 | 3.94 | 0.0% |
| 2024Q2 | 91 | 88.4 | 3.99 | 0.10 | 0.92 | 2.97 | 3.79 | 0.0% |
| 2024Q1 | 91 | 90.2 | 3.74 | 0.08 | 0.92 | 2.73 | 3.69 | 0.0% |
| 2023Q4 | 92 | 93.8 | 3.81 | 0.09 | 0.93 | 2.79 | 3.79 | 0.0% |
| 2023Q3 | 92 | 91.1 | 3.74 | 0.09 | 0.81 | 2.84 | 3.66 | 0.1% |
| 2023Q2 | 91 | 86.1 | 3.68 | 0.18 | 0.77 | 2.73 | 3.55 | 0.0% |
| 2023Q1 | 90 | 85.4 | 3.81 | 0.10 | 0.88 | 2.83 | 3.78 | 0.0% |
| 2022Q4 | 92 | 89.1 | 3.40 | 0.02 | 0.77 | 2.61 | 3.43 | 1.3% |
| 2022Q3 | 92 | 79.1 | 4.10 | 0.09 | 0.99 | 3.02 | 4.01 | 0.0% |
| 2022Q2 | 91 | 86.6 | 3.40 | 0.11 | 0.80 | 2.49 | 3.22 | 0.1% |
| 2022Q1 | 90 | 84.0 | 3.79 | 0.12 | 0.79 | 2.88 | 3.70 | 0.2% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-02 | Fine | $37,800 | CMS provider data |
| 2026-03-02 | Payment Denial | — | CMS provider data |
| 2025-11-14 | Fine | $8,278 | CMS provider data |
| 2024-05-30 | Payment Denial | — | CMS provider data |
Total fines on record: $46,078
Deficiencies
88D × 63E × 18F × 5G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | E | 2026-04-28 |
| 2026-04-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-04-28 |
| 2026-04-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-28 |
| 2026-04-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2026-05-12 |
| 2026-03-09 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-02 |
| 2026-03-09 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2026-04-02 |
| 2026-03-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-01 |
| 2025-12-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-23 |
| 2025-12-01 | 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 | 2026-01-23 |
| 2025-11-14 | 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 | 2026-01-05 |
| 2025-08-26 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-09-24 |
| 2025-08-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-19 |
| 2025-08-06 | 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 | 2025-09-24 |
| 2025-07-15 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-09-08 |
| 2025-07-15 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-08-23 |
| 2025-06-24 | 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 | 2025-08-28 |
| 2025-06-24 | 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 | 2025-08-28 |
| 2025-06-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-28 |
| 2025-04-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-27 |
| 2025-01-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-26 |
| 2024-12-05 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-12-26 |
| 2024-12-05 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-12-26 |
| 2024-12-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-12-26 |
| 2024-12-05 | 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 | 2024-12-26 |
| 2024-12-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-12-26 |
| 2024-12-05 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-12-26 |
| 2024-12-05 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-12-26 |
| 2024-12-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-26 |
| 2024-12-05 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-12-26 |
| 2024-12-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-12-26 |
| 2024-12-05 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-12-26 |
| 2024-12-05 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-12-26 |
| 2024-12-05 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-12-26 |
| 2024-12-05 | 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 | 2024-12-26 |
| 2024-12-05 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2024-12-26 |
| 2024-12-05 | 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 | 2024-12-26 |
| 2024-12-05 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-12-26 |
| 2024-12-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-26 |
| 2024-12-05 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-12-26 |
| 2024-12-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-26 |
| 2024-11-18 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-12-17 |
| 2024-11-18 | Health · complaint | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2024-12-17 |
| 2024-08-20 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-09-20 |
| 2024-07-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-31 |
| 2024-07-17 | Health · complaint | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2024-08-17 |
| 2024-05-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-26 |
| 2024-03-04 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-03-21 |
| 2024-02-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-05 |
| 2024-01-22 | 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 | 2024-02-20 |
| 2023-12-28 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-28 |
| 2023-12-28 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-01-28 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-12-09 |
| 2023-11-09 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2023-12-09 |
| 2023-11-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-12-09 |
| 2023-11-09 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2023-12-09 |
| 2023-11-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-09 |
| 2023-11-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-09 |
| 2023-11-09 | Health | F0687 | Provide appropriate foot care. | D | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-12-09 |
| 2023-11-09 | 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. | E | 2023-12-09 |
| 2023-11-09 | 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. | D | 2023-12-09 |
| 2023-11-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-12-09 |
| 2023-11-09 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-12-09 |
| 2023-11-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-09 |
| 2023-10-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-18 |
| 2023-10-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-31 |
| 2023-09-22 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2023-10-10 |
| 2023-08-01 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-10 |
| 2023-07-10 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-07-31 |
| 2021-07-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-08-30 |
| 2021-07-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2021-08-30 |
| 2021-07-29 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2021-08-30 |
| 2021-07-29 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | 2021-08-30 |
| 2021-07-29 | 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 | 2021-08-30 |
| 2021-07-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-08-30 |
| 2021-07-29 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2021-08-30 |
| 2021-07-29 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2021-08-30 |
| 2021-07-29 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2021-08-30 |
| 2021-07-29 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2021-08-30 |
| 2021-07-29 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2021-08-30 |
| 2021-07-29 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2021-08-30 |
| 2021-07-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-08-30 |
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
18| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FAZALBHOY, SHUBHANGI | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-11-16 | current | pecos_ownership |
| HANSON, CARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-05-26 | current | pecos_ownership |
| HIGBEE, JAMES | W-2 MANAGING EMPLOYEE | — | 2009-04-01 | current | pecos_ownership |
| MCCLUNG, BARBRA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2002-03-29 | current | pecos_ownership |
| MOYLE, KENSETT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2002-03-29 | current | pecos_ownership |
| MOYLE, KENSETT | CORPORATE DIRECTOR | — | 2005-06-15 | current | pecos_ownership |
| MOYLE, KENSETT | CORPORATE OFFICER | — | 2009-04-01 | current | pecos_ownership |
| MOYLE, KENSETT | W-2 MANAGING EMPLOYEE | — | 2005-10-17 | current | pecos_ownership |
| MOYLE, LINDSEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-05-01 | current | pecos_ownership |
| KENSETT MOYLE | W-2 MANAGING EMPLOYEE | 20% | 2005-10-17 | ended 2026-05-18 | pecos_ownership |
| BARBRA MCCLUNG | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2002-03-29 | ended 2026-05-18 | pecos_ownership |
| CARY HANSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2009-05-26 | ended 2026-05-18 | pecos_ownership |
| JAMES HIGBEE | W-2 MANAGING EMPLOYEE | — | 2009-04-01 | ended 2026-05-18 | pecos_ownership |
| KENSETT MOYLE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2002-03-29 | ended 2026-05-18 | pecos_ownership |
| KENSETT MOYLE | CORPORATE DIRECTOR | — | 2005-06-15 | ended 2026-05-18 | pecos_ownership |
| KENSETT MOYLE | CORPORATE OFFICER | — | 2009-04-01 | ended 2026-05-18 | pecos_ownership |
| LINDSEY MOYLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-05-01 | ended 2026-05-18 | pecos_ownership |
| SHUBHANGI FAZALBHOY | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-11-16 | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06107 | acs median gross | 0 | $988 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | fmr | 0 | $1,116 | 2025-10-01 | HUD_USER_FMR |
| county 06107 | acs median gross | 1 | $827 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | fmr | 1 | $1,123 | 2025-10-01 | HUD_USER_FMR |
| county 06107 | acs median gross | 2 | $1,166 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | fmr | 2 | $1,474 | 2025-10-01 | HUD_USER_FMR |
| county 06107 | acs median gross | 3 | $1,454 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | fmr | 3 | $2,028 | 2025-10-01 | HUD_USER_FMR |
| county 06107 | acs median gross | 4 | $1,752 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | fmr | 4 | $2,393 | 2025-10-01 | HUD_USER_FMR |
| county 06107 | acs median gross | 5 | $1,738 | 2024-12-31 | CENSUS_ACS5 |
| county 06107 | acs median gross | $1,280 | 2024-12-31 | CENSUS_ACS5 | |
| county 06107 | acs recent mover gross | $1,499 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93277 | acs median gross | 0 | $1,436 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | 1 | $989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | 2 | $1,355 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | 3 | $1,729 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | 4 | $2,258 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | 5 | $2,426 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93277 | acs median gross | $1,483 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93277 | acs recent mover gross | $1,714 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93277 | payment standard 110 | 0 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 90 | 0 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | safmr | 0 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 110 | 1 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 90 | 1 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | safmr | 1 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 110 | 2 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 90 | 2 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | safmr | 2 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 110 | 3 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 90 | 3 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | safmr | 3 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 110 | 4 | $2,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | payment standard 90 | 4 | $2,394 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93277 | safmr | 4 | $2,660 | 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.