CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 23:09 UTC
Screener / 235582
C

Evergreen Health and Rehabilitation Center

snfMI
19933 West Thirteen Mile Road, Southfield, MI 48076 · CCN 235582 · chain OPTUM MANAGEMENT SOLUTIONS INC
Composite
73.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
172
Model
v1.2
Reads as: riskier than 73.0% 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 signals16Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies61Licensure0Ownership35Related party5Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk84.081.00.300.230819.38in index
billing conduct66.846.20.300.230815.42in index
financial risk43.841.80.300.230810.11in index
staffing risk32.632.70.250.19236.27in index
chow risk52.650.80.150.11546.07in 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

16
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+22.4 vs natlCONNER MARIANNE25 facilities
connectionOwner fleet risk far above national+20.2 vs natlSHARON ROBERT34 facilities
connectionOwner spans multiple chains20 chainsCLIFTONLARSONALLEN LLP98 facilities
connectionOwner fleet enforcement cluster55% finedCHARLES FRANKLIN LLC11 facilities
connectionOwner fleet enforcement cluster53% finedPAAR 108 LLC15 facilities
connectionOwner fleet enforcement cluster50% finedCHARLES WESTLAND LLC10 facilities
connectionOwner fleet enforcement cluster50% finedHEMANT SHAH 2018 IRREVOCABLE TRUST12 facilities
connectionOwner fleet enforcement cluster50% finedSNW LLC22 facilities
connectionOwner fleet enforcement cluster46% finedPINAL R PATEL 2017 IRREVOCABLE TRUST F B O AARNA R PATEL13 facilities
connectionOwner fleet enforcement cluster46% finedPINAL R PATEL 2017 IRREVOCABLE TRUST F B O ANSH R PATEL13 facilities
connectionOwner fleet enforcement cluster46% finedRAJAN G PATEL 2020 IRR FAM TR UAD 12 3 202013 facilities
connectionOwner fleet enforcement cluster44% finedSHAH HEMANT27 facilities
connectionOwner fleet enforcement cluster44% finedDUNN CHARLES27 facilities
connectionOwner fleet enforcement cluster43% finedPINAL R PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10 6 202014 facilities
connectionOwner fleet enforcement cluster42% finedOPTUM MANAGEMENT SOLUTIONS INC36 facilities
connectionOwner fleet enforcement cluster42% finedPATEL RAJAN36 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct46.2Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk76.7Dv0.6default · in composite
financial risk41.8Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m3.1—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk81.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk32.7Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk59.9Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk39.9Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk53.3Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk45.4Cv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk80.9Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk80.9Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk32.7Bv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk32.7Bv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Occupancy0.91-0.62
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.56+0.35
Ownership changes, last 5 years0.00+0.20
Facility size (log beds)5.15-0.12
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.56-0.87
For-profit ownership1.00-0.69
Occupancy0.91-0.69
No PBJ staffing report0.00+0.39
Deficiencies, last 12 months9.00-0.24
Fine amount, 12m (log)0.00+0.18
Facility size (log beds)5.15-0.17
Total nurse staffing (HPRD)3.60-0.16
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityMI medianNational medianNational p25–p75
Total nurse3.603.523.282.90–3.77
RN0.150.470.390.25–0.58
Weekend total3.443.323.11—
Weekday total3.663.613.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492156.93.600.151.432.033.440.0%
2025Q392157.63.570.231.361.983.390.0%
2025Q291159.43.480.301.261.913.360.0%
2025Q190161.43.260.281.221.763.180.0%
2024Q492151.83.290.271.161.863.160.0%
2024Q392145.43.290.281.221.793.120.0%
2024Q291147.13.290.311.251.723.080.0%
2024Q191160.63.110.371.101.642.940.0%
2023Q492148.62.280.281.290.712.210.0%
2023Q392153.02.780.181.451.162.560.0%
2023Q291155.03.000.171.371.462.670.0%
2023Q190159.32.730.141.311.282.480.0%
2022Q492157.72.960.111.531.322.710.0%
2022Q392152.52.960.141.491.332.700.0%
2022Q291154.22.850.151.231.472.550.0%
2022Q190142.82.910.201.261.452.591.8%
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

2
fines by year
$42.3k$21.2k2324
DateTypeFineSource
2024-03-14Fine$28,815CMS provider data
2023-06-29Fine$42,315CMS provider data
Total fines on record: $71,130

Deficiencies

61
D × 41E × 11F × 4G × 5
deficiencies by survey year
271423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-07Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-28
2026-04-07Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-04-28
2025-09-11HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-10-07
2025-09-11HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-10-07
2025-09-11HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2025-10-07
2025-09-11HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2025-10-07
2025-09-11HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2025-10-07
2025-09-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-10-07
2025-08-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-08-22
2025-04-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-04-30
2025-04-08Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-30
2025-02-20Health · complaintF0551Give the resident's representative the ability to exercise the resident's rights.D2025-03-11
2025-02-20Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-02-06
2024-12-10Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-12-30
2024-12-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-12-30
2024-08-07HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-09-17
2024-08-07HealthF0555Honor the resident's right to choose his or her attending physician.D2024-09-17
2024-08-07HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2024-09-17
2024-08-07HealthF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.F2024-09-17
2024-08-07HealthF0578Honor 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.D2024-09-17
2024-08-07HealthF0624Prepare residents for a safe transfer or discharge from the nursing home.D2024-09-17
2024-08-07HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-09-17
2024-08-07HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-09-17
2024-08-07HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-09-17
2024-08-07HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-09-17
2024-08-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-17
2024-08-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-17
2024-08-07HealthF0880Provide and implement an infection prevention and control program.D2024-09-17
2024-07-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-06-11
2024-05-28Health · complaintF0584Honor 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.E2024-06-14
2024-05-28Health · complaintF0761Ensure 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.D2024-06-14
2024-03-14Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-04-02
2024-03-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-04-02
2024-03-14Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-04-02
2024-03-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-27
2024-03-14Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2024-04-02
2024-03-14Health · complaintF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.E2024-04-02
2024-03-14Health · complaintF0825Provide or get specialized rehabilitative services as required for a resident.D2024-04-02
2024-01-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-15
2024-01-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-15
2023-11-15Health · complaintF0578Honor 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.D2023-12-08
2023-11-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2023-12-08
2023-11-15Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2023-12-08
2023-06-29Health · complaintF0584Honor 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.E2023-07-28
2023-06-29Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-07-28
2023-06-29Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2023-07-28
2023-06-29Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-07-28
2023-06-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-07-28
2023-06-29Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-07-28
2023-06-29Health · complaintF0688Provide 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.E2023-07-28
2023-06-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-07-28
2023-06-29Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2023-07-28
2023-06-29Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2023-07-28
2023-06-29Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-07-28
2023-06-29Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2023-07-28
2023-06-29Health · complaintF0761Ensure 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.E2023-07-28
2023-06-29Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2023-07-28
2023-06-29Health · complaintF0809Ensure 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.E2023-07-28
2023-06-29Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-07-28
2023-06-29Health · complaintF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D2023-07-28
2023-06-29Health · complaintF0880Provide and implement an infection prevention and control program.E2023-07-28
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

35
OwnerRolePctFromStatusSource
SNW LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-09-01currentpecos_ownership
CHARLES FRANKLIN LLCADP OF THE SNF—2019-09-01currentpecos_ownership
CHARLES WESTLAND LLCADP OF THE SNF—2019-09-01currentpecos_ownership
CLIFTONLARSONALLEN LLPADP OF THE SNF—2025-01-01currentpecos_ownership
CONNER, MARIANNEADP OF THE SNF—2024-05-13currentpecos_ownership
DUNN, CHARLESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-04-08currentpecos_ownership
EAST WEST BANK5% OR GREATER SECURITY INTEREST—2019-09-01currentpecos_ownership
GOUROV, LYUDMILAOPERATIONAL/MANAGERIAL CONTROL—2023-04-07currentpecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUSTADP OF THE SNF—2019-09-01currentpecos_ownership
IMAM, KHALEDOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
IMAM, KHALEDADP OF THE SNF—2025-04-08currentpecos_ownership
MERCHANTS BANK OF INDIANA5% OR GREATER MORTGAGE INTEREST—2019-09-01currentpecos_ownership
OM HOLDCO, LLCADP OF THE SNF—2019-09-01currentpecos_ownership
OPTALIS LP INVESTORS 1, LLCADP OF THE SNF—2019-09-01currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCOPERATIONAL/MANAGERIAL CONTROL—2019-09-01currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCADP OF THE SNF—2025-04-09currentpecos_ownership
PAAR 108 LLCADP OF THE SNF—2019-09-01currentpecos_ownership
PATEL, RAJANMANAGING CONTROL - GOVERNING BODY—2019-09-01currentpecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATELADP OF THE SNF—2019-09-01currentpecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATELADP OF THE SNF—2019-09-01currentpecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020ADP OF THE SNF—2019-09-01currentpecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020ADP OF THE SNF—2019-09-01currentpecos_ownership
SHAH, HEMANTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-04-02currentpecos_ownership
SHARON, ROBERTADP OF THE SNF—2024-05-13currentpecos_ownership
SIKORA, KERIADP OF THE SNF—2025-08-14currentpecos_ownership
SIKORA, KERIOPERATIONAL/MANAGERIAL CONTROL—2025-03-31currentpecos_ownership
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.20015% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-09-01ended 2026-05-18pecos_ownership
KERI SIKORAOPERATIONAL/MANAGERIAL CONTROL—2025-03-31ended 2026-05-18pecos_ownership
KERI SIKORAADP OF THE SNF—2025-08-14ended 2026-05-18pecos_ownership
KHALED IMAMADP OF THE SNF—2025-04-08ended 2026-05-18pecos_ownership
KHALED IMAMOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
LYUDMILA GOUROVOPERATIONAL/MANAGERIAL CONTROL—2023-04-07ended 2026-05-18pecos_ownership
MARIANNE CONNERADP OF THE SNF—2024-05-13ended 2026-05-18pecos_ownership
RAJAN PATELOPERATIONAL/MANAGERIAL CONTROL—2019-09-01ended 2026-05-18pecos_ownership
ROBERT SHARONOPERATIONAL/MANAGERIAL CONTROL—2024-05-13ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC———100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland———138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon———107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing———182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard———69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia———107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids———100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer———87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center———133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake———128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place———101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids———120OPTALIS GRAND RAPIDS OPCO LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 26125acs median gross0$1,0432024-12-31CENSUS_ACS5
county 26125fmr0$1,0092025-10-01HUD_USER_FMR
county 26125acs median gross1$1,1222024-12-31CENSUS_ACS5
county 26125fmr1$1,1222025-10-01HUD_USER_FMR
county 26125acs median gross2$1,4662024-12-31CENSUS_ACS5
county 26125fmr2$1,4112025-10-01HUD_USER_FMR
county 26125acs median gross3$1,7282024-12-31CENSUS_ACS5
county 26125fmr3$1,7242025-10-01HUD_USER_FMR
county 26125acs median gross4$2,1522024-12-31CENSUS_ACS5
county 26125fmr4$1,8682025-10-01HUD_USER_FMR
county 26125acs median gross5$1,8812024-12-31CENSUS_ACS5
county 26125acs median gross$1,3762024-12-31CENSUS_ACS5
county 26125acs recent mover gross$1,4922024-12-31CENSUS_ACS5
zcta 48076acs median gross0$1,1072024-12-31CENSUS_ACS5
zcta 48076acs median gross1$1,3952024-12-31CENSUS_ACS5
zcta 48076acs median gross2$1,4552024-12-31CENSUS_ACS5
zcta 48076acs median gross3$1,6852024-12-31CENSUS_ACS5
zcta 48076acs median gross4$2,2502024-12-31CENSUS_ACS5
zcta 48076acs median gross$1,4862024-12-31CENSUS_ACS5
zcta 48076acs recent mover gross$1,8962024-12-31CENSUS_ACS5
zip 48076payment standard 1100$1,3422025-10-01HUD_USER_SAFMR
zip 48076payment standard 900$1,0982025-10-01HUD_USER_SAFMR
zip 48076safmr0$1,2202025-10-01HUD_USER_SAFMR
zip 48076payment standard 1101$1,4852025-10-01HUD_USER_SAFMR
zip 48076payment standard 901$1,2152025-10-01HUD_USER_SAFMR
zip 48076safmr1$1,3502025-10-01HUD_USER_SAFMR
zip 48076payment standard 1102$1,8702025-10-01HUD_USER_SAFMR
zip 48076payment standard 902$1,5302025-10-01HUD_USER_SAFMR
zip 48076safmr2$1,7002025-10-01HUD_USER_SAFMR
zip 48076payment standard 1103$2,2882025-10-01HUD_USER_SAFMR
zip 48076payment standard 903$1,8722025-10-01HUD_USER_SAFMR
zip 48076safmr3$2,0802025-10-01HUD_USER_SAFMR
zip 48076payment standard 1104$2,4752025-10-01HUD_USER_SAFMR
zip 48076payment standard 904$2,0252025-10-01HUD_USER_SAFMR
zip 48076safmr4$2,2502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Evergreen Health and Rehabilitation Center (235582) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency