Composite
96.0 / 100 percentile
Screener / 295088
F
WINGFIELD SKILLED NURSING AND REHABILITATION CENTE
snfNV
2350 WINGFIELD HILLS RD, SPARKS, NV 89436 · CCN 295088 · chain GRAY ESTATE HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 96.0% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies42Licensure0Ownership26Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 96.5 | 67.8 | 0.30 | 0.2308 | 22.27 | in index |
| regulatory risk | 87.6 | 85.0 | 0.30 | 0.2308 | 20.22 | in index |
| staffing risk | 77.6 | 77.6 | 0.25 | 0.1923 | 14.92 | in index |
| financial risk | 39.3 | 39.2 | 0.30 | 0.2308 | 9.07 | in index |
| chow risk | 54.2 | 52.4 | 0.15 | 0.1154 | 6.25 | 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 | 67.8 | D | 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 | 79.8 | D | v0.6 | default · in composite | |
| financial risk | 39.2 | 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 | 0.0 | — | 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 | 85.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 77.6 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.3 | 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 | 65.3 | 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 | 51.6 | 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 | 43.2 | 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 | 85.0 | 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 | 85.0 | 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 | 77.6 | D | 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 | 77.6 | D | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.49 | -1.41 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.98 | -0.83 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 1.10 | -0.17 | |
| Contract staffing share | 0.00 | -0.10 |
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 | |
|---|---|---|---|
| Occupancy | 0.98 | -0.99 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.49 | -0.23 |
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 | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.85 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.54 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.44 | 3.46 | 3.11 | — |
| Weekday total | 3.01 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 118.1 | 2.85 | 0.54 | 0.66 | 1.65 | 2.44 | 0.0% |
| 2025Q3 | 92 | 114.4 | 3.23 | 0.51 | 0.81 | 1.92 | 2.75 | 0.0% |
| 2025Q2 | 91 | 112.6 | 3.11 | 0.50 | 0.83 | 1.78 | 2.60 | 0.0% |
| 2025Q1 | 90 | 110.4 | 3.11 | 0.45 | 0.91 | 1.74 | 2.58 | 0.0% |
| 2024Q4 | 92 | 109.4 | 2.96 | 0.41 | 0.79 | 1.76 | 2.54 | 0.0% |
| 2024Q3 | 92 | 111.2 | 2.85 | 0.41 | 0.76 | 1.69 | 2.46 | 0.0% |
| 2024Q2 | 91 | 111.6 | 2.93 | 0.43 | 0.85 | 1.65 | 2.61 | 0.0% |
| 2024Q1 | 91 | 113.1 | 2.86 | 0.37 | 0.88 | 1.61 | 2.55 | 0.0% |
| 2023Q4 | 92 | 110.0 | 2.68 | 0.40 | 0.82 | 1.47 | 2.44 | 0.0% |
| 2023Q3 | 92 | 108.5 | 2.83 | 0.47 | 0.78 | 1.58 | 2.54 | 0.0% |
| 2023Q2 | 91 | 106.2 | 2.68 | 0.49 | 0.66 | 1.52 | 2.34 | 0.0% |
| 2023Q1 | 90 | 100.4 | 2.40 | 0.46 | 0.78 | 1.16 | 2.31 | 0.0% |
| 2022Q4 | 92 | 83.5 | 2.55 | 0.45 | 0.82 | 1.28 | 2.22 | 0.0% |
| 2022Q3 | 92 | 63.3 | 2.64 | 0.65 | 0.68 | 1.32 | 2.28 | 0.0% |
| 2022Q2 | 91 | 59.7 | 2.52 | 0.37 | 0.86 | 1.30 | 2.17 | 0.0% |
| 2022Q1 | 90 | 63.0 | 2.81 | 0.14 | 1.06 | 1.61 | 2.57 | 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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-12-14 | Fine | $75,670 | CMS provider data |
Total fines on record: $75,670
Deficiencies
42B × 1C × 2D × 34E × 1F × 1G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-12 | 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 | 2026-03-18 |
| 2026-02-12 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2026-03-18 |
| 2026-02-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-18 |
| 2026-02-12 | Health | F0693 | Ensure 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. | D | 2026-03-18 |
| 2026-02-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-18 |
| 2026-02-12 | Health | F0732 | Post nurse staffing information every day. | C | 2026-03-18 |
| 2026-02-12 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-03-18 |
| 2026-02-12 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2026-03-18 |
| 2026-02-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-18 |
| 2026-02-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-03-18 |
| 2024-12-05 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-03 |
| 2024-12-05 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-01-03 |
| 2024-12-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-03 |
| 2024-12-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-03 |
| 2024-12-05 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-01-03 |
| 2024-12-05 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-03 |
| 2024-12-05 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-01-03 |
| 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 | 2025-01-03 |
| 2024-02-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-01 |
| 2024-02-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-01 |
| 2024-02-27 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-04-01 |
| 2024-02-27 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-04-01 |
| 2023-12-14 | Health | 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 | 2024-01-26 |
| 2023-12-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-26 |
| 2023-12-14 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | C | 2024-01-26 |
| 2023-12-14 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-01-26 |
| 2023-12-14 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-26 |
| 2023-12-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-26 |
| 2023-12-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-26 |
| 2023-12-14 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-01-26 |
| 2023-12-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-26 |
| 2023-12-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-26 |
| 2023-12-14 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-01-26 |
| 2023-12-14 | 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 | 2024-01-26 |
| 2023-12-14 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-01-26 |
| 2023-12-14 | 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 | 2024-01-26 |
| 2023-12-14 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-01-26 |
| 2023-12-14 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-01-26 |
| 2023-11-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-11-15 |
| 2023-11-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-11-15 |
| 2023-11-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-15 |
| 2023-11-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2023-11-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
26| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GRAY ESTATE HOLDING LLC | Director, officer, administrator or key person of provider or organization | 50% | 2023-01-01 | current | hcris_a_8_1 |
| GRAY ESTATE HOLDING LLC | Director, officer, administrator or key person of provider or organization | 50% | 2024-01-01 | current | hcris_a_8_1 |
| ASL REALTY LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2022-02-01 | current | pecos_ownership |
| GRAY ESTATE HOLDINGS LLC | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| GRAY, CHELSEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | current | pecos_ownership |
| GRAY, ZACHARY | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| ILYAS, IRTQA | ADP OF THE SNF | — | 2023-10-01 | current | pecos_ownership |
| ILYAS, IRTQA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 | current | pecos_ownership |
| LEBOWITZ, ANDREW | 5% OR GREATER MORTGAGE INTEREST | — | 2022-02-01 | current | pecos_ownership |
| MODINA, KAITLYN | ADP OF THE SNF | — | 2022-08-02 | current | pecos_ownership |
| NADORA, MARIE | MANAGING CONTROL - GOVERNING BODY | — | 2022-02-01 | current | pecos_ownership |
| NASRAWY, JOSEPH | MANAGING CONTROL - GOVERNING BODY | — | 2022-02-01 | current | pecos_ownership |
| REVIVE HEALTH SENIOR CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | current | pecos_ownership |
| REVIVE HEALTH SENIOR CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-05-16 | current | pecos_ownership |
| WINGFIELD HILLS RD. LLC | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| ZACHARY GRAY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| GRAY ESTATE HOLDING LLC | Director, officer, administrator or key person of provider or organization | 50% | 2022-02-01 | ended 2022-12-31 | hcris_a_8_1 |
| ANDREW LEBOWITZ | 5% OR GREATER MORTGAGE INTEREST | 49% | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| PLUMAS REALTY LLC | Individual has financial interest in both related organization and provider | 30% | 2020-06-01 | ended 2021-05-31 | hcris_a_8_1 |
| PLUMAS REALTY LLC | Individual has financial interest in both related organization and provider | 30% | 2021-06-01 | ended 2022-01-31 | hcris_a_8_1 |
| CHELSEY GRAY | INDIRECT OWNERSHIP INTEREST | 1% | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| IRTQA ILYAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-01 | ended 2026-05-18 | pecos_ownership |
| IRTQA ILYAS | ADP OF THE SNF | — | 2023-10-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH NASRAWY | MANAGING CONTROL - GOVERNING BODY | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| KAITLYN MODINA | ADP OF THE SNF | — | 2022-08-02 | ended 2026-05-18 | pecos_ownership |
| MARIE NADORA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-02-01 | — | REVIVE SPARKS LLC | WINGFIELD HEALTH CARE LLC | chow |
Comparable trades — NV snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32031 | acs median gross | 0 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 0 | $1,289 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 1 | $1,335 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 1 | $1,489 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 2 | $1,661 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 2 | $1,870 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 3 | $2,013 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 3 | $2,539 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 4 | $2,347 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 4 | $2,949 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 5 | $2,485 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | acs median gross | $1,608 | 2024-12-31 | CENSUS_ACS5 | |
| county 32031 | acs recent mover gross | $1,704 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89436 | acs median gross | 0 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | 1 | $1,778 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | 2 | $2,164 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | 3 | $2,197 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | 4 | $2,695 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | 5 | $2,736 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89436 | acs median gross | $2,128 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89436 | acs recent mover gross | $2,073 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89436 | payment standard 110 | 0 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 90 | 0 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | safmr | 0 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 110 | 1 | $2,156 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 90 | 1 | $1,764 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | safmr | 1 | $1,960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 110 | 2 | $2,706 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 90 | 2 | $2,214 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | safmr | 2 | $2,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 110 | 3 | $3,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 90 | 3 | $3,006 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | safmr | 3 | $3,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 110 | 4 | $4,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | payment standard 90 | 4 | $3,492 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89436 | safmr | 4 | $3,880 | 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.