CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 15:01 UTC
Screener / 165156
B

Fort Dodge Health and Rehabilitation

snfIA
728 14th Avenue North, Fort Dodge, IA 50501 · CCN 165156 · chain THE ENSIGN GROUP INC
Composite
55.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
65
Model
v1.2
Reads as: riskier than 55.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies48Licensure0Ownership24Related party5Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.593.80.300.230822.04in index
staffing risk95.895.80.250.192318.42in index
billing conduct30.831.90.300.23087.11in index
chow risk19.018.50.150.11542.19in index
financial risk2.810.30.300.23080.65in 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

5
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spikeno prior finesthis facility2026-07-29
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 facilities
connectionOwner spans multiple chains12 chainsTHE ENSIGN GROUP INC 123 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 typeScoreGradeModelStatusRegistry model notes
billing conduct31.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk11.9Av0.6default · in composite
financial risk10.3Av0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m15.1—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk93.8Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk95.8Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk49.5Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk29.5Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk30.1Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk16.2Av0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk93.7Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk93.7Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk95.8Fv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk95.8Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
15.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Occupancy0.92-0.65
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months23.00+0.39
Ownership changes, last 5 years0.00+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
DriverValuePull on odds
Deficiencies, last 12 months23.00-2.84
Chain size (log)5.46-1.98
Occupancy0.92-0.73
Fine amount, 12m (log)12.12-0.71
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)2.25+0.41
No PBJ staffing report0.00+0.39
High-severity deficiencies, 12m4.00-0.28
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse2.253.153.282.90–3.77
RN0.250.460.390.25–0.58
Weekend total2.092.963.11—
Weekday total2.313.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49260.02.250.250.531.472.097.7%
2025Q39260.82.300.460.321.522.104.3%
2025Q29160.02.310.460.231.622.100.4%
2025Q19059.32.270.440.261.572.170.2%
2024Q49260.22.240.370.311.562.071.6%
2024Q39257.92.370.420.281.672.081.0%
2024Q29157.22.310.440.241.622.090.0%
2024Q19160.52.150.360.291.501.930.0%
2023Q49260.22.130.390.231.521.920.0%
2023Q39261.82.100.380.291.431.820.0%
2023Q29159.52.230.400.321.521.980.0%
2023Q19061.42.130.360.351.411.860.0%
2022Q49258.92.120.350.371.411.870.0%
2022Q39261.81.790.300.351.141.580.0%
2022Q29154.02.290.260.471.552.008.6%
2022Q19057.42.330.210.481.651.977.9%
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

2
fines by year
$135.3k$67.6k2526
DateTypeFineSource
2026-02-26Fine$47,300CMS provider data
2025-08-27Fine$135,298CMS provider data
Total fines on record: $182,598

Deficiencies

48
D × 37E × 4F × 1G × 5J × 1
deficiencies by survey year
17923242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-26HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-03-03
2026-02-26HealthF0583Keep residents' personal and medical records private and confidential.D2026-03-03
2026-02-26HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-03-03
2026-02-26HealthF0641Ensure each resident receives an accurate assessment.D2026-03-03
2026-02-26HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-03-03
2026-02-26HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-03-03
2026-02-26HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-03
2026-02-26HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2026-03-03
2026-02-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-03-03
2026-02-26HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2026-03-03
2026-02-26HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2026-03-03
2026-02-26HealthF0760Ensure that residents are free from significant medication errors.D2026-03-03
2026-02-26HealthF0774Help the resident with transportation to and from laboratory services outside of the facility.D2026-03-03
2026-02-26HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2026-03-03
2026-02-26HealthF0880Provide and implement an infection prevention and control program.D2026-03-03
2026-02-26HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2026-03-03
2026-02-26HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2026-03-03
2025-11-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-11-20
2025-08-27Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-10-02
2025-08-27Health · complaintF0584Honor 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.E2025-10-02
2025-08-27Health · complaintF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2025-10-02
2025-08-27Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-10-02
2025-08-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-10-02
2025-05-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-06-10
2025-05-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-06-10
2025-03-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-17
2025-03-27Health · complaintF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2025-04-17
2025-01-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-01-31
2025-01-15Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2025-01-31
2025-01-15Health · complaintF0825Provide or get specialized rehabilitative services as required for a resident.D2025-01-31
2024-07-18Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-07-19
2024-07-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-07-19
2024-03-07HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2024-03-29
2024-03-07HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-03-29
2024-03-07HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2024-03-29
2024-03-07HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-03-29
2024-03-07HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-03-29
2024-03-07HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-03-29
2024-03-07HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-03-29
2024-03-07HealthF0679Provide activities to meet all resident's needs.D2024-03-29
2024-03-07Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-03-29
2024-03-07Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-03-29
2024-03-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-03-29
2024-03-07Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-03-29
2024-03-07Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2024-03-29
2024-03-07HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E2024-03-29
2023-09-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-21
2023-09-27Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-10-21
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

24
OwnerRolePctFromStatusSource
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROL—2024-09-09currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2011-06-01currentpecos_ownership
HAYDEN, ELIZABETHADP OF THE SNF—2016-02-26currentpecos_ownership
JORGENSEN, DAVIDCORPORATE DIRECTOR—2024-01-01currentpecos_ownership
KEETCH, CHADCORPORATE OFFICER—2011-03-01currentpecos_ownership
KOENIG, DEBRACORPORATE OFFICER—2024-09-09currentpecos_ownership
OLESON PARK HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2024-01-01currenthcris_a_8_1
OLESON PARK HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2023-01-01currenthcris_a_8_1
OLESON PARK HEALTH HOLDINGS LLCADP OF THE SNF—2014-08-28currentpecos_ownership
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-08-28currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-09currentpecos_ownership
THE ENSIGN GROUP INCADP OF THE SNF—2011-07-18currentpecos_ownership
WALLACE, LINCOLNMANAGING CONTROL - GOVERNING BODY—2024-07-05currentpecos_ownership
GATEWAY HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2011-07-18ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER0%2024-09-09ended 2026-05-18pecos_ownership
CHAD KEETCHCORPORATE OFFICER0%2011-03-01ended 2026-05-18pecos_ownership
DAVID JORGENSENCORPORATE DIRECTOR0%2024-01-01ended 2026-05-18pecos_ownership
DEBRA KOENIGCORPORATE OFFICER0%2024-09-09ended 2026-05-18pecos_ownership
ELIZABETH HAYDENOPERATIONAL/MANAGERIAL CONTROL0%2016-02-26ended 2026-05-18pecos_ownership
LINCOLN WALLACEADP OF THE SNF—2024-07-05ended 2026-05-18pecos_ownership
OLESON PARK HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2022-01-01ended 2022-12-31hcris_a_8_1
SOON BURNAMOPERATIONAL/MANAGERIAL CONTROL—2024-09-09ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC.Corporation, partnership or other organization has financial interest in provider—2021-01-01ended 2021-12-31hcris_a_8_1
THE ENSIGN GROUP INC.Corporation, partnership or other organization has financial interest in provider—2020-01-01ended 2020-12-31hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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 — IA snf

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

Market rent context

36
GeoKindBRAmountAs ofSource
county 19187acs median gross0$4912024-12-31CENSUS_ACS5
county 19187fmr0$6962025-10-01HUD_USER_FMR
county 19187acs median gross1$5932024-12-31CENSUS_ACS5
county 19187fmr1$7002025-10-01HUD_USER_FMR
county 19187acs median gross2$8162024-12-31CENSUS_ACS5
county 19187fmr2$9192025-10-01HUD_USER_FMR
county 19187acs median gross3$9642024-12-31CENSUS_ACS5
county 19187fmr3$1,1822025-10-01HUD_USER_FMR
county 19187acs median gross4$1,3512024-12-31CENSUS_ACS5
county 19187fmr4$1,5422025-10-01HUD_USER_FMR
county 19187acs median gross5$8752024-12-31CENSUS_ACS5
county 19187acs median gross$7852024-12-31CENSUS_ACS5
county 19187acs recent mover gross$9232024-12-31CENSUS_ACS5
zcta 50501acs median gross0$5292024-12-31CENSUS_ACS5
zcta 50501acs median gross1$6102024-12-31CENSUS_ACS5
zcta 50501acs median gross2$8212024-12-31CENSUS_ACS5
zcta 50501acs median gross3$1,0062024-12-31CENSUS_ACS5
zcta 50501acs median gross4$1,4152024-12-31CENSUS_ACS5
zcta 50501acs median gross5$7452024-12-31CENSUS_ACS5
zcta 50501acs median gross$7962024-12-31CENSUS_ACS5
zcta 50501acs recent mover gross$9292024-12-31CENSUS_ACS5
zip 50501payment standard 1100$7812025-10-01HUD_USER_SAFMR
zip 50501payment standard 900$6392025-10-01HUD_USER_SAFMR
zip 50501safmr0$7102025-10-01HUD_USER_SAFMR
zip 50501payment standard 1101$7922025-10-01HUD_USER_SAFMR
zip 50501payment standard 901$6482025-10-01HUD_USER_SAFMR
zip 50501safmr1$7202025-10-01HUD_USER_SAFMR
zip 50501payment standard 1102$1,0342025-10-01HUD_USER_SAFMR
zip 50501payment standard 902$8462025-10-01HUD_USER_SAFMR
zip 50501safmr2$9402025-10-01HUD_USER_SAFMR
zip 50501payment standard 1103$1,3312025-10-01HUD_USER_SAFMR
zip 50501payment standard 903$1,0892025-10-01HUD_USER_SAFMR
zip 50501safmr3$1,2102025-10-01HUD_USER_SAFMR
zip 50501payment standard 1104$1,7382025-10-01HUD_USER_SAFMR
zip 50501payment standard 904$1,4222025-10-01HUD_USER_SAFMR
zip 50501safmr4$1,5802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Fort Dodge Health and Rehabilitation (165156) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency