Composite
75.8 / 100 percentile
Screener / 265456
C
ABODE HEALTH AND WELLNESS CENTER
snfMOSFF: SFF Candidate
17451 MEDICAL CENTER PARKWAY, INDEPENDENCE, MO 64057 · CCN 265456 · chain THE BAPTIST HOME
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
118
Model
v1.2
Reads as: riskier than 75.8% 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 model5Components16CHOW radar1Distress radar1Staffing12Penalties27Deficiencies77Licensure0Ownership41Related party4Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 94.4 | 83.6 | 0.30 | 0.2308 | 21.78 | in index |
| regulatory risk | 94.4 | 92.3 | 0.30 | 0.2308 | 21.78 | in index |
| staffing risk | 44.5 | 44.6 | 0.25 | 0.1923 | 8.56 | in index |
| chow risk | 56.1 | 54.3 | 0.15 | 0.1154 | 6.47 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | 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 | 83.6 | F | v0.6 | default · in composite | |
| financial risk | 83.6 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 3.1 | — | 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 | 92.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 44.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.5 | 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 | 76.5 | D | 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 | 70.3 | D | 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 | 82.7 | F | 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 | 92.3 | 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 | 92.3 | 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 | 44.6 | B | 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 | 44.6 | B | 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
7.0
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) | 5.16 | -1.35 | |
| For-profit ownership | 0.00 | -1.24 | |
| Occupancy | 0.40 | +0.85 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.39 | -0.11 | |
| Deficiencies, last 12 months | 3.00 | -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)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
94.4
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 | 0.00 | +1.62 | |
| Occupancy | 0.40 | +1.46 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.16 | -0.22 | |
| 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
12| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.37 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.20 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 3.29 | 2.24 | 3.11 | — |
| Weekday total | 3.41 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 47.5 | 3.37 | 0.20 | 0.81 | 2.36 | 3.29 | 10.0% |
| 2025Q3 | 92 | 52.3 | 3.24 | 0.27 | 0.86 | 2.11 | 2.87 | 9.6% |
| 2025Q2 | 91 | 55.5 | 3.84 | 0.21 | 0.91 | 2.72 | 3.48 | 16.4% |
| 2025Q1 | 90 | 56.5 | 3.43 | 0.23 | 0.79 | 2.41 | 3.25 | 11.1% |
| 2024Q4 | 92 | 56.8 | 3.63 | 0.23 | 0.76 | 2.63 | 3.29 | 6.3% |
| 2024Q3 | 92 | 56.7 | 3.11 | 0.27 | 0.60 | 2.24 | 2.68 | 1.4% |
| 2024Q2 | 91 | 55.2 | 3.60 | 0.17 | 0.96 | 2.46 | 3.05 | 10.2% |
| 2024Q1 | 91 | 58.5 | 3.16 | 0.21 | 0.84 | 2.11 | 2.68 | 27.2% |
| 2023Q4 | 92 | 59.0 | 3.17 | 0.22 | 0.86 | 2.10 | 2.61 | 23.6% |
| 2023Q3 | 92 | 57.8 | 3.27 | 0.16 | 0.96 | 2.15 | 2.95 | 25.5% |
| 2023Q2 | 91 | 52.0 | 5.69 | 0.68 | 1.24 | 3.77 | 5.18 | 17.3% |
| 2023Q1 | 90 | 43.9 | 2.92 | 0.73 | 0.82 | 1.38 | 2.38 | 31.5% |
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
27fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-19 | Fine | $134,345 | CMS provider data |
| 2025-02-19 | Payment Denial | — | CMS provider data |
| 2024-02-20 | Fine | $4,938 | CMS provider data |
| 2024-02-12 | Fine | $4,938 | CMS provider data |
| 2024-01-22 | Fine | $14,814 | CMS provider data |
| 2024-01-08 | Fine | $4,938 | CMS provider data |
| 2024-01-02 | Fine | $4,587 | CMS provider data |
| 2023-12-11 | Fine | $13,762 | CMS provider data |
| 2023-11-20 | Fine | $4,587 | CMS provider data |
| 2023-11-13 | Fine | $4,587 | CMS provider data |
| 2023-11-06 | Fine | $4,587 | CMS provider data |
| 2023-10-30 | Fine | $4,587 | CMS provider data |
| 2023-10-23 | Fine | $4,587 | CMS provider data |
| 2023-10-17 | Fine | $4,587 | CMS provider data |
| 2023-10-10 | Fine | $4,587 | CMS provider data |
| 2023-10-02 | Fine | $4,587 | CMS provider data |
| 2023-09-25 | Fine | $4,587 | CMS provider data |
| 2023-09-18 | Fine | $4,587 | CMS provider data |
| 2023-09-11 | Fine | $4,587 | CMS provider data |
| 2023-09-05 | Fine | $4,587 | CMS provider data |
| 2023-08-28 | Fine | $4,587 | CMS provider data |
| 2023-08-21 | Fine | $4,587 | CMS provider data |
| 2023-08-14 | Fine | $4,587 | CMS provider data |
| 2023-08-07 | Fine | $4,587 | CMS provider data |
| 2023-07-17 | Fine | $13,762 | CMS provider data |
| 2023-06-26 | Fine | $4,587 | CMS provider data |
| 2023-06-20 | Fine | $4,587 | CMS provider data |
Total fines on record: $278,650
Deficiencies
77C × 1D × 38E × 29F × 8J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-23 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2026-02-17 |
| 2025-12-19 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2026-02-02 |
| 2025-12-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2026-02-02 |
| 2025-05-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-15 |
| 2025-05-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-15 |
| 2025-02-19 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2025-04-05 |
| 2025-02-19 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2025-04-05 |
| 2025-02-19 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-04-05 |
| 2025-02-19 | 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 | 2025-04-05 |
| 2025-02-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-04-05 |
| 2025-02-19 | 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 | 2025-04-05 |
| 2025-02-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-24 |
| 2025-02-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2025-02-24 |
| 2025-02-19 | 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 | 2025-04-05 |
| 2025-02-19 | Health | 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. | D | 2025-04-05 |
| 2025-02-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-04-05 |
| 2025-02-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-04-05 |
| 2025-02-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-05 |
| 2025-02-19 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2025-04-05 |
| 2025-02-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-15 |
| 2025-02-19 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-04-05 |
| 2025-02-19 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-04-05 |
| 2025-02-19 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2025-04-05 |
| 2025-02-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-06-15 |
| 2025-02-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-15 |
| 2025-02-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-05 |
| 2025-02-19 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-06-15 |
| 2025-02-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-05 |
| 2025-02-19 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-15 |
| 2025-02-19 | 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 | 2025-04-05 |
| 2025-02-19 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-04-05 |
| 2025-02-19 | Health | F0732 | Post nurse staffing information every day. | E | 2025-04-05 |
| 2025-02-19 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-04-05 |
| 2025-02-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-05 |
| 2025-02-19 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-04-05 |
| 2025-02-19 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-04-05 |
| 2025-02-19 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2025-04-05 |
| 2025-02-19 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-04-05 |
| 2025-02-19 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-04-05 |
| 2025-02-19 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-04-05 |
| 2025-02-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-15 |
| 2025-02-19 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-04-05 |
| 2025-02-19 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-04-05 |
| 2025-02-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-04-05 |
| 2025-02-19 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-04-05 |
| 2025-02-19 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-04-05 |
| 2024-11-21 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-01-05 |
| 2024-11-21 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-01-05 |
| 2024-04-22 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-04-15 |
| 2024-02-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-25 |
| 2024-02-13 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2024-03-25 |
| 2023-06-05 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2023-07-14 |
| 2023-06-05 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2023-07-14 |
| 2023-06-05 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-07-14 |
| 2023-06-05 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-07-27 |
| 2023-06-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-07-14 |
| 2023-06-05 | Health | 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. | D | 2023-07-14 |
| 2023-06-05 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-07-14 |
| 2023-06-05 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-07-14 |
| 2023-06-05 | 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 | 2023-07-14 |
| 2023-06-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-07-14 |
| 2023-06-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-07-31 |
| 2023-06-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-14 |
| 2023-06-05 | 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 | 2023-07-14 |
| 2023-06-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-07-14 |
| 2023-06-05 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2023-07-14 |
| 2023-06-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-07-14 |
| 2023-06-05 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-07-31 |
| 2023-06-05 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-07-14 |
| 2023-06-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-07-14 |
| 2023-06-05 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2023-07-14 |
| 2023-06-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-07-14 |
| 2021-08-09 | 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 | 2021-09-23 |
| 2021-08-09 | Health | F0732 | Post nurse staffing information every day. | C | 2021-09-23 |
| 2021-08-09 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-09-23 |
| 2021-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-09-23 |
| 2021-08-09 | Health | F0908 | Keep all essential equipment working safely. | E | 2021-09-23 |
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BRAAMS, STUART | CORPORATE OFFICER | — | 2022-01-10 | current | pecos_ownership |
| BROCK, ALAN | CORPORATE DIRECTOR | — | 2021-06-01 | current | pecos_ownership |
| CAMPBELL, BEVERLEY | CORPORATE DIRECTOR | — | 2023-10-24 | current | pecos_ownership |
| CULBERTSON, TROY | CORPORATE OFFICER | — | 2023-11-01 | current | pecos_ownership |
| DE NOON, WILLIAM | CORPORATE DIRECTOR | — | 2022-11-01 | current | pecos_ownership |
| GAINES, BARBARA | CORPORATE DIRECTOR | — | 2021-11-01 | current | pecos_ownership |
| GOOD, DERRICK | CORPORATE DIRECTOR | — | 2021-11-01 | current | pecos_ownership |
| HARDER, KENETTE | CORPORATE DIRECTOR | — | 2021-06-01 | current | pecos_ownership |
| HARRISON, RODNEY | CORPORATE OFFICER | — | 2020-04-03 | current | pecos_ownership |
| HOLDSWORTH, LEAH | CORPORATE DIRECTOR | — | 2022-02-01 | current | pecos_ownership |
| LANE, ALLAN | CORPORATE DIRECTOR | — | 2021-11-01 | current | pecos_ownership |
| MACKEY, RONALD | CORPORATE OFFICER | — | 2021-06-01 | current | pecos_ownership |
| MCKAY, CHARLES | CORPORATE DIRECTOR | — | 2021-11-01 | current | pecos_ownership |
| NEWBOLD, BRAD | CORPORATE DIRECTOR | — | 2022-11-01 | current | pecos_ownership |
| NICHOLS, LLOYD | CORPORATE DIRECTOR | — | 2021-06-01 | current | pecos_ownership |
| PARKER, BRANDY | CORPORATE OFFICER | — | 2022-04-04 | current | pecos_ownership |
| PARKER, KENNETH | CORPORATE DIRECTOR | — | 2021-06-01 | current | pecos_ownership |
| SULLIVAN, KEVIN | CORPORATE DIRECTOR | — | 2021-11-01 | current | pecos_ownership |
| THE BAPTIST HOME | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-28 | current | pecos_ownership |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-05-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-05-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ALAN BROCK | CORPORATE DIRECTOR | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| ALLAN LANE | CORPORATE DIRECTOR | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| BARBARA GAINES | CORPORATE DIRECTOR | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| BEVERLEY CAMPBELL | CORPORATE DIRECTOR | — | 2023-10-24 | ended 2026-05-18 | pecos_ownership |
| BRAD NEWBOLD | CORPORATE DIRECTOR | — | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| BRANDY PARKER | CORPORATE OFFICER | — | 2022-04-04 | ended 2026-05-18 | pecos_ownership |
| CHARLES MCKAY | CORPORATE DIRECTOR | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| DERRICK GOOD | CORPORATE DIRECTOR | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| KENETTE HARDER | CORPORATE DIRECTOR | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| KENNETH PARKER | CORPORATE DIRECTOR | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| KEVIN SULLIVAN | CORPORATE DIRECTOR | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| LEAH HOLDSWORTH | CORPORATE DIRECTOR | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| LLOYD NICHOLS | CORPORATE DIRECTOR | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| RODNEY HARRISON | CORPORATE OFFICER | — | 2020-04-03 | ended 2026-05-18 | pecos_ownership |
| RONALD MACKEY | W-2 MANAGING EMPLOYEE | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| STUART BRAAMS | W-2 MANAGING EMPLOYEE | — | 2022-01-10 | ended 2026-05-18 | pecos_ownership |
| TROY CULBERTSON | CORPORATE OFFICER | — | 2023-11-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM DE NOON | CORPORATE DIRECTOR | — | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-06-01 | — | THE BAPTIST HOME | N & R OF INDEPENDENCE LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29095 | acs median gross | 0 | $938 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 1 | $1,024 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 2 | $1,179 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 3 | $1,422 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 4 | $1,731 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 5 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | acs median gross | $1,197 | 2024-12-31 | CENSUS_ACS5 | |
| county 29095 | acs recent mover gross | $1,373 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64057 | acs median gross | 0 | $1,013 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64057 | acs median gross | 1 | $1,240 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64057 | acs median gross | 2 | $1,106 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64057 | acs median gross | 3 | $1,361 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64057 | acs median gross | 4 | $1,803 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64057 | acs median gross | $1,191 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64057 | acs recent mover gross | $1,234 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64057 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 110 | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 90 | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | safmr | 2 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 110 | 3 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 90 | 3 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | safmr | 3 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 110 | 4 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | payment standard 90 | 4 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64057 | safmr | 4 | $2,010 | 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.