Composite
93.9 / 100 percentile
Screener / 265188
D
SPRING VALLEY HEALTH & REHABILITATION CENTER
snfMO
2915 SOUTH FREMONT AVE, SPRINGFIELD, MO 65804 · CCN 265188 · chain 10 26 NATIONWIDE TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
194
Model
v1.2
Reads as: riskier than 93.9% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies66Licensure0Ownership12Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 91.8 | 61.5 | 0.30 | 0.2308 | 21.18 | in index |
| staffing risk | 96.5 | 96.5 | 0.25 | 0.1923 | 18.56 | in index |
| regulatory risk | 59.9 | 51.1 | 0.30 | 0.2308 | 13.82 | in index |
| financial risk | 36.8 | 37.7 | 0.30 | 0.2308 | 8.49 | in index |
| chow risk | 69.2 | 50.3 | 0.15 | 0.1154 | 7.98 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.8 vs natl | BIENSTOCK JUDAH | 20 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 | 61.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 53.5 | C | 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 | 47.2 | C | v0.6 | default · in composite | |
| financial risk | 37.7 | B | 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 | 8.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 51.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 96.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 80.1 | F | 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 | 60.1 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 32.4 | 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 | 43.8 | B | 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 | 51.0 | C | 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 | 51.0 | C | 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 | 96.5 | 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 | 96.5 | 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)
8.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
96.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| 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 | |
| Chain size (log) | 3.74 | +0.39 | |
| Deficiencies, last 12 months | 22.00 | +0.36 | |
| Occupancy | 0.78 | -0.24 | |
| 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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 22.00 | -2.65 | |
| Chain size (log) | 3.74 | -0.97 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 2.18 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.27 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.78 | -0.14 |
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 | 2.18 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.96 | 2.24 | 3.11 | — |
| Weekday total | 2.27 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 151.7 | 2.18 | 0.24 | 0.56 | 1.38 | 1.96 | 0.0% |
| 2025Q3 | 92 | 152.3 | 2.18 | 0.26 | 0.50 | 1.42 | 1.94 | 0.0% |
| 2025Q2 | 91 | 151.5 | 2.00 | 0.20 | 0.47 | 1.33 | 1.89 | 0.0% |
| 2025Q1 | 90 | 153.8 | 1.93 | 0.17 | 0.49 | 1.26 | 1.85 | 0.0% |
| 2024Q4 | 92 | 158.3 | 1.93 | 0.25 | 0.43 | 1.25 | 1.71 | 0.0% |
| 2024Q3 | 92 | 151.1 | 1.98 | 0.23 | 0.51 | 1.24 | 1.80 | 0.3% |
| 2024Q2 | 91 | 146.8 | 1.98 | 0.25 | 0.45 | 1.28 | 1.79 | 0.6% |
| 2024Q1 | 91 | 145.8 | 2.02 | 0.26 | 0.52 | 1.24 | 1.81 | 0.5% |
| 2023Q4 | 92 | 152.5 | 1.72 | 0.28 | 0.39 | 1.05 | 1.51 | 0.7% |
| 2023Q3 | 92 | 145.1 | 1.80 | 0.36 | 0.43 | 1.02 | 1.53 | 0.8% |
| 2023Q2 | 91 | 144.2 | 1.80 | 0.36 | 0.56 | 0.89 | 1.51 | 3.7% |
| 2023Q1 | 90 | 144.3 | 1.78 | 0.28 | 0.55 | 0.95 | 1.41 | 4.2% |
| 2022Q4 | 92 | 138.8 | 1.93 | 0.24 | 0.67 | 1.02 | 1.61 | 2.5% |
| 2022Q3 | 92 | 140.3 | 1.72 | 0.22 | 0.69 | 0.81 | 1.43 | 9.9% |
| 2022Q2 | 91 | 126.3 | 1.78 | 0.29 | 0.64 | 0.85 | 1.57 | 14.7% |
| 2022Q1 | 90 | 130.1 | 1.69 | 0.32 | 0.57 | 0.79 | 1.55 | 18.8% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-12-13 | Payment Denial | — | CMS provider data |
Total fines on record: $0
Deficiencies
66D × 32E × 28F × 4J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-02-06 |
| 2025-11-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-22 |
| 2025-11-21 | Health · complaint | F0693 | Ensure 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. | D | 2025-11-22 |
| 2025-08-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | 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 | 2025-09-29 |
| 2025-08-25 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-09-29 |
| 2025-08-25 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-29 |
| 2025-08-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-29 |
| 2025-08-25 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-09-29 |
| 2025-08-25 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-09-29 |
| 2025-03-14 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-15 |
| 2025-02-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-25 |
| 2025-01-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-07 |
| 2025-01-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-02-07 |
| 2024-12-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-02-04 |
| 2024-12-13 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-02-04 |
| 2024-12-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-02-04 |
| 2024-12-13 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-02-04 |
| 2024-12-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-04 |
| 2024-04-09 | Health · complaint | 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 | 2024-04-23 |
| 2024-01-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-31 |
| 2024-01-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-31 |
| 2023-12-21 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-01-31 |
| 2023-12-21 | 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 | 2024-01-31 |
| 2023-12-21 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2024-01-31 |
| 2023-12-21 | 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 | 2024-01-31 |
| 2023-12-21 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-01-31 |
| 2023-12-21 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-31 |
| 2023-12-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-31 |
| 2023-12-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-01-31 |
| 2023-12-21 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-31 |
| 2023-12-21 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-31 |
| 2023-12-21 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-01-31 |
| 2023-12-21 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-01-31 |
| 2023-12-21 | 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 | 2024-01-31 |
| 2023-12-21 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-01-31 |
| 2023-12-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-31 |
| 2023-12-21 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-01-31 |
| 2023-12-21 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-31 |
| 2023-12-05 | Health · complaint | F0693 | Ensure 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. | D | 2024-01-17 |
| 2023-12-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-17 |
| 2021-05-17 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2021-06-11 |
| 2021-05-17 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2021-10-26 |
| 2021-05-17 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | 2021-07-29 |
| 2021-05-17 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-10-26 |
| 2021-05-17 | Health | F0610 | Respond appropriately to all alleged violations. | J | 2021-10-26 |
| 2021-05-17 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2021-06-14 |
| 2021-05-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-06-11 |
| 2021-05-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-06-11 |
| 2021-05-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2021-06-11 |
| 2021-05-17 | 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 | 2021-09-15 |
| 2021-05-17 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2021-06-14 |
| 2021-05-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-06-14 |
| 2021-05-17 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2021-06-16 |
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
12| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-08-08 | current | pecos_ownership |
| SPRINGFLO INVESTMENTS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2018-08-08 | current | pecos_ownership |
| SPRINGFIELD FLORISSANT RESOURCES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2018-08-08 | current | pecos_ownership |
| ANDERSON, HOLLY | W-2 MANAGING EMPLOYEE | — | 2018-08-08 | current | pecos_ownership |
| BIENSTOCK, JUDAH | CORPORATE OFFICER | — | 2018-08-08 | current | pecos_ownership |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| HOLLY ANDERSON | W-2 MANAGING EMPLOYEE | 100% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| JUDAH BIENSTOCK | CORPORATE OFFICER | 100% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| 10-26 NATIONWIDE TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2018-08-08 | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29077 | acs median gross | 0 | $769 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | fmr | 0 | $877 | 2025-10-01 | HUD_USER_FMR |
| county 29077 | acs median gross | 1 | $807 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | fmr | 1 | $883 | 2025-10-01 | HUD_USER_FMR |
| county 29077 | acs median gross | 2 | $985 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | fmr | 2 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29077 | acs median gross | 3 | $1,252 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | fmr | 3 | $1,498 | 2025-10-01 | HUD_USER_FMR |
| county 29077 | acs median gross | 4 | $1,436 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | fmr | 4 | $1,701 | 2025-10-01 | HUD_USER_FMR |
| county 29077 | acs median gross | 5 | $1,116 | 2024-12-31 | CENSUS_ACS5 |
| county 29077 | acs median gross | $989 | 2024-12-31 | CENSUS_ACS5 | |
| county 29077 | acs recent mover gross | $1,089 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65804 | acs median gross | 0 | $816 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | 1 | $793 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | 2 | $931 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | 3 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | 4 | $1,608 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | 5 | $885 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65804 | acs median gross | $960 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65804 | acs recent mover gross | $1,117 | 2024-12-31 | CENSUS_ACS5 | |
| zip 65804 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 110 | 1 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 90 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | safmr | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 110 | 3 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 90 | 3 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | safmr | 3 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 110 | 4 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | payment standard 90 | 4 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65804 | safmr | 4 | $1,690 | 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.