Composite
63.8 / 100 percentile
Screener / 295077
C
ALTA SKILLED NURSING AND REHABILITATION CENTER
snfNV
555 HAMMILL LANE, RENO, NV 89511 · CCN 295077
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
180
Model
v1.2
Reads as: riskier than 63.8% 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 radar1Staffing16Penalties1Deficiencies56Licensure0Ownership27Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 64.3 | 45.2 | 0.30 | 0.2308 | 14.84 | in index |
| staffing risk | 67.1 | 67.1 | 0.25 | 0.1923 | 12.90 | in index |
| regulatory risk | 52.8 | 42.4 | 0.30 | 0.2308 | 12.18 | in index |
| financial risk | 44.9 | 42.4 | 0.30 | 0.2308 | 10.36 | in index |
| chow risk | 27.9 | 26.8 | 0.15 | 0.1154 | 3.22 | 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 | 45.2 | C | 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 | 28.7 | B | v0.6 | default · in composite | |
| financial risk | 42.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 42.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 67.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 73.8 | D | 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 | 53.8 | C | 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 | 52.0 | 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 | 46.3 | C | 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 | 42.3 | B | 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 | 42.3 | B | 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 | 67.1 | 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 | 67.1 | 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
12.1
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) | 7.49 | -1.12 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.90 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.0
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 | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 7.49 | -0.18 |
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 | 3.03 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.47 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.70 | 3.46 | 3.11 | — |
| Weekday total | 3.16 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 161.4 | 3.03 | 0.47 | 0.89 | 1.67 | 2.70 | 0.0% |
| 2025Q3 | 92 | 158.0 | 3.24 | 0.43 | 0.96 | 1.85 | 2.88 | 0.0% |
| 2025Q2 | 91 | 157.0 | 3.06 | 0.37 | 0.97 | 1.72 | 2.66 | 0.0% |
| 2025Q1 | 90 | 153.0 | 3.00 | 0.50 | 0.91 | 1.59 | 2.56 | 0.0% |
| 2024Q4 | 92 | 153.2 | 2.88 | 0.47 | 0.87 | 1.54 | 2.48 | 0.0% |
| 2024Q3 | 92 | 156.1 | 2.73 | 0.41 | 0.86 | 1.46 | 2.36 | 0.0% |
| 2024Q2 | 91 | 156.1 | 2.79 | 0.37 | 0.96 | 1.47 | 2.42 | 0.0% |
| 2024Q1 | 91 | 154.4 | 2.81 | 0.34 | 0.92 | 1.55 | 2.57 | 0.0% |
| 2023Q4 | 92 | 152.8 | 2.67 | 0.38 | 0.82 | 1.47 | 2.41 | 0.0% |
| 2023Q3 | 92 | 153.4 | 2.71 | 0.38 | 0.84 | 1.50 | 2.48 | 0.0% |
| 2023Q2 | 91 | 157.3 | 2.67 | 0.29 | 0.83 | 1.54 | 2.35 | 0.0% |
| 2023Q1 | 90 | 155.1 | 2.59 | 0.32 | 0.90 | 1.37 | 2.29 | 0.0% |
| 2022Q4 | 92 | 147.9 | 2.50 | 0.34 | 0.90 | 1.26 | 2.23 | 0.0% |
| 2022Q3 | 92 | 137.2 | 2.29 | 0.39 | 0.85 | 1.04 | 2.00 | 0.0% |
| 2022Q2 | 91 | 138.3 | 2.34 | 0.40 | 0.81 | 1.12 | 1.86 | 0.0% |
| 2022Q1 | 90 | 141.1 | 2.73 | 0.42 | 0.80 | 1.50 | 2.29 | 0.0% |
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 |
|---|---|---|---|
| 2023-07-24 | Fine | $39,166 | CMS provider data |
Total fines on record: $39,166
Deficiencies
56D × 50E × 2F × 3G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-06-06 |
| 2025-05-15 | 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 | 2025-06-06 |
| 2025-05-15 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-06 |
| 2025-05-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-06 |
| 2025-05-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-06 |
| 2025-05-15 | 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 | 2025-06-06 |
| 2025-05-15 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-06 |
| 2025-05-15 | 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 | 2025-06-06 |
| 2025-05-15 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-06-06 |
| 2025-05-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-06 |
| 2025-02-24 | Health · complaint | 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 | 2025-03-14 |
| 2024-06-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-12 |
| 2024-06-13 | 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 | 2024-07-12 |
| 2024-06-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-12 |
| 2024-06-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-12 |
| 2024-06-13 | 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 | 2024-07-12 |
| 2024-06-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-12 |
| 2024-06-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-12 |
| 2024-06-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-12 |
| 2024-06-13 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-07-12 |
| 2024-06-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-12 |
| 2024-06-13 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | — |
| 2024-06-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-12 |
| 2024-06-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-07-12 |
| 2024-04-05 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-24 |
| 2024-04-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-24 |
| 2024-04-05 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-24 |
| 2024-04-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-24 |
| 2024-04-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-24 |
| 2024-04-05 | 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 | 2024-04-24 |
| 2024-04-05 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-04-24 |
| 2024-04-05 | Health · complaint | 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 | 2024-04-24 |
| 2023-12-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-06 |
| 2023-12-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-02 |
| 2023-12-06 | Health · complaint | 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 | 2024-01-02 |
| 2023-07-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-23 |
| 2023-07-24 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-08-23 |
| 2023-07-24 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | D | 2023-08-23 |
| 2023-07-24 | 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 | 2023-08-23 |
| 2023-07-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-08-23 |
| 2023-07-24 | 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 | 2023-08-23 |
| 2023-07-24 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-08-23 |
| 2023-07-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-23 |
| 2023-07-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-08-23 |
| 2023-07-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-23 |
| 2023-07-24 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-08-23 |
| 2023-07-24 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-08-23 |
| 2023-07-24 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-08-23 |
| 2023-07-24 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-08-23 |
| 2023-07-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-07 |
| 2023-07-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-23 |
| 2023-07-24 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-08-23 |
| 2023-07-24 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-09-13 |
| 2023-07-24 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2023-08-23 |
| 2023-07-24 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2023-08-23 |
| 2023-07-24 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2023-08-23 |
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
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 555 HAMMILL LLC | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| 555 HAMMILL LLC | Individual has financial interest in both related organization and provider | 50% | 2024-01-01 | current | hcris_a_8_1 |
| 555 HAMMILL LLC | ADP OF THE SNF | — | 2019-02-01 | current | pecos_ownership |
| ASL REALTY LLC | ADP OF THE SNF | — | 2019-02-01 | current | pecos_ownership |
| GRAY, CHELSEY | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| GRAY, ZACHARY | ADP OF THE SNF | — | 2019-02-01 | current | pecos_ownership |
| LEBOWITZ, ANDREW | ADP OF THE SNF | — | 2019-02-01 | current | pecos_ownership |
| MAGBITANG, JASON | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MAGBOO, MEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| NADORA, MARIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | current | pecos_ownership |
| NASRAWY, JOSEPH | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| NASRAWY, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| RENO SNF LEBO LLC | ADP OF THE SNF | — | 2019-02-01 | current | pecos_ownership |
| REVIVE HEALTH SENIOR CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | current | pecos_ownership |
| REVIVE HEALTH SENIOR CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| ZACHARY GRAY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-10-23 | ended 2026-05-18 | pecos_ownership |
| ZACHARY GRAY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| 555 HAMMILL LLC | Individual has financial interest in both related organization and provider | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 555 HAMMILL LLC | Individual has financial interest in both related organization and provider | 50% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 555 HAMMILL LLC | Individual has financial interest in both related organization and provider | 50% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CHELSEY GRAY | CORPORATE OFFICER | 25% | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW LEBOWITZ | ADP OF THE SNF | — | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| JASON MAGBITANG | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH NASRAWY | ADP OF THE SNF | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH NASRAWY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-01 | ended 2026-05-18 | pecos_ownership |
| MARIE NADORA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| MEL MAGBOO | ADP OF THE SNF | — | 2019-02-01 | 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 |
|---|---|---|---|---|
| 2019-02-01 | — | REVIVE HEALTH SENIOR CARE LLC | REGENT CARE OPERATIONS, LIMITED PARTNERSHIP | 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
35| 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 89511 | acs median gross | 0 | $1,693 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 1 | $1,622 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 2 | $1,995 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 3 | $2,386 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 4 | $2,713 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | $1,925 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89511 | acs recent mover gross | $2,269 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89511 | payment standard 110 | 0 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 0 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 0 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 1 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 1 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 1 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 2 | $2,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 2 | $2,061 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 2 | $2,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 3 | $3,421 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 3 | $2,799 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 3 | $3,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 4 | $3,971 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 4 | $3,249 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 4 | $3,610 | 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.