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 06:07 UTC
Screener / 165427
D

Valley Vista for Nursing and Rehabilitation

snfIA
200 South Eighth Avenue East, Newton, IA 50208 · CCN 165427 · chain SAMARA FAMILY HOLDINGS LLC
Composite
89.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 89.7% 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 signals17Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies36Licensure0Ownership22Related party4Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk97.897.80.250.192318.81in index
financial risk78.165.40.300.230818.02in index
billing conduct55.841.90.300.230812.88in index
regulatory risk55.044.90.300.230812.69in index
chow risk34.633.20.150.11543.99in 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

17
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+47.8 vs natlIOWA 5784 LLC5 facilities
connectionOwner fleet risk far above national+47.2 vs natlCARESAGE ADMINISTRATIVE CONSULTING LLC5 facilities
connectionOwner fleet risk far above national+47.2 vs natlAMARANTHINE HOLDINGS LLC5 facilities
connectionOwner fleet risk far above national+47.2 vs natlJSJ 2020 FAMILY TR5 facilities
connectionOwner fleet risk far above national+42.1 vs natlCEDAR VIEW TR6 facilities
connectionOwner fleet risk far above national+41.9 vs natlSAMARA FAM TR6 facilities
connectionOwner fleet risk far above national+40.3 vs natlCEDAR VIEW HOLDINGS LLC9 facilities
connectionOwner fleet risk far above national+31.7 vs natlJSJ PROPERTY LLC7 facilities
connectionOwner fleet risk far above national+21.5 vs natlGAMZEH DAVID15 facilities
connectionOwner spans multiple chains6 chainsSUMMATION FINANCIAL SERVICES LLC48 facilities
connectionOwner spans multiple chains5 chainsCLINICAL CONSULTING SERVICES LLC42 facilities
connectionOwner spans multiple chains5 chainsSEBBAG GABRIEL32 facilities
connectionOwner fleet enforcement cluster44% finedCEDAR VIEW HOLDINGS LLC9 facilities
connectionOwner fleet enforcement cluster40% finedJSJ 2020 FAMILY TR5 facilities
connectionOwner fleet enforcement cluster40% finedCARESAGE ADMINISTRATIVE CONSULTING LLC5 facilities
connectionOwner fleet enforcement cluster40% finedAMARANTHINE HOLDINGS LLC5 facilities
connectionOwner fleet enforcement cluster40% finedIOWA 5784 LLC5 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 conduct41.9Bv0.1-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 risk41.3Bv0.6default · in composite
financial risk65.4Dv0.5default · 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 risk44.9Bv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.8Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk64.4Cv0.1supersededPre-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 risk44.4Bv0.2supersededPre-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 risk69.4Dv0.3supersededPre-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 risk64.7Cv0.4supersededPre-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 risk44.8Bv0.1supersededPre-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 risk44.8Bv0.2supersededPre-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 risk97.8Fv0.1supersededPre-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 risk97.8Fv0.2supersededPre-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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.57-1.69
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.83-0.39
Total nurse staffing (HPRD)2.03+0.20
Deficiencies, last 12 months11.00+0.10
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
27.7
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
Deficiencies, last 12 months11.00-0.61
Total nurse staffing (HPRD)2.03+0.50
No PBJ staffing report0.00+0.39
Occupancy0.83-0.35
Never sold on record0.00-0.28
Current owner tenure (years)1.57-0.28
Chain size (log)1.61+0.26
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 facilityIA medianNational medianNational p25–p75
Total nurse2.033.153.282.90–3.77
RN0.390.460.390.25–0.58
Weekend total2.032.963.11—
Weekday total2.033.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49258.22.030.390.221.432.0312.0%
2025Q39257.72.160.330.301.532.0613.0%
2025Q29157.12.180.410.181.592.0112.4%
2025Q19056.32.140.440.181.522.089.5%
2024Q49252.62.290.330.391.572.314.3%
2024Q39249.62.260.330.231.702.213.9%
2024Q29153.92.480.470.341.672.311.6%
2024Q19162.92.290.480.231.572.0712.0%
2023Q49260.32.470.510.241.722.1916.2%
2023Q39259.92.360.350.311.702.1721.0%
2023Q29157.42.290.370.211.722.1414.3%
2023Q19055.62.190.540.091.561.9715.3%
2022Q49258.32.260.570.091.592.0420.6%
2022Q39263.42.140.380.221.531.9913.4%
2022Q29162.62.020.480.171.381.919.9%
2022Q19061.92.020.480.081.451.971.6%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

36
D × 28E × 7G × 1
deficiencies by survey year
16823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-02-26
2026-02-25Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-26
2026-02-25Health · complaintF0610Respond appropriately to all alleged violations.D2026-02-26
2025-11-25Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-12-18
2025-11-25Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2025-12-18
2025-08-14Health · complaintF0637Assess the resident when there is a significant change in conditionD2025-08-29
2025-08-14HealthF0641Ensure each resident receives an accurate assessment.D2025-08-29
2025-08-14HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-08-29
2025-08-14HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-08-29
2025-08-14HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-29
2025-08-14HealthF0880Provide and implement an infection prevention and control program.D2025-08-29
2025-04-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-04-16
2024-10-02HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-23
2024-10-02HealthF0578Honor 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.D2024-10-23
2024-10-02HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-10-23
2024-10-02HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-23
2024-10-02HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-23
2024-10-02HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-23
2024-10-02HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-10-23
2024-10-02HealthF0880Provide and implement an infection prevention and control program.D2024-10-23
2024-08-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-09-09
2024-06-13Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-06-14
2024-06-13Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-06-14
2024-06-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-06-14
2024-03-21Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-13
2024-03-21Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-04-13
2024-03-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-04-13
2024-03-21Health · complaintF0880Provide and implement an infection prevention and control program.E2024-04-13
2023-08-30Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-09-21
2023-08-30HealthF0584Honor 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.E2023-09-21
2023-08-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-21
2023-08-30HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-09-21
2023-08-30Health · complaintF0688Provide 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.D2023-09-21
2023-08-30HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-09-21
2023-08-30HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2023-09-21
2023-08-30HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-09-21
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

22
OwnerRolePctFromStatusSource
AMARANTHINE HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-01-01currentpecos_ownership
200 SOUTH 8TH AVENUE E PROPCO LLCADP OF THE SNF—2025-01-01currentpecos_ownership
CARESAGE ADMINISTRATIVE CONSULTING, LLCADP OF THE SNF—2025-01-01currentpecos_ownership
CEDAR VIEW HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
CEDAR VIEW TR5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
CLINICAL CONSULTING SERVICES LLCADP OF THE SNF—2025-01-01currentpecos_ownership
CONNER, ROBERTADP OF THE SNF—2025-01-01currentpecos_ownership
FOX, MARIAHOPERATIONAL/MANAGERIAL CONTROL—2025-01-01currentpecos_ownership
GAMZEH, DAVIDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-06-09currentpecos_ownership
GREATOREX, TINAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-06-09currentpecos_ownership
IOWA 5784 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
JSJ 2020 FAMILY TRADP OF THE SNF—2025-01-01currentpecos_ownership
JSJ PROPERTY LLCADP OF THE SNF—2025-01-01currentpecos_ownership
SAMARA FAM TRINDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
SAMARA FAMILY HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
SCHIOWITZ, MARCINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-06-09currentpecos_ownership
SEBBAG, GABRIELMANAGING CONTROL - GOVERNING BODY—2025-01-01currentpecos_ownership
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNF—2025-01-01currentpecos_ownership
THE BRYN MAWR TRUST COMPANY OF DELAWAREADP OF THE SNF—2025-01-01currentpecos_ownership
GABRIEL SEBBAG5% OR GREATER INDIRECT OWNERSHIP INTEREST52%2025-01-01ended 2026-05-18pecos_ownership
MARIAH FOXOPERATIONAL/MANAGERIAL CONTROL—2025-01-01ended 2026-05-18pecos_ownership
ROBERT CONNERADP OF THE SNF—2025-01-01ended 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
2025-01-01—VALLEY VISTA FOR NURSING AND REHABILITATION LLCOPCO NEWTON IA LLCchow

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 19099acs median gross0$6742024-12-31CENSUS_ACS5
county 19099fmr0$7842025-10-01HUD_USER_FMR
county 19099acs median gross1$6662024-12-31CENSUS_ACS5
county 19099fmr1$7892025-10-01HUD_USER_FMR
county 19099acs median gross2$8392024-12-31CENSUS_ACS5
county 19099fmr2$1,0082025-10-01HUD_USER_FMR
county 19099acs median gross3$1,1002024-12-31CENSUS_ACS5
county 19099fmr3$1,3482025-10-01HUD_USER_FMR
county 19099acs median gross4$1,1792024-12-31CENSUS_ACS5
county 19099fmr4$1,3722025-10-01HUD_USER_FMR
county 19099acs median gross5$1,1532024-12-31CENSUS_ACS5
county 19099acs median gross$8362024-12-31CENSUS_ACS5
county 19099acs recent mover gross$8622024-12-31CENSUS_ACS5
zcta 50208acs median gross1$6732024-12-31CENSUS_ACS5
zcta 50208acs median gross2$8362024-12-31CENSUS_ACS5
zcta 50208acs median gross3$1,1002024-12-31CENSUS_ACS5
zcta 50208acs median gross4$1,3082024-12-31CENSUS_ACS5
zcta 50208acs median gross5$1,1542024-12-31CENSUS_ACS5
zcta 50208acs median gross$8332024-12-31CENSUS_ACS5
zcta 50208acs recent mover gross$8272024-12-31CENSUS_ACS5
zip 50208payment standard 1100$8692025-10-01HUD_USER_SAFMR
zip 50208payment standard 900$7112025-10-01HUD_USER_SAFMR
zip 50208safmr0$7902025-10-01HUD_USER_SAFMR
zip 50208payment standard 1101$8692025-10-01HUD_USER_SAFMR
zip 50208payment standard 901$7112025-10-01HUD_USER_SAFMR
zip 50208safmr1$7902025-10-01HUD_USER_SAFMR
zip 50208payment standard 1102$1,1112025-10-01HUD_USER_SAFMR
zip 50208payment standard 902$9092025-10-01HUD_USER_SAFMR
zip 50208safmr2$1,0102025-10-01HUD_USER_SAFMR
zip 50208payment standard 1103$1,4852025-10-01HUD_USER_SAFMR
zip 50208payment standard 903$1,2152025-10-01HUD_USER_SAFMR
zip 50208safmr3$1,3502025-10-01HUD_USER_SAFMR
zip 50208payment standard 1104$1,5072025-10-01HUD_USER_SAFMR
zip 50208payment standard 904$1,2332025-10-01HUD_USER_SAFMR
zip 50208safmr4$1,3702025-10-01HUD_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 · Valley Vista for Nursing and Rehabilitation (165427) · 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