Composite
98.2 / 100 percentile
Screener / 265607
F
WILLOWCREEK WELLNESS & REHABILITATION
snfMOSFF: SFF Candidate
250 NEW FLORISSANT ROAD SOUTH, FLORISSANT, MO 63031 · CCN 265607 · chain DERHOBEN TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
158
Model
v1.2
Reads as: riskier than 98.2% 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 signals24Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies92Licensure0Ownership35Related party7Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.4 | 91.1 | 0.30 | 0.2308 | 21.55 | in index |
| financial risk | 93.2 | 81.7 | 0.30 | 0.2308 | 21.51 | in index |
| staffing risk | 92.0 | 92.0 | 0.25 | 0.1923 | 17.69 | in index |
| billing conduct | 47.2 | 38.3 | 0.30 | 0.2308 | 10.89 | in index |
| chow risk | 46.7 | 44.8 | 0.15 | 0.1154 | 5.39 | 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
24| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +45.3 vs natl | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | WILDFLOWER HEALTHCARE LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | PAS B SOL TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet risk far above national | +43.6 vs natl | LINZ TRUST | 9 facilities |
| connection | Owner fleet risk far above national | +39.5 vs natl | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.5 vs natl | ZIMMERMAN CAROLINE | 35 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 8 chains | DAVIDOVICH NIV | 19 facilities |
| connection | Owner spans multiple chains | 6 chains | ZIMMERMAN CAROLINE | 33 facilities |
| connection | Owner spans multiple chains | 4 chains | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | WILDFLOWER HEALTHCARE LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | PAS B SOL TRUST | 5 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 | 38.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 64.6 | C | v0.6 | default · in composite | |
| financial risk | 81.7 | F | 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 | 0.0 | — | 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 | 91.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 92.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.0 | 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 | 74.0 | D | 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 | 72.2 | D | 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 | 80.4 | F | 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 | 91.0 | 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 | 91.0 | 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 | 92.0 | 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 | 92.0 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.00 | -1.65 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 2.46 | +0.12 | |
| Facility size (log beds) | 5.07 | -0.11 | |
| Contract staffing share | 0.00 | -0.10 |
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
27.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.46 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.00 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 2.46 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.05 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.21 | 2.24 | 3.11 | — |
| Weekday total | 2.56 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 111.9 | 2.46 | 0.05 | 0.65 | 1.76 | 2.21 | 0.0% |
| 2025Q3 | 92 | 112.5 | 2.46 | 0.07 | 0.71 | 1.68 | 2.10 | 0.0% |
| 2025Q2 | 91 | 113.9 | 2.30 | 0.01 | 0.67 | 1.63 | 2.06 | 0.1% |
| 2025Q1 | 90 | 117.2 | 2.22 | 0.01 | 0.80 | 1.41 | 2.08 | 3.4% |
| 2024Q4 | 92 | 107.3 | 2.36 | 0.01 | 0.83 | 1.52 | 2.18 | 0.6% |
| 2024Q3 | 92 | 116.3 | 2.38 | 0.02 | 0.80 | 1.56 | 2.23 | 0.0% |
| 2024Q2 | 91 | 119.5 | 2.23 | 0.10 | 0.71 | 1.42 | 1.99 | 0.0% |
| 2024Q1 | 91 | 108.5 | 2.11 | 0.16 | 0.61 | 1.34 | 1.93 | 0.0% |
| 2023Q4 | 92 | 104.6 | 2.34 | 0.10 | 0.74 | 1.51 | 2.12 | 0.0% |
| 2023Q3 | 92 | 102.2 | 2.40 | 0.06 | 0.88 | 1.46 | 2.15 | 0.6% |
| 2023Q2 | 91 | 99.6 | 2.27 | 0.19 | 0.74 | 1.34 | 2.06 | 9.7% |
| 2023Q1 | 90 | 109.1 | 2.06 | 0.19 | 0.77 | 1.10 | 1.97 | 23.7% |
| 2022Q4 | 92 | 112.6 | 2.19 | 0.21 | 0.66 | 1.32 | 1.81 | 25.6% |
| 2022Q3 | 92 | 117.6 | 2.10 | 0.23 | 0.67 | 1.19 | 1.80 | 26.1% |
| 2022Q2 | 91 | 108.7 | 2.08 | 0.16 | 0.70 | 1.21 | 1.76 | 27.3% |
| 2022Q1 | 90 | 107.2 | 1.80 | 0.12 | 0.52 | 1.16 | 1.62 | 17.9% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-20 | Fine | $16,149 | CMS provider data |
| 2025-03-04 | Fine | $47,499 | CMS provider data |
| 2025-03-04 | Payment Denial | — | CMS provider data |
| 2024-08-14 | Payment Denial | — | CMS provider data |
Total fines on record: $63,648
Deficiencies
92C × 1D × 45E × 36F × 3G × 2J × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-19 |
| 2026-03-05 | 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 | 2026-03-06 |
| 2026-03-05 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-03-06 |
| 2026-02-05 | 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 | 2026-03-06 |
| 2026-02-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-13 |
| 2026-02-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-13 |
| 2026-02-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-02-13 |
| 2026-02-05 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-03-06 |
| 2026-01-07 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-08 |
| 2025-11-18 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-11-28 |
| 2025-11-18 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-11-28 |
| 2025-06-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-07-14 |
| 2025-06-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-07-14 |
| 2025-06-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-14 |
| 2025-05-13 | Health · complaint | 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. | D | 2025-05-16 |
| 2025-05-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-16 |
| 2025-03-04 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-03-05 |
| 2025-03-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-03-05 |
| 2025-03-04 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-04-11 |
| 2025-03-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-11 |
| 2025-03-04 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | 2025-03-05 |
| 2025-03-04 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-03-05 |
| 2024-10-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-08 |
| 2024-10-22 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-20 |
| 2024-10-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-08 |
| 2024-10-03 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-11-08 |
| 2024-08-14 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-10-03 |
| 2024-08-14 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | F | 2024-10-03 |
| 2024-08-14 | 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 | 2024-10-03 |
| 2024-08-14 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-10-03 |
| 2024-08-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-03 |
| 2024-08-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-11-08 |
| 2024-08-14 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-11-08 |
| 2024-08-14 | 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 | 2024-10-03 |
| 2024-08-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-08 |
| 2024-08-14 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-11-08 |
| 2024-08-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-20 |
| 2024-08-14 | Health | 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. | E | 2024-10-03 |
| 2024-08-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-11-08 |
| 2024-08-14 | 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. | E | 2024-11-20 |
| 2024-08-14 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-11-08 |
| 2024-08-14 | 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 | 2024-10-03 |
| 2024-08-14 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-10-03 |
| 2024-08-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2024-11-08 |
| 2023-07-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-17 |
| 2023-07-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-17 |
| 2022-02-02 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2022-03-14 |
| 2022-02-02 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-03-14 |
| 2022-02-02 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2022-03-14 |
| 2022-02-02 | 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 | 2022-03-14 |
| 2022-02-02 | 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 | 2022-04-01 |
| 2022-02-02 | 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. | D | 2022-03-14 |
| 2022-02-02 | Health | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | D | 2022-03-14 |
| 2022-02-02 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2022-03-14 |
| 2022-02-02 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-05-23 |
| 2022-02-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-03-14 |
| 2022-02-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2022-05-23 |
| 2022-02-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-03-14 |
| 2022-02-02 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-03-14 |
| 2022-02-02 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2022-03-14 |
| 2022-02-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-03-14 |
| 2022-02-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-03-14 |
| 2022-02-02 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2022-03-14 |
| 2022-02-02 | 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 | 2022-03-14 |
| 2022-02-02 | 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. | J | 2022-03-14 |
| 2022-02-02 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-05-24 |
| 2022-02-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-03-14 |
| 2022-02-02 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-03-14 |
| 2022-02-02 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2022-03-14 |
| 2020-02-05 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2020-03-16 |
| 2020-02-05 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2020-03-16 |
| 2020-02-05 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2020-03-16 |
| 2020-02-05 | 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 | 2020-03-16 |
| 2020-02-05 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2020-03-16 |
| 2020-02-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2020-03-16 |
| 2020-02-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2020-03-16 |
| 2020-02-05 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2020-03-16 |
| 2020-02-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2020-03-16 |
| 2020-02-05 | 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 | 2020-03-16 |
| 2020-02-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2020-03-16 |
| 2020-02-05 | Health | 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. | E | 2020-03-16 |
| 2020-02-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2020-03-16 |
| 2020-02-05 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2020-03-16 |
| 2020-02-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2020-03-16 |
| 2020-02-05 | 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 | 2020-03-16 |
| 2020-02-05 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2020-03-16 |
| 2020-02-05 | 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 | 2020-03-16 |
| 2020-02-05 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2020-03-16 |
| 2020-02-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2020-03-16 |
| 2020-02-05 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2020-03-16 |
| 2020-02-05 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2020-03-16 |
| 2020-02-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2020-03-16 |
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
35| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WILDFLOWER HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-07-30 | current | pecos_ownership |
| 250 S NEW FLORISSANT ROAD MO LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| 250 S NEW FLORISSANT ROAD MO LLC | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| AMIN, IQBAL | ADP OF THE SNF | — | 2024-07-30 | current | pecos_ownership |
| BLOOMING WILLOW PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| BROOK PARTNERS LLC | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| BROOK PARTNERS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| DAVIDOVICH, NIV | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| DERHOBEN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| GARETZ, DAVID | ADP OF THE SNF | — | 2024-07-30 | current | pecos_ownership |
| HAGINS, ELIZABETH | 5% OR GREATER MORTGAGE INTEREST | — | — | current | pecos_ownership |
| KNOBEL REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| KNOBEL REALTY TRUST | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| LINZ TRUST | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| LINZ TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| MINDLE, ADAM | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| PAS B SOL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| REMBRANDT REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| REMBRANDT REALTY TRUST | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| SESAME REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| SESAME REALTY TRUST | ADP OF THE SNF | — | 2024-10-17 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| ULRICH, AMBER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | ADP OF THE SNF | — | 2024-10-23 | current | pecos_ownership |
| ZIMMERMAN, CAROLINE | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| LASALLE HOLDING LLC | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ADAM MINDLE | 5% OR GREATER MORTGAGE INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| NIV DAVIDOVICH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| AMBER ULRICH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| CAROLINE ZIMMERMAN | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| DAVID GARETZ | CORPORATE OFFICER | — | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH HAGINS | 5% OR GREATER MORTGAGE INTEREST | — | — | ended 2026-05-18 | pecos_ownership |
| IQBAL AMIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| JENNIFER STERNSHEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-07-30 | — | WILLOWCREEK WELLNESS & REHABILITATION LLC | FLO-GP LEASING CO LLC | chow |
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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63031 | acs median gross | 0 | $1,036 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 1 | $966 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 2 | $1,278 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 3 | $1,555 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 4 | $2,106 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | $1,429 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63031 | acs recent mover gross | $1,633 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63031 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 2 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 2 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 4 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 4 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 4 | $2,140 | 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.