159 E. ORANGEBURG AVENUE, MODESTO, CA 95350 · CCN 055849 · chain WHEATEN LLC
Composite
34.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 34.5% 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.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
WINTNER JACOB
35 facilities
connection
Owner spans multiple chains
5 chains
SMEDRA IRA
30 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
3.81
3.95
3.28
2.90–3.77
RN
0.63
0.38
0.39
0.25–0.58
Weekend total
3.70
3.79
3.11
—
Weekday total
3.85
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.0
3.81
0.63
0.70
2.49
3.70
0.0%
2025Q3
92
94.1
3.77
0.62
0.68
2.47
3.66
0.0%
2025Q2
91
95.5
3.78
0.63
0.70
2.45
3.68
0.0%
2025Q1
90
95.1
3.63
0.61
0.69
2.33
3.60
0.0%
2024Q4
92
94.4
3.65
0.68
0.59
2.39
3.56
0.0%
2024Q3
92
94.8
3.60
0.68
0.66
2.25
3.48
0.0%
2024Q2
91
94.7
3.57
0.49
0.77
2.31
3.44
0.0%
2024Q1
91
93.3
3.15
0.32
0.80
2.04
3.14
0.0%
2023Q4
92
93.7
2.95
0.20
0.86
1.88
2.96
0.0%
2023Q3
92
94.0
3.10
0.14
0.95
2.01
3.05
6.8%
2023Q2
91
98.9
2.98
0.14
0.90
1.94
2.79
9.2%
2023Q1
90
93.5
2.82
0.12
0.87
1.83
2.73
18.6%
2022Q4
92
89.9
2.81
0.08
0.86
1.86
2.82
7.2%
2022Q3
92
89.6
3.02
0.16
0.92
1.95
2.95
6.1%
2022Q2
91
88.5
3.08
0.18
0.88
2.02
3.01
13.9%
2022Q1
90
85.1
2.94
0.17
0.92
1.86
2.97
10.5%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
29
B × 1D × 16E × 8F × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-20
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-04-20
2026-03-20
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.
D
2026-04-20
2026-03-20
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2026-04-20
2026-03-20
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-20
2026-03-20
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-04-20
2026-03-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-20
2026-03-20
Health
F0814
Dispose of garbage and refuse properly.
F
2026-04-20
2026-03-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-20
2026-03-20
Health
F0881
Implement a program that monitors antibiotic use.
F
2026-04-20
2026-03-20
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2026-04-20
2025-05-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-06-20
2024-11-12
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
G
2024-12-07
2024-10-01
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2024-10-17
2024-08-15
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-09-06
2024-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-06
2024-08-15
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-09-06
2024-08-15
Health
F0760
Ensure that residents are free from significant medication errors.
E
2024-09-06
2024-08-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-06
2024-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-06
2024-08-15
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
2024-09-06
2024-05-01
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-05-27
2020-02-20
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-01-26
2020-02-20
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
2021-01-26
2020-02-20
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2021-01-26
2020-02-20
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2021-01-26
2020-02-20
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
2021-01-26
2020-02-20
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-01-26
2020-02-20
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2021-01-26
2020-02-20
Health
F0922
Have enough backup water supply for essential areas of the nursing home.
F
2021-01-26
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
43
Owner
Role
Pct
From
Status
Source
CRESCENT FACILITIES OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2006-12-19
current
pecos_ownership
WIN WIN ENTERPRISES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2007-02-01
current
pecos_ownership
JENMAX ENTERPRISES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2007-02-01
current
pecos_ownership
JK-CSH JV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2006-11-01
current
pecos_ownership
MANHATTAN FIVE PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2006-11-01
current
pecos_ownership
BERING PROPERTIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2007-02-01
current
pecos_ownership
159 EAST ORANGEBURG LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
159 EAST ORANGEBURG LLC
ADP OF THE SNF
—
2006-12-15
current
pecos_ownership
159 EAST ORANGEBURG LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
BH ALLIANCE
INDIRECT OWNERSHIP INTEREST
—
2006-11-01
current
pecos_ownership
BRETSCH, GREGORY
ADP OF THE SNF
—
2019-02-25
current
pecos_ownership
BUTENKO, JULIE
ADP OF THE SNF
—
2023-07-24
current
pecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-01
current
pecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLC
ADP OF THE SNF
—
2025-10-23
current
pecos_ownership
CAPELA, HEIDI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-03
current
pecos_ownership
GUINAN, LONDON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-05
current
pecos_ownership
HASSELL, LANCE
ADP OF THE SNF
—
2022-04-25
current
pecos_ownership
JENMAX ENTERPRISES LLC
ADP OF THE SNF
—
2006-12-15
current
pecos_ownership
JK-CSH JV LLC
ADP OF THE SNF
—
2006-12-15
current
pecos_ownership
LUTZ, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-02-01
current
pecos_ownership
NIEL, MAXINE
MANAGING CONTROL - GOVERNING BODY
—
2024-02-05
current
pecos_ownership
NIEL, MAXINE
ADP OF THE SNF
—
2025-10-22
current
pecos_ownership
SALAZAR, PAULINA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-14
current
pecos_ownership
SMEDRA, IRA
OPERATIONAL/MANAGERIAL CONTROL
—
2007-02-01
current
pecos_ownership
THE JACOB WINTNER TRUST
INDIRECT OWNERSHIP INTEREST
—
2006-11-01
current
pecos_ownership
THE WINTNER LIVING TRUST DATED 7/08/1992
INDIRECT OWNERSHIP INTEREST
—
2007-02-01
current
pecos_ownership
VERMA, ATUL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-04
current
pecos_ownership
WIN WIN ENTERPRISES, LLC
ADP OF THE SNF
—
2006-12-15
current
pecos_ownership
WINTNER, JACOB
ADP OF THE SNF
—
2007-02-01
current
pecos_ownership
RACHEL SMEDRA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2007-02-01
ended 2026-05-18
pecos_ownership
WHEATEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2007-02-01
ended 2026-05-18
pecos_ownership
JENNIFER NURIT SMEDRA TRUST 1997 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2007-02-01
ended 2026-05-18
pecos_ownership
JENNIFER SMEDRA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2007-02-01
ended 2026-05-18
pecos_ownership
FRANCINE WINTNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2007-02-01
ended 2026-05-18
pecos_ownership
JACOB WINTNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2007-02-01
ended 2026-05-18
pecos_ownership
THE HYMAN & BETTY INGBER FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2013-10-10
ended 2026-05-18
pecos_ownership
IRA SMEDRA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2007-02-01
ended 2026-05-18
pecos_ownership
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2007-02-01
ended 2026-05-18
pecos_ownership
159 EAST ORANGEBURG LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
159 EAST ORANGEBURG LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
159 EAST ORANGEBURG LLC
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
HEATHER LANGFORD
OTHER
—
2017-05-01
ended 2026-05-18
pecos_ownership
JERI ALLGOOD
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-10
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$742,708
—
—
—
$112,089
2
propco
2023-12-31
$736,001
—
—
—
$102,556
2
propco
2022-12-31
$717,198
—
—
—
$87,946
2
propco
2021-12-31
$697,823
—
—
—
$96,765
2
propco
2020-12-31
$656,309
—
—
—
$88,771
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 06099
acs median gross
0
$1,042
2024-12-31
CENSUS_ACS5
county 06099
fmr
0
$1,255
2025-10-01
HUD_USER_FMR
county 06099
acs median gross
1
$1,167
2024-12-31
CENSUS_ACS5
county 06099
fmr
1
$1,356
2025-10-01
HUD_USER_FMR
county 06099
acs median gross
2
$1,554
2024-12-31
CENSUS_ACS5
county 06099
fmr
2
$1,758
2025-10-01
HUD_USER_FMR
county 06099
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 06099
fmr
3
$2,442
2025-10-01
HUD_USER_FMR
county 06099
acs median gross
4
$2,192
2024-12-31
CENSUS_ACS5
county 06099
fmr
4
$2,823
2025-10-01
HUD_USER_FMR
county 06099
acs median gross
5
$2,674
2024-12-31
CENSUS_ACS5
county 06099
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 06099
acs recent mover gross
$1,834
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
0
$1,127
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
1
$1,299
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
2
$1,578
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
3
$1,803
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
4
$2,236
2024-12-31
CENSUS_ACS5
zcta 95350
acs median gross
$1,596
2024-12-31
CENSUS_ACS5
zcta 95350
acs recent mover gross
$1,652
2024-12-31
CENSUS_ACS5
zip 95350
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 95350
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 110
1
$1,485
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 90
1
$1,215
2025-10-01
HUD_USER_SAFMR
zip 95350
safmr
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 95350
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 110
3
$2,673
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 90
3
$2,187
2025-10-01
HUD_USER_SAFMR
zip 95350
safmr
3
$2,430
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 110
4
$3,091
2025-10-01
HUD_USER_SAFMR
zip 95350
payment standard 90
4
$2,529
2025-10-01
HUD_USER_SAFMR
zip 95350
safmr
4
$2,810
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.