Composite
86.4 / 100 percentile
Screener / 265863
D
TIFFANY SPRINGS REHABILITATION & HEALTH CARE CENTE
snfMO
9191 N AMBASSADOR DRIVE, KANSAS CITY, MO 64154 · CCN 265863 · chain WALNUT CREEK MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 86.4% 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 signals9Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies44Licensure0Ownership24Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 88.3 | 85.7 | 0.30 | 0.2308 | 20.38 | in index |
| billing conduct | 81.0 | 53.6 | 0.30 | 0.2308 | 18.69 | in index |
| staffing risk | 50.0 | 50.0 | 0.25 | 0.1923 | 9.62 | in index |
| chow risk | 74.9 | 52.8 | 0.15 | 0.1154 | 8.64 | in index |
| financial risk | 29.3 | 33.4 | 0.30 | 0.2308 | 6.76 | 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
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +29.3 vs natl | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet risk far above national | +27.2 vs natl | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 facilities |
| connection | Owner fleet risk far above national | +26.8 vs natl | BROOKS KILEY | 29 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | BLOOM RANDALL | 15 facilities |
| connection | Owner fleet risk far above national | +22.5 vs natl | TUTERA GROUP INC | 5 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | BLOOM RANDALL | 15 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | BROOKS KILEY | 29 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 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 | 53.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 57.3 | C | 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 | 48.2 | C | v0.6 | default · in composite | |
| financial risk | 33.4 | 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 | 4.2 | — | 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 | 85.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 50.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.5 | 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 | 75.5 | 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 | 49.8 | 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 | 37.6 | 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 | 85.6 | 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 | 85.6 | 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 | 50.0 | 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 | 50.0 | 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)
4.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
85.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.95 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.18 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Occupancy | 0.95 | -0.84 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.18 | -0.65 | |
| Fine amount, 12m (log) | 10.00 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
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 | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.28 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.29 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.97 | 2.24 | 3.11 | — |
| Weekday total | 3.40 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 113.7 | 3.28 | 0.29 | 1.03 | 1.96 | 2.97 | 3.3% |
| 2025Q3 | 92 | 112.1 | 3.21 | 0.33 | 0.88 | 2.00 | 3.02 | 2.5% |
| 2025Q2 | 91 | 111.4 | 3.23 | 0.34 | 0.88 | 2.00 | 2.96 | 2.0% |
| 2025Q1 | 90 | 113.7 | 3.21 | 0.23 | 0.96 | 2.01 | 2.86 | 6.8% |
| 2024Q4 | 92 | 113.2 | 3.26 | 0.26 | 0.97 | 2.03 | 2.96 | 6.3% |
| 2024Q3 | 92 | 116.6 | 3.22 | 0.23 | 0.98 | 2.01 | 2.93 | 9.9% |
| 2024Q2 | 91 | 113.9 | 3.13 | 0.27 | 0.90 | 1.96 | 2.98 | 17.6% |
| 2024Q1 | 91 | 114.6 | 3.03 | 0.26 | 0.90 | 1.88 | 2.85 | 21.3% |
| 2023Q4 | 92 | 111.5 | 3.22 | 0.30 | 0.98 | 1.93 | 2.91 | 18.7% |
| 2023Q3 | 92 | 110.0 | 3.11 | 0.29 | 0.94 | 1.88 | 2.83 | 13.6% |
| 2023Q2 | 91 | 109.3 | 3.34 | 0.49 | 0.76 | 2.09 | 3.07 | 9.4% |
| 2023Q1 | 90 | 109.2 | 3.32 | 0.51 | 0.71 | 2.10 | 3.14 | 13.8% |
| 2022Q4 | 92 | 108.2 | 3.40 | 0.45 | 0.78 | 2.18 | 3.18 | 24.3% |
| 2022Q3 | 92 | 110.5 | 3.30 | 0.43 | 0.72 | 2.15 | 3.12 | 30.1% |
| 2022Q2 | 91 | 109.5 | 3.28 | 0.45 | 0.71 | 2.12 | 3.03 | 29.4% |
| 2022Q1 | 90 | 108.3 | 2.59 | 0.34 | 0.49 | 1.76 | 2.45 | 29.3% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-23 | Fine | $22,080 | CMS provider data |
| 2024-06-17 | Fine | $26,072 | CMS provider data |
Total fines on record: $48,152
Deficiencies
44D × 14E × 26F × 1G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-17 | Health · complaint | 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 | 2026-05-12 |
| 2026-02-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-03-16 |
| 2026-01-23 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2026-03-02 |
| 2026-01-23 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2026-03-02 |
| 2026-01-23 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2026-03-02 |
| 2026-01-23 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-03-02 |
| 2026-01-23 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-03-02 |
| 2026-01-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-03-02 |
| 2026-01-23 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-02 |
| 2026-01-23 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-03-02 |
| 2026-01-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-02 |
| 2026-01-23 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-03-02 |
| 2025-09-11 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | — |
| 2024-12-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-01-31 |
| 2024-12-31 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | 2025-01-31 |
| 2024-10-04 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-11-08 |
| 2024-10-04 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-11-08 |
| 2024-10-04 | 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 | 2024-11-08 |
| 2024-10-04 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-11-08 |
| 2024-10-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-08 |
| 2024-10-04 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-11-08 |
| 2024-10-04 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2024-11-08 |
| 2024-10-04 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-11-08 |
| 2024-10-04 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-11-08 |
| 2024-10-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-08 |
| 2024-10-04 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-08 |
| 2024-08-21 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-09-06 |
| 2024-06-17 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2024-07-10 |
| 2024-02-13 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-03-19 |
| 2024-02-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-03-19 |
| 2023-08-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-09-22 |
| 2023-08-18 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2023-09-22 |
| 2023-08-18 | 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. | E | 2023-09-22 |
| 2023-08-18 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-09-22 |
| 2023-08-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-09-22 |
| 2023-08-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-09-22 |
| 2023-08-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-09-22 |
| 2023-08-18 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-09-22 |
| 2023-08-18 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-09-22 |
| 2023-08-18 | Health | 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 | 2023-09-22 |
| 2023-08-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-22 |
| 2023-08-18 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2023-09-22 |
| 2023-08-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-22 |
| 2023-08-18 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-09-22 |
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
24| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| INVESTMENT PROPERTIES & MGT INC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| INVESTMENT PROPERTIES & MGT INC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| TIFFANY SPRINGS REHAB SNF PRPTY LLC | Corporation, partnership or other organization has financial interest in provider | 14% | 2024-01-01 | current | hcris_a_8_1 |
| TIFFANY SPRINGS SNF PRPTY LLC | Corporation, partnership or other organization has financial interest in provider | 14% | 2023-01-01 | current | hcris_a_8_1 |
| TUTERA GROUP, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-10-13 | current | pecos_ownership |
| BLOOM, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-10-13 | current | pecos_ownership |
| BROOKS, KILEY | CORPORATE OFFICER | — | 2013-06-01 | current | pecos_ownership |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-10-13 | current | pecos_ownership |
| TUTERA, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-10-13 | current | pecos_ownership |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-10-13 | current | pecos_ownership |
| INVESTMENT PROPERTIES & MGT INC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| INVESTMENT PROPERTIES & MGT INC | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| INVESTMENT PROPERTIES & MGT INC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| JOSEPH TUTERA | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2016-10-13 | ended 2026-05-18 | pecos_ownership |
| KILEY BROOKS | CORPORATE OFFICER | 20% | 2013-06-01 | ended 2026-05-18 | pecos_ownership |
| CONSTACE MARIE MENDOLIA 2009 IRRV TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2016-10-13 | ended 2026-05-18 | pecos_ownership |
| MARY MARGARET CUNNINGHAM 2009 IRRV TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2016-10-13 | ended 2026-05-18 | pecos_ownership |
| TIFFANY SPRINGS SNF PRPTY LLC | Corporation, partnership or other organization has financial interest in provider | 14% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| TIFFANY SPRINGS SNF PRPTY LLC | Corporation, partnership or other organization has financial interest in provider | 14% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| TIFFANY SPRINGS SNF PRPTY LLC | Corporation, partnership or other organization has financial interest in provider | 14% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| KILEY BROOKS | OPERATIONAL/MANAGERIAL CONTROL | 10% | 2016-10-13 | ended 2026-05-18 | pecos_ownership |
| RANDALL BLOOM | OPERATIONAL/MANAGERIAL CONTROL | 10% | 2016-10-13 | ended 2026-05-18 | pecos_ownership |
| TUTERA INVESTMENTS, LLC | OTHER | 6% | 2002-08-30 | ended 2026-05-18 | pecos_ownership |
| JOSEPH TUTERA | OTHER | 5% | 2000-10-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29165 | acs median gross | 0 | $967 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29165 | acs median gross | 1 | $1,107 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29165 | acs median gross | 2 | $1,335 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29165 | acs median gross | 3 | $1,733 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29165 | acs median gross | 4 | $2,292 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29165 | acs median gross | 5 | $2,500 | 2024-12-31 | CENSUS_ACS5 |
| county 29165 | acs median gross | $1,334 | 2024-12-31 | CENSUS_ACS5 | |
| county 29165 | acs recent mover gross | $1,625 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64154 | acs median gross | 0 | $1,202 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64154 | acs median gross | 1 | $1,205 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64154 | acs median gross | 2 | $1,512 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64154 | acs median gross | 3 | $1,989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64154 | acs median gross | $1,441 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64154 | acs recent mover gross | $1,906 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64154 | payment standard 110 | 0 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 90 | 0 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | safmr | 0 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 110 | 1 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 90 | 1 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | safmr | 1 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 110 | 2 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 90 | 2 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | safmr | 2 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 110 | 3 | $2,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 90 | 3 | $1,827 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | safmr | 3 | $2,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 110 | 4 | $2,662 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | payment standard 90 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64154 | safmr | 4 | $2,420 | 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.