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 2026-08-06 10:03 UTC
Chains / RILEY SPENCE MANAGEMENT COMPANY LLC

RILEY SPENCE MANAGEMENT COMPANY LLC

Facilities
5
5 scored
% D/F
0.0%
0 facilities
Mean pctl position
62.6
blunt across peer groups
Certified beds
694
Low evidence
0

Grade mix

A 0B 2C 3D 0F 0
Grades are peer-group percentiles, so the grade mix is the comparable statistic. mean_percentile_position averages percentile positions across peer groups and should be read as a rough central tendency, not a score.

Ownership graph

Showing 5 of 5 facilities · 21 of 21 owner nodes · 49 of 49 current edges
RILEY, CHARLES — ownership 25% — 5% OR GREATER DIRECT OWNERSHIP INTERESTRILEY, CHARLES — ownership — ADP OF THE SNFSPENCE, GREGORY — ownership — DIRECT OWNERSHIP INTERESTSPENCE, GREGORY — ownership — ADP OF THE SNFCAUWENBERGH, PAUL — ownership — ADP OF THE SNFRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — ADP OF THE SNFROSENBERG, DAVID — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY, CHARLES — ownership — DIRECT OWNERSHIP INTERESTROLLA GRAND LLC — ownership — 5% OR GREATER DIRECT OWNERSHIP INTERESTRILEY, CHARLES — ownership — LIMITED PARTNERSHIP INTERESTSPENCE, GREGORY — ownership — CONTRACTED MANAGING EMPLOYEESZERZINSKI, STEVEN — ownership — W-2 MANAGING EMPLOYEESZERZINSKI, STEVEN — ownership — ADP OF THE SNFRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLSPENCE, DANIEL — ownership — W-2 MANAGING EMPLOYEEMID AMERICA HEALTH CARE LP — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTRILEY, CHARLES — ownership — CORPORATE OFFICERAMIN, IQBAL — ownership — CONTRACTED MANAGING EMPLOYEEAMIN, IQBAL — ownership — ADP OF THE SNFSPENCE, GREGORY — ownership — CORPORATE OFFICERSPENCE, DANIEL — ownership — ADP OF THE SNFWOODLAND MANOR REAL ESTATE — lease — Corporation, partnership or other organization has financial interest in providerWOODLAND MANOR REAL ESTATE — lease — Corporation, partnership or other organization has financial interest in providerRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — ADP OF THE SNFRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY, CHARLES — ownership — ADP OF THE SNFRILEY, CHARLES — ownership — DIRECT OWNERSHIP INTERESTGOTT, CHARITY — ownership — ADP OF THE SNFSPENCE, GREGORY — ownership — ADP OF THE SNFSPENCE, GREGORY — ownership — DIRECT OWNERSHIP INTERESTLEBEDOWICZ, BOHDAN — ownership — CONTRACTED MANAGING EMPLOYEELEBEDOWICZ, BOHDAN — ownership — ADP OF THE SNFROLLA REAL ESTATE — lease — Other (financial or non-financial)ROLLA REAL ESTATE — lease — Other (financial or non-financial)RILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — ADP OF THE SNFGOTT, CHARITY — ownership — W-2 MANAGING EMPLOYEETHOMAS H. SPENCE MARITAL TRUST II — ownership — TRUSTEE OF THE SNFTHOMAS H. SPENCE RESIDUAL TRUST — ownership — DIRECT OWNERSHIP INTERESTRILEY SPENCE & ASSOCIATES — ownership — ADP OF THE SNFRILEY SPENCE & ASSOCIATES — ownership — DIRECT OWNERSHIP INTERESTWOOLF, SHERYL — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY, CHARLES — ownership — DIRECT OWNERSHIP INTERESTHERRIN, BRITTANY — ownership — OPERATIONAL/MANAGERIAL CONTROLSPENCE, GREGORY — ownership — INDIRECT OWNERSHIP INTERESTOEHLER, BRITTANY — ownership — OPERATIONAL/MANAGERIAL CONTROLRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLTHOMAS H. SPENCE MARITAL TRUST I — ownership — TRUSTEE OF THE SNFRILEY SPENCE MANAGEMENT C…chain · 5 facilitiesMARYMOUNT MANOR (MO snf) — score 84CMARYMOUNT MANOR84.0PARKWOOD SKILLED NURSING AND REHABILITATION CENTER (MO snf) — score 74.3CPARKWOOD SKILLED NURSING AND REHA…74.3SILVERSTONE PLACE (MO snf) — score 62.2 — related-party real estate in cost reportCSILVERSTONE PLACE62.2PCEDAR POINTE (MO snf) — score 56.5BCEDAR POINTE56.5WOODLAND MANOR NURSING CENTER (MO snf) — score 35.8 — related-party real estate in cost reportBWOODLAND MANOR NURSING CENTER35.8PRILEY SPENCE MANAGEMENT COMPANY, LLC — ownership on 5 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLRILEY SPENCE MANAGEMENT COMPA…ownership · 5 fac.RILEY, CHARLES — ownership on 5 shown-chain facilities — up to 25% 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF; CORPORATE OFFICER; DIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTERESTRILEY, CHARLESownership · 5 fac. · ≤25%SPENCE, GREGORY — ownership on 5 shown-chain facilities ADP OF THE SNF; CONTRACTED MANAGING EMPLOYEE; CORPORATE OFFICER; DIRECT OWNERSHIP INTEREST; INDIRECT OWNERSHIP INTERESTSPENCE, GREGORYownership · 5 fac.AMIN, IQBAL — ownership on 1 shown-chain facilities ADP OF THE SNF; CONTRACTED MANAGING EMPLOYEEAMIN, IQBALownership · 1 fac.CAUWENBERGH, PAUL — ownership on 1 shown-chain facilities ADP OF THE SNFCAUWENBERGH, PAULownership · 1 fac.GOTT, CHARITY — ownership on 1 shown-chain facilities ADP OF THE SNF; W-2 MANAGING EMPLOYEEGOTT, CHARITYownership · 1 fac.HERRIN, BRITTANY — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLHERRIN, BRITTANYownership · 1 fac.LEBEDOWICZ, BOHDAN — ownership on 1 shown-chain facilities ADP OF THE SNF; CONTRACTED MANAGING EMPLOYEELEBEDOWICZ, BOHDANownership · 1 fac.MID AMERICA HEALTH CARE LP — ownership on 1 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTMID AMERICA HEALTH CARE LPownership · 1 fac. · ≤100%OEHLER, BRITTANY — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLOEHLER, BRITTANYownership · 1 fac.RILEY SPENCE & ASSOCIATES — ownership on 1 shown-chain facilities ADP OF THE SNF; DIRECT OWNERSHIP INTERESTRILEY SPENCE & ASSOCIATESownership · 1 fac.ROLLA GRAND LLC — ownership on 1 shown-chain facilities 5% OR GREATER DIRECT OWNERSHIP INTERESTROLLA GRAND LLCownership · 1 fac.ROLLA REAL ESTATE — lease on 1 shown-chain facilities Other (financial or non-financial)ROLLA REAL ESTATElease · 1 fac.ROSENBERG, DAVID — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLROSENBERG, DAVIDownership · 1 fac.SPENCE, DANIEL — ownership on 1 shown-chain facilities ADP OF THE SNF; W-2 MANAGING EMPLOYEESPENCE, DANIELownership · 1 fac.SZERZINSKI, STEVEN — ownership on 1 shown-chain facilities ADP OF THE SNF; W-2 MANAGING EMPLOYEESZERZINSKI, STEVENownership · 1 fac.THOMAS H. SPENCE MARITAL TRUST I — ownership on 1 shown-chain facilities TRUSTEE OF THE SNFTHOMAS H. SPENCE MARITAL TRUS…ownership · 1 fac.THOMAS H. SPENCE MARITAL TRUST II — ownership on 1 shown-chain facilities TRUSTEE OF THE SNFTHOMAS H. SPENCE MARITAL TRUS…ownership · 1 fac.THOMAS H. SPENCE RESIDUAL TRUST — ownership on 1 shown-chain facilities DIRECT OWNERSHIP INTERESTTHOMAS H. SPENCE RESIDUAL TRU…ownership · 1 fac.WOODLAND MANOR REAL ESTATE — lease on 1 shown-chain facilities Corporation, partnership or other organization has financial interest in providerWOODLAND MANOR REAL ESTATElease · 1 fac.WOOLF, SHERYL — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLWOOLF, SHERYLownership · 1 fac.
registered ownership operator / lease / managerP related-party real estate in cost reportdrag to pan · scroll to zoom · click a facility for its dossier
Owner nodes group ownership edges by the exact registered owner name; the same person or company filed under two spellings appears as two nodes, because merging them would be an editorial claim the registry does not make. Facility and owner lists are capped; caps and totals travel together so a partial graph cannot pass as a complete one. Facilities are prioritized riskiest-first by composite score.

By setting

1
SettingFacilitiesGrade mixMean pctl
snf5
62.6

By state

1
StateFacilitiesD/F count
MO50

Facilities

5
FacilityGradeScoreSettingStateCityBeds
MARYMOUNT MANORC84.0snfMOEUREKA174
PARKWOOD SKILLED NURSING AND REHABILITATION CENTERC74.3snfMOMARYLAND HEIGHTS130
SILVERSTONE PLACEC62.2snfMOROLLA110
CEDAR POINTEB56.5snfMOROLLA102
WOODLAND MANOR NURSING CENTERB35.8snfMOARNOLD178