Composite
42.7 / 100 percentile
Screener / 265526
B
CHARITON PARK HEALTH CARE CENTER
snfMO
902 MANOR DRIVE, SALISBURY, MO 65281 · CCN 265526 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 42.7% 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 model5ML signals8Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies65Licensure0Ownership15Related party5Transactions0Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.1 | 92.0 | 0.30 | 0.2308 | 21.72 | in index |
| staffing risk | 99.9 | 99.9 | 0.25 | 0.1923 | 19.21 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | in index |
| financial risk | 4.9 | 13.5 | 0.30 | 0.2308 | 1.13 | in index |
| chow risk | 9.6 | 15.4 | 0.15 | 0.1154 | 1.11 | 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.
ML signals — parallel engine
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.6 vs natl | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 61% fined | RELIANT CARE GROUP LLC | 18 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet enforcement cluster | 55% fined | RCG INC | 20 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | ARSHAD ABDULLAH | 24 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.1 | A | 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 | 6.7 | A | v0.6 | default · in composite | |
| financial risk | 13.5 | A | 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 | 6.2 | — | 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 | 92.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 57.9 | C | 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 | 37.9 | B | 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 | 34.8 | B | 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 | 19.6 | A | 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 | 92.0 | 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 | 92.0 | 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 | 99.9 | F | 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 | 99.9 | F | 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)
6.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.95 | -0.74 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 0.93 | +0.42 | |
| Chain size (log) | 3.43 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Total nurse staffing (HPRD) | 0.93 | +0.96 | |
| Occupancy | 0.95 | -0.86 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.34 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 3.00 | -0.20 | |
| Deficiencies, last 12 months | 7.00 | +0.13 |
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 | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 0.93 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 0.99 | 2.24 | 3.11 | — |
| Weekday total | 0.90 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 114.5 | 0.93 | 0.09 | 0.24 | 0.60 | 0.99 | 0.0% |
| 2025Q3 | 92 | 114.3 | 0.87 | 0.11 | 0.18 | 0.57 | 0.86 | 0.0% |
| 2025Q2 | 91 | 114.5 | 0.94 | 0.08 | 0.27 | 0.59 | 0.90 | 0.0% |
| 2025Q1 | 90 | 112.7 | 0.88 | 0.12 | 0.27 | 0.49 | 0.76 | 4.0% |
| 2024Q4 | 92 | 113.5 | 1.08 | 0.14 | 0.28 | 0.66 | 0.80 | 3.6% |
| 2024Q3 | 92 | 115.7 | 1.08 | 0.09 | 0.37 | 0.61 | 0.80 | 3.9% |
| 2024Q2 | 91 | 114.9 | 1.19 | 0.08 | 0.37 | 0.75 | 1.01 | 1.9% |
| 2024Q1 | 91 | 113.5 | 1.28 | 0.07 | 0.36 | 0.85 | 1.14 | 0.0% |
| 2023Q4 | 92 | 110.6 | 1.45 | 0.11 | 0.35 | 0.98 | 1.16 | 0.8% |
| 2023Q3 | 92 | 112.9 | 1.25 | 0.17 | 0.33 | 0.74 | 0.97 | 1.1% |
| 2023Q2 | 91 | 115.5 | 0.91 | 0.07 | 0.24 | 0.60 | 0.88 | 0.0% |
| 2023Q1 | 90 | 115.8 | 0.88 | 0.07 | 0.28 | 0.53 | 0.87 | 0.0% |
| 2022Q4 | 92 | 113.6 | 0.93 | 0.07 | 0.29 | 0.56 | 0.89 | 0.0% |
| 2022Q3 | 92 | 110.2 | 0.95 | 0.07 | 0.29 | 0.58 | 0.91 | 0.6% |
| 2022Q2 | 91 | 110.6 | 1.06 | 0.07 | 0.32 | 0.66 | 0.99 | 0.7% |
| 2022Q1 | 90 | 111.8 | 1.00 | 0.07 | 0.29 | 0.64 | 1.04 | 0.9% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-24 | Fine | $31,031 | CMS provider data |
| 2024-09-04 | Fine | $24,668 | CMS provider data |
| 2024-03-08 | Fine | $28,925 | CMS provider data |
| 2024-03-08 | Payment Denial | — | CMS provider data |
| 2023-11-01 | Fine | $25,204 | CMS provider data |
Total fines on record: $109,828
Deficiencies
65B × 3C × 3D × 19E × 29F × 3G × 7J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-02-28 |
| 2026-03-12 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | 2026-03-15 |
| 2025-12-31 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-01-20 |
| 2025-11-24 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2025-12-08 |
| 2025-11-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-12-08 |
| 2025-11-24 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-12-08 |
| 2025-11-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-12-08 |
| 2025-06-05 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-06-20 |
| 2025-04-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-04-10 |
| 2024-09-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-25 |
| 2024-09-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-09-25 |
| 2024-09-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-25 |
| 2024-09-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-25 |
| 2024-08-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-03 |
| 2024-04-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-06-13 |
| 2024-03-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-19 |
| 2024-03-08 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-04-19 |
| 2024-03-08 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-04-19 |
| 2024-03-08 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-04-19 |
| 2024-03-08 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-04-19 |
| 2024-03-08 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-04-19 |
| 2024-03-08 | 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. | E | 2024-04-19 |
| 2024-03-08 | 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 | 2024-04-19 |
| 2024-03-08 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-06-13 |
| 2024-03-08 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-03-02 |
| 2024-03-08 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-04-19 |
| 2024-03-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-04-19 |
| 2024-03-08 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-04-19 |
| 2024-03-08 | 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 | 2024-04-19 |
| 2024-03-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-04-19 |
| 2024-03-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-04-19 |
| 2024-03-08 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-04-19 |
| 2024-03-08 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | 2024-04-19 |
| 2024-03-08 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-04-19 |
| 2024-03-08 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-04-19 |
| 2024-03-08 | 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 | 2024-04-19 |
| 2024-03-08 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-04-19 |
| 2024-03-08 | Health | F0803 | Ensure 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. | E | 2024-04-19 |
| 2024-03-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-04-19 |
| 2024-03-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-19 |
| 2024-03-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-04-19 |
| 2024-03-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-19 |
| 2024-03-08 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2024-04-19 |
| 2023-12-12 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-01-15 |
| 2023-12-12 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | 2024-01-15 |
| 2023-11-01 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | 2023-11-24 |
| 2022-05-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-07-11 |
| 2022-05-19 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-07-11 |
| 2022-05-19 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2022-07-11 |
| 2022-05-19 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2022-07-11 |
| 2022-05-19 | 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. | E | 2022-07-11 |
| 2022-05-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2022-07-11 |
| 2022-05-19 | 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. | B | 2022-07-11 |
| 2022-05-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2022-07-11 |
| 2022-05-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2022-07-11 |
| 2022-05-19 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2022-07-11 |
| 2022-05-19 | 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 | 2022-07-11 |
| 2022-05-19 | Health | F0803 | Ensure 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. | E | 2022-07-11 |
| 2022-05-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-07-11 |
| 2022-05-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-07-11 |
| 2019-11-06 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2019-12-20 |
| 2019-11-06 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2019-12-20 |
| 2019-11-06 | 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. | E | 2019-12-20 |
| 2019-11-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-12-20 |
| 2019-11-06 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2019-12-20 |
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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARSHAD, ABDULLAH | ADP OF THE SNF | — | 2024-09-15 | current | pecos_ownership |
| DESTEFANE, RICHARD | INDIRECT OWNERSHIP INTEREST | — | 2018-03-01 | current | pecos_ownership |
| DESTEFANE, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-12-12 | current | pecos_ownership |
| MUSTAPHA, SARA | ADP OF THE SNF | — | 2024-10-10 | current | pecos_ownership |
| RC TIER PROPERTIES, L.L.C. | DIRECT OWNERSHIP INTEREST | — | 2018-09-28 | current | pecos_ownership |
| RCG INC | INDIRECT OWNERSHIP INTEREST | — | 1994-12-12 | current | pecos_ownership |
| RELIANT CARE GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2018-09-28 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-12-12 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2025-06-18 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | INDIRECT OWNERSHIP INTEREST | — | 2018-03-01 | current | pecos_ownership |
| RICHARD DESTEFANE | CORPORATE OFFICER | 100% | 1994-12-12 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | INDIRECT OWNERSHIP INTEREST | 100% | 2018-03-01 | ended 2026-05-18 | pecos_ownership |
| SALISBURY ASSOC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ABDULLAH ARSHAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-15 | ended 2026-05-18 | pecos_ownership |
| SARA MUSTAPHA | ADP OF THE SNF | — | 2024-10-10 | 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
0No 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 — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS 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 29041 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29041 | acs median gross | 1 | $449 | 2024-12-31 | CENSUS_ACS5 |
| county 29041 | fmr | 1 | $677 | 2025-10-01 | HUD_USER_FMR |
| county 29041 | acs median gross | 2 | $592 | 2024-12-31 | CENSUS_ACS5 |
| county 29041 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29041 | acs median gross | 3 | $788 | 2024-12-31 | CENSUS_ACS5 |
| county 29041 | fmr | 3 | $1,235 | 2025-10-01 | HUD_USER_FMR |
| county 29041 | acs median gross | 4 | $913 | 2024-12-31 | CENSUS_ACS5 |
| county 29041 | fmr | 4 | $1,320 | 2025-10-01 | HUD_USER_FMR |
| county 29041 | acs median gross | $567 | 2024-12-31 | CENSUS_ACS5 | |
| county 29041 | acs recent mover gross | $580 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65281 | acs median gross | 1 | $443 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65281 | acs median gross | 2 | $721 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65281 | acs median gross | 3 | $932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65281 | acs median gross | $729 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65281 | acs recent mover gross | $1,038 | 2024-12-31 | CENSUS_ACS5 | |
| zip 65281 | payment standard 110 | 0 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 90 | 0 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | safmr | 0 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 110 | 3 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 90 | 3 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | safmr | 3 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 110 | 4 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | payment standard 90 | 4 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65281 | safmr | 4 | $1,470 | 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.