Composite
81.0 / 100 percentile
Screener / 345475
C
Tsali Care Center
snfNCSFF: SFF Candidate
267 Tsali Care Way, Cherokee, NC 28719 · CCN 345475
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 81.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties11Deficiencies82Licensure0Ownership5Related party5Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.7 | 96.8 | 0.30 | 0.2308 | 23.01 | in index |
| regulatory risk | 95.4 | 93.6 | 0.30 | 0.2308 | 22.02 | in index |
| chow risk | 61.8 | 60.8 | 0.15 | 0.1154 | 7.13 | in index |
| billing conduct | 30.6 | 31.9 | 0.30 | 0.2308 | 7.06 | in index |
| staffing risk | 9.3 | 9.4 | 0.25 | 0.1923 | 1.79 | 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 | 31.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 96.5 | F | v0.6 | default · in composite | |
| financial risk | 96.8 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 93.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 9.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 75.3 | 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 | 55.3 | 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 | 76.3 | D | 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 | 95.3 | F | 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 | 93.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 93.5 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 9.4 | 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 | 9.4 | 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)
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Current owner tenure (years) | 6.83 | -1.18 | |
| Deficiencies, last 12 months | 26.00 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.27 | +0.32 | |
| Total nurse staffing (HPRD) | 4.41 | -0.27 |
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
20.0
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 | 26.00 | -3.39 | |
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Staffing trend, last 4 quarters | 1.61 | +0.72 | |
| Fine amount, 12m (log) | 9.31 | -0.50 | |
| Total nurse staffing (HPRD) | 4.41 | -0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 |
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 | NC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.41 | 3.08 | 3.28 | 2.90–3.77 |
| RN | 1.08 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 4.02 | 2.93 | 3.11 | — |
| Weekday total | 4.56 | 3.14 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 71.1 | 4.41 | 1.08 | 0.56 | 2.77 | 4.02 | 26.6% |
| 2025Q3 | 92 | 69.9 | 5.10 | 0.96 | 0.77 | 3.38 | 4.88 | 31.3% |
| 2025Q2 | 91 | 67.0 | 5.15 | 0.68 | 0.82 | 3.65 | 4.56 | 31.4% |
| 2025Q1 | 90 | 64.6 | 3.92 | 0.67 | 0.57 | 2.67 | 3.86 | 22.9% |
| 2024Q4 | 92 | 57.0 | 2.79 | 0.48 | 0.36 | 1.95 | 2.75 | 0.0% |
| 2024Q3 | 92 | 55.7 | 1.93 | 0.40 | 0.29 | 1.24 | 1.76 | 0.0% |
| 2024Q2 | 91 | 53.6 | 2.81 | 0.54 | 0.21 | 2.06 | 2.56 | 0.0% |
| 2024Q1 | 91 | 50.7 | 3.65 | 0.65 | 0.26 | 2.74 | 3.42 | 19.4% |
| 2023Q4 | 92 | 50.2 | 3.46 | 0.75 | 0.24 | 2.47 | 3.08 | 5.2% |
| 2023Q3 | 92 | 53.0 | 3.74 | 0.81 | 0.31 | 2.62 | 3.44 | 2.0% |
| 2023Q2 | 91 | 48.8 | 4.59 | 0.61 | 0.67 | 3.31 | 3.88 | 7.8% |
| 2023Q1 | 90 | 50.3 | 4.93 | 1.15 | 0.41 | 3.37 | 4.02 | 6.3% |
| 2022Q4 | 92 | 50.4 | 4.61 | 0.98 | 0.50 | 3.14 | 3.86 | 7.0% |
| 2022Q3 | 92 | 55.7 | 3.90 | 0.89 | 0.19 | 2.83 | 3.27 | 0.0% |
| 2022Q2 | 91 | 58.9 | 3.53 | 0.84 | 0.11 | 2.58 | 3.06 | 2.4% |
| 2022Q1 | 90 | 54.6 | 3.52 | 0.72 | 0.08 | 2.71 | 3.19 | 4.1% |
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
11fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-31 | Fine | $11,047 | CMS provider data |
| 2025-04-10 | Fine | $15,028 | CMS provider data |
| 2024-07-31 | Fine | $12,542 | CMS provider data |
| 2024-07-31 | Fine | $118,938 | CMS provider data |
| 2024-07-31 | Payment Denial | — | CMS provider data |
| 2023-07-13 | Fine | $3,728 | CMS provider data |
| 2023-07-13 | Fine | $3,728 | CMS provider data |
| 2023-07-13 | Fine | $8,070 | CMS provider data |
| 2023-07-13 | Fine | $8,137 | CMS provider data |
| 2023-07-13 | Fine | $17,999 | CMS provider data |
| 2023-07-13 | Payment Denial | — | CMS provider data |
Total fines on record: $199,217
Deficiencies
82D × 45E × 26F × 7G × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-21 |
| 2025-08-01 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2026-01-02 |
| 2025-08-01 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2026-01-02 |
| 2025-08-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-08 |
| 2025-08-01 | 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 | 2026-01-02 |
| 2025-08-01 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2025-09-08 |
| 2025-08-01 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-09-08 |
| 2025-08-01 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-08 |
| 2025-08-01 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-09-08 |
| 2025-08-01 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-09-08 |
| 2025-08-01 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-09-08 |
| 2025-08-01 | 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 | 2025-09-08 |
| 2025-08-01 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-08 |
| 2025-08-01 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-09-08 |
| 2025-08-01 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-09-08 |
| 2025-08-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-08 |
| 2025-08-01 | Health | 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 | 2026-01-02 |
| 2025-08-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-08 |
| 2025-08-01 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-08 |
| 2025-08-01 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-09-08 |
| 2025-08-01 | 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 | 2025-09-08 |
| 2025-08-01 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-09-08 |
| 2025-08-01 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-01-02 |
| 2025-08-01 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-01-02 |
| 2025-08-01 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-09-08 |
| 2025-08-01 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-09-08 |
| 2025-04-10 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-01 |
| 2025-04-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-01 |
| 2024-10-18 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-11-08 |
| 2024-10-18 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-11-18 |
| 2024-08-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-25 |
| 2024-08-22 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-09-25 |
| 2024-08-22 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-09-25 |
| 2024-08-22 | 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 | 2024-09-25 |
| 2024-08-22 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | 2024-09-25 |
| 2024-08-22 | 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 | 2024-09-25 |
| 2024-08-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-09-25 |
| 2024-08-22 | 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 | 2024-09-25 |
| 2024-08-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-09-25 |
| 2024-08-22 | 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 | 2024-09-25 |
| 2024-08-22 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-09-25 |
| 2024-08-22 | Health | 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 | 2024-09-25 |
| 2024-08-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-25 |
| 2024-08-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-09-25 |
| 2024-08-22 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-09-25 |
| 2024-08-22 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-09-25 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-25 |
| 2024-08-22 | Health | F0908 | Keep all essential equipment working safely. | F | 2024-09-25 |
| 2024-07-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-11-07 |
| 2024-07-31 | 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 | 2024-09-25 |
| 2024-04-17 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-05-04 |
| 2024-04-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-04 |
| 2023-10-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-11-06 |
| 2023-10-13 | 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 | 2023-11-06 |
| 2023-10-13 | 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 | 2023-11-06 |
| 2023-10-13 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2023-11-06 |
| 2023-09-21 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2023-10-22 |
| 2023-09-21 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2023-10-20 |
| 2023-09-21 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-10-22 |
| 2023-09-21 | Health · complaint | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | 2023-10-22 |
| 2023-07-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-15 |
| 2023-07-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-11-06 |
| 2023-07-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-08-15 |
| 2023-07-13 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2023-08-15 |
| 2023-07-13 | Health | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | E | 2023-08-15 |
| 2023-07-13 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | 2023-08-15 |
| 2023-07-13 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2023-08-15 |
| 2023-07-13 | 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. | D | 2023-08-15 |
| 2023-07-13 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2023-08-15 |
| 2023-07-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-08-15 |
| 2023-07-13 | 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 | 2023-08-15 |
| 2023-07-13 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-08-15 |
| 2023-07-13 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-08-15 |
| 2023-07-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-08-15 |
| 2023-07-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-15 |
| 2023-07-13 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-08-15 |
| 2023-07-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
5| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHEROKEE INDIAN HOSPITAL AUTHORITY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| COOPER, CASEY | CORPORATE OFFICER | — | 2002-09-09 | current | pecos_ownership |
| DANDO, JONATHAN | W-2 MANAGING EMPLOYEE | — | 2002-09-09 | current | pecos_ownership |
| CASEY COOPER | CORPORATE OFFICER | 0% | 2002-09-09 | ended 2026-05-18 | pecos_ownership |
| JONATHAN DANDO | W-2 MANAGING EMPLOYEE | 0% | 2002-09-09 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-10-01 | — | CHEROKEE INDIAN HOSPITAL AUTHORITY | EASTERN BAND OF CHEROKEE INDIANS | chow |
Comparable trades — NC snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-15 | Juniper Gardens Center for Nursing and Rehabilitat | — | — | — | 50 | WILKINSON BLVD OPERATING COMPANY, LLC |
| 2025-07-01 | Warsaw Rehabilitation and Healthcare Center | — | — | — | 100 | WARSAW OPCO LLC |
| 2025-06-01 | Walnut Cove Health and Rehabilitation | — | — | — | 90 | 511 WINDMILL STREET OPCO LLC |
| 2025-06-01 | Wilora Lake Healthcare | — | — | — | 70 | 6001 WILORA LAKE ROAD OPCO LLC |
| 2025-06-01 | Clay County Health and Rehabilitation | — | — | — | 90 | 86 VALLEY HIDEAWAY DRIVE OPCO LLC |
| 2025-06-01 | Emerald Ridge Health and Rehabilitation | — | — | — | 100 | 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC |
| 2025-06-01 | Willowbrook Rehabilitation and Care | — | — | — | 76 | 333 EAST LEE AVENUE OPCO LLC |
| 2025-06-01 | Westwood Health and Rehabilitation | — | — | — | 68 | 625 ASHLAND STREET OPCO LLC |
| 2025-06-01 | Hibriten Mountain Nursing and Rehabilitation | — | — | — | 100 | 2030 HARPER AVENUE OPCO LLC |
| 2025-06-01 | Forrest Oakes Healthcare | — | — | — | 60 | 620 HEATHWOOD DRIVE OPCO LLC |
| 2025-06-01 | Cardinal Healthcare and Rehabilitation | — | — | — | 63 | 931 NORTH ASPEN STREET OPCO LLC |
| 2025-06-01 | Valley View Care and Rehabilitation | — | — | — | 76 | 551 KENT STREET 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 37173 | acs median gross | 0 | $643 | 2024-12-31 | CENSUS_ACS5 |
| county 37173 | fmr | 0 | $806 | 2025-10-01 | HUD_USER_FMR |
| county 37173 | acs median gross | 1 | $600 | 2024-12-31 | CENSUS_ACS5 |
| county 37173 | fmr | 1 | $813 | 2025-10-01 | HUD_USER_FMR |
| county 37173 | acs median gross | 2 | $723 | 2024-12-31 | CENSUS_ACS5 |
| county 37173 | fmr | 2 | $925 | 2025-10-01 | HUD_USER_FMR |
| county 37173 | acs median gross | 3 | $1,013 | 2024-12-31 | CENSUS_ACS5 |
| county 37173 | fmr | 3 | $1,264 | 2025-10-01 | HUD_USER_FMR |
| county 37173 | acs median gross | 4 | $3,146 | 2024-12-31 | CENSUS_ACS5 |
| county 37173 | fmr | 4 | $1,390 | 2025-10-01 | HUD_USER_FMR |
| county 37173 | acs median gross | $742 | 2024-12-31 | CENSUS_ACS5 | |
| county 37173 | acs recent mover gross | $623 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 28719 | acs median gross | 2 | $836 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28719 | acs median gross | 3 | $1,137 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28719 | acs median gross | $892 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 28719 | acs recent mover gross | $1,648 | 2024-12-31 | CENSUS_ACS5 | |
| zip 28719 | payment standard 110 | 0 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 90 | 0 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | safmr | 0 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 110 | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 90 | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | safmr | 1 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 110 | 2 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 90 | 2 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | safmr | 2 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 110 | 3 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 90 | 3 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | safmr | 3 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 110 | 4 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | payment standard 90 | 4 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28719 | safmr | 4 | $1,570 | 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.