Composite
89.8 / 100 percentile
Screener / 245028
D
Highland Chateau Health And Rehabilitation Center
snfMNSFF: SFF
2319 WEST SEVENTH STREET, SAINT PAUL, MN 55116 · CCN 245028
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
64
Model
v1.2
Reads as: riskier than 89.8% 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 radar1Staffing14Penalties3Deficiencies99Licensure0Ownership4Related party0Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.7 | 94.0 | 0.30 | 0.2308 | 22.08 | in index |
| financial risk | 71.0 | 59.8 | 0.30 | 0.2308 | 16.38 | in index |
| billing conduct | 60.1 | 43.5 | 0.30 | 0.2308 | 13.87 | in index |
| chow risk | 87.1 | 68.0 | 0.15 | 0.1154 | 10.05 | in index |
| staffing risk | 21.2 | 21.3 | 0.25 | 0.1923 | 4.08 | 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 spans multiple chains | 8 chains | LAHASKY EPHRAM | 23 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 | 43.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | 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 | 80.9 | F | v0.6 | default · in composite | |
| financial risk | 59.8 | C | 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 | 0.1 | — | 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 | 94.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 21.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.8 | 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 | 67.8 | 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 | 65.2 | 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 | 60.2 | C | 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 | 94.0 | 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 | 94.0 | 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 | 21.3 | A | 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 | 21.3 | A | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.14 | -1.44 | |
| Deficiencies, last 12 months | 47.00 | +0.97 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.25 | +0.29 |
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 | 47.00 | -7.29 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.86 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.34 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.84 | -0.26 |
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
14| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.84 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 0.89 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 3.69 | 3.32 | 3.11 | — |
| Weekday total | 3.90 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 42.7 | 3.84 | 0.89 | 0.68 | 2.27 | 3.69 | 24.9% |
| 2025Q3 | 92 | 45.9 | 3.67 | 0.59 | 0.86 | 2.21 | 3.46 | 14.6% |
| 2025Q2 | 91 | 50.5 | 3.71 | 0.62 | 0.89 | 2.20 | 3.56 | 18.2% |
| 2025Q1 | 90 | 56.6 | 3.40 | 0.52 | 0.89 | 1.99 | 3.32 | 16.6% |
| 2024Q4 | 92 | 56.7 | 3.29 | 0.42 | 0.89 | 1.98 | 3.19 | 13.6% |
| 2024Q3 | 92 | 50.7 | 3.49 | 0.49 | 0.85 | 2.15 | 3.47 | 14.0% |
| 2024Q2 | 91 | 48.2 | 3.38 | 0.61 | 0.72 | 2.06 | 3.39 | 21.8% |
| 2024Q1 | 91 | 55.0 | 3.42 | 0.68 | 0.62 | 2.12 | 3.41 | 30.3% |
| 2023Q4 | 92 | 54.7 | 3.33 | 0.57 | 0.68 | 2.09 | 3.29 | 20.5% |
| 2023Q3 | 92 | 51.8 | 3.45 | 0.54 | 0.74 | 2.18 | 3.31 | 16.9% |
| 2023Q1 | 90 | 57.1 | 3.54 | 0.55 | 0.79 | 2.20 | 3.54 | 21.5% |
| 2022Q4 | 92 | 56.7 | 3.40 | 0.62 | 0.69 | 2.08 | 3.35 | 21.1% |
| 2022Q2 | 91 | 57.3 | 2.19 | 0.48 | 0.46 | 1.25 | 2.29 | 24.6% |
| 2022Q1 | 90 | 55.1 | 3.05 | 0.75 | 0.64 | 1.66 | 2.83 | 32.8% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-02-13 | Fine | $19,120 | CMS provider data |
| 2025-03-05 | Fine | $31,363 | CMS provider data |
| 2024-01-25 | Fine | $17,111 | CMS provider data |
Total fines on record: $67,594
Deficiencies
99C × 2D × 74E × 6F × 12G × 1J × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-04-09 |
| 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 | 2026-04-09 |
| 2026-03-05 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-04-09 |
| 2026-03-05 | 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 | 2026-04-09 |
| 2026-03-05 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-04-09 |
| 2026-03-05 | 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 | 2026-04-09 |
| 2026-03-05 | 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. | D | 2026-04-09 |
| 2026-03-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-09 |
| 2026-03-05 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-04-09 |
| 2026-03-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-04-09 |
| 2026-03-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-04-09 |
| 2026-03-05 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-09 |
| 2026-03-05 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2026-04-09 |
| 2026-03-05 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-04-09 |
| 2026-03-05 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-04-09 |
| 2026-02-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-09 |
| 2026-02-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-02-10 |
| 2026-01-15 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-06 |
| 2025-12-30 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-02-06 |
| 2025-12-30 | Health · complaint | 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. | F | 2026-02-06 |
| 2025-09-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-11-20 |
| 2025-09-19 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-11-20 |
| 2025-09-19 | 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. | D | 2025-11-20 |
| 2025-09-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-11-20 |
| 2025-09-19 | 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 | 2025-11-20 |
| 2025-09-19 | 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. | D | 2025-11-20 |
| 2025-09-19 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-11-20 |
| 2025-09-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-20 |
| 2025-09-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-25 |
| 2025-09-19 | 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 | 2025-11-20 |
| 2025-09-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-11-20 |
| 2025-09-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-11-20 |
| 2025-09-19 | 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. | D | 2025-11-20 |
| 2025-09-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-11-20 |
| 2025-09-19 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-11-20 |
| 2025-09-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-11-20 |
| 2025-09-19 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-11-20 |
| 2025-09-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-11-20 |
| 2025-09-19 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-11-20 |
| 2025-09-19 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-11-20 |
| 2025-09-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-11-20 |
| 2025-09-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-11-20 |
| 2025-09-19 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-11-20 |
| 2025-09-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-11-20 |
| 2025-09-19 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-11-20 |
| 2025-09-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-11-20 |
| 2025-09-19 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-11-20 |
| 2025-06-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-07-08 |
| 2025-06-06 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-08 |
| 2025-04-24 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-30 |
| 2025-04-24 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2025-05-30 |
| 2025-04-24 | 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 | 2025-05-30 |
| 2025-04-24 | 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. | D | 2025-05-30 |
| 2025-04-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-30 |
| 2025-04-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-05-30 |
| 2025-04-24 | 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 | 2025-05-30 |
| 2025-04-24 | 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. | D | 2025-05-30 |
| 2025-04-24 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-30 |
| 2025-04-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-30 |
| 2025-04-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-30 |
| 2025-04-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-30 |
| 2025-04-24 | 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. | D | 2025-05-30 |
| 2025-04-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-30 |
| 2025-04-24 | 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. | D | 2025-05-30 |
| 2025-04-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-30 |
| 2025-04-24 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-05-30 |
| 2025-04-24 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2025-05-30 |
| 2025-04-24 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | C | 2025-05-30 |
| 2025-04-24 | 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. | D | 2025-05-30 |
| 2025-04-24 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-05-30 |
| 2025-04-24 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-05-30 |
| 2025-04-24 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-05-30 |
| 2025-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-30 |
| 2025-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-30 |
| 2025-04-24 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-05-30 |
| 2025-04-24 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-05-30 |
| 2025-03-07 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-03-25 |
| 2025-03-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-25 |
| 2025-03-05 | Health · complaint | 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 | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2025-03-25 |
| 2025-03-05 | Health · complaint | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2025-03-25 |
| 2025-01-24 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-02-07 |
| 2025-01-24 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-02-07 |
| 2024-06-27 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-07-15 |
| 2024-06-27 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-15 |
| 2024-06-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-15 |
| 2024-06-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-15 |
| 2024-06-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-07-15 |
| 2024-04-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-23 |
| 2024-02-13 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-03-01 |
| 2024-02-02 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-03-23 |
| 2024-02-02 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2024-02-21 |
| 2024-01-25 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | 2024-01-24 |
| 2023-06-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-06-15 |
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
4| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LAHASKY, EPHRAM | CORPORATE OFFICER | — | 2022-06-08 | current | pecos_ownership |
| PARENCE, MARCUS | W-2 MANAGING EMPLOYEE | — | 2022-07-14 | current | pecos_ownership |
| EPHRAM LAHASKY | CORPORATE OFFICER | 100% | 2022-06-08 | ended 2026-05-18 | pecos_ownership |
| MARCUS PARENCE | W-2 MANAGING EMPLOYEE | 100% | 2022-07-14 | 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 |
|---|---|---|---|---|
| 2022-06-08 | — | HIGHLAND OPERATIONS LLC | HIGHLAND CHATEAU SUITES, LLC | chow |
Comparable trades — MN snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27123 | acs median gross | 0 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 0 | $1,242 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 1 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 1 | $1,405 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 2 | $1,438 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 2 | $1,709 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 3 | $1,776 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 3 | $2,262 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 4 | $1,911 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 4 | $2,531 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 5 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | acs median gross | $1,329 | 2024-12-31 | CENSUS_ACS5 | |
| county 27123 | acs recent mover gross | $1,347 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55116 | acs median gross | 0 | $939 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55116 | acs median gross | 1 | $1,223 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55116 | acs median gross | 2 | $1,448 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55116 | acs median gross | 3 | $2,212 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55116 | acs median gross | $1,318 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55116 | acs recent mover gross | $1,409 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55116 | payment standard 110 | 0 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 90 | 0 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | safmr | 0 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 110 | 2 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 90 | 2 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | safmr | 2 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 110 | 3 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 90 | 3 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | safmr | 3 | $2,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 110 | 4 | $2,805 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | payment standard 90 | 4 | $2,295 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55116 | safmr | 4 | $2,550 | 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.