CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 07:33 UTC
Screener / 055649
D

TULARE HEALTHCARE & WELLNESS CENTER, LP

snfCA
680 EAST MERRITT AVENUE, TULARE, CA 93274 · CCN 055649 · chain ROCKPORT ADMINISTRATIVE SERVICES LLC
Composite
94.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
97
Model
v1.2
Reads as: riskier than 94.4% 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.

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk71.760.30.300.285720.49in index
billing conduct70.347.80.300.285720.09in index
regulatory risk60.752.00.300.285717.34in index
chow risk89.270.10.150.142912.74in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.4 vs natlCORPORATE INTERFACE SERVICES LLC42 facilities
connectionOwner fleet risk far above national+25.5 vs natlROCKPORT ADMINISTRATIVE SERVICES LLC72 facilities
connectionOwner fleet risk far above national+24.2 vs natlRECHNITZ SHLOMO75 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

13
Score typeScoreGradeModelStatusRegistry model notes
billing conduct47.8Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk85.3Fv0.6default · in composite
financial risk60.3Cv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk52.0Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
financial risk53.9Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk33.9Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk61.1Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk61.9Cv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk52.0Cv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk52.0Cv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.80-1.57
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.92-0.65
Chain size (log)4.23+0.50
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months21.00+0.34
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
DriverValuePull on odds
Deficiencies, last 12 months21.00-2.47
Chain size (log)4.23-1.26
Occupancy0.92-0.73
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.80-0.26
Ownership changes, last 5 years1.00+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

15
2025Q3 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.753.953.282.90–3.77
RN0.070.380.390.25–0.58
Weekend total3.683.793.11
Weekday total3.774.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q39289.53.750.071.002.683.680.0%
2025Q29189.93.650.110.922.623.660.0%
2025Q19091.63.580.130.902.543.480.0%
2024Q49283.63.570.100.952.523.540.0%
2024Q39285.13.790.090.982.713.650.0%
2024Q29184.93.500.070.972.463.400.0%
2024Q19180.73.500.070.962.473.490.0%
2023Q49280.43.500.050.922.533.440.0%
2023Q39275.23.530.070.932.533.510.0%
2023Q29171.93.480.030.952.503.530.0%
2023Q19077.13.500.010.882.613.510.0%
2022Q49290.53.290.070.802.413.180.0%
2022Q39275.13.780.070.972.733.530.0%
2022Q29170.03.720.131.122.473.510.0%
2022Q19062.43.980.091.072.823.920.0%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

72
D × 50E × 17F × 5
deficiencies by survey year
32162223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-04-22
2026-03-12HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-04-20
2026-03-12HealthF0584Honor 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.E2026-04-20
2026-03-12HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-20
2026-03-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-04-20
2026-03-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-04-20
2026-03-12HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2026-04-20
2026-03-12HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2026-04-20
2026-03-12HealthF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D2026-04-20
2026-03-12HealthF0730Observe each nurse aide's job performance and give regular training.D2026-04-20
2026-03-12HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-04-20
2026-03-12HealthF0761Ensure 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.D2026-04-20
2026-03-12HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2026-04-20
2026-03-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-04-20
2026-03-12HealthF0880Provide and implement an infection prevention and control program.D2026-04-20
2026-03-12HealthF0908Keep all essential equipment working safely.D2026-04-20
2026-03-12HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2026-04-20
2025-12-23Health · complaintF0803Ensure 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.E2025-12-24
2025-11-24Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-12-12
2025-11-24Health · complaintF0774Help the resident with transportation to and from laboratory services outside of the facility.D2025-12-12
2025-08-20Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-18
2025-07-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-08-08
2025-04-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-05-03
2024-12-27Health · complaintF0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.E2025-01-31
2024-10-24HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-11-16
2024-10-24HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2024-11-16
2024-10-24HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2024-11-16
2024-10-24HealthF0583Keep residents' personal and medical records private and confidential.D2024-11-16
2024-10-24HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-11-16
2024-10-24HealthF0679Provide activities to meet all resident's needs.E2024-11-16
2024-10-24HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-11-16
2024-10-24HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-11-16
2024-10-24HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-11-16
2024-10-24HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.E2024-11-16
2024-10-24HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-11-16
2024-10-24HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2024-11-16
2024-10-24HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2024-11-16
2024-10-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-11-16
2024-10-24HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-11-16
2024-10-24HealthF0808Ensure 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.D2024-11-16
2024-10-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-11-16
2024-10-24HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-11-16
2024-10-24HealthF0880Provide and implement an infection prevention and control program.F2024-11-16
2024-09-18Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-09-19
2024-09-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-19
2024-07-31Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2024-08-01
2024-06-28Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-08-19
2024-05-15Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-07-19
2024-05-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-07-19
2024-05-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-07-19
2024-05-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-07-19
2024-02-26Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-03-26
2024-02-05Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-28
2024-01-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-26
2024-01-25Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2024-02-19
2023-11-20Health · complaintF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.D2023-12-27
2022-11-10HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2022-12-04
2022-11-10HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2022-12-04
2022-11-10HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2022-12-04
2022-11-10HealthF0584Honor 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.D2022-12-04
2022-11-10HealthF0610Respond appropriately to all alleged violations.D2022-12-04
2022-11-10HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E2022-12-04
2022-11-10HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2022-12-04
2022-11-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2022-12-04
2022-11-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-12-04
2022-11-10HealthF0679Provide activities to meet all resident's needs.D2022-12-04
2022-11-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-12-04
2022-11-10HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2022-12-04
2022-11-10HealthF0791Provide or obtain dental services for each resident.D2022-12-04
2022-11-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-12-04
2022-11-10HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2022-12-04
2022-11-10HealthF0880Provide and implement an infection prevention and control program.F2022-12-04
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

16
OwnerRolePctFromStatusSource
COOKE, AMANDAOPERATIONAL/MANAGERIAL CONTROL2024-10-01currentpecos_ownership
CORPORATE INTERFACE SERVICES LLCADP OF THE SNF2025-05-13currentpecos_ownership
CORPORATE INTERFACE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2024-03-18currentpecos_ownership
ERETZ TULARE PROPERTIESADP OF THE SNF2021-02-01currentpecos_ownership
ERETZ TULARE PROPERTIES LLCDirector, officer, administrator or key person of related organization, or relative, has financial interest in provider2023-01-01currenthcris_a_8_1
ERETZ TULARE PROPERTIES LLCDirector, officer, administrator or key person of related organization, or relative, has financial interest in provider2024-01-01currenthcris_a_8_1
MIYAKAWA, JONOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
RECHNITZ, SHLOMOLIMITED PARTNERSHIP INTEREST2020-10-09currentpecos_ownership
ROCKPORT ADMINISTRATIVE SERVICES, LLCADP OF THE SNF2025-05-13currentpecos_ownership
ROCKPORT ADMINISTRATIVE SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROL2021-02-01currentpecos_ownership
TULARE WELLNESS GP, LLCGENERAL PARTNERSHIP INTEREST2020-10-09currentpecos_ownership
SHLOMO RECHNITZLIMITED PARTNERSHIP INTEREST100%2020-10-09ended 2026-05-18pecos_ownership
AMANDA COOKEADP OF THE SNF2024-10-01ended 2026-05-18pecos_ownership
ERETZ TULARE PROPERTIES LLCDirector, officer, administrator or key person of related organization, or relative, has financial interest in provider2022-01-01ended 2022-12-31hcris_a_8_1
ERETZ TULARE PROPERTIES LLCDirector, officer, administrator or key person of related organization, or relative, has financial interest in provider2021-02-01ended 2021-12-31hcris_a_8_1
JON MIYAKAWAADP OF THE SNF2025-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-10-11TULARE HEALTHCARE & WELLNESS CENTER LPTULARE NURSING & REHABILITATION HOSPITAL, INC.chow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED SAN DIMAS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 06107acs median gross0$9882024-12-31CENSUS_ACS5
county 06107fmr0$1,1162025-10-01HUD_USER_FMR
county 06107acs median gross1$8272024-12-31CENSUS_ACS5
county 06107fmr1$1,1232025-10-01HUD_USER_FMR
county 06107acs median gross2$1,1662024-12-31CENSUS_ACS5
county 06107fmr2$1,4742025-10-01HUD_USER_FMR
county 06107acs median gross3$1,4542024-12-31CENSUS_ACS5
county 06107fmr3$2,0282025-10-01HUD_USER_FMR
county 06107acs median gross4$1,7522024-12-31CENSUS_ACS5
county 06107fmr4$2,3932025-10-01HUD_USER_FMR
county 06107acs median gross5$1,7382024-12-31CENSUS_ACS5
county 06107acs median gross$1,2802024-12-31CENSUS_ACS5
county 06107acs recent mover gross$1,4992024-12-31CENSUS_ACS5
zcta 93274acs median gross0$7882024-12-31CENSUS_ACS5
zcta 93274acs median gross1$8492024-12-31CENSUS_ACS5
zcta 93274acs median gross2$1,2642024-12-31CENSUS_ACS5
zcta 93274acs median gross3$1,5342024-12-31CENSUS_ACS5
zcta 93274acs median gross4$1,8382024-12-31CENSUS_ACS5
zcta 93274acs median gross5$1,8272024-12-31CENSUS_ACS5
zcta 93274acs median gross$1,4072024-12-31CENSUS_ACS5
zcta 93274acs recent mover gross$1,8492024-12-31CENSUS_ACS5
zip 93274payment standard 1100$1,3202025-10-01HUD_USER_SAFMR
zip 93274payment standard 900$1,0802025-10-01HUD_USER_SAFMR
zip 93274safmr0$1,2002025-10-01HUD_USER_SAFMR
zip 93274payment standard 1101$1,3312025-10-01HUD_USER_SAFMR
zip 93274payment standard 901$1,0892025-10-01HUD_USER_SAFMR
zip 93274safmr1$1,2102025-10-01HUD_USER_SAFMR
zip 93274payment standard 1102$1,7492025-10-01HUD_USER_SAFMR
zip 93274payment standard 902$1,4312025-10-01HUD_USER_SAFMR
zip 93274safmr2$1,5902025-10-01HUD_USER_SAFMR
zip 93274payment standard 1103$2,4092025-10-01HUD_USER_SAFMR
zip 93274payment standard 903$1,9712025-10-01HUD_USER_SAFMR
zip 93274safmr3$2,1902025-10-01HUD_USER_SAFMR
zip 93274payment standard 1104$2,8382025-10-01HUD_USER_SAFMR
zip 93274payment standard 904$2,3222025-10-01HUD_USER_SAFMR
zip 93274safmr4$2,5802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.