Composite
99.6 / 100 percentile
Screener / 265349
F
GOLDEN YEARS CENTER FOR REHAB AND HEALTHCARE
snfMOSFF: SFF Candidate
2001 JEFFERSON PARKWAY, HARRISONVILLE, MO 64701 · CCN 265349 · chain DKDP MISSOURI LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 99.6% 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 signals1Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies71Licensure0Ownership14Related party5Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.1 | 93.3 | 0.30 | 0.2308 | 21.95 | in index |
| financial risk | 85.4 | 72.2 | 0.30 | 0.2308 | 19.71 | in index |
| billing conduct | 76.3 | 50.8 | 0.30 | 0.2308 | 17.61 | in index |
| staffing risk | 75.6 | 75.6 | 0.25 | 0.1923 | 14.54 | in index |
| chow risk | 80.8 | 61.7 | 0.15 | 0.1154 | 9.32 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | no prior fines | this facility | 2026-07-29 |
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 | 50.8 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 54.4 | C | 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 | 69.1 | D | v0.6 | default · in composite | |
| financial risk | 72.2 | D | 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 | 0.1 | — | 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 | 93.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 75.6 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 63.5 | C | 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 | 43.5 | B | 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 | 59.6 | C | 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 | 74.4 | D | 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 | 93.3 | 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 | 93.3 | 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 | 75.6 | D | 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 | 75.6 | D | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
28.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.91 | -1.37 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.33 | +0.41 | |
| Occupancy | 0.60 | +0.28 | |
| High-severity deficiencies, 12m | 4.00 | +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 | |
|---|---|---|---|
| Fine amount, 12m (log) | 12.02 | -0.70 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.60 | +0.62 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 4.00 | -0.28 | |
| Contract staffing share | 0.33 | +0.27 |
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
15| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.87 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.54 | 2.24 | 3.11 | — |
| Weekday total | 3.00 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.0 | 2.87 | 0.22 | 0.87 | 1.78 | 2.54 | 32.6% |
| 2025Q3 | 92 | 73.3 | 2.48 | 0.05 | 0.87 | 1.56 | 2.31 | 11.9% |
| 2025Q2 | 91 | 69.2 | 2.61 | 0.15 | 0.81 | 1.65 | 2.34 | 9.2% |
| 2025Q1 | 90 | 78.4 | 2.40 | 0.11 | 0.73 | 1.55 | 2.17 | 7.1% |
| 2024Q4 | 92 | 71.7 | 2.61 | 0.12 | 0.89 | 1.60 | 2.36 | 2.5% |
| 2024Q3 | 92 | 67.3 | 2.51 | 0.15 | 0.95 | 1.41 | 2.13 | 5.5% |
| 2024Q2 | 91 | 66.2 | 2.54 | 0.13 | 0.99 | 1.41 | 2.11 | 3.7% |
| 2024Q1 | 91 | 72.9 | 2.63 | 0.13 | 1.02 | 1.47 | 2.38 | 7.4% |
| 2023Q4 | 92 | 73.6 | 2.80 | 0.12 | 1.07 | 1.61 | 2.51 | 7.6% |
| 2023Q3 | 92 | 74.6 | 2.71 | 0.12 | 1.08 | 1.51 | 2.32 | 18.9% |
| 2023Q2 | 91 | 76.8 | 2.00 | 0.11 | 1.01 | 0.88 | 1.60 | 9.5% |
| 2023Q1 | 90 | 69.3 | 2.85 | 0.13 | 1.25 | 1.47 | 2.60 | 11.0% |
| 2022Q4 | 92 | 70.1 | 3.08 | 0.15 | 1.16 | 1.77 | 2.53 | 0.0% |
| 2022Q3 | 92 | 70.8 | 2.90 | 0.17 | 1.14 | 1.60 | 2.55 | 0.0% |
| 2022Q2 | 91 | 75.1 | 2.95 | 0.14 | 1.05 | 1.75 | 2.41 | 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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-14 | Fine | $166,800 | CMS provider data |
| 2025-08-14 | Payment Denial | — | CMS provider data |
Total fines on record: $166,800
Deficiencies
71D × 28E × 29F × 10G × 1J × 2K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-23 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | 2026-03-10 |
| 2026-01-30 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-03-16 |
| 2026-01-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-03-16 |
| 2025-10-29 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-12 |
| 2025-10-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-12-12 |
| 2025-10-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-12-12 |
| 2025-10-29 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2025-12-12 |
| 2025-10-29 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | K | 2025-12-12 |
| 2025-10-29 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-12-12 |
| 2025-08-14 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-22 |
| 2025-08-14 | 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. | E | 2025-10-21 |
| 2025-03-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-21 |
| 2025-03-14 | 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 | 2025-04-21 |
| 2024-04-22 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-06-03 |
| 2024-04-22 | 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 | 2024-06-03 |
| 2024-04-22 | Health | 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 | 2024-06-03 |
| 2024-04-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-06-03 |
| 2024-04-22 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-06-03 |
| 2024-04-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-06-03 |
| 2024-04-22 | 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. | E | 2024-07-08 |
| 2024-04-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-03 |
| 2024-04-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-03 |
| 2024-04-22 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2024-06-03 |
| 2024-04-22 | 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. | E | 2024-06-03 |
| 2024-04-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-06-03 |
| 2024-04-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-06-03 |
| 2024-04-22 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-06-03 |
| 2024-04-22 | Health | 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. | E | 2024-06-03 |
| 2024-04-22 | 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. | E | 2024-07-08 |
| 2024-04-22 | Health | F0758 | Implement 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. | D | 2024-06-03 |
| 2024-04-22 | Health | F0761 | Ensure 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. | E | 2024-06-03 |
| 2024-04-22 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2024-07-08 |
| 2024-04-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-06-03 |
| 2024-04-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-03 |
| 2024-04-22 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2024-06-03 |
| 2024-04-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-03 |
| 2024-04-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-07-08 |
| 2024-04-22 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-07-08 |
| 2024-04-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-06-03 |
| 2024-04-22 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-06-03 |
| 2024-01-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-02 |
| 2022-08-26 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2022-10-10 |
| 2022-08-26 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2022-10-10 |
| 2022-08-26 | 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 | 2022-10-10 |
| 2022-08-26 | Health | 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 | 2022-10-10 |
| 2022-08-26 | 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 | 2022-10-10 |
| 2022-08-26 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2022-10-10 |
| 2022-08-26 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-10-10 |
| 2022-08-26 | Health | 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 | 2022-10-10 |
| 2022-08-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-10-10 |
| 2022-08-26 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-10-10 |
| 2022-08-26 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2022-10-10 |
| 2022-08-26 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2022-10-10 |
| 2022-08-26 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2022-10-10 |
| 2022-08-26 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-10-10 |
| 2022-08-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-10 |
| 2022-08-26 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | 2022-10-10 |
| 2022-08-26 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-10-10 |
| 2022-08-26 | Health | F0908 | Keep all essential equipment working safely. | F | 2022-10-10 |
| 2022-08-26 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2022-10-10 |
| 2019-12-06 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2020-01-18 |
| 2019-12-06 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2020-01-18 |
| 2019-12-06 | 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. | E | 2020-01-18 |
| 2019-12-06 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2020-01-18 |
| 2019-12-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2020-01-18 |
| 2019-12-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-01-18 |
| 2019-12-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2020-01-18 |
| 2019-12-06 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2020-01-18 |
| 2019-12-06 | Health | F0761 | Ensure 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. | E | 2020-01-18 |
| 2019-12-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-01-18 |
| 2019-12-06 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2020-01-18 |
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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GOLDEN YEARS REALTY LLC | Individual has financial interest in both related organization and provider | 67% | 2023-01-01 | current | hcris_a_8_1 |
| GOLDEN YEARS REALTY LLC | Individual has financial interest in both related organization and provider | 67% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GOLDEN YEARS REALTY LLC | Individual has financial interest in both related organization and provider | 67% | 2021-08-31 | ended 2021-12-31 | hcris_a_8_1 |
| BLUE SKY BASIN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| SLOANS LAKE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 63% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| MISSOURI SNF HOLDINGS LLC | Individual has financial interest in both related organization and provider | 58% | 2021-01-01 | ended 2021-08-30 | hcris_a_8_1 |
| MISSOURI SNF HOLDINGS LLC | Individual has financial interest in both related organization and provider | 58% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| BERNARD PERLOW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| DKDP MISSOURI LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| DKYH MISSOURI LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| DOVID KLEINER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| ANNE DEHN | W-2 MANAGING EMPLOYEE | — | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| ELIOT BERGER | OTHER | — | 2021-08-31 | ended 2026-05-18 | pecos_ownership |
| SAMUEL STERN | CORPORATE OFFICER | — | 2023-01-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-08-31 | — | GOLDEN YEARS NURSING AND REHAB LLC | GOLDEN YEARS OPCO LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29037 | acs median gross | 0 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29037 | acs median gross | 1 | $930 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29037 | acs median gross | 2 | $1,073 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29037 | acs median gross | 3 | $1,419 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29037 | acs median gross | 4 | $2,270 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29037 | acs median gross | 5 | $1,897 | 2024-12-31 | CENSUS_ACS5 |
| county 29037 | acs median gross | $1,205 | 2024-12-31 | CENSUS_ACS5 | |
| county 29037 | acs recent mover gross | $1,422 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64701 | acs median gross | 1 | $500 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64701 | acs median gross | 2 | $914 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64701 | acs median gross | 3 | $1,307 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64701 | acs median gross | $967 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64701 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 110 | 1 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 90 | 1 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | safmr | 1 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 110 | 3 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 90 | 3 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | safmr | 3 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 110 | 4 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | payment standard 90 | 4 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64701 | safmr | 4 | $1,690 | 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.