CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 20:19 UTC
Screener / 165152
D

Harmony House Health Care Center

snfIA
2950 West Shaulis Road, Waterloo, IA 50701 · CCN 165152 · chain CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
Composite
88.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
65
Model
v1.2
Reads as: riskier than 88.7% 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 model4ML signals3Components15CHOW radar1Distress radar1Staffing16Penalties0Deficiencies30Licensure0Ownership75Related party6Transactions1Comps12Market rent35

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk86.072.70.300.300025.80in index
regulatory risk60.251.40.300.300018.06in index
staffing risk57.957.90.250.250014.48in index
chow risk49.747.80.150.15007.46in 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+26.2 vs natlLEGACY HEALTHCARE FINANCIAL SERVICES LLC79 facilities
connectionOwner fleet risk far above national+24.2 vs natlSHABAT MENACHEM85 facilities
connectionOwner spans multiple chains5 chainsRAJCHENBACH CHAIM49 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

15
Score typeScoreGradeModelStatusRegistry model notes
chow risk25.0Bv0.1-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 risk70.7Dv0.6default · in composite
financial risk72.7Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.1—v0.1default · 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 risk51.4Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk57.9Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk99.6Fv0.1supersededPre-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 risk79.6Dv0.2supersededPre-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 risk62.1Cv0.3supersededPre-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 risk74.0Dv0.4supersededPre-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 risk51.3Cv0.1supersededPre-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 risk51.3Cv0.2supersededPre-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.
staffing risk57.9Cv0.1supersededPre-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 risk57.9Cv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.95-1.66
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.49+0.55
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months24.00+0.41
Contract staffing share0.24+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
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 months24.00-3.02
Chain size (log)4.49-1.41
For-profit ownership1.00-0.69
Staffing trend, last 4 quarters-0.94-0.46
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.95-0.27
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

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse3.163.153.282.90–3.77
RN0.460.460.390.25–0.58
Weekend total3.072.963.11—
Weekday total3.203.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49245.93.160.460.342.373.0723.7%
2025Q39249.32.900.410.352.132.736.3%
2025Q29153.83.090.370.392.332.7821.1%
2025Q19052.93.480.550.582.353.0611.9%
2024Q49249.04.100.560.762.773.432.1%
2024Q39243.64.520.661.022.853.900.0%
2024Q29144.13.970.580.712.673.260.0%
2024Q19141.03.980.510.622.853.450.0%
2023Q49239.53.900.590.482.833.570.0%
2023Q39239.94.100.580.483.043.670.0%
2023Q29138.04.230.570.503.163.630.0%
2023Q19038.34.090.570.542.993.730.0%
2022Q49237.14.420.680.693.054.050.0%
2022Q39240.14.850.700.803.354.5017.2%
2022Q29140.24.960.481.103.384.3529.4%
2022Q19037.95.120.551.233.354.7726.6%
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

30
D × 20E × 6G × 2J × 2
deficiencies by survey year
147242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-25Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-04-16
2026-03-25Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-16
2026-03-25Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-04-16
2026-03-25Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-04-16
2026-03-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-16
2026-03-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-04-16
2026-03-25Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2026-04-16
2026-03-25Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2026-04-16
2026-03-25Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2026-04-16
2026-03-25Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-16
2026-03-25Health · complaintF0760Ensure that residents are free from significant medication errors.D2026-04-16
2025-08-06HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-09-15
2025-08-06Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-09-15
2025-08-06Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-08-07
2025-08-06HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-09-09
2025-08-06HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J2025-09-09
2025-08-06HealthF0610Respond appropriately to all alleged violations.J2025-09-09
2025-08-06HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-09-15
2025-08-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-15
2025-08-06HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-09-15
2025-08-06HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-15
2025-08-06HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-09-15
2025-08-06HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-09-15
2025-08-06HealthF0880Provide and implement an infection prevention and control program.D2025-09-15
2025-04-16Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-05-16
2024-09-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-10-12
2024-09-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-10-12
2024-09-12Health · complaintF0839Employ staff that are licensed, certified, or registered in accordance with state laws.E2024-10-12
2024-09-12HealthF0880Provide and implement an infection prevention and control program.E2024-10-12
2024-01-24Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G2024-01-30
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

75
OwnerRolePctFromStatusSource
RAJCHENBACH, CHAIM5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-08-15currentpecos_ownership
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CASCADE CAPITAL PARTNERS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CCG GORGONA LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CUTLER, DARRONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
ELWICK, LISAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
FRIEDMAN, BRIANTRUSTEE OF THE SNF—2012-01-03currentpecos_ownership
GEIGER, MARYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
GORGONA HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA PROPCO HOLDINGS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA SUB HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
KNUTSON, MICHELEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MN8 RH HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
RAJCHENBACH, AVRUMTRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
RAJCHENBACH, RIVKATRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
SHABAT, AHUVATRUSTEE OF THE SNF—2012-01-03currentpecos_ownership
SHABAT, MENACHEMCORPORATE OFFICER—2024-08-15currentpecos_ownership
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
STAUDT, SANDRAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
IOWA PORTFOLIO OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-08-15ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTEREST68%2024-08-15ended 2026-05-18pecos_ownership
GPN FAM TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTEREST68%2024-08-15ended 2026-04-01pecos_ownership
CHAIM RAJCHENBACH5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-08-15ended 2026-05-18pecos_ownership
OAKWAY OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST23%2024-08-15ended 2026-05-18pecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER INDIRECT OWNERSHIP INTEREST5%2024-08-15ended 2026-05-18pecos_ownership
AHUVA SHABATTRUSTEE OF THE SNF—2012-01-03ended 2026-05-18pecos_ownership
AMY WRIGHTOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
AVRUM RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
BOBBIE WIERSCHEMOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
BRIAN FRIEDMANTRUSTEE OF THE SNF—2012-01-03ended 2026-05-18pecos_ownership
CHRISTINA HENNAGEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
DARRON CUTLEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
DOROTHY MCCLUREOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
ELIZABETH VAN VEGHELOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNIFER HEDBERGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNY BORCHERDINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JOSHUA SEUOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KARLA BEASLEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KATHLEEN SCOTTOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KILEY SHEAROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KRYSTLE JAEGEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LARINA HEYINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LAURA FRIEDENBERGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LINSEY BEHOUNEKOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LISA ELWICKOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MARY GEIGEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MELISSA LARSONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MENACHEM SHABATOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MICHELE KNUTSONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MINDY HOUSTONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
PATRICIA OTTERBECKOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
RIVKA RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
ROSEMARY WOODOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
SANDRA STAUDTOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
SHERI BURKENOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 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
2024-08-15—SHAULIS IA SKILLED NURSING FACILITY LLCABCM CORPORATIONchow

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 19013acs median gross0$6402024-12-31CENSUS_ACS5
county 19013fmr0$7252025-10-01HUD_USER_FMR
county 19013acs median gross1$6952024-12-31CENSUS_ACS5
county 19013fmr1$8012025-10-01HUD_USER_FMR
county 19013acs median gross2$9832024-12-31CENSUS_ACS5
county 19013fmr2$1,0512025-10-01HUD_USER_FMR
county 19013acs median gross3$1,1532024-12-31CENSUS_ACS5
county 19013fmr3$1,3572025-10-01HUD_USER_FMR
county 19013acs median gross4$1,6052024-12-31CENSUS_ACS5
county 19013fmr4$1,7632025-10-01HUD_USER_FMR
county 19013acs median gross5$2,0712024-12-31CENSUS_ACS5
county 19013acs median gross$9892024-12-31CENSUS_ACS5
county 19013acs recent mover gross$1,0762024-12-31CENSUS_ACS5
zcta 50701acs median gross0$5442024-12-31CENSUS_ACS5
zcta 50701acs median gross1$6602024-12-31CENSUS_ACS5
zcta 50701acs median gross2$8822024-12-31CENSUS_ACS5
zcta 50701acs median gross3$1,2532024-12-31CENSUS_ACS5
zcta 50701acs median gross4$1,3922024-12-31CENSUS_ACS5
zcta 50701acs median gross$8502024-12-31CENSUS_ACS5
zcta 50701acs recent mover gross$9502024-12-31CENSUS_ACS5
zip 50701payment standard 1100$7482025-10-01HUD_USER_SAFMR
zip 50701payment standard 900$6122025-10-01HUD_USER_SAFMR
zip 50701safmr0$6802025-10-01HUD_USER_SAFMR
zip 50701payment standard 1101$8252025-10-01HUD_USER_SAFMR
zip 50701payment standard 901$6752025-10-01HUD_USER_SAFMR
zip 50701safmr1$7502025-10-01HUD_USER_SAFMR
zip 50701payment standard 1102$1,0782025-10-01HUD_USER_SAFMR
zip 50701payment standard 902$8822025-10-01HUD_USER_SAFMR
zip 50701safmr2$9802025-10-01HUD_USER_SAFMR
zip 50701payment standard 1103$1,3972025-10-01HUD_USER_SAFMR
zip 50701payment standard 903$1,1432025-10-01HUD_USER_SAFMR
zip 50701safmr3$1,2702025-10-01HUD_USER_SAFMR
zip 50701payment standard 1104$1,8042025-10-01HUD_USER_SAFMR
zip 50701payment standard 904$1,4762025-10-01HUD_USER_SAFMR
zip 50701safmr4$1,6402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Harmony House Health Care Center (165152) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency