Composite
72.0 / 100 percentile
Screener / 435109
C
FIRESTEEL HEALTHCARE CENTER
snfSD
1120 EAST 7TH AVENUE, MITCHELL, SD 57301 · CCN 435109 · chain COUVE FINANCIAL SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
125
Model
v1.2
Reads as: riskier than 72.0% 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 signals4Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies30Licensure0Ownership29Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.7 | 88.3 | 0.30 | 0.2308 | 20.93 | in index |
| staffing risk | 88.3 | 88.3 | 0.25 | 0.1923 | 16.98 | in index |
| financial risk | 29.7 | 33.6 | 0.30 | 0.2308 | 6.85 | in index |
| chow risk | 54.2 | 52.4 | 0.15 | 0.1154 | 6.25 | in index |
| billing conduct | 25.2 | 29.1 | 0.30 | 0.2308 | 5.82 | 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
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | HERZKA YISROEL | 70 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS SD LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | SOUTH DAKOTA SNF CONSULTING LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LOWE LEONOR | 6 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 29.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 79.8 | D | v0.6 | default · in composite | |
| financial risk | 33.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | 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 | 88.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 88.3 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 84.4 | F | 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 | 64.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 32.1 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 39.7 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 88.3 | 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 | 88.3 | 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 | 88.3 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 88.3 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.91 | -1.56 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Contract staffing share | 0.47 | +0.63 | |
| Occupancy | 0.91 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.71 | +0.39 |
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 | |
|---|---|---|---|
| Chain size (log) | 3.71 | -0.96 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.68 | |
| Fine amount, 12m (log) | 11.09 | -0.63 | |
| Contract staffing share | 0.47 | +0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | SD median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.60 | 2.96 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.52 | 0.39 | 0.25–0.58 |
| Weekend total | 2.51 | 2.75 | 3.11 | — |
| Weekday total | 2.63 | 3.06 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 113.7 | 2.60 | 0.22 | 0.56 | 1.82 | 2.51 | 46.7% |
| 2025Q3 | 92 | 113.4 | 2.52 | 0.17 | 0.53 | 1.82 | 2.46 | 36.0% |
| 2025Q2 | 91 | 108.3 | 2.16 | 0.14 | 0.47 | 1.55 | 2.02 | 16.9% |
| 2025Q1 | 90 | 107.1 | 2.15 | 0.18 | 0.38 | 1.59 | 1.97 | 14.8% |
| 2024Q4 | 92 | 104.7 | 2.29 | 0.30 | 0.31 | 1.68 | 2.20 | 17.1% |
| 2024Q3 | 92 | 104.3 | 2.17 | 0.28 | 0.24 | 1.64 | 2.09 | 14.3% |
| 2024Q2 | 91 | 96.4 | 2.33 | 0.27 | 0.33 | 1.73 | 2.24 | 8.1% |
| 2024Q1 | 91 | 93.2 | 2.39 | 0.29 | 0.35 | 1.74 | 2.26 | 11.0% |
| 2023Q4 | 92 | 95.5 | 2.39 | 0.25 | 0.39 | 1.75 | 2.24 | 23.4% |
| 2023Q3 | 92 | 89.2 | 2.31 | 0.30 | 0.39 | 1.62 | 2.31 | 22.2% |
| 2023Q2 | 91 | 90.4 | 2.36 | 0.33 | 0.37 | 1.65 | 2.25 | 20.8% |
| 2023Q1 | 90 | 87.3 | 2.26 | 0.32 | 0.35 | 1.60 | 2.14 | 21.2% |
| 2022Q4 | 92 | 82.0 | 2.26 | 0.40 | 0.28 | 1.58 | 2.17 | 20.7% |
| 2022Q3 | 92 | 82.2 | 2.20 | 0.30 | 0.34 | 1.56 | 2.08 | 22.5% |
| 2022Q2 | 91 | 79.3 | 2.41 | 0.28 | 0.42 | 1.71 | 2.19 | 24.8% |
| 2022Q1 | 90 | 84.7 | 2.14 | 0.16 | 0.46 | 1.52 | 1.96 | 21.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-18 | Fine | $65,400 | CMS provider data |
| 2025-04-25 | Fine | $46,137 | CMS provider data |
| 2024-11-26 | Fine | $34,320 | CMS provider data |
| 2024-10-17 | Fine | $6,788 | CMS provider data |
| 2024-09-17 | Fine | $15,041 | CMS provider data |
| 2024-05-30 | Fine | $8,512 | CMS provider data |
Total fines on record: $176,198
Deficiencies
30D × 13E × 7F × 2G × 7H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-22 |
| 2025-12-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-09 |
| 2025-12-18 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2025-12-22 |
| 2025-04-25 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-05-20 |
| 2025-04-25 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-05-20 |
| 2025-04-25 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2025-05-20 |
| 2025-04-25 | 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 | 2025-05-20 |
| 2025-04-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-20 |
| 2025-04-25 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2025-05-20 |
| 2025-04-25 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2025-05-20 |
| 2025-04-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | H | 2025-05-20 |
| 2025-04-25 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | 2025-05-20 |
| 2025-01-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-21 |
| 2025-01-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-14 |
| 2025-01-02 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-12-18 |
| 2025-01-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-30 |
| 2025-01-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-30 |
| 2025-01-02 | Health · complaint | 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 | 2025-01-30 |
| 2024-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-12-27 |
| 2024-10-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-04 |
| 2024-09-17 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | 2024-10-12 |
| 2024-05-30 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-01-25 |
| 2024-04-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-30 |
| 2024-01-04 | 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. | D | 2024-02-10 |
| 2024-01-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-10 |
| 2024-01-04 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-02-10 |
| 2023-01-31 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-03-09 |
| 2023-01-31 | 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 | 2023-03-09 |
| 2023-01-31 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2023-03-09 |
| 2023-01-31 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-03-09 |
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
29| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 | current | pecos_ownership |
| BOSSMAN, ANN | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| CH PACIFIC NORTHWEST HOLDINGS LLC | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | — | 2025-03-07 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | — | 2025-03-12 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| FIRESTEEL SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| FIRESTEEL SNF OPERATIONS, LLC | ADP OF THE SNF | — | 2025-07-31 | current | pecos_ownership |
| FIRESTEEL SNF REALTY LLC | ADP OF THE SNF | — | 2025-05-13 | current | pecos_ownership |
| HERZKA, YISROEL | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| LOWE, LEONOR | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-31 | current | pecos_ownership |
| MIRKOVIC, PETAR | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | — | 2025-03-07 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| PETERSON, SCOTT | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| SOUTH DAKOTA SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| SOUTH DAKOTA SNF CONSULTING LLC | ADP OF THE SNF | — | 2025-03-12 | current | pecos_ownership |
| SPIELMAN, SHIMON | CORPORATE OFFICER | — | 2023-08-31 | current | pecos_ownership |
| WITZCORP GLOBAL LLC | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| YENOWITZ, YITZCHOK | CORPORATE OFFICER | — | 2023-08-31 | current | pecos_ownership |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| YITZCHOK YENOWITZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| YISROEL HERZKA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| ANN BOSSMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| LEONOR LOWE | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| PETAR MIRKOVIC | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| SCOTT PETERSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| SHIMON SPIELMAN | CORPORATE OFFICER | — | 2023-08-31 | 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 |
|---|---|---|---|---|
| 2023-08-31 | — | FIRESTEEL SNF OPERATIONS, LLC | EMPRES AT MITCHELL LLC | chow |
Comparable trades — SD snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-08-31 | RIVERVIEW HEALTHCARE CENTER | — | — | — | 63 | RIVERVIEW SNF OPERATIONS, LLC |
| 2023-08-31 | Wheatcrest Hills Healthcare Center | — | — | — | 60 | WHEATCREST HILLS SNF OPERATIONS, LLC |
| 2023-08-31 | PALISADE HEALTHCARE CENTER | — | — | — | 55 | PALISADE SNF OPERATIONS, LLC |
| 2023-08-31 | PRAIRIE VIEW HEALTHCARE CENTER | — | — | — | 42 | PRAIRIE VIEW SNF OPERATIONS, LLC |
| 2023-08-31 | FIRESTEEL HEALTHCARE CENTERthis facility | — | — | — | 125 | FIRESTEEL SNF OPERATIONS, LLC |
| 2023-08-31 | Fountain Springs Healthcare | — | — | — | 90 | FOUNTAIN SPRINGS SNF OPERATIONS, LLC |
| 2019-10-02 | AVANTARA NORTON | — | — | — | 110 | NORTON SD SKILLED NURSING FACILITY LLC |
| 2019-10-02 | AVANTARA HURON | — | — | — | 119 | HURON SD SKILLED NURSING FACILITY, LLC |
| 2019-10-01 | DIAMOND CARE CENTER | — | — | — | 36 | BRIDGEWATER NURSING HOME CORPORATION |
| 2019-07-01 | AVANTARA SAINT CLOUD | — | — | — | 78 | SAINT CLOUD SD SKILLED NURSING FACILITY, LLC |
| 2019-07-01 | AVANTARA WATERTOWN | — | — | — | 51 | WATERTOWN SD SKILLED NURSING FACILITY, LLC |
| 2019-07-01 | AVANTARA CLARK CITY | — | — | — | 35 | CLARK CITY SD SKILLED NURSING FACILITY 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 46035 | acs median gross | 0 | $1,048 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | fmr | 0 | $645 | 2025-10-01 | HUD_USER_FMR |
| county 46035 | acs median gross | 1 | $615 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | fmr | 1 | $713 | 2025-10-01 | HUD_USER_FMR |
| county 46035 | acs median gross | 2 | $884 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | fmr | 2 | $936 | 2025-10-01 | HUD_USER_FMR |
| county 46035 | acs median gross | 3 | $1,229 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | fmr | 3 | $1,302 | 2025-10-01 | HUD_USER_FMR |
| county 46035 | acs median gross | 4 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | fmr | 4 | $1,570 | 2025-10-01 | HUD_USER_FMR |
| county 46035 | acs median gross | 5 | $1,329 | 2024-12-31 | CENSUS_ACS5 |
| county 46035 | acs median gross | $847 | 2024-12-31 | CENSUS_ACS5 | |
| county 46035 | acs recent mover gross | $1,129 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 57301 | acs median gross | 0 | $1,048 | 2024-12-31 | CENSUS_ACS5 |
| zcta 57301 | acs median gross | 1 | $621 | 2024-12-31 | CENSUS_ACS5 |
| zcta 57301 | acs median gross | 2 | $894 | 2024-12-31 | CENSUS_ACS5 |
| zcta 57301 | acs median gross | 3 | $1,282 | 2024-12-31 | CENSUS_ACS5 |
| zcta 57301 | acs median gross | $857 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 57301 | acs recent mover gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| zip 57301 | payment standard 110 | 0 | $704 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 90 | 0 | $576 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | safmr | 0 | $640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 110 | 1 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 90 | 1 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | safmr | 1 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 110 | 2 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 90 | 2 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | safmr | 2 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 110 | 4 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | payment standard 90 | 4 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 57301 | safmr | 4 | $1,560 | 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.