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 22:46 UTC
Screener / 265766
C

ELLISVILLE REHABILITATION AND NURSING

snfMOSFF: SFF Candidate
322 OLD STATE ROAD, ELLISVILLE, MO 63021 · CCN 265766 · chain SJ HEALTHCARE CAPITAL LLC
Composite
78.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
210
Model
v1.2
Reads as: riskier than 78.9% 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
regulatory risk98.497.40.300.230822.71in index
billing conduct58.442.90.300.230813.48in index
staffing risk58.158.10.250.192311.17in index
financial risk33.635.90.300.23087.75in index
chow risk41.940.20.150.11544.83in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct42.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk55.4Cv0.6default · in composite
financial risk35.9Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 risk97.4Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk58.1Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk87.7Fv0.1supersededPre-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 risk67.7Dv0.2supersededPre-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 risk20.9Av0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk36.4Bv0.4supersededPre-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 risk97.4Fv0.1supersededPre-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 risk97.4Fv0.2supersededPre-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 risk58.1Cv0.1supersededPre-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 risk58.1Cv0.2supersededPre-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
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)2.08-1.64
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.55+0.43
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months18.00+0.27
Facility size (log beds)5.35-0.15
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
DriverValuePull on odds
Deficiencies, last 12 months18.00-1.91
Occupancy0.55+0.84
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.08-0.27
Ownership changes, last 5 years1.00+0.23
Facility size (log beds)5.35-0.21
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 nurse3.162.413.282.90–3.77
RN0.240.250.390.25–0.58
Weekend total2.842.243.11
Weekday total3.292.493.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492115.53.160.240.912.012.842.7%
2025Q392106.93.410.260.942.213.1215.6%
2025Q291111.63.370.270.762.343.0623.2%
2025Q190130.72.950.300.691.962.8034.3%
2024Q492117.12.910.420.721.772.7417.7%
2024Q392110.73.290.460.732.102.8917.2%
2024Q291106.02.770.230.701.842.7214.9%
2024Q191107.32.780.180.731.872.7312.9%
2023Q492111.82.710.170.831.712.7210.5%
2023Q392111.52.820.200.821.792.8917.4%
2023Q291109.72.910.320.811.782.9616.1%
2023Q190107.23.010.480.671.863.1017.8%
2022Q492116.12.720.300.611.802.7027.3%
2022Q392118.82.660.350.591.722.7420.4%
2022Q291119.02.310.300.661.362.376.9%
2022Q190114.12.370.290.651.422.513.8%
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
DateTypeFineSource
2024-11-26Fine$169,037CMS provider data
2024-11-26Payment DenialCMS provider data
Total fines on record: $169,037

Deficiencies

61
C × 1D × 38E × 8F × 4G × 3J × 7
deficiencies by survey year
18920222426
SurveyTypeTagDeficiencyScopeCorrected
2026-03-04Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-07
2026-03-04Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-07
2026-03-04Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-04-07
2026-03-04Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2026-04-07
2026-03-04Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-07
2026-03-04Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-04-07
2026-03-04Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2026-04-07
2026-01-16Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-02-20
2026-01-16Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2026-01-16Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-07
2026-01-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-07
2026-01-16Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2026-03-04
2026-01-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2026-01-16Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-04-07
2026-01-16Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2026-04-07
2026-01-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-07
2026-01-16Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-04-07
2026-01-16Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2026-04-07
2025-06-26Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-07-15
2025-05-16Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.G2025-05-14
2025-04-21Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-16
2025-04-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-05-16
2025-04-21Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-05-16
2025-04-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-16
2025-04-21Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.J2025-05-16
2025-04-21Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-16
2025-03-28Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2025-04-03
2025-03-19Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-03-31
2025-03-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-03-31
2025-03-19Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-03-31
2025-03-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-05-16
2025-02-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-16
2025-01-15Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-02-28
2025-01-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-03-01
2025-01-15Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-03-01
2025-01-15Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-16
2024-11-26Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-12-19
2024-11-26Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2024-12-19
2024-11-26HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.E2025-02-28
2024-11-26HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.F2024-12-19
2024-11-26HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2024-12-19
2024-11-26Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-12-19
2024-11-26Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-16
2024-11-26HealthF0610Respond appropriately to all alleged violations.E2025-05-16
2024-11-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-12-19
2024-11-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-05-16
2024-11-26Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-05-16
2024-11-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-05-16
2024-11-26Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.J2025-05-16
2024-11-26Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2025-03-01
2024-11-26Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-16
2023-07-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-08-20
2020-01-10HealthF0578Honor 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.D2020-02-07
2020-01-10HealthF0641Ensure each resident receives an accurate assessment.D2020-02-07
2020-01-10HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2020-02-07
2020-01-10HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2020-02-07
2020-01-10HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2020-02-07
2020-01-10HealthF0732Post nurse staffing information every day.C2020-02-07
2020-01-10HealthF0760Ensure that residents are free from significant medication errors.D2020-02-07
2020-01-10HealthF0761Ensure 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.D2020-02-07
2020-01-10HealthF0880Provide and implement an infection prevention and control program.D2020-02-07
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

43
OwnerRolePctFromStatusSource
ELLISVILLE OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-07-01currentpecos_ownership
322 OLD STATE ROAD PROPCO LLCCorporation, partnership or other organization has financial interest in provider40%2024-01-01currenthcris_a_8_1
FISCHER, ELAZAR5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2024-07-01currentpecos_ownership
ADS CAPITAL TRUSTADP OF THE SNF2024-12-18currentpecos_ownership
ADS FAMILY TRUSTINDIRECT OWNERSHIP INTEREST2024-07-01currentpecos_ownership
BARTH, MICHAELOPERATIONAL/MANAGERIAL CONTROL2025-01-06currentpecos_ownership
BIRNBAUM, MOSHEADP OF THE SNF2024-12-18currentpecos_ownership
BURTON, NOAHTRUSTEE OF THE SNF2024-07-01currentpecos_ownership
ELLISVILLE PROPCO HOLDCO LLCADP OF THE SNF2024-12-26currentpecos_ownership
ELLISVILLE PROPCO HOLDCO LLC5% OR GREATER MORTGAGE INTEREST2024-07-01currentpecos_ownership
FISCHER, ELAZAROPERATIONAL/MANAGERIAL CONTROL2024-12-16currentpecos_ownership
FISCHER, ELAZARADP OF THE SNF2024-12-18currentpecos_ownership
GREENWALD, BRIANTRUSTEE OF THE SNF2024-07-01currentpecos_ownership
ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORKADP OF THE SNF2024-12-26currentpecos_ownership
JJ FAMILY GRANTOR TRUSTINDIRECT OWNERSHIP INTEREST2024-07-01currentpecos_ownership
PC8 CAPITAL GROUP LLCINDIRECT OWNERSHIP INTEREST2024-07-01currentpecos_ownership
PHATAK, SARINAADP OF THE SNF2025-01-06currentpecos_ownership
SJ FAMILY TRUSTADP OF THE SNF2024-12-18currentpecos_ownership
SJ HEALTHCARE CAPITAL LLCADP OF THE SNF2024-12-18currentpecos_ownership
STERN, AHARONOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
STERN, SHIFRATRUSTEE OF THE SNF2024-07-01currentpecos_ownership
STERN, SIMONOPERATIONAL/MANAGERIAL CONTROL2024-12-18currentpecos_ownership
STERN, SIMONMANAGING CONTROL - GOVERNING BODY2024-07-01currentpecos_ownership
SUPERIOR BACK OFFICE SOLUTIONS LLCADP OF THE SNF2024-12-18currentpecos_ownership
WEISS, HILLELTRUSTEE OF THE SNF2024-07-01currentpecos_ownership
SJ HEALTHCARE CAPITAL LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2022-07-01ended 2026-05-18pecos_ownership
ADS CAPITAL TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST38%2024-07-01ended 2026-05-18pecos_ownership
SJ FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST38%2024-07-01ended 2026-05-18pecos_ownership
ELAZAR FISCHER5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2024-07-01ended 2026-05-18pecos_ownership
MOSHE BIRNBAUM5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2024-07-01ended 2026-05-18pecos_ownership
AHARON STERNOPERATIONAL/MANAGERIAL CONTROL2024-07-01ended 2026-05-18pecos_ownership
BRIAN GREENWALDTRUSTEE OF THE SNF2024-07-01ended 2026-05-18pecos_ownership
ELAZAR FISCHERADP OF THE SNF2024-12-18ended 2026-05-18pecos_ownership
ELAZAR FISCHEROPERATIONAL/MANAGERIAL CONTROL2024-12-16ended 2026-05-18pecos_ownership
HILLEL WEISSTRUSTEE OF THE SNF2024-07-01ended 2026-05-18pecos_ownership
ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORKADP OF THE SNF2024-12-18ended 2026-05-18pecos_ownership
MICHAEL BARTHADP OF THE SNF2025-01-06ended 2026-05-18pecos_ownership
MOSHE BIRNBAUMADP OF THE SNF2024-12-18ended 2026-05-18pecos_ownership
NOAH BURTONTRUSTEE OF THE SNF2024-07-01ended 2026-05-18pecos_ownership
SARINA PHATAKADP OF THE SNF2025-01-06ended 2026-05-18pecos_ownership
SHIFRA STERNTRUSTEE OF THE SNF2024-07-01ended 2026-05-18pecos_ownership
SIMON STERNMANAGING CONTROL - GOVERNING BODY2024-07-01ended 2026-05-18pecos_ownership
SIMON STERNOPERATIONAL/MANAGERIAL CONTROL2024-12-18ended 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
2024-07-01ELLISVILLE OPCO LLCBETHESDA LONG TERM CARE INCchow

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 29189acs median gross0$1,0672024-12-31CENSUS_ACS5
county 29189fmr0$9552025-10-01HUD_USER_FMR
county 29189acs median gross1$9952024-12-31CENSUS_ACS5
county 29189fmr1$9952025-10-01HUD_USER_FMR
county 29189acs median gross2$1,2162024-12-31CENSUS_ACS5
county 29189fmr2$1,2182025-10-01HUD_USER_FMR
county 29189acs median gross3$1,4462024-12-31CENSUS_ACS5
county 29189fmr3$1,5682025-10-01HUD_USER_FMR
county 29189acs median gross4$1,7422024-12-31CENSUS_ACS5
county 29189fmr4$1,8122025-10-01HUD_USER_FMR
county 29189acs median gross5$1,8502024-12-31CENSUS_ACS5
county 29189acs median gross$1,2092024-12-31CENSUS_ACS5
county 29189acs recent mover gross$1,3692024-12-31CENSUS_ACS5
zcta 63021acs median gross1$1,3472024-12-31CENSUS_ACS5
zcta 63021acs median gross2$1,3772024-12-31CENSUS_ACS5
zcta 63021acs median gross3$1,7292024-12-31CENSUS_ACS5
zcta 63021acs median gross4$1,9882024-12-31CENSUS_ACS5
zcta 63021acs median gross$1,4232024-12-31CENSUS_ACS5
zcta 63021acs recent mover gross$1,4362024-12-31CENSUS_ACS5
zip 63021payment standard 1100$1,2432025-10-01HUD_USER_SAFMR
zip 63021payment standard 900$1,0172025-10-01HUD_USER_SAFMR
zip 63021safmr0$1,1302025-10-01HUD_USER_SAFMR
zip 63021payment standard 1101$1,2982025-10-01HUD_USER_SAFMR
zip 63021payment standard 901$1,0622025-10-01HUD_USER_SAFMR
zip 63021safmr1$1,1802025-10-01HUD_USER_SAFMR
zip 63021payment standard 1102$1,5842025-10-01HUD_USER_SAFMR
zip 63021payment standard 902$1,2962025-10-01HUD_USER_SAFMR
zip 63021safmr2$1,4402025-10-01HUD_USER_SAFMR
zip 63021payment standard 1103$2,0352025-10-01HUD_USER_SAFMR
zip 63021payment standard 903$1,6652025-10-01HUD_USER_SAFMR
zip 63021safmr3$1,8502025-10-01HUD_USER_SAFMR
zip 63021payment standard 1104$2,3542025-10-01HUD_USER_SAFMR
zip 63021payment standard 904$1,9262025-10-01HUD_USER_SAFMR
zip 63021safmr4$2,1402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.