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 21:32 UTC
Screener / 265450
C

ASPIRE SENIOR LIVING POPLAR BLUFF

snfMO
3001 MAY STREET, POPLAR BLUFF, MO 63901 · CCN 265450 · chain CHP SNFCO LLC
Composite
71.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
83
Model
v1.2
Reads as: riskier than 71.8% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk99.696.40.300.230822.98in index
staffing risk72.472.40.250.192313.92in index
regulatory risk45.033.90.300.230810.38in index
chow risk59.257.70.150.11546.83in index
billing conduct11.310.00.300.23082.61in 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
connectionOwner fleet risk far above national+28.6 vs natlERGO MIDWEST INC 57 facilities
connectionOwner fleet risk far above national+28.6 vs natlSYSTEMS LEASING INC57 facilities
connectionOwner fleet risk far above national+27.9 vs natlSTADTMUELLER DAVID5 facilities
connectionOwner fleet risk far above national+26.0 vs natlBROWN BARBARA5 facilities
connectionOwner spans multiple chains5 chainsBROWN DANIELLE15 facilities
connectionOwner spans multiple chains4 chainsERGO MIDWEST INC 38 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 conduct10.0Av0.1-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 risk90.4Fv0.6default · in composite
financial risk96.4Fv0.5default · in compositeR18.
p adverse action 12m0.2v0.1default · 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 12m0.0v0.1default · 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 risk33.9Bv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk72.4Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk75.6Dv0.1supersededPre-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 risk55.6Cv0.2supersededPre-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 risk77.2Dv0.3supersededPre-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 risk95.0Fv0.4supersededPre-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 risk33.8Bv0.1supersededPre-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 risk33.8Bv0.2supersededPre-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 risk72.4Dv0.1supersededPre-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 risk72.4Dv0.2supersededPre-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)2.16-1.64
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
Occupancy0.63+0.20
Deficiencies, last 12 months2.00-0.12
Chain size (log)2.40+0.11
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
59.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
For-profit ownership1.00-0.69
Occupancy0.63+0.50
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.16-0.27
Ownership changes, last 5 years1.00+0.23
Staffing trend, last 4 quarters0.52+0.21
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 nurse2.942.413.282.90–3.77
RN0.340.250.390.25–0.58
Weekend total2.762.243.11
Weekday total3.012.493.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49252.32.940.340.472.132.760.0%
2025Q39250.72.770.190.601.972.520.0%
2025Q29144.22.530.190.461.872.290.0%
2025Q19044.12.250.260.391.602.160.0%
2024Q49243.92.420.230.461.732.380.0%
2024Q39239.02.670.370.301.992.650.0%
2024Q29138.92.860.350.531.992.8237.4%
2024Q19143.52.890.200.672.032.5854.5%
2023Q49242.53.150.150.792.212.9262.7%
2023Q39245.02.850.140.682.032.7473.9%
2023Q29141.72.420.210.691.522.1061.4%
2023Q19045.11.870.110.770.991.6613.5%
2022Q49244.71.940.120.681.141.641.1%
2022Q39239.92.060.130.791.151.781.1%
2022Q29135.92.300.160.721.421.910.1%
2022Q19038.32.040.200.531.301.542.3%
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

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

37
D × 29E × 6F × 2
deficiencies by survey year
1372223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-02Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-16
2025-09-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-09-02
2025-01-09HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2025-02-23
2025-01-09HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-02-23
2025-01-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-23
2025-01-09Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-02-23
2025-01-09Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2025-02-23
2025-01-09HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-02-23
2025-01-09HealthF0758Implement 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.D2025-02-23
2025-01-09HealthF0761Ensure 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.D2025-02-23
2025-01-09HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D2025-02-23
2025-01-09HealthF0880Provide and implement an infection prevention and control program.D2025-02-23
2023-12-01HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-01-18
2023-12-01HealthF0625Notify 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.D2024-01-18
2023-12-01HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-01-18
2023-12-01HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-01-18
2023-12-01HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2024-01-18
2023-12-01HealthF0760Ensure that residents are free from significant medication errors.D2024-01-18
2023-12-01HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-01-18
2023-12-01HealthF0814Dispose of garbage and refuse properly.D2024-01-18
2023-12-01HealthF0880Provide and implement an infection prevention and control program.D2024-01-18
2023-12-01HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D2024-01-18
2023-12-01HealthF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D2024-01-18
2023-12-01HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-01-18
2023-12-01HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2024-01-18
2022-06-17HealthF0578Honor 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.D2022-08-02
2022-06-17HealthF0584Honor 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.E2022-08-02
2022-06-17HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E2022-08-02
2022-06-17HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-08-02
2022-06-17HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2022-08-18
2022-06-17HealthF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D2022-08-02
2022-06-17HealthF0758Implement 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.D2022-08-02
2022-06-17HealthF0759Ensure medication error rates are not 5 percent or greater.E2022-08-02
2022-06-17HealthF0761Ensure 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.E2022-08-02
2022-06-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-08-02
2022-06-17HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2022-08-02
2022-06-17HealthF0880Provide and implement an infection prevention and control program.E2022-08-02
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

35
OwnerRolePctFromStatusSource
ERGO MIDWEST INCIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
ERGO MIDWEST INCIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
SYSTEMS LEASING INCIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
SYSTEMS LEASING INCIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
BRODY, MICHAELINDIRECT OWNERSHIP INTEREST2024-06-01currentpecos_ownership
BROWN, BARBARAINDIRECT OWNERSHIP INTEREST2024-06-01currentpecos_ownership
BROWN, DANIELINDIRECT OWNERSHIP INTEREST2024-06-01currentpecos_ownership
CALDWELL, FREDMANAGING CONTROL - GOVERNING BODY2024-05-01currentpecos_ownership
CALDWELL, FREDADP OF THE SNF2025-07-14currentpecos_ownership
CHP SNF HOLDINGS LLCINDIRECT OWNERSHIP INTEREST2025-09-05currentpecos_ownership
CHP SNF OPCO HOLDINGS LLCDIRECT OWNERSHIP INTEREST2024-03-18currentpecos_ownership
CHP SNFCO LLCINDIRECT OWNERSHIP INTEREST2024-06-01currentpecos_ownership
EICKHOFF, PAMELAOPERATIONAL/MANAGERIAL CONTROL2025-09-05currentpecos_ownership
LEIPHAM, MICHELLEINDIRECT OWNERSHIP INTEREST2025-09-05currentpecos_ownership
SHEVLYAGIN, VICTORINDIRECT OWNERSHIP INTEREST2024-06-01currentpecos_ownership
STADTMUELLER, DAVIDOPERATIONAL/MANAGERIAL CONTROL2024-06-01currentpecos_ownership
TRAMEL, TARAMANAGING CONTROL - GOVERNING BODY2025-03-12currentpecos_ownership
TRAMEL, TARAADP OF THE SNF2025-05-14currentpecos_ownership
ERGO MIDWEST INCIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-12-31hcris_a_8_1
ERGO MIDWEST INCIndividual has financial interest in both related organization and provider100%2021-01-01ended 2021-12-31hcris_a_8_1
ERGO MIDWEST INCIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
SYSTEMS LEASING INCIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
SYSTEMS LEASING INCIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-12-31hcris_a_8_1
SYSTEMS LEASING INCIndividual has financial interest in both related organization and provider100%2021-01-01ended 2021-12-31hcris_a_8_1
MICHAEL BRODYINDIRECT OWNERSHIP INTEREST30%2024-06-01ended 2026-05-18pecos_ownership
BARBARA BROWNINDIRECT OWNERSHIP INTEREST23%2024-06-01ended 2026-05-18pecos_ownership
DANIEL BROWNINDIRECT OWNERSHIP INTEREST23%2024-06-01ended 2026-05-18pecos_ownership
VICTOR SHEVLYAGININDIRECT OWNERSHIP INTEREST10%2024-06-01ended 2026-05-18pecos_ownership
DAVID STADTMUELLERINDIRECT OWNERSHIP INTEREST8%2024-06-01ended 2026-05-18pecos_ownership
PAMELA EICKHOFFINDIRECT OWNERSHIP INTEREST4%2025-09-05ended 2026-05-18pecos_ownership
MICHELLE LEIPHAMINDIRECT OWNERSHIP INTEREST2%2025-09-05ended 2026-05-18pecos_ownership
FRED CALDWELLADP OF THE SNF2025-07-14ended 2026-05-18pecos_ownership
FRED CALDWELLOPERATIONAL/MANAGERIAL CONTROL2024-05-01ended 2026-05-18pecos_ownership
TARA TRAMELADP OF THE SNF2025-05-14ended 2026-05-18pecos_ownership
TARA TRAMELOPERATIONAL/MANAGERIAL CONTROL2025-03-12ended 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
2024-06-01ASPIRE SENIOR LIVING POPLAR BLUFF, LLCN & R OF POPLAR BLUFF, INC.chow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION115ISLAND HC OPERATIONS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

34
GeoKindBRAmountAs ofSource
county 29023acs median gross0$3742024-12-31CENSUS_ACS5
county 29023fmr0$6602025-10-01HUD_USER_FMR
county 29023acs median gross1$5062024-12-31CENSUS_ACS5
county 29023fmr1$6822025-10-01HUD_USER_FMR
county 29023acs median gross2$7712024-12-31CENSUS_ACS5
county 29023fmr2$8952025-10-01HUD_USER_FMR
county 29023acs median gross3$9672024-12-31CENSUS_ACS5
county 29023fmr3$1,1942025-10-01HUD_USER_FMR
county 29023acs median gross4$8072024-12-31CENSUS_ACS5
county 29023fmr4$1,1992025-10-01HUD_USER_FMR
county 29023acs median gross$7802024-12-31CENSUS_ACS5
county 29023acs recent mover gross$7212024-12-31CENSUS_ACS5
zcta 63901acs median gross0$3642024-12-31CENSUS_ACS5
zcta 63901acs median gross1$4992024-12-31CENSUS_ACS5
zcta 63901acs median gross2$7722024-12-31CENSUS_ACS5
zcta 63901acs median gross3$9932024-12-31CENSUS_ACS5
zcta 63901acs median gross4$8152024-12-31CENSUS_ACS5
zcta 63901acs median gross$7912024-12-31CENSUS_ACS5
zcta 63901acs recent mover gross$7632024-12-31CENSUS_ACS5
zip 63901payment standard 1100$7262025-10-01HUD_USER_SAFMR
zip 63901payment standard 900$5942025-10-01HUD_USER_SAFMR
zip 63901safmr0$6602025-10-01HUD_USER_SAFMR
zip 63901payment standard 1101$7592025-10-01HUD_USER_SAFMR
zip 63901payment standard 901$6212025-10-01HUD_USER_SAFMR
zip 63901safmr1$6902025-10-01HUD_USER_SAFMR
zip 63901payment standard 1102$9902025-10-01HUD_USER_SAFMR
zip 63901payment standard 902$8102025-10-01HUD_USER_SAFMR
zip 63901safmr2$9002025-10-01HUD_USER_SAFMR
zip 63901payment standard 1103$1,3202025-10-01HUD_USER_SAFMR
zip 63901payment standard 903$1,0802025-10-01HUD_USER_SAFMR
zip 63901safmr3$1,2002025-10-01HUD_USER_SAFMR
zip 63901payment standard 1104$1,3312025-10-01HUD_USER_SAFMR
zip 63901payment standard 904$1,0892025-10-01HUD_USER_SAFMR
zip 63901safmr4$1,2102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.