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 23:48 UTC
Screener / 275029
F

YELLOWSTONE RIVER NURSING AND REHABILITATION

snfMT
2115 CENTRAL AVE, BILLINGS, MT 59102 · CCN 275029 · chain EDURO HEALTHCARE LLC
Composite
98.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
160
Model
v1.2
Reads as: riskier than 98.5% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies54Licensure0Ownership15Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk91.889.50.300.230821.18in index
billing conduct88.458.50.300.230820.40in index
financial risk69.759.00.300.230816.08in index
staffing risk73.073.00.250.192314.04in index
chow risk54.853.00.150.11546.32in 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

6
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike5.1x priorthis facility2026-07-29
connectionOwner fleet risk far above national+23.6 vs natlMONROE DUSTIN9 facilities
connectionOwner fleet risk far above national+20.2 vs natlBEWSEY MICHAEL31 facilities
connectionOwner spans multiple chains6 chainsBEWSEY MICHAEL29 facilities
connectionOwner fleet enforcement cluster56% finedMONROE DUSTIN9 facilities
connectionOwner fleet enforcement cluster48% finedBEWSEY MICHAEL31 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 conduct58.5Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk81.1Fv0.6default · in composite
financial risk59.0Cv0.5default · 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 risk89.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk73.0Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk72.0Dv0.1supersededPre-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 risk52.0Cv0.2supersededPre-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 risk52.6Cv0.3supersededPre-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 risk62.8Cv0.4supersededPre-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 risk89.4Fv0.1supersededPre-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 risk89.4Fv0.2supersededPre-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 risk73.0Dv0.1supersededPre-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 risk73.0Dv0.2supersededPre-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
17.6
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)3.16-1.54
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Contract staffing share0.18+0.18
Chain size (log)2.71+0.17
Deficiencies, last 12 months13.00+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
Deficiencies, last 12 months13.00-0.98
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.37-0.65
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Current owner tenure (years)3.16-0.25
Ownership changes, last 5 years1.00+0.23
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 facilityMT medianNational medianNational p25–p75
Total nurse2.943.253.282.90–3.77
RN0.560.620.390.25–0.58
Weekend total2.703.123.11—
Weekday total3.033.343.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492112.12.940.560.601.772.7017.8%
2025Q392112.33.160.620.571.962.8818.7%
2025Q291104.83.130.640.541.962.9935.1%
2025Q190112.33.000.540.521.942.9037.6%
2024Q492107.02.980.570.511.902.8528.4%
2024Q392105.92.890.560.411.922.8519.4%
2024Q291108.72.760.500.451.802.6818.2%
2024Q191107.12.820.530.461.822.6714.7%
2023Q492105.02.800.550.481.782.6710.9%
2023Q392108.02.940.580.501.862.7813.8%
2023Q291105.53.070.580.531.963.074.7%
2023Q190104.23.290.400.722.183.2022.5%
2022Q49296.43.240.470.662.113.1334.6%
2022Q39294.43.420.690.582.153.2942.3%
2022Q29180.63.340.870.402.063.1713.0%
2022Q19078.23.320.740.502.083.1014.7%
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

4
fines by year
$99.5k$49.7k232425
DateTypeFineSource
2025-08-28Fine$87,019CMS provider data
2025-08-28Payment Denial—CMS provider data
2025-06-04Fine$12,444CMS provider data
2023-06-22Fine$38,896CMS provider data
Total fines on record: $138,359

Deficiencies

54
D × 32E × 13F × 4G × 4J × 1
deficiencies by survey year
2312232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-31Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-12-09
2025-11-19Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-14
2025-11-19Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2025-12-14
2025-11-19Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-12-14
2025-11-19Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2025-12-14
2025-11-19Health · complaintF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2025-12-14
2025-08-28HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-09-19
2025-08-28HealthF0585Honor 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.E2025-09-19
2025-08-28HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-19
2025-08-28HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-09-19
2025-08-28HealthF0692Provide enough food/fluids to maintain a resident's health.G2025-09-19
2025-08-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-09-19
2025-08-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-09-19
2025-06-05Health · complaintF0610Respond appropriately to all alleged violations.D2025-06-20
2025-06-05Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-06-20
2025-06-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-06-20
2025-06-05Health · 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.E2025-06-20
2025-03-27Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-18
2025-03-27Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2025-04-18
2025-03-27Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-04-18
2025-03-27Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-04-18
2025-03-27Health · complaintF0918Provide a bathroom in or located near each resident’s room.D2025-04-18
2025-03-27Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-04-18
2024-12-17Health · complaintF0758Implement 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.D2025-01-15
2024-07-18HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2024-09-05
2024-07-18HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-09-05
2024-07-18HealthF0584Honor 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.E2024-09-05
2024-07-18Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-04-01
2024-07-18HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-09-05
2024-07-18HealthF0687Provide appropriate foot care.D2024-09-05
2024-07-18HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-05
2024-07-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-09-05
2024-07-18HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-09-05
2024-07-18HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2024-09-05
2024-07-18HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-05
2024-07-18HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2024-09-05
2024-07-18HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2024-09-05
2024-07-18HealthF0880Provide and implement an infection prevention and control program.D2024-09-05
2024-07-18HealthF0908Keep all essential equipment working safely.D2024-09-05
2024-07-18HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2024-09-05
2023-10-26Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-11-21
2023-10-26Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-11-21
2023-10-26Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-11-21
2023-10-26Health · complaintF0610Respond appropriately to all alleged violations.D2023-11-21
2023-10-26Health · complaintF0758Implement 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.D2023-11-21
2023-10-26Health · complaintF0880Provide and implement an infection prevention and control program.E2023-11-21
2023-06-22Health · 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.E2023-07-21
2023-06-22HealthF0637Assess the resident when there is a significant change in conditionD2023-07-21
2023-06-22Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-07-21
2023-06-22Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-07-21
2023-06-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-07-21
2023-06-22Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2023-07-21
2023-06-22Health · 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.D2023-07-21
2023-06-22HealthF0880Provide and implement an infection prevention and control program.E2023-07-21
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

15
OwnerRolePctFromStatusSource
BEWSEY, MICHAELCORPORATE OFFICER—2023-06-01currentpecos_ownership
CALDWELL, SARAHW-2 MANAGING EMPLOYEE—2023-06-01currentpecos_ownership
MONROE, DUSTINCORPORATE OFFICER—2023-06-01currentpecos_ownership
EDURO HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-01ended 2026-05-18pecos_ownership
MICHAEL BEWSEY5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-01ended 2026-05-18pecos_ownership
CF ST. LOUIS LLCIndividual has financial interest in both related organization and provider—2023-01-01ended 2023-05-31hcris_a_8_1
CF ST. LOUIS LLCIndividual has financial interest in both related organization and provider—2022-01-01ended 2022-12-31hcris_a_8_1
CF ST. LOUIS LLCIndividual has financial interest in both related organization and provider—2021-01-01ended 2021-12-31hcris_a_8_1
CF ST. LOUIS LLCIndividual has financial interest in both related organization and provider—2020-01-01ended 2020-12-31hcris_a_8_1
DOUBLE FALLS MONTANA PROPERTIESIndividual has financial interest in both related organization and provider—2020-01-01ended 2020-12-31hcris_a_8_1
DOUBLE FALLS MONTANA PROPERTIESIndividual has financial interest in both related organization and provider—2022-01-01ended 2022-12-31hcris_a_8_1
DOUBLE FALLS MONTANA PROPERTIESIndividual has financial interest in both related organization and provider—2023-01-01ended 2023-05-31hcris_a_8_1
DOUBLE FALLS MONTANA PROPERTIESIndividual has financial interest in both related organization and provider—2021-01-01ended 2021-12-31hcris_a_8_1
DUSTIN MONROECORPORATE OFFICER—2023-06-01ended 2026-05-18pecos_ownership
SARAH CALDWELLW-2 MANAGING EMPLOYEE—2023-06-01ended 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
2023-06-01—YELLOWSTONE NURSING AND REHAB CENTER LLCBILLINGS SKILLED NURSING FACILITY LLCchow

Comparable trades — MT snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-03-01NORTHERN MONTANA CARE CENTER———135NORTHERN MONTANA CARE CENTER INC
2023-10-01RIVER RIDGE REHABILITATION AND NURSING LLC———129RIVER RIDGE REHABILITATION AND NURSING LLC
2023-08-31ASPEN MEADOWS HEALTH AND REHABILITATION CENTER———90ASPEN MEADOWS SNF OPERATIONS, LLC
2023-08-31LIVINGSTON HEALTH & REHABILITATION CENTER———115LIVINGSTON SNF OPERATIONS LLC
2023-08-31POLSON HEALTH & REHABILITATION CENTER———70POLSON SNF OPERATIONS LLC
2023-08-31MISSOULA HEALTH & REHABILITATION CENTER———53MISSOULA SNF OPERATIONS LLC
2023-08-31LAUREL HEALTH & REHABILITATION CENTER———79LAUREL SNF OPERATIONS LLC
2023-08-31HOT SPRINGS HEALTH & REHABILITATION CENTER———40HOT SPRINGS SNF OPERATIONS LLC
2023-07-01KALISPELL REHABILITATION AND NURSING LLC———140KALISPELL REHABILITATION AND NURSING LLC
2023-07-01NORTHERN PINES REHABILITATION AND NURSING———41NORTHERN PINES REHABILITATION AND NURSING
2023-07-01BILLINGS REHABILITATION AND NURSING LLC———100BILLINGS REHABILITATION AND NURSING LLC
2023-07-01VALLE VISTA REHABILITATION AND NURSING LLC———101VALLE VISTA REHABILITATION AND NURSING LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 30111acs median gross0$8302024-12-31CENSUS_ACS5
county 30111fmr0$1,0162025-10-01HUD_USER_FMR
county 30111acs median gross1$8972024-12-31CENSUS_ACS5
county 30111fmr1$1,1092025-10-01HUD_USER_FMR
county 30111acs median gross2$1,1202024-12-31CENSUS_ACS5
county 30111fmr2$1,4172025-10-01HUD_USER_FMR
county 30111acs median gross3$1,4452024-12-31CENSUS_ACS5
county 30111fmr3$1,9512025-10-01HUD_USER_FMR
county 30111acs median gross4$1,6282024-12-31CENSUS_ACS5
county 30111fmr4$2,2162025-10-01HUD_USER_FMR
county 30111acs median gross5$1,3142024-12-31CENSUS_ACS5
county 30111acs median gross$1,1312024-12-31CENSUS_ACS5
county 30111acs recent mover gross$1,4432024-12-31CENSUS_ACS5
zcta 59102acs median gross0$1,2592024-12-31CENSUS_ACS5
zcta 59102acs median gross1$9242024-12-31CENSUS_ACS5
zcta 59102acs median gross2$1,1502024-12-31CENSUS_ACS5
zcta 59102acs median gross3$1,5912024-12-31CENSUS_ACS5
zcta 59102acs median gross4$1,8002024-12-31CENSUS_ACS5
zcta 59102acs median gross5$1,4222024-12-31CENSUS_ACS5
zcta 59102acs median gross$1,1802024-12-31CENSUS_ACS5
zcta 59102acs recent mover gross$1,6492024-12-31CENSUS_ACS5
zip 59102payment standard 1100$1,1662025-10-01HUD_USER_SAFMR
zip 59102payment standard 900$9542025-10-01HUD_USER_SAFMR
zip 59102safmr0$1,0602025-10-01HUD_USER_SAFMR
zip 59102payment standard 1101$1,2762025-10-01HUD_USER_SAFMR
zip 59102payment standard 901$1,0442025-10-01HUD_USER_SAFMR
zip 59102safmr1$1,1602025-10-01HUD_USER_SAFMR
zip 59102payment standard 1102$1,6282025-10-01HUD_USER_SAFMR
zip 59102payment standard 902$1,3322025-10-01HUD_USER_SAFMR
zip 59102safmr2$1,4802025-10-01HUD_USER_SAFMR
zip 59102payment standard 1103$2,2442025-10-01HUD_USER_SAFMR
zip 59102payment standard 903$1,8362025-10-01HUD_USER_SAFMR
zip 59102safmr3$2,0402025-10-01HUD_USER_SAFMR
zip 59102payment standard 1104$2,5412025-10-01HUD_USER_SAFMR
zip 59102payment standard 904$2,0792025-10-01HUD_USER_SAFMR
zip 59102safmr4$2,3102025-10-01HUD_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 · YELLOWSTONE RIVER NURSING AND REHABILITATION (275029) · 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