Composite
70.2 / 100 percentile
Screener / 265730
C
EASTVIEW MANOR CARE CENTER
snfMO
1622 EAST 28TH STREET, TRENTON, MO 64683 · CCN 265730 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 70.2% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals3Components16CHOW radar1Distress radar1Staffing15Penalties3Deficiencies104Licensure0Ownership8Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.1 | 97.0 | 0.30 | 0.2308 | 22.64 | in index |
| staffing risk | 99.7 | 99.7 | 0.25 | 0.1923 | 19.17 | in index |
| financial risk | 25.8 | 31.1 | 0.30 | 0.2308 | 5.95 | in index |
| chow risk | 49.7 | 47.8 | 0.15 | 0.1154 | 5.73 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 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 | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 70.7 | D | v0.6 | default · in composite | |
| financial risk | 31.1 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 4.7 | — | 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 | 97.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.4 | D | 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 | 56.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.8 | C | 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 | 35.5 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 97.0 | 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 | 97.0 | 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 | 99.7 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 99.7 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
4.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
88.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.65 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.23 | +0.36 | |
| Chain size (log) | 3.43 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Total nurse staffing (HPRD) | 1.23 | +0.83 | |
| Chain size (log) | 3.43 | -0.80 | |
| Occupancy | 0.92 | -0.73 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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
15| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.23 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.14 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.12 | 2.24 | 3.11 | — |
| Weekday total | 1.27 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.9 | 1.23 | 0.14 | 0.46 | 0.64 | 1.12 | 0.0% |
| 2025Q3 | 92 | 82.1 | 1.35 | 0.13 | 0.41 | 0.81 | 1.17 | 0.0% |
| 2025Q2 | 91 | 81.7 | 1.12 | 0.07 | 0.40 | 0.65 | 0.99 | 0.0% |
| 2025Q1 | 90 | 82.1 | 1.38 | 0.05 | 0.55 | 0.78 | 1.13 | 0.0% |
| 2024Q4 | 92 | 79.7 | 1.23 | 0.06 | 0.55 | 0.62 | 1.11 | 0.0% |
| 2024Q3 | 92 | 87.6 | 1.23 | 0.08 | 0.51 | 0.65 | 1.09 | 0.0% |
| 2024Q1 | 91 | 84.3 | 1.29 | 0.03 | 0.49 | 0.77 | 1.26 | 0.0% |
| 2023Q4 | 92 | 84.5 | 1.24 | 0.03 | 0.47 | 0.73 | 1.19 | 0.0% |
| 2023Q3 | 92 | 83.8 | 1.25 | 0.11 | 0.45 | 0.69 | 1.18 | 0.0% |
| 2023Q2 | 91 | 82.7 | 1.14 | 0.15 | 0.27 | 0.72 | 1.14 | 0.0% |
| 2023Q1 | 90 | 83.7 | 1.17 | 0.18 | 0.27 | 0.71 | 1.19 | 0.0% |
| 2022Q4 | 92 | 87.2 | 1.23 | 0.12 | 0.23 | 0.89 | 1.32 | 0.0% |
| 2022Q3 | 92 | 87.6 | 1.26 | 0.11 | 0.27 | 0.88 | 1.41 | 0.0% |
| 2022Q2 | 91 | 83.8 | 1.43 | 0.11 | 0.39 | 0.93 | 1.45 | 0.0% |
| 2022Q1 | 90 | 84.9 | 1.48 | 0.15 | 0.44 | 0.89 | 1.45 | 0.0% |
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 |
|---|---|---|---|
| 2025-04-18 | Fine | $17,790 | CMS provider data |
| 2024-09-19 | Fine | $145,682 | CMS provider data |
| 2024-09-19 | Payment Denial | — | CMS provider data |
Total fines on record: $163,472
Deficiencies
104C × 2D × 28E × 62F × 4G × 2J × 6
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-11 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-03-06 |
| 2026-02-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | — |
| 2025-12-30 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-01-16 |
| 2025-08-11 | 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 | 2025-08-28 |
| 2025-08-11 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-08-28 |
| 2025-05-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-05 |
| 2025-04-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-05-30 |
| 2025-04-18 | 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 |
| 2025-04-18 | Health · complaint | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | 2025-05-30 |
| 2025-04-18 | 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 |
| 2025-04-18 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2025-05-30 |
| 2025-04-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-05-30 |
| 2025-04-18 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-05-30 |
| 2025-04-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-30 |
| 2025-04-18 | 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. | E | 2025-05-30 |
| 2025-04-18 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | 2025-05-30 |
| 2025-04-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-30 |
| 2025-03-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-03-07 |
| 2024-11-14 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-12-13 |
| 2024-10-31 | 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. | E | 2024-12-06 |
| 2024-10-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-06 |
| 2024-10-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-06 |
| 2024-10-31 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-12-06 |
| 2024-10-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-12-06 |
| 2024-10-31 | Health · complaint | 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. | E | 2024-12-06 |
| 2024-10-31 | Health · complaint | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | 2024-12-06 |
| 2024-09-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-15 |
| 2024-09-19 | 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. | J | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | 2024-11-15 |
| 2024-09-19 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-11-15 |
| 2024-08-04 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-08-30 |
| 2024-08-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-30 |
| 2024-06-18 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-08-30 |
| 2024-06-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-30 |
| 2024-06-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-27 |
| 2024-06-18 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-27 |
| 2024-02-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-03-22 |
| 2024-02-09 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-03-22 |
| 2024-02-09 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-03-22 |
| 2024-02-09 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-03-22 |
| 2024-02-09 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2024-03-22 |
| 2024-02-09 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2024-03-22 |
| 2024-02-09 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2024-03-22 |
| 2024-02-09 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-03-22 |
| 2024-02-09 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | 2024-03-22 |
| 2024-02-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-03-22 |
| 2024-02-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-22 |
| 2024-02-09 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-03-22 |
| 2024-02-09 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-22 |
| 2024-02-09 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-03-22 |
| 2024-02-09 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2024-03-22 |
| 2024-02-09 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-03-22 |
| 2024-02-09 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-03-22 |
| 2024-02-09 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-22 |
| 2024-02-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-03-22 |
| 2024-02-09 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-03-22 |
| 2024-02-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-22 |
| 2023-08-31 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-15 |
| 2021-05-20 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-08-13 |
| 2021-05-20 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2021-08-13 |
| 2021-05-20 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2021-08-13 |
| 2021-05-20 | Health | F0562 | Provide immediate access to any resident. | D | 2021-08-13 |
| 2021-05-20 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2021-08-13 |
| 2021-05-20 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2021-08-13 |
| 2021-05-20 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2021-10-11 |
| 2021-05-20 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2021-10-11 |
| 2021-05-20 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2021-08-13 |
| 2021-05-20 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2021-08-13 |
| 2021-05-20 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | E | 2021-08-13 |
| 2021-05-20 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2021-08-13 |
| 2021-05-20 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2021-08-13 |
| 2021-05-20 | Health | F0578 | Honor 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. | E | 2021-08-13 |
| 2021-05-20 | 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. | F | 2021-10-11 |
| 2021-05-20 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2021-08-13 |
| 2021-05-20 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2021-08-13 |
| 2021-05-20 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2021-10-11 |
| 2021-05-20 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2021-08-13 |
| 2021-05-20 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-10-11 |
| 2021-05-20 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-10-11 |
| 2021-05-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-08-13 |
| 2021-05-20 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2021-08-13 |
| 2021-05-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2021-08-13 |
| 2021-05-20 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2021-10-11 |
| 2021-05-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2021-08-13 |
| 2021-05-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2021-08-13 |
| 2021-05-20 | 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 | 2021-08-13 |
| 2021-05-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-08-13 |
| 2021-05-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-08-13 |
| 2021-05-20 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2021-08-13 |
| 2021-05-20 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2021-08-13 |
| 2021-05-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2021-08-13 |
| 2021-05-20 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2021-08-13 |
| 2021-05-20 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2021-08-02 |
| 2021-05-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-10-11 |
| 2021-05-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-08-13 |
| 2021-05-20 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2021-10-11 |
| 2021-05-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-08-13 |
| 2021-05-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2021-08-13 |
| 2021-05-20 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2021-08-13 |
| 2021-05-20 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2021-08-13 |
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
8| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RELIANT CARE INVESTORS II, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-06-28 | current | pecos_ownership |
| DESTEFANE, CLYDE | W-2 MANAGING EMPLOYEE | — | 2020-10-14 | current | pecos_ownership |
| DESTEFANE, RICHARD | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-06-28 | current | pecos_ownership |
| CLYDE DESTEFANE | W-2 MANAGING EMPLOYEE | 100% | 2020-10-14 | ended 2026-05-18 | pecos_ownership |
| EASTVIEW ASSOC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RICHARD DESTEFANE | CORPORATE OFFICER | 100% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-06-28 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29079 | acs median gross | 0 | $412 | 2024-12-31 | CENSUS_ACS5 |
| county 29079 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29079 | acs median gross | 1 | $441 | 2024-12-31 | CENSUS_ACS5 |
| county 29079 | fmr | 1 | $677 | 2025-10-01 | HUD_USER_FMR |
| county 29079 | acs median gross | 2 | $681 | 2024-12-31 | CENSUS_ACS5 |
| county 29079 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29079 | acs median gross | 3 | $903 | 2024-12-31 | CENSUS_ACS5 |
| county 29079 | fmr | 3 | $1,171 | 2025-10-01 | HUD_USER_FMR |
| county 29079 | acs median gross | 4 | $961 | 2024-12-31 | CENSUS_ACS5 |
| county 29079 | fmr | 4 | $1,353 | 2025-10-01 | HUD_USER_FMR |
| county 29079 | acs median gross | $696 | 2024-12-31 | CENSUS_ACS5 | |
| county 29079 | acs recent mover gross | $703 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64683 | acs median gross | 0 | $412 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64683 | acs median gross | 1 | $447 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64683 | acs median gross | 2 | $697 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64683 | acs median gross | 3 | $909 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64683 | acs median gross | 4 | $952 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64683 | acs median gross | $715 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64683 | acs recent mover gross | $703 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64683 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 110 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 90 | 2 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | safmr | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 110 | 3 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 90 | 3 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | safmr | 3 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 110 | 4 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | payment standard 90 | 4 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64683 | safmr | 4 | $1,370 | 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.