CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 10:14 UTC
Screener / 265518
C

WINDSOR ESTATES OF ST CHARLES

snfMO
2150 WEST RANDOLPH STREET, SAINT CHARLES, MO 63301 · CCN 265518 · chain WALNUT CREEK MANAGEMENT COMPANY LLC
Composite
68.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
81
Model
v1.2
Reads as: riskier than 68.9% 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 signals11Components16CHOW radar1Distress radar1Staffing16Penalties11Deficiencies74Licensure0Ownership15Related party6Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk94.892.90.300.230821.88in index
financial risk74.662.50.300.230817.22in index
staffing risk56.256.20.250.192310.81in index
chow risk48.953.30.150.11545.64in index
billing conduct0.00.00.300.23080.00in 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

11
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike3.3x priorthis facility2026-07-29
connectionOwner fleet risk far above national+34.1 vs natlJOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT6 facilities
connectionOwner fleet risk far above national+33.4 vs natlMARIAN OLANDER TUTERA 2020 MRTL TR5 facilities
connectionOwner fleet risk far above national+29.3 vs natlTUTERA JOSEPH22 facilities
connectionOwner fleet risk far above national+27.2 vs natlWALNUT CREEK MANAGEMENT COMPANY LLC22 facilities
connectionOwner fleet risk far above national+26.8 vs natlBROOKS KILEY29 facilities
connectionOwner fleet enforcement cluster83% finedJOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT6 facilities
connectionOwner fleet enforcement cluster80% finedMARIAN OLANDER TUTERA 2020 MRTL TR5 facilities
connectionOwner fleet enforcement cluster59% finedTUTERA JOSEPH22 facilities
connectionOwner fleet enforcement cluster48% finedBROOKS KILEY29 facilities
connectionOwner fleet enforcement cluster46% finedWALNUT CREEK MANAGEMENT COMPANY LLC22 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 conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.1Av0.1-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 risk82.5Fv0.6default · in composite
financial risk62.5Cv0.5default · 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 12m0.0—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 risk92.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk56.2Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk96.7Fv0.1supersededPre-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 risk76.7Dv0.2supersededPre-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 risk74.9Dv0.3supersededPre-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 risk60.8Cv0.4supersededPre-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 risk92.9Fv0.1supersededPre-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 risk92.9Fv0.2supersededPre-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 risk56.2Cv0.1supersededPre-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 risk56.2Cv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.99-1.55
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.91-0.61
No PBJ staffing report0.00+0.42
Chain size (log)3.18+0.27
High-severity deficiencies, 12m3.00+0.14
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
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.76-0.68
Occupancy0.91-0.67
Chain size (log)3.18-0.65
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Staffing trend, last 4 quarters0.66+0.28
Current owner tenure (years)2.99-0.25
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 facilityMO medianNational medianNational p25–p75
Total nurse3.192.413.282.90–3.77
RN0.170.250.390.25–0.58
Weekend total2.852.243.11—
Weekday total3.332.493.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49273.63.190.171.022.002.8511.6%
2025Q39270.03.120.131.211.792.7524.6%
2025Q29164.32.580.070.951.572.3013.6%
2025Q19062.02.760.100.981.692.4030.5%
2024Q49260.02.540.060.991.482.3127.4%
2024Q39260.62.280.080.931.272.0311.8%
2024Q29155.52.480.181.021.282.194.8%
2024Q19155.53.080.221.101.762.833.6%
2023Q49260.52.790.230.981.572.7310.9%
2023Q39259.32.710.430.721.552.6615.8%
2023Q29158.63.710.411.052.243.4338.2%
2023Q19058.93.650.171.292.193.5048.7%
2022Q49257.83.690.191.162.343.3662.9%
2022Q39257.03.090.241.101.753.0756.7%
2022Q29153.03.100.171.111.832.7546.1%
2022Q19043.42.800.150.981.672.7644.3%
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

11
fines by year
$140.3k$70.1k232425
DateTypeFineSource
2025-12-15Fine$86,190CMS provider data
2025-08-07Fine$41,659CMS provider data
2025-05-02Fine$12,425CMS provider data
2025-05-02Payment Denial—CMS provider data
2024-02-06Fine$9,032CMS provider data
2023-10-03Fine$73,593CMS provider data
2023-10-03Payment Denial—CMS provider data
2023-08-28Fine$2,098CMS provider data
2023-08-21Fine$1,764CMS provider data
2023-07-31Fine$3,145CMS provider data
2023-06-28Fine$14,518CMS provider data
Total fines on record: $244,424

Deficiencies

74
B × 1C × 1D × 25E × 29F × 6G × 11J × 1
deficiencies by survey year
20101921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-01Health · complaintF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E2026-05-08
2025-12-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2026-01-19
2025-12-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-19
2025-09-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-10-01
2025-08-07Health · 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.D2025-08-27
2025-08-07Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-10-01
2025-08-07Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-10-01
2025-08-07Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-08-27
2025-06-10Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-06-12
2025-05-02Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-06-12
2025-05-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-05-21
2025-05-02Health · complaintF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-05-21
2025-05-02Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-05-21
2025-05-02Health · complaintF0908Keep all essential equipment working safely.D2025-05-21
2025-03-04Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-03-19
2025-02-21Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.F2025-03-03
2024-09-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-10-10
2024-07-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-07-18
2024-07-17Health · complaintF0620Not 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.E2024-08-12
2024-03-21HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-05-05
2024-03-21Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-05-05
2024-03-21Health · complaintF0610Respond appropriately to all alleged violations.D2024-05-05
2024-03-21HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-05-05
2024-03-21HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-05-05
2024-03-21HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2024-05-05
2024-03-21HealthF0880Provide and implement an infection prevention and control program.D2024-05-05
2024-01-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-01-31
2024-01-03Health · complaintF0880Provide and implement an infection prevention and control program.D2024-01-31
2023-11-20Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2023-12-15
2023-10-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-11-15
2023-10-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-11-15
2023-10-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-11-15
2023-10-03Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2023-11-15
2023-10-03Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2023-12-15
2023-06-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-06-18
2023-06-28Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E2023-07-31
2023-06-28Health · complaintF0920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.E2023-07-31
2022-07-13HealthF0558Reasonably accommodate the needs and preferences of each resident.E2022-12-06
2022-07-13HealthF0578Honor 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.D2022-10-11
2022-07-13HealthF0584Honor 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.E2022-12-06
2022-07-13HealthF0585Honor 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.E2022-10-11
2022-07-13HealthF0602Protect each resident from the wrongful use of the resident's belongings or money.E2022-10-11
2022-07-13HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C2022-10-11
2022-07-13HealthF0625Notify 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.B2022-10-11
2022-07-13HealthF0637Assess the resident when there is a significant change in conditionD2022-10-11
2022-07-13HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.E2022-12-06
2022-07-13HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2022-12-30
2022-07-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-12-06
2022-07-13HealthF0679Provide activities to meet all resident's needs.E2022-10-11
2022-07-13HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-12-30
2022-07-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2022-12-06
2022-07-13HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2022-10-11
2022-07-13HealthF0761Ensure 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.E2022-10-11
2022-07-13HealthF0803Ensure 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.E2022-12-06
2022-07-13HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2022-12-06
2022-07-13HealthF0880Provide and implement an infection prevention and control program.F2022-10-11
2022-07-13HealthF0924Put firmly secured handrails on each side of hallways.E2022-12-06
2019-08-22HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2019-10-01
2019-08-22HealthF0570Assure the security of all personal funds of residents deposited with the facility.E2019-10-01
2019-08-22HealthF0578Honor 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.D2019-10-01
2019-08-22HealthF0584Honor 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.E2019-10-01
2019-08-22HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2019-10-01
2019-08-22HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2019-10-01
2019-08-22HealthF0659Provide care by qualified persons according to each resident's written plan of care.E2019-10-01
2019-08-22HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2019-10-01
2019-08-22HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2019-10-01
2019-08-22HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2019-10-01
2019-08-22HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2019-10-01
2019-08-22HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2019-10-01
2019-08-22HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2019-10-01
2019-08-22HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2019-10-01
2019-08-22HealthF0814Dispose of garbage and refuse properly.D2019-10-01
2019-08-22HealthF0880Provide and implement an infection prevention and control program.E2019-10-01
2019-08-22HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2019-10-01
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

15
OwnerRolePctFromStatusSource
ST CHARLES PROPCOCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
ST CHARLES PROPCOCorporation, partnership or other organization has financial interest in provider100%2023-08-01currenthcris_a_8_1
ST CHARLES HOLDCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST20%2023-08-01currentpecos_ownership
JOSEPH CHARLES TUTERA 2013 FAMILY IRREVOCIABLE TRUST AGREEMENT5% OR GREATER DIRECT OWNERSHIP INTEREST13%2023-08-01currentpecos_ownership
MARIAN OLANDER TUTERA 2020 MRTL TR5% OR GREATER DIRECT OWNERSHIP INTEREST6%2023-08-01currentpecos_ownership
BROOKS, KILEYCORPORATE OFFICER—2023-08-01currentpecos_ownership
TUTERA, JOSEPHCORPORATE OFFICER—2023-08-01currentpecos_ownership
WALNUT CREEK MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-01currentpecos_ownership
WEOSC HOLDING COMPANYCorporation, partnership or other organization has financial interest in provider—2023-01-01currenthcris_a_8_1
TUTERA INVESTMENTS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST18%2023-08-01ended 2026-05-18pecos_ownership
JOSEPH TUTERA5% OR GREATER INDIRECT OWNERSHIP INTEREST13%2023-08-01ended 2026-05-18pecos_ownership
KILEY BROOKSOPERATIONAL/MANAGERIAL CONTROL5%2023-08-01ended 2026-05-18pecos_ownership
WEOSC HOLDING COMPANYCorporation, partnership or other organization has financial interest in provider—2022-01-01ended 2022-12-31hcris_a_8_1
WEOSC HOLDING COMPANYCorporation, partnership or other organization has financial interest in provider—2021-01-01ended 2021-12-31hcris_a_8_1
WEOSC HOLDING COMPANY LLCCorporation, 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

1
Close datePriceBuyerSellerEvidence
2023-08-01—ST CHARLES OPCO LLCWINDSOR ESTATES OF ST CHARLES SNAL LLCchow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE———90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN———120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER———150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA———125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK———105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER———67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR———77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION———119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE———87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER———153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION———150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION———115ISLAND HC OPERATIONS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 29183acs median gross0$1,2042024-12-31CENSUS_ACS5
county 29183fmr0$9552025-10-01HUD_USER_FMR
county 29183acs median gross1$1,2232024-12-31CENSUS_ACS5
county 29183fmr1$9952025-10-01HUD_USER_FMR
county 29183acs median gross2$1,3282024-12-31CENSUS_ACS5
county 29183fmr2$1,2182025-10-01HUD_USER_FMR
county 29183acs median gross3$1,6402024-12-31CENSUS_ACS5
county 29183fmr3$1,5682025-10-01HUD_USER_FMR
county 29183acs median gross4$2,0802024-12-31CENSUS_ACS5
county 29183fmr4$1,8122025-10-01HUD_USER_FMR
county 29183acs median gross5$2,3372024-12-31CENSUS_ACS5
county 29183acs median gross$1,3702024-12-31CENSUS_ACS5
county 29183acs recent mover gross$1,6522024-12-31CENSUS_ACS5
zcta 63301acs median gross0$9702024-12-31CENSUS_ACS5
zcta 63301acs median gross1$8862024-12-31CENSUS_ACS5
zcta 63301acs median gross2$1,1972024-12-31CENSUS_ACS5
zcta 63301acs median gross3$1,4432024-12-31CENSUS_ACS5
zcta 63301acs median gross4$2,2092024-12-31CENSUS_ACS5
zcta 63301acs median gross$1,1542024-12-31CENSUS_ACS5
zcta 63301acs recent mover gross$1,5342024-12-31CENSUS_ACS5
zip 63301payment standard 1100$1,0562025-10-01HUD_USER_SAFMR
zip 63301payment standard 900$8642025-10-01HUD_USER_SAFMR
zip 63301safmr0$9602025-10-01HUD_USER_SAFMR
zip 63301payment standard 1101$1,1002025-10-01HUD_USER_SAFMR
zip 63301payment standard 901$9002025-10-01HUD_USER_SAFMR
zip 63301safmr1$1,0002025-10-01HUD_USER_SAFMR
zip 63301payment standard 1102$1,3422025-10-01HUD_USER_SAFMR
zip 63301payment standard 902$1,0982025-10-01HUD_USER_SAFMR
zip 63301safmr2$1,2202025-10-01HUD_USER_SAFMR
zip 63301payment standard 1103$1,7272025-10-01HUD_USER_SAFMR
zip 63301payment standard 903$1,4132025-10-01HUD_USER_SAFMR
zip 63301safmr3$1,5702025-10-01HUD_USER_SAFMR
zip 63301payment standard 1104$1,9912025-10-01HUD_USER_SAFMR
zip 63301payment standard 904$1,6292025-10-01HUD_USER_SAFMR
zip 63301safmr4$1,8102025-10-01HUD_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 · WINDSOR ESTATES OF ST CHARLES (265518) · generated 2026-08-05 · 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