Composite
20.6 / 100 percentile
Screener / 055979
A
FRANCISCAN POST-ACUTE CARE CENTER
snfCA
3169 M STREET, MERCED, CA 95348 · CCN 055979 · chain AVALON HEALTH CARE INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
71
Model
v1.2
Reads as: riskier than 20.6% 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 radar1Staffing16Penalties1Deficiencies31Licensure0Ownership36Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 67.1 | 60.5 | 0.30 | 0.2308 | 15.48 | in index |
| billing conduct | 41.7 | 36.2 | 0.30 | 0.2308 | 9.62 | in index |
| financial risk | 24.9 | 30.5 | 0.30 | 0.2308 | 5.75 | in index |
| staffing risk | 16.6 | 16.7 | 0.25 | 0.1923 | 3.19 | in index |
| chow risk | 19.7 | 19.1 | 0.15 | 0.1154 | 2.27 | 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 | 36.1 | 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 | 13.3 | A | v0.6 | default · in composite | |
| financial risk | 30.5 | B | 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 | 2.6 | — | 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 | 60.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 16.7 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.6 | C | 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 | 41.6 | B | 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 | 48.2 | C | 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 | 35.0 | 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 | 60.3 | C | 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 | 60.3 | C | 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 | 16.7 | 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 | 16.7 | 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)
2.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
74.4
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 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.88 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.03 | -0.20 | |
| Chain size (log) | 2.64 | +0.16 |
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
33.6
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 | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.88 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.03 | -0.34 | |
| Chain size (log) | 2.64 | -0.33 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | 4.03 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.94 | 3.79 | 3.11 | — |
| Weekday total | 4.07 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 62.2 | 4.03 | 0.24 | 0.94 | 2.85 | 3.94 | 0.0% |
| 2025Q3 | 92 | 60.2 | 4.28 | 0.26 | 0.97 | 3.04 | 4.11 | 0.0% |
| 2025Q2 | 91 | 63.6 | 3.89 | 0.22 | 0.95 | 2.71 | 3.69 | 0.0% |
| 2025Q1 | 90 | 65.8 | 3.88 | 0.32 | 0.85 | 2.71 | 3.70 | 0.0% |
| 2024Q4 | 92 | 63.5 | 3.93 | 0.36 | 0.82 | 2.74 | 3.72 | 0.0% |
| 2024Q3 | 92 | 62.2 | 4.00 | 0.41 | 0.91 | 2.68 | 3.78 | 0.0% |
| 2024Q2 | 91 | 63.0 | 4.29 | 0.34 | 0.98 | 2.97 | 3.96 | 0.0% |
| 2024Q1 | 91 | 64.6 | 4.17 | 0.30 | 0.98 | 2.89 | 3.92 | 0.0% |
| 2023Q4 | 92 | 62.2 | 4.03 | 0.26 | 0.98 | 2.79 | 3.81 | 0.0% |
| 2023Q3 | 92 | 64.1 | 4.05 | 0.22 | 0.98 | 2.85 | 3.81 | 0.0% |
| 2023Q2 | 91 | 67.3 | 3.73 | 0.23 | 0.84 | 2.65 | 3.60 | 0.0% |
| 2023Q1 | 90 | 68.1 | 3.73 | 0.16 | 0.83 | 2.73 | 3.67 | 0.0% |
| 2022Q4 | 92 | 64.2 | 3.73 | 0.10 | 0.88 | 2.75 | 3.57 | 0.0% |
| 2022Q3 | 92 | 60.9 | 3.77 | 0.09 | 1.01 | 2.67 | 3.65 | 0.0% |
| 2022Q2 | 91 | 63.8 | 3.67 | 0.14 | 0.96 | 2.58 | 3.54 | 0.0% |
| 2022Q1 | 90 | 65.4 | 3.62 | 0.10 | 1.07 | 2.45 | 3.44 | 2.3% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-13 | Fine | $9,110 | CMS provider data |
Total fines on record: $9,110
Deficiencies
31D × 19E × 9G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-20 | 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 | 2026-05-01 |
| 2026-04-20 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-05-01 |
| 2026-04-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-01 |
| 2025-06-12 | 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. | G | 2025-07-04 |
| 2025-06-12 | 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 | 2025-07-04 |
| 2025-04-10 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-05-02 |
| 2025-02-05 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-28 |
| 2025-02-05 | 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 | 2025-02-28 |
| 2025-02-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-28 |
| 2025-01-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-02-12 |
| 2024-12-11 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-12-30 |
| 2024-09-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-10 |
| 2024-08-29 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2024-09-30 |
| 2024-08-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-10 |
| 2024-04-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-05-16 |
| 2024-01-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-21 |
| 2023-10-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-10-24 |
| 2023-10-02 | 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 | 2023-10-24 |
| 2023-07-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-01 |
| 2022-12-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2022-12-22 |
| 2022-12-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-12-22 |
| 2022-12-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-22 |
| 2022-12-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-12-22 |
| 2019-02-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-04-03 |
| 2019-02-15 | 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 | 2019-04-03 |
| 2019-02-15 | 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 | 2019-04-03 |
| 2019-02-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-04-03 |
| 2019-02-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-04-03 |
| 2019-02-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-04-03 |
| 2019-02-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-04-03 |
| 2019-02-15 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2019-04-03 |
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
36| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AVALON CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2003-12-01 | current | pecos_ownership |
| AVALON OF CALIFORNIA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-12-01 | current | pecos_ownership |
| AVALON HEALTH CARE INC | ADP OF THE SNF | — | 2025-05-20 | current | pecos_ownership |
| AVALON HEALTH CARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 | current | pecos_ownership |
| AVALON HEALTH CARE MANAGEMENT INC | ADP OF THE SNF | — | 2025-04-04 | current | pecos_ownership |
| AVALON HEALTH CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-12-01 | current | pecos_ownership |
| BORISEVICH, MARIA | CORPORATE OFFICER | — | 2024-01-08 | current | pecos_ownership |
| DANGERFIELD, DAVID | CORPORATE DIRECTOR | — | 2007-04-05 | current | pecos_ownership |
| HASH, ALAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 | current | pecos_ownership |
| HENRIE, BRIAN | ADP OF THE SNF | — | 2021-04-19 | current | pecos_ownership |
| KIRTON, BYRON | CORPORATE DIRECTOR | — | 2024-08-27 | current | pecos_ownership |
| KIRTON, HYRUM | CORPORATE DIRECTOR | — | 2024-08-27 | current | pecos_ownership |
| KIRTON, HYRUM | CORPORATE OFFICER | — | 2022-03-29 | current | pecos_ownership |
| KIRTON, SPENCER | MANAGING CONTROL - GOVERNING BODY | — | 2024-08-27 | current | pecos_ownership |
| PAIK-TESCH, JOHN | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| SMITH, NICOLE | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SOUZA, JOANNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-26 | current | pecos_ownership |
| WOLTIL, ROBERT | MANAGING CONTROL - GOVERNING BODY | — | 2012-05-23 | current | pecos_ownership |
| AVALON HOLDING INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2003-12-01 | ended 2026-05-18 | pecos_ownership |
| HYRUM A KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| HYRUM KIRTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| SPENCER K KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| THE BYRON A KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 27% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| K-TEAM LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| ALAN HASH | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 | ended 2026-05-18 | pecos_ownership |
| BRIAN HENRIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-19 | ended 2026-05-18 | pecos_ownership |
| BYRON KIRTON | CORPORATE DIRECTOR | — | 2024-08-27 | ended 2026-05-18 | pecos_ownership |
| DAVID DANGERFIELD | MANAGING CONTROL - GOVERNING BODY | — | 2007-04-05 | ended 2026-05-18 | pecos_ownership |
| HYRUM KIRTON | MANAGING CONTROL - GOVERNING BODY | — | 2024-08-27 | ended 2026-05-18 | pecos_ownership |
| HYRUM KIRTON | CORPORATE OFFICER | — | 2022-03-29 | ended 2026-05-18 | pecos_ownership |
| JOANNE SOUZA | ADP OF THE SNF | — | 2025-08-26 | ended 2026-05-18 | pecos_ownership |
| JOHN PAIK-TESCH | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| MARIA BORISEVICH | ADP OF THE SNF | — | 2024-01-08 | ended 2026-05-18 | pecos_ownership |
| NICOLE SMITH | CORPORATE OFFICER | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT WOLTIL | MANAGING CONTROL - GOVERNING BODY | — | 2012-05-23 | ended 2026-05-18 | pecos_ownership |
| SPENCER KIRTON | CORPORATE DIRECTOR | — | 2024-08-27 | 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 06047 | acs median gross | 0 | $1,057 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 0 | $1,116 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 1 | $1,073 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 1 | $1,213 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 2 | $1,217 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 2 | $1,503 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 3 | $1,489 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 3 | $2,067 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 4 | $1,801 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | fmr | 4 | $2,503 | 2025-10-01 | HUD_USER_FMR |
| county 06047 | acs median gross | 5 | $2,317 | 2024-12-31 | CENSUS_ACS5 |
| county 06047 | acs median gross | $1,343 | 2024-12-31 | CENSUS_ACS5 | |
| county 06047 | acs recent mover gross | $1,623 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95348 | acs median gross | 0 | $1,537 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | 1 | $1,243 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | 2 | $1,448 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | 3 | $1,677 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | 4 | $1,880 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | 5 | $2,678 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95348 | acs median gross | $1,551 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95348 | acs recent mover gross | $1,729 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95348 | payment standard 110 | 0 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 90 | 0 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | safmr | 0 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 110 | 1 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 90 | 1 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | safmr | 1 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 110 | 2 | $2,024 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 90 | 2 | $1,656 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | safmr | 2 | $1,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 110 | 3 | $2,783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 90 | 3 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | safmr | 3 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 110 | 4 | $3,366 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | payment standard 90 | 4 | $2,754 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95348 | safmr | 4 | $3,060 | 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.