Composite
78.3 / 100 percentile
Screener / 165448
C
Bishop Drumm Retirement Center
snfIASFF: SFF Candidate
5837 Winwood Drive, Johnston, IA 50131 · CCN 165448 · chain COMMONSPIRIT HEALTH
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 78.3% 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 signals25Components16CHOW radar1Distress radar1Staffing16Penalties9Deficiencies77Licensure0Ownership81Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.7 | 97.9 | 0.30 | 0.2308 | 22.78 | in index |
| staffing risk | 85.1 | 85.1 | 0.25 | 0.1923 | 16.37 | in index |
| billing conduct | 43.5 | 36.8 | 0.30 | 0.2308 | 10.04 | in index |
| financial risk | 29.7 | 33.6 | 0.30 | 0.2308 | 6.85 | in index |
| chow risk | 31.6 | 30.3 | 0.15 | 0.1154 | 3.65 | in 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | ULRICHPINCIOTTI DESIGN GROUP LLC | 8 facilities |
| connection | Owner fleet risk far above national | +37.9 vs natl | LIPSEY PRENTICE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | SNODGRASS BARBARA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | HAZARD TED | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | HOWARD CASEY | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | LUCAS GINA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MBANU TERIKA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MCFARLAND DIANNE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MUNROE KYLE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MURRIEL SHELLY | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | NAGEL JENNIFER | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | WINE MATTHEW | 8 facilities |
| connection | Owner fleet risk far above national | +37.6 vs natl | REHMER HEATHER | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | LONGHIN HOWARD JOAN | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | CECIL CAITLIN | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | FINN CHRISTINA | 8 facilities |
| connection | Owner fleet risk far above national | +36.9 vs natl | IFFLAND ALISA | 8 facilities |
| connection | Owner fleet risk far above national | +36.3 vs natl | GRUBBS STACEY | 8 facilities |
| connection | Owner fleet risk far above national | +35.5 vs natl | THE NORTHERN TRUST COMPANY | 5 facilities |
| connection | Owner fleet risk far above national | +34.4 vs natl | OHIO NEWSPAPERS INC | 6 facilities |
| connection | Owner fleet risk far above national | +33.2 vs natl | SYLVANIA FRANCISCAN HEALTH | 9 facilities |
| connection | Owner fleet risk far above national | +24.1 vs natl | RELIANT CARE PHARMACY SERVICES LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | THE NORTHERN TRUST COMPANY | 5 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | GRUBBS STACEY | 8 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-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 risk | 35.7 | B | v0.6 | default · in composite | |
| financial risk | 33.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/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 12m | 1.3 | — | v0.1 | default · in composite | R22/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 risk | 97.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 42.6 | B | v0.1 | superseded | Pre-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 risk | 22.6 | A | v0.2 | superseded | Pre-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 risk | 32.8 | B | v0.3 | superseded | Pre-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 risk | 39.7 | B | v0.4 | superseded | Pre-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 risk | 97.9 | F | v0.1 | superseded | Pre-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 risk | 97.9 | F | v0.2 | superseded | Pre-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 risk | 85.1 | F | v0.1 | superseded | Pre-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 risk | 85.1 | F | v0.2 | superseded | Pre-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)
1.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
62.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.47 | +0.55 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.80 | -0.29 | |
| Deficiencies, last 12 months | 18.00 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 18.00 | -1.91 | |
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 4.47 | -1.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.69 | +0.22 | |
| Occupancy | 0.80 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.25 | -0.14 |
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 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.69 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.60 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.49 | 2.96 | 3.11 | — |
| Weekday total | 2.76 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 119.7 | 2.69 | 0.60 | 0.31 | 1.78 | 2.49 | 0.0% |
| 2025Q3 | 92 | 116.8 | 2.77 | 0.58 | 0.30 | 1.89 | 2.58 | 0.0% |
| 2025Q2 | 91 | 113.3 | 2.97 | 0.74 | 0.24 | 1.98 | 2.77 | 0.0% |
| 2025Q1 | 90 | 113.6 | 2.86 | 0.72 | 0.16 | 1.98 | 2.65 | 0.0% |
| 2024Q4 | 92 | 110.0 | 2.94 | 0.64 | 0.17 | 2.13 | 2.81 | 0.0% |
| 2024Q3 | 92 | 116.2 | 2.73 | 0.49 | 0.15 | 2.08 | 2.52 | 0.9% |
| 2024Q2 | 91 | 110.4 | 2.83 | 0.52 | 0.18 | 2.13 | 2.62 | 0.0% |
| 2024Q1 | 91 | 109.6 | 2.83 | 0.57 | 0.20 | 2.06 | 2.65 | 0.0% |
| 2023Q4 | 92 | 101.3 | 2.91 | 0.51 | 0.27 | 2.13 | 2.85 | 0.0% |
| 2023Q3 | 92 | 106.9 | 2.52 | 0.42 | 0.33 | 1.77 | 2.41 | 0.2% |
| 2023Q2 | 91 | 108.5 | 2.31 | 0.43 | 0.37 | 1.51 | 2.28 | 1.0% |
| 2023Q1 | 90 | 110.6 | 2.47 | 0.47 | 0.42 | 1.58 | 2.37 | 0.0% |
| 2022Q4 | 92 | 103.6 | 2.72 | 0.52 | 0.39 | 1.81 | 2.49 | 0.0% |
| 2022Q3 | 92 | 101.8 | 2.94 | 0.56 | 0.32 | 2.06 | 2.63 | 0.0% |
| 2022Q2 | 91 | 109.5 | 2.75 | 0.48 | 0.31 | 1.97 | 2.53 | 0.0% |
| 2022Q1 | 90 | 119.6 | 2.63 | 0.51 | 0.26 | 1.85 | 2.46 | 0.0% |
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
9fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-21 | Fine | $127,088 | CMS provider data |
| 2025-07-21 | Payment Denial | — | CMS provider data |
| 2025-04-03 | Payment Denial | — | CMS provider data |
| 2024-09-19 | Fine | $22,588 | CMS provider data |
| 2024-06-27 | Fine | $55,424 | CMS provider data |
| 2024-06-27 | Payment Denial | — | CMS provider data |
| 2024-02-27 | Fine | $53,077 | CMS provider data |
| 2023-06-29 | Fine | $12,649 | CMS provider data |
| 2023-06-29 | Payment Denial | — | CMS provider data |
Total fines on record: $270,826
Deficiencies
77C × 1D × 45E × 17F × 5G × 6J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0727 | Have 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. | F | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-04-20 |
| 2026-02-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-20 |
| 2025-09-17 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0693 | Ensure 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. | D | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-10-16 |
| 2025-09-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-16 |
| 2025-07-21 | Health | F0578 | Honor 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. | D | 2025-07-30 |
| 2025-07-21 | Health · complaint | F0584 | Honor 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. | D | 2025-07-30 |
| 2025-07-21 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-30 |
| 2025-07-21 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-30 |
| 2025-07-21 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-07-30 |
| 2025-07-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-30 |
| 2025-07-21 | Health | F0688 | Provide 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. | G | 2025-07-30 |
| 2025-07-21 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-07-30 |
| 2025-07-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-30 |
| 2025-05-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-11 |
| 2025-05-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-11 |
| 2025-04-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-11 |
| 2025-04-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-06-11 |
| 2025-04-03 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-04-22 |
| 2025-04-03 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2025-04-22 |
| 2024-09-19 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-10-09 |
| 2024-09-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-10-09 |
| 2024-09-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-10-09 |
| 2024-09-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-09 |
| 2024-08-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-09-04 |
| 2024-06-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-09-04 |
| 2024-06-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-07-24 |
| 2024-06-27 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-07-24 |
| 2024-05-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-17 |
| 2024-05-03 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-17 |
| 2024-05-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-17 |
| 2024-02-27 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-20 |
| 2024-02-27 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-03-20 |
| 2024-02-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-03-20 |
| 2024-02-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-20 |
| 2024-02-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-20 |
| 2024-02-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-20 |
| 2024-01-10 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-01-18 |
| 2023-10-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-25 |
| 2023-10-09 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-10-09 |
| 2023-10-09 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-10-25 |
| 2023-10-09 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2023-10-25 |
| 2023-10-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-10-09 |
| 2023-08-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-08-23 |
| 2023-08-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-23 |
| 2023-08-08 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-10-25 |
| 2023-08-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2023-08-23 |
| 2023-06-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0578 | Honor 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. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0584 | Honor 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. | E | 2023-07-29 |
| 2023-06-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0688 | Provide 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. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-10-25 |
| 2023-06-29 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-08-23 |
| 2023-06-29 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2023-10-25 |
| 2023-06-29 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-07-29 |
| 2023-06-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-23 |
| 2023-06-29 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2023-07-29 |
| 2023-06-29 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | C | 2023-07-29 |
| 2023-06-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-07-29 |
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
0No 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
81| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-07-01 | current | pecos_ownership |
| SYLVANIA FRANCISCAN HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-07-01 | current | pecos_ownership |
| BALLARD, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| BOYSEN, CAREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| BRADEN, ADAM | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| BRADEN, ADAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-24 | current | pecos_ownership |
| CECIL, CAITLIN | CORPORATE DIRECTOR | — | 2016-07-01 | current | pecos_ownership |
| CONCEPT REHAB, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| CONCEPT REHAB, INC. | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| FAZIO, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-09 | current | pecos_ownership |
| FINN, CHRISTINA | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-16 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| GRUBBS, STACEY | CORPORATE DIRECTOR | — | 2016-07-01 | current | pecos_ownership |
| HANSON, SCOTT | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| HAZARD, TED | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| HERRERA, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-02 | current | pecos_ownership |
| HOWARD, CASEY | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| IFFLAND, ALISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| IFFLAND, ALISA | CORPORATE OFFICER | — | 2016-09-13 | current | pecos_ownership |
| KELLER, MICHAELA | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-08 | current | pecos_ownership |
| LANG, TRESTIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-15 | current | pecos_ownership |
| LIPSEY, PRENTICE | CORPORATE OFFICER | — | 2021-09-17 | current | pecos_ownership |
| LONGHIN-HOWARD, JOAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| LUCAS, GINA | ADP OF THE SNF | — | 2024-06-28 | current | pecos_ownership |
| MBANU, TERIKA | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-05 | current | pecos_ownership |
| MCFARLAND, DIANNE | ADP OF THE SNF | — | 2023-12-18 | current | pecos_ownership |
| MELFI, MITCH | MANAGING CONTROL - GOVERNING BODY | — | 2016-07-01 | current | pecos_ownership |
| MILLER, LORI | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| MUNROE, KYLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| MURRIEL, SHELLY | CORPORATE DIRECTOR | — | 2016-07-01 | current | pecos_ownership |
| NAGEL, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| NASET-PAYNE, JANET | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-24 | current | pecos_ownership |
| OHIO NEWSPAPERS, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-07-01 | current | pecos_ownership |
| OHIO NEWSPAPERS, INC. | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| REBIK, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-10 | current | pecos_ownership |
| REHMER, HEATHER | CORPORATE OFFICER | — | 2024-06-25 | current | pecos_ownership |
| REHMER, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-05 | current | pecos_ownership |
| RELIANT CARE PHARMACY SERVICES LLC | ADP OF THE SNF | — | 2025-07-10 | current | pecos_ownership |
| RELIANT CARE PHARMACY SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | current | pecos_ownership |
| SNODGRASS, BARBARA | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| STEVENSON, CASSIE | ADP OF THE SNF | — | 2016-07-01 | current | pecos_ownership |
| THE NORTHERN TRUST COMPANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| THE NORTHERN TRUST COMPANY | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| TROSEN, RYAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-26 | current | pecos_ownership |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-07-01 | current | pecos_ownership |
| WINE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | current | pecos_ownership |
| ADAM BRADEN | ADP OF THE SNF | — | 2025-06-24 | ended 2026-05-18 | pecos_ownership |
| ADAM BRADEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-24 | ended 2026-05-18 | pecos_ownership |
| ALISA IFFLAND | CORPORATE OFFICER | — | 2016-09-13 | ended 2026-05-18 | pecos_ownership |
| ALISA IFFLAND | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| ANGELA HERRERA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-02 | ended 2026-05-18 | pecos_ownership |
| BARBARA SNODGRASS | CORPORATE DIRECTOR | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| BRENDA BALLARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CAITLIN CECIL | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CAREY BOYSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CASEY HOWARD | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CASSIE STEVENSON | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTINA FINN | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER FAZIO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-09 | ended 2026-05-18 | pecos_ownership |
| DIANNE MCFARLAND | ADP OF THE SNF | — | 2023-12-18 | ended 2026-05-18 | pecos_ownership |
| GINA LUCAS | ADP OF THE SNF | — | 2024-06-28 | ended 2026-05-18 | pecos_ownership |
| HEATHER REHMER | CORPORATE OFFICER | — | 2024-06-25 | ended 2026-05-18 | pecos_ownership |
| HEATHER REHMER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-05 | ended 2026-05-18 | pecos_ownership |
| JANET NASET-PAYNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-24 | ended 2026-05-18 | pecos_ownership |
| JENNIFER NAGEL | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| JOAN LONGHIN-HOWARD | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| KYLE MUNROE | CORPORATE DIRECTOR | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| LORI MILLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| MARY REBIK | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-10 | ended 2026-05-18 | pecos_ownership |
| MATTHEW WINE | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| MICHAELA KELLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-08 | ended 2026-05-18 | pecos_ownership |
| MITCH MELFI | MANAGING CONTROL - GOVERNING BODY | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| PRENTICE LIPSEY | CORPORATE OFFICER | — | 2021-09-17 | ended 2026-05-18 | pecos_ownership |
| RYAN TROSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-26 | ended 2026-05-18 | pecos_ownership |
| SCOTT HANSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| SHELLY MURRIEL | ADP OF THE SNF | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| STACEY GRUBBS | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| TED HAZARD | CORPORATE DIRECTOR | — | 2016-07-01 | ended 2026-05-18 | pecos_ownership |
| TERIKA MBANU | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-05 | ended 2026-05-18 | pecos_ownership |
| TRESTIN LANG | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-15 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19153 | acs median gross | 0 | $926 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 0 | $1,063 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 1 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 1 | $1,109 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 2 | $1,169 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 2 | $1,318 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 3 | $1,497 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 3 | $1,794 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 4 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 4 | $1,841 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 5 | $1,834 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | acs median gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 19153 | acs recent mover gross | $1,235 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50131 | acs median gross | 0 | $1,237 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50131 | acs median gross | 1 | $1,135 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50131 | acs median gross | 2 | $1,364 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50131 | acs median gross | 3 | $1,665 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50131 | acs median gross | 4 | $2,830 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50131 | acs median gross | $1,338 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50131 | acs recent mover gross | $1,464 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50131 | payment standard 110 | 0 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 90 | 0 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | safmr | 0 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 110 | 1 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 90 | 1 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | safmr | 1 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 110 | 2 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 90 | 2 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | safmr | 2 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 110 | 4 | $2,321 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | payment standard 90 | 4 | $1,899 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50131 | safmr | 4 | $2,110 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.