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 20:18 UTC
Screener / 165385
F

Harmony Marshalltown

snfIA
910 East Olive, Marshalltown, IA 50158 · CCN 165385 · chain CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
Composite
97.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
72
Model
v1.2
Reads as: riskier than 97.0% 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 signals7Components16CHOW radar1Distress radar1Staffing14Penalties1Deficiencies45Licensure0Ownership73Related party6Transactions1Comps12Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk94.283.30.300.230821.74in index
regulatory risk92.490.10.300.230821.32in index
staffing risk58.858.80.250.192311.31in index
chow risk93.775.10.150.115410.81in index
billing conduct39.835.50.300.23089.18in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+36.7 vs natlNINIO MORDECHAY10 facilities
connectionOwner fleet risk far above national+36.7 vs natlGARDEN DANIEL10 facilities
connectionOwner fleet risk far above national+26.2 vs natlLEGACY HEALTHCARE FINANCIAL SERVICES LLC79 facilities
connectionOwner fleet risk far above national+24.2 vs natlSHABAT MENACHEM85 facilities
connectionOwner spans multiple chains5 chainsRAJCHENBACH CHAIM49 facilities
connectionOwner fleet enforcement cluster40% finedGARDEN DANIEL10 facilities
connectionOwner fleet enforcement cluster40% finedNINIO MORDECHAY10 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 conduct35.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk95.2Fv0.6default · in composite
financial risk83.3Fv0.5default · 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 12m0.1—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 risk90.1Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk58.8Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk80.9Fv0.1supersededPre-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 risk60.9Cv0.2supersededPre-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 risk68.6Dv0.3supersededPre-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 risk82.7Fv0.4supersededPre-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 risk90.1Fv0.1supersededPre-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 risk90.1Fv0.2supersededPre-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 risk58.8Cv0.1supersededPre-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 risk58.8Cv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.95-1.66
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.49+0.55
No PBJ staffing report0.00+0.42
High-severity deficiencies, 12m3.00+0.14
Deficiencies, last 12 months12.00+0.12
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
Chain size (log)4.49-1.41
Deficiencies, last 12 months12.00-0.80
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.28-0.65
No PBJ staffing report0.00+0.39
Occupancy0.66+0.38
Staffing trend, last 4 quarters-0.59-0.30
Never sold on record0.00-0.28
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

14
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse3.153.153.282.90–3.77
RN0.170.460.390.25–0.58
Weekend total3.142.963.11—
Weekday total3.153.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49247.43.150.170.622.363.145.8%
2025Q39249.23.070.300.562.203.009.2%
2025Q29151.93.150.260.512.372.894.8%
2025Q19053.53.430.440.582.423.038.6%
2024Q49256.53.740.470.612.663.3014.6%
2024Q39262.23.790.410.422.963.3510.8%
2024Q19165.03.050.420.442.192.660.0%
2023Q39254.83.440.400.522.523.190.0%
2023Q29158.52.890.200.602.082.060.1%
2023Q19060.22.940.280.462.202.384.7%
2022Q49254.73.040.230.542.272.510.3%
2022Q39253.62.980.330.572.072.4221.7%
2022Q29154.93.380.200.692.492.8834.0%
2022Q19064.01.910.150.651.121.731.3%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2025-08-05Fine$78,878CMS provider data
Total fines on record: $78,878

Deficiencies

45
B × 1D × 33E × 6F × 1G × 2J × 2
deficiencies by survey year
271423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-14HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-02-13
2026-01-14HealthF0732Post nurse staffing information every day.D2026-02-13
2026-01-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-02-13
2026-01-14HealthF0880Provide and implement an infection prevention and control program.D2026-02-13
2025-08-05Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-09-05
2025-08-05Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-09-05
2025-08-05Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.J2025-09-05
2025-08-05Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-09-05
2025-08-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-09-05
2025-08-05Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-09-05
2025-08-05Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-09-05
2025-08-05Health · complaintF0926Have policies on smoking.E2025-09-05
2025-04-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-09
2025-04-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-09
2025-04-10Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-05-09
2025-04-10Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-09
2024-12-12Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-01-09
2024-12-12HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-01-09
2024-12-12HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-01-09
2024-12-12HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-01-09
2024-12-12Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-01-09
2024-12-12HealthF0727Have 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.D2025-01-09
2024-12-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-01-09
2024-12-12HealthF0880Provide and implement an infection prevention and control program.D2025-01-09
2024-12-12HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-01-09
2024-12-12HealthF0887Educate 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.D2025-01-09
2024-09-25Health · 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.D2024-10-25
2024-09-12Health · 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.E2024-10-25
2024-09-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-10-25
2024-09-12Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-10-25
2024-09-12Health · complaintF0803Ensure 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.D2024-10-25
2024-09-12Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-10-25
2024-09-12Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-10-25
2024-09-12Health · complaintF0880Provide and implement an infection prevention and control program.D2024-10-25
2024-02-01Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-22
2024-02-01HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-02-22
2024-02-01HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-22
2024-02-01HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-02-22
2024-02-01Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-02-22
2024-02-01HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.B2024-02-22
2024-02-01Health · complaintF0803Ensure 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.D2024-02-22
2024-02-01HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-02-22
2024-02-01HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-02-22
2023-09-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-09-21
2023-09-18HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-09-21
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

73
OwnerRolePctFromStatusSource
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
BURKEN, SHERI5% OR GREATER INDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNF—2025-01-17currentpecos_ownership
CASCADE CAPITAL PARTNERS LLCADP OF THE SNF—2025-01-17currentpecos_ownership
CCG GORGONA LLCADP OF THE SNF—2025-01-17currentpecos_ownership
DHONDT, JUSTINAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
FRIEDENBERG, LAURAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
GARDEN, DANIELINDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
GORGONA HOLDCO LLCADP OF THE SNF—2025-01-17currentpecos_ownership
GORGONA PROPCO HOLDINGS LLCADP OF THE SNF—2025-01-17currentpecos_ownership
GORGONA SUB HOLDCO LLCADP OF THE SNF—2025-01-17currentpecos_ownership
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
HENNAGER, CHRISTINAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
HOUSTON, MINDYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
KNUTSON, MICHELEOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MAITLAND, GRACEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
MN8 RH HOLDCO LLCADP OF THE SNF—2025-01-17currentpecos_ownership
NINIO, MORDECHAYINDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
OTTERBECK, PATRICIAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
SCURR, STEVENOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
SHABAT, MENACHEMCORPORATE OFFICER—2024-08-15currentpecos_ownership
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
STAUDT, SANDRAOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
VAN VEGHEL, ELIZABETHOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17currentpecos_ownership
IOWA PORTFOLIO OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-08-15ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTEREST46%2024-08-15ended 2026-05-18pecos_ownership
GPN FAM TR UA 042820085% OR GREATER INDIRECT OWNERSHIP INTEREST46%2024-08-15ended 2026-04-01pecos_ownership
OAKWAY OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST23%2024-08-15ended 2026-05-18pecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER INDIRECT OWNERSHIP INTEREST5%2024-08-15ended 2026-05-18pecos_ownership
DANIEL GARDENINDIRECT OWNERSHIP INTEREST5%2024-08-15ended 2026-05-18pecos_ownership
MORDECHAY NINIOINDIRECT OWNERSHIP INTEREST5%2024-08-15ended 2026-05-18pecos_ownership
SHERI BURKEN5% OR GREATER INDIRECT OWNERSHIP INTEREST0%2024-08-15ended 2026-05-18pecos_ownership
AMY WRIGHTOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
BOBBIE WIERSCHEMOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACHOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
CHRISTINA HENNAGEROPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
DOROTHY MCCLUREOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
ELIZABETH VAN VEGHELOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
GRACE MAITLANDOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNIFER HEDBERGOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
JENNY BORCHERDINGOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
JOSHUA SEUOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
JUSTINA DHONDTOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
KARLA BEASLEYOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
KATHLEEN SCOTTOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
KILEY SHEAROPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
KRYSTLE JAEGEROPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
LARINA HEYINGOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
LAURA FRIEDENBERGOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
LINSEY BEHOUNEKOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
MELISSA LARSONOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
MENACHEM SHABATCORPORATE OFFICER—2024-08-15ended 2026-05-18pecos_ownership
MENACHEM SHABATADP OF THE SNF—2025-01-17ended 2026-05-18pecos_ownership
MICHELE KNUTSONOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
MINDY HOUSTONOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
PATRICIA OTTERBECKOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
ROSEMARY WOODOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
SANDRA STAUDTOPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
STEVEN SCURROPERATIONAL/MANAGERIAL CONTROL—2025-01-17ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-08-15—MARSHALLTOWN SKILLED NURSING FACILITY LLCGRANDVIEW HEIGHTS INCchow

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

34
GeoKindBRAmountAs ofSource
county 19127fmr0$7122025-10-01HUD_USER_FMR
county 19127acs median gross1$6492024-12-31CENSUS_ACS5
county 19127fmr1$7312025-10-01HUD_USER_FMR
county 19127acs median gross2$8832024-12-31CENSUS_ACS5
county 19127fmr2$9592025-10-01HUD_USER_FMR
county 19127acs median gross3$1,2832024-12-31CENSUS_ACS5
county 19127fmr3$1,2652025-10-01HUD_USER_FMR
county 19127acs median gross4$9352024-12-31CENSUS_ACS5
county 19127fmr4$1,2702025-10-01HUD_USER_FMR
county 19127acs median gross5$2,0552024-12-31CENSUS_ACS5
county 19127acs median gross$8852024-12-31CENSUS_ACS5
county 19127acs recent mover gross$8082024-12-31CENSUS_ACS5
zcta 50158acs median gross1$6492024-12-31CENSUS_ACS5
zcta 50158acs median gross2$9022024-12-31CENSUS_ACS5
zcta 50158acs median gross3$1,2602024-12-31CENSUS_ACS5
zcta 50158acs median gross4$9312024-12-31CENSUS_ACS5
zcta 50158acs median gross5$2,0672024-12-31CENSUS_ACS5
zcta 50158acs median gross$8922024-12-31CENSUS_ACS5
zcta 50158acs recent mover gross$7902024-12-31CENSUS_ACS5
zip 50158payment standard 1100$7812025-10-01HUD_USER_SAFMR
zip 50158payment standard 900$6392025-10-01HUD_USER_SAFMR
zip 50158safmr0$7102025-10-01HUD_USER_SAFMR
zip 50158payment standard 1101$8032025-10-01HUD_USER_SAFMR
zip 50158payment standard 901$6572025-10-01HUD_USER_SAFMR
zip 50158safmr1$7302025-10-01HUD_USER_SAFMR
zip 50158payment standard 1102$1,0562025-10-01HUD_USER_SAFMR
zip 50158payment standard 902$8642025-10-01HUD_USER_SAFMR
zip 50158safmr2$9602025-10-01HUD_USER_SAFMR
zip 50158payment standard 1103$1,3972025-10-01HUD_USER_SAFMR
zip 50158payment standard 903$1,1432025-10-01HUD_USER_SAFMR
zip 50158safmr3$1,2702025-10-01HUD_USER_SAFMR
zip 50158payment standard 1104$1,3972025-10-01HUD_USER_SAFMR
zip 50158payment standard 904$1,1432025-10-01HUD_USER_SAFMR
zip 50158safmr4$1,2702025-10-01HUD_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 · Harmony Marshalltown (165385) · 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