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 18:56 UTC
Screener / 435086
C

RIVERVIEW HEALTHCARE CENTER

snfSDSFF: SFF Candidate
611 EAST 2ND AVE, FLANDREAU, SD 57028 · CCN 435086 · chain COUVE FINANCIAL SERVICES LLC
Composite
79.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
63
Model
v1.2
Reads as: riskier than 79.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals5Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies35Licensure0Ownership29Related party6Transactions1Comps12Market rent32

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.896.70.300.230822.57in index
staffing risk82.582.50.250.192315.87in index
billing conduct43.536.80.300.230810.04in index
financial risk25.430.90.300.23085.86in index
chow risk50.448.50.150.11545.82in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

5
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike3.6x priorthis facility2026-07-29
connectionOwner spans multiple chains8 chainsHERZKA YISROEL70 facilities
connectionOwner fleet enforcement cluster67% finedPACIFIC NORTHWEST SNF OPERATIONS HOLDINGS SD LLC6 facilities
connectionOwner fleet enforcement cluster67% finedSOUTH DAKOTA SNF CONSULTING LLC6 facilities
connectionOwner fleet enforcement cluster50% finedLOWE LEONOR6 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 conduct36.8Bv0.1-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 risk72.0Dv0.6default · in composite
financial risk30.9Bv0.5default · 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 risk96.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk82.5Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk66.9Dv0.1supersededPre-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 risk46.9Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk38.5Bv0.3supersededPre-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 risk36.7Bv0.4supersededPre-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 risk96.7Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk96.7Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk82.5Fv0.1supersededPre-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 risk82.5Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.91-1.56
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.85-0.43
No PBJ staffing report0.00+0.42
Chain size (log)3.71+0.39
High-severity deficiencies, 12m6.00+0.31
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.71-0.96
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.62-0.67
Deficiencies, last 12 months11.00-0.61
High-severity deficiencies, 12m6.00-0.44
Occupancy0.85-0.41
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilitySD medianNational medianNational p25–p75
Total nurse2.752.963.282.90–3.77
RN0.510.520.390.25–0.58
Weekend total2.642.753.11—
Weekday total2.793.063.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49253.32.750.510.331.912.6421.8%
2025Q39252.02.890.490.332.072.8010.4%
2025Q29155.52.530.540.201.792.457.5%
2025Q19057.62.700.590.211.902.6025.3%
2024Q49256.42.760.560.291.922.6830.2%
2024Q39254.63.060.620.232.212.8830.6%
2024Q29154.53.040.640.222.182.8727.1%
2024Q19151.63.060.570.342.152.8527.8%
2023Q49251.33.020.560.342.122.7925.0%
2023Q39253.82.840.560.301.982.7027.9%
2023Q29150.02.950.590.352.002.7434.6%
2023Q19049.72.860.620.311.942.7030.4%
2022Q49244.73.110.750.282.082.8227.7%
2022Q39240.03.120.800.132.182.8426.4%
2022Q29137.43.230.980.142.113.0234.4%
2022Q19038.22.990.740.321.932.8847.6%
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

6
fines by year
$160.8k$80.4k242526
DateTypeFineSource
2026-03-25Fine$31,500CMS provider data
2025-11-18Fine$23,960CMS provider data
2025-09-25Fine$56,021CMS provider data
2025-02-27Fine$65,520CMS provider data
2025-01-08Fine$15,330CMS provider data
2024-10-31Fine$12,529CMS provider data
Total fines on record: $204,860

Deficiencies

35
D × 11E × 7F × 3G × 10J × 4
deficiencies by survey year
201023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2026-04-15
2026-03-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2026-03-26
2026-01-28Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2026-02-14
2026-01-28Health · complaintF0610Respond appropriately to all alleged violations.D2026-02-14
2026-01-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-02-14
2025-11-18Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-11-25
2025-11-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-10-09
2025-09-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-09-30
2025-09-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-09-30
2025-09-25Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-09-30
2025-09-25Health · complaintF0760Ensure that residents are free from significant medication errors.G2025-09-30
2025-02-27HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2025-03-27
2025-02-27HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-03-27
2025-02-27HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-03-27
2025-02-27HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-03-27
2025-02-27HealthF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-03-27
2025-02-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-14
2025-02-27HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2025-03-27
2025-02-27HealthF0880Provide and implement an infection prevention and control program.E2025-04-14
2025-02-27HealthF0908Keep all essential equipment working safely.D2025-03-27
2025-01-08Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-01-25
2025-01-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2025-01-25
2025-01-08Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J2025-01-25
2025-01-08Health · complaintF0610Respond appropriately to all alleged violations.J2025-01-25
2025-01-08Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E2025-01-25
2024-10-31Health · complaintF0610Respond appropriately to all alleged violations.G2024-11-26
2024-02-15Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-03-15
2024-02-15HealthF0880Provide and implement an infection prevention and control program.E2024-03-15
2023-09-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-10-15
2023-09-06Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-10-15
2023-09-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-10-15
2023-02-16HealthF0610Respond appropriately to all alleged violations.D2023-03-16
2023-02-16HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-03-16
2023-02-16HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-03-16
2023-02-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-03-16
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

29
OwnerRolePctFromStatusSource
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-08-31currentpecos_ownership
CH PACIFIC NORTHWEST HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF—2025-05-16currentpecos_ownership
COUVE FINANCIAL SERVICES LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF—2025-05-16currentpecos_ownership
HERZKA, YISROELADP OF THE SNF—2023-08-31currentpecos_ownership
JOHNSON, CHARLESOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
LOWE, LEONORMANAGING CONTROL - GOVERNING BODY—2023-08-31currentpecos_ownership
OLSON, BRENNAOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCADP OF THE SNF—2025-05-16currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
PETERSON, SCOTTADP OF THE SNF—2023-08-31currentpecos_ownership
RIVERVIEW SNF OPERATIONS, LLCADP OF THE SNF—2025-10-30currentpecos_ownership
RIVERVIEW SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
RIVERVIEW SNF REALTY LLCADP OF THE SNF—2025-09-02currentpecos_ownership
SOUTH DAKOTA SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
SOUTH DAKOTA SNF CONSULTING LLCADP OF THE SNF—2025-05-16currentpecos_ownership
SPIELMAN, SHIMONOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
WITZCORP GLOBAL LLCADP OF THE SNF—2023-08-31currentpecos_ownership
YENOWITZ, YITZCHOKCORPORATE OFFICER—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-08-31ended 2026-05-18pecos_ownership
YITZCHOK YENOWITZOPERATIONAL/MANAGERIAL CONTROL100%2023-08-31ended 2026-05-18pecos_ownership
YISROEL HERZKAINDIRECT OWNERSHIP INTEREST67%2023-08-31ended 2026-05-18pecos_ownership
BRENNA OLSONINDIRECT OWNERSHIP INTEREST0%2023-08-31ended 2026-05-18pecos_ownership
CHARLES JOHNSONINDIRECT OWNERSHIP INTEREST0%2023-08-31ended 2026-05-18pecos_ownership
LEONOR LOWEOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
SCOTT PETERSONOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
SHIMON SPIELMANCORPORATE OFFICER—2023-08-31ended 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
2023-08-31—RIVERVIEW SNF OPERATIONS, LLCEMPRES AT FLANDREAU LLCchow

Comparable trades — SD snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2023-08-31RIVERVIEW HEALTHCARE CENTERthis facility———63RIVERVIEW SNF OPERATIONS, LLC
2023-08-31Wheatcrest Hills Healthcare Center———60WHEATCREST HILLS SNF OPERATIONS, LLC
2023-08-31PALISADE HEALTHCARE CENTER———55PALISADE SNF OPERATIONS, LLC
2023-08-31PRAIRIE VIEW HEALTHCARE CENTER———42PRAIRIE VIEW SNF OPERATIONS, LLC
2023-08-31FIRESTEEL HEALTHCARE CENTER———125FIRESTEEL SNF OPERATIONS, LLC
2023-08-31Fountain Springs Healthcare———90FOUNTAIN SPRINGS SNF OPERATIONS, LLC
2019-10-02AVANTARA NORTON———110NORTON SD SKILLED NURSING FACILITY LLC
2019-10-02AVANTARA HURON———119HURON SD SKILLED NURSING FACILITY, LLC
2019-10-01DIAMOND CARE CENTER———36BRIDGEWATER NURSING HOME CORPORATION
2019-07-01AVANTARA SAINT CLOUD———78SAINT CLOUD SD SKILLED NURSING FACILITY, LLC
2019-07-01AVANTARA WATERTOWN———51WATERTOWN SD SKILLED NURSING FACILITY, LLC
2019-07-01AVANTARA CLARK CITY———35CLARK CITY SD SKILLED NURSING FACILITY 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

32
GeoKindBRAmountAs ofSource
county 46101fmr0$6412025-10-01HUD_USER_FMR
county 46101acs median gross1$6262024-12-31CENSUS_ACS5
county 46101fmr1$7082025-10-01HUD_USER_FMR
county 46101acs median gross2$7582024-12-31CENSUS_ACS5
county 46101fmr2$9292025-10-01HUD_USER_FMR
county 46101acs median gross3$6362024-12-31CENSUS_ACS5
county 46101fmr3$1,2432025-10-01HUD_USER_FMR
county 46101acs median gross4$1,1022024-12-31CENSUS_ACS5
county 46101fmr4$1,4382025-10-01HUD_USER_FMR
county 46101acs median gross$7582024-12-31CENSUS_ACS5
county 46101acs recent mover gross$7732024-12-31CENSUS_ACS5
zcta 57028acs median gross1$6322024-12-31CENSUS_ACS5
zcta 57028acs median gross2$6692024-12-31CENSUS_ACS5
zcta 57028acs median gross3$6322024-12-31CENSUS_ACS5
zcta 57028acs median gross4$1,0002024-12-31CENSUS_ACS5
zcta 57028acs median gross$6812024-12-31CENSUS_ACS5
zcta 57028acs recent mover gross$7682024-12-31CENSUS_ACS5
zip 57028payment standard 1100$7152025-10-01HUD_USER_SAFMR
zip 57028payment standard 900$5852025-10-01HUD_USER_SAFMR
zip 57028safmr0$6502025-10-01HUD_USER_SAFMR
zip 57028payment standard 1101$7922025-10-01HUD_USER_SAFMR
zip 57028payment standard 901$6482025-10-01HUD_USER_SAFMR
zip 57028safmr1$7202025-10-01HUD_USER_SAFMR
zip 57028payment standard 1102$1,0342025-10-01HUD_USER_SAFMR
zip 57028payment standard 902$8462025-10-01HUD_USER_SAFMR
zip 57028safmr2$9402025-10-01HUD_USER_SAFMR
zip 57028payment standard 1103$1,3862025-10-01HUD_USER_SAFMR
zip 57028payment standard 903$1,1342025-10-01HUD_USER_SAFMR
zip 57028safmr3$1,2602025-10-01HUD_USER_SAFMR
zip 57028payment standard 1104$1,6062025-10-01HUD_USER_SAFMR
zip 57028payment standard 904$1,3142025-10-01HUD_USER_SAFMR
zip 57028safmr4$1,4602025-10-01HUD_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 · RIVERVIEW HEALTHCARE CENTER (435086) · 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