Composite
50.1 / 100 percentile
Screener / 055367
B
MONROVIA GARDENS HEALTHCARE CENTER
snfCA
615 W. DUARTE RD., MONROVIA, CA 91016 · CCN 055367 · chain WIN WIN ENTERPRISES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 50.1% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies99Licensure0Ownership30Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 65.6 | 58.5 | 0.30 | 0.2308 | 15.14 | in index |
| billing conduct | 57.5 | 42.6 | 0.30 | 0.2308 | 13.27 | in index |
| financial risk | 40.6 | 39.9 | 0.30 | 0.2308 | 9.37 | in index |
| chow risk | 54.0 | 35.9 | 0.15 | 0.1154 | 6.23 | in index |
| staffing risk | 23.1 | 23.2 | 0.25 | 0.1923 | 4.44 | 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.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | WINTNER JACOB | 35 facilities |
| connection | Owner spans multiple chains | 5 chains | SMEDRA IRA | 30 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 16.8 | A | v0.6 | default · in composite | |
| financial risk | 39.9 | 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 | 5.7 | — | 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 | 58.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 23.2 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.9 | 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 | 48.9 | 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 | 50.3 | 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 | 44.0 | 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 | 58.4 | 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 | 58.4 | 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 | 23.2 | 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 | 23.2 | 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)
5.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
91.8
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 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.40 | |
| Chain size (log) | 3.22 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
0.0
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 | 27.00 | -3.58 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.22 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.36 | |
| Total nurse staffing (HPRD) | 3.83 | -0.26 | |
| 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 | 3.83 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.71 | 3.79 | 3.11 | — |
| Weekday total | 3.87 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 80.1 | 3.83 | 0.27 | 1.12 | 2.44 | 3.71 | 0.0% |
| 2025Q3 | 92 | 81.2 | 3.76 | 0.30 | 1.06 | 2.41 | 3.58 | 0.0% |
| 2025Q2 | 91 | 81.8 | 3.50 | 0.30 | 1.08 | 2.12 | 3.23 | 4.8% |
| 2025Q1 | 90 | 83.7 | 3.44 | 0.29 | 0.99 | 2.16 | 3.30 | 1.2% |
| 2024Q4 | 92 | 81.9 | 3.52 | 0.34 | 1.00 | 2.18 | 3.41 | 0.0% |
| 2024Q3 | 92 | 80.7 | 3.50 | 0.22 | 0.97 | 2.31 | 3.46 | 0.0% |
| 2024Q2 | 91 | 79.7 | 3.61 | 0.29 | 0.99 | 2.33 | 3.54 | 0.0% |
| 2024Q1 | 91 | 82.8 | 3.45 | 0.20 | 0.83 | 2.42 | 3.42 | 0.0% |
| 2023Q4 | 92 | 81.8 | 3.60 | 0.18 | 0.84 | 2.58 | 3.55 | 0.0% |
| 2023Q3 | 92 | 82.0 | 3.49 | 0.18 | 0.90 | 2.40 | 3.47 | 0.0% |
| 2023Q2 | 91 | 82.3 | 3.40 | 0.17 | 0.89 | 2.34 | 3.25 | 0.0% |
| 2023Q1 | 90 | 84.7 | 3.32 | 0.17 | 0.85 | 2.30 | 3.11 | 4.2% |
| 2022Q4 | 92 | 86.6 | 3.01 | 0.11 | 0.76 | 2.14 | 2.65 | 5.1% |
| 2022Q3 | 92 | 83.9 | 2.91 | 0.12 | 0.80 | 1.99 | 2.55 | 0.0% |
| 2022Q2 | 91 | 85.6 | 2.71 | 0.11 | 0.79 | 1.81 | 2.52 | 0.0% |
| 2022Q1 | 90 | 81.6 | 3.08 | 0.17 | 0.86 | 2.04 | 2.91 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
99D × 67E × 31G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-03 | 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. | E | 2026-03-23 |
| 2026-03-03 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2026-03-23 |
| 2026-03-03 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-03-23 |
| 2025-12-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-12-30 |
| 2025-12-19 | Health | F0578 | Honor 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. | E | 2025-12-29 |
| 2025-12-19 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2025-12-29 |
| 2025-12-19 | 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 | 2025-12-29 |
| 2025-12-19 | 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 | 2025-12-29 |
| 2025-12-19 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-12-29 |
| 2025-12-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-29 |
| 2025-12-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-12-29 |
| 2025-12-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-29 |
| 2025-12-19 | 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 | 2025-12-29 |
| 2025-12-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-12-29 |
| 2025-12-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-29 |
| 2025-12-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-29 |
| 2025-12-19 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-29 |
| 2025-12-19 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-12-29 |
| 2025-10-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-11-18 |
| 2025-09-17 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-11-23 |
| 2025-09-03 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-23 |
| 2025-09-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-09-24 |
| 2025-09-03 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-09-23 |
| 2025-08-27 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-09-15 |
| 2025-08-05 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-08-27 |
| 2025-08-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-08-30 |
| 2025-08-05 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2025-08-21 |
| 2025-07-09 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-07-11 |
| 2025-07-09 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-06-27 |
| 2025-07-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-11 |
| 2025-05-13 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-14 |
| 2025-05-13 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-05-14 |
| 2025-05-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-14 |
| 2025-04-24 | 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 | 2025-05-13 |
| 2025-04-24 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-25 |
| 2025-03-27 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-04-01 |
| 2025-03-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-01 |
| 2025-03-27 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-04-01 |
| 2025-03-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-04-01 |
| 2025-03-27 | 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 | 2025-03-28 |
| 2025-03-27 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-03-28 |
| 2025-02-26 | Health · complaint | 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 | 2025-03-21 |
| 2025-02-26 | Health · complaint | F0688 | Provide 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. | E | 2025-03-20 |
| 2025-02-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-03-20 |
| 2025-02-10 | 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 | 2025-02-12 |
| 2025-01-24 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-01-29 |
| 2025-01-24 | 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 | 2025-01-29 |
| 2025-01-24 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-02-12 |
| 2025-01-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-20 |
| 2025-01-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-20 |
| 2025-01-24 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-01-27 |
| 2025-01-24 | 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 | 2025-01-29 |
| 2024-12-31 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-01-02 |
| 2024-12-24 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-14 |
| 2024-12-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-26 |
| 2024-11-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-28 |
| 2024-10-31 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-18 |
| 2024-10-31 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-10-31 |
| 2024-10-31 | Health | F0578 | Honor 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. | E | 2024-11-18 |
| 2024-10-31 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-11-18 |
| 2024-10-31 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-11-20 |
| 2024-10-31 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-11-19 |
| 2024-10-31 | 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 | 2024-11-24 |
| 2024-10-31 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-11-18 |
| 2024-10-31 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-11-20 |
| 2024-10-31 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-11-20 |
| 2024-10-31 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2024-11-20 |
| 2024-10-31 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-15 |
| 2024-10-31 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-11-05 |
| 2024-10-31 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-11-19 |
| 2024-10-31 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2024-11-01 |
| 2024-10-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-04 |
| 2024-10-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-15 |
| 2024-10-31 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-11-19 |
| 2024-06-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-27 |
| 2024-05-29 | 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 | 2024-08-02 |
| 2024-05-09 | Health · complaint | F0688 | Provide 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. | D | 2024-05-15 |
| 2024-05-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-09 |
| 2024-05-09 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2024-05-10 |
| 2023-10-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-11-14 |
| 2023-10-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-11-14 |
| 2023-10-19 | 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 | 2023-11-14 |
| 2023-10-19 | 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 | 2023-11-14 |
| 2023-10-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-14 |
| 2023-10-19 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-11-14 |
| 2023-10-19 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-11-14 |
| 2023-10-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-11-14 |
| 2023-10-19 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-11-14 |
| 2023-10-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-11-14 |
| 2023-10-19 | 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 | 2023-11-14 |
| 2023-10-19 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-11-14 |
| 2023-10-19 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-11-14 |
| 2023-10-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-14 |
| 2023-10-19 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2023-11-14 |
| 2023-10-19 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | D | 2023-11-14 |
| 2023-10-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-14 |
| 2023-10-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-10-25 |
| 2023-07-15 | Health · complaint | 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 | 2023-08-07 |
| 2023-06-06 | 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 | 2023-07-07 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AG FACILITIES OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-08-11 | current | pecos_ownership |
| IRA E SMEDRA LIVING TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2003-08-11 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2003-08-11 | current | pecos_ownership |
| 615 W. DUARTE LLC | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| 615 W. DUARTE LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| 615 W. DUARTE, LLC | ADP OF THE SNF | — | 2003-10-01 | current | pecos_ownership |
| BALACUIT, DONALD | ADP OF THE SNF | — | 2024-04-18 | current | pecos_ownership |
| BUTENKO, JULIE | ADP OF THE SNF | — | 2023-07-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | — | 2025-10-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-10-01 | current | pecos_ownership |
| CAPELA, HEIDI | ADP OF THE SNF | — | 2023-04-03 | current | pecos_ownership |
| CRUZ, HAYLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | current | pecos_ownership |
| HASSELL, LANCE | ADP OF THE SNF | — | 2022-04-25 | current | pecos_ownership |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | current | pecos_ownership |
| SALAZAR, PAULINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 | current | pecos_ownership |
| SMEDRA, IRA | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-08-11 | current | pecos_ownership |
| SOHAL, JASPAL | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-22 | current | pecos_ownership |
| SOHAL, JASPAL | ADP OF THE SNF | — | 2025-10-24 | current | pecos_ownership |
| VIDALES, MIGUEL | MANAGING CONTROL - GOVERNING BODY | — | 2021-03-01 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | ADP OF THE SNF | — | 2003-10-01 | current | pecos_ownership |
| WINTNER, JACOB | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-08-11 | current | pecos_ownership |
| IRA SMEDRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| FRANCINE WINTNER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| JACOB WINTNER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| BH ALLIANCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2003-08-11 | ended 2026-05-18 | pecos_ownership |
| 615 W. DUARTE LLC | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 615 W. DUARTE LLC | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 615 W. DUARTE LLC | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RICHARD DENNING | OTHER | — | 2017-01-09 | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91016 | acs median gross | 0 | $1,604 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91016 | acs median gross | 1 | $1,760 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91016 | acs median gross | 2 | $2,177 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91016 | acs median gross | 3 | $2,948 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91016 | acs median gross | 4 | $1,955 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91016 | acs median gross | $2,106 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91016 | acs recent mover gross | $2,718 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91016 | payment standard 110 | 0 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 90 | 0 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | safmr | 0 | $2,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 110 | 1 | $2,673 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 90 | 1 | $2,187 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | safmr | 1 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 110 | 2 | $3,333 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 90 | 2 | $2,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | safmr | 2 | $3,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 110 | 3 | $4,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 90 | 3 | $3,456 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | safmr | 3 | $3,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 110 | 4 | $4,708 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | payment standard 90 | 4 | $3,852 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91016 | safmr | 4 | $4,280 | 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.