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 16:12 UTC
Screener / 165230
D

Oakland Manor

snfIA
737 North Highway St., Oakland, IA 51560 · CCN 165230 · chain 10 26 NATIONWIDE TR
Composite
91.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
61
Model
v1.2
Reads as: riskier than 91.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk87.474.40.300.230820.17in index
regulatory risk85.983.00.300.230819.82in index
staffing risk86.686.60.250.192316.65in index
chow risk97.879.50.150.115411.28in index
billing conduct0.00.00.300.23080.00in 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 conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk65.0Dv0.1-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 risk94.1Fv0.6default · in composite
financial risk74.4Dv0.5default · 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 12m17.8v0.1default · 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 risk83.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk86.6Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk52.3Cv0.1supersededPre-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 risk32.3Bv0.2supersededPre-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 risk66.1Dv0.3supersededPre-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 risk74.5Dv0.4supersededPre-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 risk82.9Fv0.1supersededPre-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 risk82.9Fv0.2supersededPre-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 risk86.6Fv0.1supersededPre-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 risk86.6Fv0.2supersededPre-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)
17.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.74+0.39
Deficiencies, last 12 months22.00+0.36
Contract staffing share0.25+0.29
Ownership changes, last 5 years0.00+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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months22.00-2.65
Chain size (log)3.74-0.97
For-profit ownership1.00-0.69
Occupancy0.63+0.48
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.64+0.24
Contract staffing share0.25+0.20
Fine amount, 12m (log)0.00+0.18
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse2.643.153.282.90–3.77
RN0.550.460.390.25–0.58
Weekend total2.462.963.11
Weekday total2.713.203.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49238.72.640.550.521.572.4625.1%
2025Q39241.43.160.600.591.972.8324.4%
2025Q29146.62.660.370.481.802.5414.8%
2025Q19047.02.850.330.621.902.736.5%
2024Q49248.12.650.270.731.652.629.7%
2024Q39252.62.150.200.641.301.937.0%
2024Q29148.52.020.260.441.321.9213.4%
2024Q19146.22.110.150.541.422.0114.4%
2023Q49246.22.540.360.541.642.2521.2%
2023Q39246.92.440.250.511.682.2926.7%
2023Q29147.32.300.260.511.542.1931.3%
2023Q19046.02.380.220.561.612.4341.8%
2022Q49243.32.450.290.591.572.3832.4%
2022Q39236.22.730.130.661.942.8330.1%
2022Q29135.62.920.170.702.052.7526.8%
2022Q19034.73.230.231.101.903.2253.1%
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

1
DateTypeFineSource
2023-08-31Fine$15,593CMS provider data
Total fines on record: $15,593

Deficiencies

68
D × 40E × 24F × 1G × 3
deficiencies by survey year
201023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-22Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.E2026-05-14
2026-04-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2026-05-14
2026-04-22Health · complaintF0761Ensure 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.D2026-05-14
2026-02-12Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-02-27
2026-01-08Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-02-06
2026-01-08HealthF0584Honor 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.E2026-02-06
2026-01-08HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-02-06
2026-01-08HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-06
2026-01-08HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-02-06
2026-01-08HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-02-06
2026-01-08HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2026-02-06
2026-01-08HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-02-06
2026-01-08HealthF0688Provide 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.E2026-02-06
2026-01-08HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-02-06
2026-01-08Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2026-02-06
2026-01-08HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E2026-02-06
2026-01-08HealthF0880Provide and implement an infection prevention and control program.E2026-02-06
2025-11-05Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-12-18
2025-11-05Health · complaintF0610Respond appropriately to all alleged violations.D2025-12-18
2025-11-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-18
2025-10-15Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-12
2025-10-15Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-12-12
2025-07-09Health · complaintF0560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.E2025-07-25
2025-07-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-07-25
2025-07-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-07-25
2025-07-09Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-07-25
2025-07-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-07-25
2025-07-09Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-07-25
2025-07-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-07-25
2025-07-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-07-25
2025-07-09Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-07-25
2025-07-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-07-25
2025-07-09Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-07-25
2025-07-09Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2025-07-25
2025-07-09Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.G2025-07-25
2025-07-09Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2025-07-25
2025-07-09Health · complaintF0880Provide and implement an infection prevention and control program.D2025-07-25
2024-12-23Health · complaintF0880Provide and implement an infection prevention and control program.E2025-01-10
2024-11-21Health · complaintF0567Honor the resident's right to manage his or her financial affairs.E2024-12-13
2024-11-21HealthF0584Honor 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.E2024-12-13
2024-11-21HealthF0641Ensure each resident receives an accurate assessment.D2024-12-13
2024-11-21HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-12-13
2024-11-21HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-12-13
2024-11-21HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-12-13
2024-11-21HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-12-13
2024-11-21HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F2024-12-13
2024-11-21HealthF0880Provide and implement an infection prevention and control program.E2024-12-13
2024-04-22Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-05-14
2024-04-22Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-05-14
2024-04-22Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.E2024-05-14
2024-04-22Health · complaintF0880Provide and implement an infection prevention and control program.D2024-05-14
2023-08-31HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-09-28
2023-08-31HealthF0641Ensure each resident receives an accurate assessment.E2023-09-28
2023-08-31HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-09-28
2023-08-31HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-09-28
2023-08-31HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2023-09-28
2023-08-31HealthF0693Ensure 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.D2023-09-28
2023-08-31HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-09-28
2023-08-31HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-09-28
2023-08-31HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2023-09-28
2023-08-31HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-09-28
2023-08-31HealthF0761Ensure 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.D2023-09-28
2023-08-31Health · complaintF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2023-09-28
2023-08-31HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E2023-09-28
2023-08-31HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2023-09-28
2023-08-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-09-28
2023-08-31HealthF0880Provide and implement an infection prevention and control program.D2023-09-28
2023-07-11Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-07-20
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

11
OwnerRolePctFromStatusSource
OSCAR ROSENBERG5% OR GREATER DIRECT OWNERSHIP INTEREST21%2010-11-15ended 2026-05-18pecos_ownership
10-26 NATIONWIDE TR5% OR GREATER DIRECT OWNERSHIP INTEREST16%2019-05-31ended 2026-05-18pecos_ownership
BARUCH JEREMIAS5% OR GREATER INDIRECT OWNERSHIP INTEREST16%2019-05-31ended 2026-05-18pecos_ownership
JUDAH BIENSTOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST16%2011-04-01ended 2026-05-18pecos_ownership
OAKLAND INVESTMENTS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST16%2019-10-17ended 2026-05-18pecos_ownership
HM RESOURCES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST12%2011-04-14ended 2026-05-18pecos_ownership
BEECHWOOD CAPITAL, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST10%2011-04-14ended 2026-05-18pecos_ownership
MARK FEUER5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2011-04-14ended 2026-05-18pecos_ownership
LTC MIDWEST INVESTMENTS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST5%2011-04-14ended 2026-05-18pecos_ownership
MOSHE STEINBERG5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2011-04-14ended 2026-05-18pecos_ownership
ERIN DYEW-2 MANAGING EMPLOYEE2021-04-15ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center40OPCO 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

32
GeoKindBRAmountAs ofSource
county 19155acs median gross0$1,0432024-12-31CENSUS_ACS5
county 19155fmr0$1,0902025-10-01HUD_USER_FMR
county 19155acs median gross1$8092024-12-31CENSUS_ACS5
county 19155fmr1$1,1482025-10-01HUD_USER_FMR
county 19155acs median gross2$1,0432024-12-31CENSUS_ACS5
county 19155fmr2$1,3682025-10-01HUD_USER_FMR
county 19155acs median gross3$1,1852024-12-31CENSUS_ACS5
county 19155fmr3$1,8132025-10-01HUD_USER_FMR
county 19155acs median gross4$1,2532024-12-31CENSUS_ACS5
county 19155fmr4$2,0462025-10-01HUD_USER_FMR
county 19155acs median gross5$1,3882024-12-31CENSUS_ACS5
county 19155acs median gross$1,0182024-12-31CENSUS_ACS5
county 19155acs recent mover gross$1,0672024-12-31CENSUS_ACS5
zcta 51560acs median gross1$7752024-12-31CENSUS_ACS5
zcta 51560acs median gross2$9032024-12-31CENSUS_ACS5
zcta 51560acs median gross3$1,2082024-12-31CENSUS_ACS5
zcta 51560acs median gross$8652024-12-31CENSUS_ACS5
zip 51560payment standard 1100$9242025-10-01HUD_USER_SAFMR
zip 51560payment standard 900$7562025-10-01HUD_USER_SAFMR
zip 51560safmr0$8402025-10-01HUD_USER_SAFMR
zip 51560payment standard 1101$9792025-10-01HUD_USER_SAFMR
zip 51560payment standard 901$8012025-10-01HUD_USER_SAFMR
zip 51560safmr1$8902025-10-01HUD_USER_SAFMR
zip 51560payment standard 1102$1,1662025-10-01HUD_USER_SAFMR
zip 51560payment standard 902$9542025-10-01HUD_USER_SAFMR
zip 51560safmr2$1,0602025-10-01HUD_USER_SAFMR
zip 51560payment standard 1103$1,5402025-10-01HUD_USER_SAFMR
zip 51560payment standard 903$1,2602025-10-01HUD_USER_SAFMR
zip 51560safmr3$1,4002025-10-01HUD_USER_SAFMR
zip 51560payment standard 1104$1,7492025-10-01HUD_USER_SAFMR
zip 51560payment standard 904$1,4312025-10-01HUD_USER_SAFMR
zip 51560safmr4$1,5902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.