Composite
63.6 / 100 percentile
Screener / 165162
C
Altoona Nursing and Rehabilitation Center
snfIA
200 Seventh Avenue SW, Altoona, IA 50009 · CCN 165162 · chain CAMPBELL STREET SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
106
Model
v1.2
Reads as: riskier than 63.6% 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 signals11Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies48Licensure0Ownership30Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 80.5 | 53.3 | 0.30 | 0.2308 | 18.58 | in index |
| regulatory risk | 58.6 | 49.3 | 0.30 | 0.2308 | 13.52 | in index |
| staffing risk | 52.8 | 52.8 | 0.25 | 0.1923 | 10.15 | in index |
| financial risk | 37.4 | 38.1 | 0.30 | 0.2308 | 8.63 | in index |
| chow risk | 22.3 | 21.6 | 0.15 | 0.1154 | 2.57 | 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
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.0 vs natl | SATTERFIELD BRENDA | 7 facilities |
| connection | Owner fleet risk far above national | +24.4 vs natl | CURCIO DOMINIC | 7 facilities |
| connection | Owner fleet risk far above national | +24.4 vs natl | HOLDCO TABLETOP LLC | 7 facilities |
| connection | Owner fleet risk far above national | +24.2 vs natl | HOLDCO GOLDFINCH LLC | 6 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | MANAGERCO GOLDFINCH LLC | 6 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | TECHCARE CORP | 7 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | INVESTCO TABLETOP LLC | 7 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | CHITAI INVESTMENT LLC | 7 facilities |
| connection | Owner spans multiple chains | 5 chains | OCONNER MICHAEL | 8 facilities |
| connection | Owner fleet enforcement cluster | 57% fined | SATTERFIELD BRENDA | 7 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | CAMPBELL STREET SERVICES LLC | 19 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 | 53.3 | C | 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 | 18.1 | A | v0.6 | default · in composite | |
| financial risk | 38.1 | 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 | 0.1 | — | 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 | 49.3 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 52.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.4 | D | 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 | 59.4 | 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 | 49.5 | 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 | 42.3 | 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 | 49.3 | C | 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 | 49.3 | C | 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 | 52.8 | C | 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 | 52.8 | C | 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
19.6
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) | 6.41 | -1.22 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.90 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.00 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.63 | |
| Chain size (log) | 3.00 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.41 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | 0.24 | +0.08 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.24 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.52 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 3.07 | 2.96 | 3.11 | — |
| Weekday total | 3.31 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 95.2 | 3.24 | 0.52 | 0.60 | 2.12 | 3.07 | 0.0% |
| 2025Q3 | 92 | 92.4 | 3.23 | 0.48 | 0.57 | 2.19 | 3.13 | 0.0% |
| 2025Q2 | 91 | 88.2 | 3.38 | 0.48 | 0.56 | 2.34 | 3.15 | 0.0% |
| 2025Q1 | 90 | 90.2 | 3.12 | 0.53 | 0.50 | 2.09 | 2.92 | 0.1% |
| 2024Q4 | 92 | 92.8 | 3.01 | 0.55 | 0.44 | 2.02 | 2.84 | 0.1% |
| 2024Q3 | 92 | 91.4 | 2.98 | 0.59 | 0.42 | 1.98 | 2.78 | 0.1% |
| 2024Q2 | 91 | 87.7 | 2.90 | 0.51 | 0.42 | 1.97 | 2.65 | 0.1% |
| 2024Q1 | 91 | 90.4 | 2.80 | 0.43 | 0.45 | 1.93 | 2.60 | 0.0% |
| 2023Q4 | 92 | 91.3 | 2.98 | 0.40 | 0.60 | 1.98 | 2.78 | 0.0% |
| 2023Q3 | 92 | 96.7 | 2.74 | 0.43 | 0.47 | 1.84 | 2.52 | 0.1% |
| 2023Q2 | 91 | 91.1 | 2.58 | 0.33 | 0.54 | 1.71 | 2.38 | 1.4% |
| 2023Q1 | 90 | 90.2 | 2.68 | 0.36 | 0.53 | 1.78 | 2.40 | 9.8% |
| 2022Q4 | 92 | 88.6 | 2.80 | 0.41 | 0.60 | 1.79 | 2.47 | 6.4% |
| 2022Q3 | 92 | 93.0 | 2.82 | 0.45 | 0.51 | 1.86 | 2.50 | 1.5% |
| 2022Q2 | 91 | 90.5 | 3.02 | 0.57 | 0.34 | 2.11 | 2.64 | 2.5% |
| 2022Q1 | 90 | 89.9 | 2.77 | 0.56 | 0.32 | 1.89 | 2.60 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
48D × 29E × 18F × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-04-08 |
| 2026-03-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-04-08 |
| 2026-03-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-08 |
| 2026-03-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-08 |
| 2026-03-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-08 |
| 2025-10-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-11-20 |
| 2025-10-30 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-11-20 |
| 2025-10-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-20 |
| 2025-06-26 | 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 | 2025-07-18 |
| 2025-06-26 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-18 |
| 2025-02-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-20 |
| 2025-02-27 | 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 | 2025-03-20 |
| 2025-02-27 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-03-20 |
| 2025-02-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-20 |
| 2025-02-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-20 |
| 2025-02-27 | 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 | 2025-03-20 |
| 2025-02-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-03-20 |
| 2025-02-27 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-03-20 |
| 2025-02-27 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-03-20 |
| 2025-02-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-20 |
| 2024-08-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-22 |
| 2024-08-07 | Health · complaint | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-08-22 |
| 2024-08-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-22 |
| 2024-08-07 | Health · complaint | 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 | 2024-08-22 |
| 2024-04-11 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-05-02 |
| 2024-04-11 | 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 | 2024-05-02 |
| 2024-04-11 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-05-02 |
| 2024-04-11 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-02 |
| 2024-04-11 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-05-02 |
| 2024-04-11 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-02 |
| 2024-04-11 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-05-02 |
| 2024-04-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2024-05-02 |
| 2024-04-11 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-05-02 |
| 2024-04-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-02 |
| 2024-04-11 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-02 |
| 2024-04-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-05-02 |
| 2024-02-13 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-11 |
| 2024-02-13 | 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 | 2024-03-11 |
| 2024-02-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-11 |
| 2024-02-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-11 |
| 2024-02-13 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-03-11 |
| 2024-02-13 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-03-11 |
| 2024-02-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-11 |
| 2023-11-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-15 |
| 2023-11-28 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-12-15 |
| 2023-11-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-12-15 |
| 2023-11-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-15 |
| 2023-11-28 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-12-15 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BAUCOM, STACEY | ADP OF THE SNF | — | 2021-12-30 | current | pecos_ownership |
| CAMPBELL STREET SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| CAMPBELL STREET SERVICES LLC | ADP OF THE SNF | — | 2025-10-15 | current | pecos_ownership |
| CHITAI INVESTMENT, LLC | ADP OF THE SNF | — | 2019-10-17 | current | pecos_ownership |
| CHITAI INVESTMENT, LLC | INDIRECT OWNERSHIP INTEREST | — | 2019-04-04 | current | pecos_ownership |
| CURCIO, DOMINIC | ADP OF THE SNF | — | 2019-04-04 | current | pecos_ownership |
| DOLE, ISAAC | INDIRECT OWNERSHIP INTEREST | — | 2020-03-01 | current | pecos_ownership |
| FISHER, MALORI | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 | current | pecos_ownership |
| HOLDCO GOLDFINCH, LLC | DIRECT OWNERSHIP INTEREST | — | 2019-10-17 | current | pecos_ownership |
| HOLDCO TABLETOP, LLC | INDIRECT OWNERSHIP INTEREST | — | 2019-10-17 | current | pecos_ownership |
| INVESTCO TABLETOP, LLC | INDIRECT OWNERSHIP INTEREST | — | 2015-11-01 | current | pecos_ownership |
| INVESTCO TABLETOP, LLC | ADP OF THE SNF | — | 2019-10-17 | current | pecos_ownership |
| MANAGERCO GOLDFINCH, LLC | ADP OF THE SNF | — | 2025-10-15 | current | pecos_ownership |
| MANAGERCO GOLDFINCH, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| MANAGERCO TABLETOP, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-04 | current | pecos_ownership |
| MANAGERCO TABLETOP, LLC | ADP OF THE SNF | — | 2025-10-15 | current | pecos_ownership |
| OCONNER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| REALCO ALTOONA, IA, LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2019-10-17 | current | pecos_ownership |
| SATTERFIELD, BRENDA | ADP OF THE SNF | — | 2025-04-18 | current | pecos_ownership |
| TECHCARE CORP | INDIRECT OWNERSHIP INTEREST | — | 2019-04-04 | current | pecos_ownership |
| TECHCARE CORP | ADP OF THE SNF | — | 2019-10-17 | current | pecos_ownership |
| THOMAS, JOSEPH | ADP OF THE SNF | — | 2019-04-04 | current | pecos_ownership |
| INVESTCO TABLETOP, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 98% | 2019-04-04 | ended 2026-05-18 | pecos_ownership |
| JOSEPH THOMAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2019-04-04 | ended 2026-05-18 | pecos_ownership |
| DOMINIC CURCIO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2019-04-04 | ended 2026-05-18 | pecos_ownership |
| ISAAC DOLE | INDIRECT OWNERSHIP INTEREST | 1% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| BRENDA SATTERFIELD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-18 | ended 2026-05-18 | pecos_ownership |
| MALORI FISHER | ADP OF THE SNF | — | 2025-04-29 | ended 2026-05-18 | pecos_ownership |
| MICHAEL OCONNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| STACEY BAUCOM | ADP OF THE SNF | — | 2021-12-30 | 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 |
|---|---|---|---|---|
| 2020-03-01 | — | OPCO ALTOONA, IA, LLC | PINNACLE HEALTH FACILITIES XVII LP | chow |
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO GRUNDY CENTER IA LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19153 | acs median gross | 0 | $926 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 0 | $1,063 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 1 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 1 | $1,109 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 2 | $1,169 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 2 | $1,318 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 3 | $1,497 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 3 | $1,794 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 4 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 4 | $1,841 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 5 | $1,834 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | acs median gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 19153 | acs recent mover gross | $1,235 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50009 | acs median gross | 1 | $976 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50009 | acs median gross | 2 | $1,247 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50009 | acs median gross | 3 | $1,472 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50009 | acs median gross | $1,232 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50009 | acs recent mover gross | $1,317 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50009 | payment standard 110 | 0 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 90 | 0 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | safmr | 0 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 110 | 1 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 90 | 1 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | safmr | 1 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 110 | 2 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 90 | 2 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | safmr | 2 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 110 | 3 | $2,112 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 90 | 3 | $1,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | safmr | 3 | $1,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 110 | 4 | $2,167 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | payment standard 90 | 4 | $1,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50009 | safmr | 4 | $1,970 | 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.