CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,950 facilities
LIVE SIGNALS
ENFKATHYLYNN'S HEALTH CARE SOLUTIONS, PLLCTX · 2026-08-10 · HHSC: ENFORCEMENT ACTION PENDENFUNITED CARE SUPPORT LLCTX · 2026-08-09 · HHSC: ENFORCEMENT ACTION PENDENFNICON HEALTHCARE SERVICES, INCTX · 2026-08-09 · HHSC: ENFORCEMENT ACTION PENDENFELITE PERSONALIZED CARE OF TEXAS LLCTX · 2026-08-08 · HHSC: ENFORCEMENT ACTION PENDENFWE 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 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)ENFKATHYLYNN'S HEALTH CARE SOLUTIONS, PLLCTX · 2026-08-10 · HHSC: ENFORCEMENT ACTION PENDENFUNITED CARE SUPPORT LLCTX · 2026-08-09 · HHSC: ENFORCEMENT ACTION PENDENFNICON HEALTHCARE SERVICES, INCTX · 2026-08-09 · HHSC: ENFORCEMENT ACTION PENDENFELITE PERSONALIZED CARE OF TEXAS LLCTX · 2026-08-08 · HHSC: ENFORCEMENT ACTION PENDENFWE 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 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 2026-08-12 14:02 UTC
Screener / 505535
A

Bridges To Home

snfWA
18904 BURKE AVE N, SHORELINE, WA 98133 · CCN 505535
Composite
26.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
12
Model
v1.2
Reads as: riskier than 26.4% 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

2
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk58.549.20.300.666739.00in index
chow risk0.515.00.150.33330.17in 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

6
Score typeScoreGradeModelStatusRegistry model notes
chow risk15.0Av0.1-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.
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 12m0.3v0.1default · 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 risk49.2Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
regulatory risk49.0Cv0.1supersededPre-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 risk49.0Cv0.2supersededPre-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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
No PBJ staffing report1.00-3.61
Occupancy0.00+2.02
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Total nurse staffing (HPRD)0.00+0.60
Current owner tenure (years)25.00+0.57
Chain size (log)0.00-0.40
Facility size (log beds)2.56+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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
No PBJ staffing report1.00-7.43
Occupancy0.00+3.15
For-profit ownership0.00+1.62
Deficiencies, last 12 months15.00-1.35
Total nurse staffing (HPRD)0.00+1.35
Chain size (log)0.00+1.20
Fine amount, 12m (log)9.02-0.48
Facility size (log beds)2.56+0.37
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.

Penalties

3
DateTypeFineSource
2025-08-18Payment DenialCMS provider data
2025-08-04Fine$8,278CMS provider data
2025-08-04Payment DenialCMS provider data
Total fines on record: $8,278

Deficiencies

15
D × 9E × 5G × 1
deficiencies by survey year
1052526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-01Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-05-15
2026-04-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-05-15
2026-04-01Health · complaintF0610Respond appropriately to all alleged violations.D2026-05-15
2026-04-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-05-15
2026-04-01Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2026-05-15
2025-08-04HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-09-18
2025-08-04HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-09-18
2025-08-04HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-09-18
2025-08-04HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-09-18
2025-08-04HealthF0732Post nurse staffing information every day.E2025-09-18
2025-08-04HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2025-11-03
2025-08-04HealthF0760Ensure that residents are free from significant medication errors.G2025-09-18
2025-08-04HealthF0761Ensure 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.E2025-09-18
2025-08-04HealthF0880Provide and implement an infection prevention and control program.E2025-09-18
2025-08-04HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2025-09-18
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

10
OwnerRolePctFromStatusSource
FREEBORN, STEPHENCORPORATE OFFICER1991-01-01currentpecos_ownership
GRADY, CINDYCORPORATE OFFICER2011-09-01currentpecos_ownership
HENSON, JEFFERSONW-2 MANAGING EMPLOYEE2022-06-15currentpecos_ownership
MAAZ, KENOPERATIONAL/MANAGERIAL CONTROL2012-09-12currentpecos_ownership
MAAZ, KENCORPORATE OFFICER2024-09-11currentpecos_ownership
JEFFERSON HENSONW-2 MANAGING EMPLOYEE0%2022-06-15ended 2026-05-18pecos_ownership
KEN MAAZCORPORATE OFFICER0%2024-09-11ended 2026-05-18pecos_ownership
KEN MAAZOPERATIONAL/MANAGERIAL CONTROL0%2012-09-12ended 2026-05-18pecos_ownership
CINDY GRADYCORPORATE OFFICER2011-09-01ended 2026-05-18pecos_ownership
STEPHEN FREEBORNCORPORATE OFFICER1991-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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 — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute125RINCON BEACH, LLC
2025-06-01Othello Post Acute39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE80PINE RIDGE SNF HEALTHCARE 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 53033acs median gross0$1,7212024-12-31CENSUS_ACS5
county 53033fmr0$2,0742025-10-01HUD_USER_FMR
county 53033acs median gross1$1,8672024-12-31CENSUS_ACS5
county 53033fmr1$2,1462025-10-01HUD_USER_FMR
county 53033acs median gross2$2,2572024-12-31CENSUS_ACS5
county 53033fmr2$2,5012025-10-01HUD_USER_FMR
county 53033acs median gross3$2,7062024-12-31CENSUS_ACS5
county 53033fmr3$3,2722025-10-01HUD_USER_FMR
county 53033acs median gross4$3,2752024-12-31CENSUS_ACS5
county 53033fmr4$3,8472025-10-01HUD_USER_FMR
county 53033acs median gross5$3,4702024-12-31CENSUS_ACS5
county 53033acs median gross$2,0922024-12-31CENSUS_ACS5
county 53033acs recent mover gross$2,2292024-12-31CENSUS_ACS5
zcta 98133acs median gross0$1,4502024-12-31CENSUS_ACS5
zcta 98133acs median gross1$1,6372024-12-31CENSUS_ACS5
zcta 98133acs median gross2$2,1152024-12-31CENSUS_ACS5
zcta 98133acs median gross3$2,7962024-12-31CENSUS_ACS5
zcta 98133acs median gross4$2,7242024-12-31CENSUS_ACS5
zcta 98133acs median gross5$3,3862024-12-31CENSUS_ACS5
zcta 98133acs median gross$1,8022024-12-31CENSUS_ACS5
zcta 98133acs recent mover gross$1,7812024-12-31CENSUS_ACS5
zip 98133payment standard 1100$2,3212025-10-01HUD_USER_SAFMR
zip 98133payment standard 900$1,8992025-10-01HUD_USER_SAFMR
zip 98133safmr0$2,1102025-10-01HUD_USER_SAFMR
zip 98133payment standard 1101$2,3982025-10-01HUD_USER_SAFMR
zip 98133payment standard 901$1,9622025-10-01HUD_USER_SAFMR
zip 98133safmr1$2,1802025-10-01HUD_USER_SAFMR
zip 98133payment standard 1102$2,7942025-10-01HUD_USER_SAFMR
zip 98133payment standard 902$2,2862025-10-01HUD_USER_SAFMR
zip 98133safmr2$2,5402025-10-01HUD_USER_SAFMR
zip 98133payment standard 1103$3,6522025-10-01HUD_USER_SAFMR
zip 98133payment standard 903$2,9882025-10-01HUD_USER_SAFMR
zip 98133safmr3$3,3202025-10-01HUD_USER_SAFMR
zip 98133payment standard 1104$4,3012025-10-01HUD_USER_SAFMR
zip 98133payment standard 904$3,5192025-10-01HUD_USER_SAFMR
zip 98133safmr4$3,9102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.