Composite
89.6 / 100 percentile
Screener / 265846
D
ABUNDANT ACRES CARE AND REHAB
snfMO
13277 STATE ROUTE D, SAVANNAH, MO 64485 · CCN 265846
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
88
Model
v1.2
Reads as: riskier than 89.6% 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 model5Components16CHOW radar1Distress radar1Staffing14Penalties3Deficiencies60Licensure0Ownership24Related party6Transactions1Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 97.9 | 97.9 | 0.25 | 0.1923 | 18.83 | in index |
| regulatory risk | 79.3 | 75.9 | 0.30 | 0.2308 | 18.30 | in index |
| billing conduct | 65.8 | 45.8 | 0.30 | 0.2308 | 15.18 | in index |
| financial risk | 35.5 | 37.0 | 0.30 | 0.2308 | 8.19 | in index |
| chow risk | 50.7 | 50.7 | 0.15 | 0.1154 | 5.85 | 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 | 45.8 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 76.6 | D | v0.6 | default · in composite | |
| financial risk | 37.0 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.4 | — | 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 | 75.9 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 97.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 84.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.2 | 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 | 26.7 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 41.9 | 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 | 75.8 | D | 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 | 75.8 | D | 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 | 97.9 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 97.9 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.19 | -1.63 | |
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.55 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 2.00 | +0.21 |
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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.9
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 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| Occupancy | 0.55 | +0.85 | |
| Fine amount, 12m (log) | 9.58 | -0.52 | |
| Total nurse staffing (HPRD) | 2.00 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
14| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.00 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.47 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.83 | 2.24 | 3.11 | — |
| Weekday total | 2.07 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 48.1 | 2.00 | 0.47 | 0.21 | 1.32 | 1.83 | 0.0% |
| 2025Q3 | 92 | 44.3 | 2.22 | 0.40 | 0.28 | 1.54 | 2.07 | 0.0% |
| 2025Q2 | 91 | 47.7 | 1.61 | 0.34 | 0.08 | 1.19 | 1.52 | 0.0% |
| 2025Q1 | 90 | 52.8 | 2.38 | 0.45 | 0.12 | 1.80 | 2.42 | 0.0% |
| 2024Q4 | 92 | 51.7 | 2.30 | 0.32 | 0.29 | 1.69 | 2.21 | 0.0% |
| 2024Q2 | 91 | 46.9 | 0.88 | 0.21 | 0.08 | 0.59 | 0.80 | 0.0% |
| 2024Q1 | 91 | 49.8 | 1.71 | 0.39 | 0.20 | 1.12 | 1.66 | 0.0% |
| 2023Q4 | 92 | 49.7 | 1.84 | 0.38 | 0.34 | 1.12 | 1.75 | 0.0% |
| 2023Q3 | 92 | 50.8 | 1.89 | 0.38 | 0.24 | 1.27 | 1.81 | 0.0% |
| 2023Q2 | 91 | 51.0 | 1.41 | 0.07 | 0.04 | 1.30 | 1.58 | 22.2% |
| 2022Q4 | 92 | 48.8 | 1.33 | 0.35 | 0.00 | 0.97 | 1.22 | 0.0% |
| 2022Q3 | 92 | 49.3 | 1.87 | 0.49 | 0.23 | 1.14 | 1.72 | 0.0% |
| 2022Q2 | 91 | 42.3 | 2.14 | 0.39 | 0.34 | 1.41 | 1.92 | 0.4% |
| 2022Q1 | 90 | 37.5 | 3.00 | 0.32 | 0.61 | 2.07 | 2.46 | 26.5% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-21 | Fine | $14,498 | CMS provider data |
| 2025-08-21 | Payment Denial | — | CMS provider data |
| 2024-04-03 | Payment Denial | — | CMS provider data |
Total fines on record: $14,498
Deficiencies
60D × 19E × 35F × 5G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-21 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-10-07 |
| 2025-08-21 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-10-07 |
| 2025-08-21 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2025-10-07 |
| 2025-08-21 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2025-10-07 |
| 2025-08-21 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-10-07 |
| 2025-08-21 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-10-07 |
| 2025-08-21 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-10-07 |
| 2025-08-21 | 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 | 2025-10-07 |
| 2025-08-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-07 |
| 2025-08-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-07 |
| 2025-08-21 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-10-07 |
| 2025-08-21 | 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 | 2025-10-07 |
| 2025-08-21 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-10-07 |
| 2025-08-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-10-07 |
| 2025-06-16 | 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. | E | 2025-07-11 |
| 2025-01-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-01-07 |
| 2025-01-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-28 |
| 2024-12-02 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-15 |
| 2024-06-26 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-08-09 |
| 2024-06-26 | 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 | 2024-08-09 |
| 2024-06-26 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-08-09 |
| 2024-06-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-09 |
| 2024-06-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-09 |
| 2024-06-26 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-08-09 |
| 2024-06-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-09 |
| 2024-06-26 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-08-09 |
| 2024-06-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-08-09 |
| 2024-06-26 | 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. | E | 2024-08-09 |
| 2024-06-26 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2024-08-09 |
| 2024-06-26 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-08-09 |
| 2024-06-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-09 |
| 2024-06-26 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-08-09 |
| 2024-06-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-08-09 |
| 2024-06-26 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-08-09 |
| 2024-05-14 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2024-05-19 |
| 2024-05-14 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-05-19 |
| 2024-05-14 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-05-19 |
| 2024-05-14 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-05-19 |
| 2024-04-29 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2024-06-13 |
| 2024-04-29 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-05-17 |
| 2024-04-03 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2024-06-13 |
| 2024-04-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2024-04-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | — |
| 2024-04-03 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | — |
| 2024-04-03 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-05-17 |
| 2024-01-18 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-03-15 |
| 2024-01-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-15 |
| 2024-01-18 | 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 | 2024-03-15 |
| 2023-01-19 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-02-23 |
| 2023-01-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-02-23 |
| 2023-01-19 | 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 | 2023-02-23 |
| 2023-01-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-02-23 |
| 2023-01-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-02-23 |
| 2023-01-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-02-23 |
| 2023-01-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-23 |
| 2023-01-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-02-23 |
| 2023-01-19 | 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 | 2023-02-23 |
| 2023-01-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-02-23 |
| 2023-01-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-03-27 |
| 2023-01-19 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2023-03-27 |
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 |
|---|---|---|---|---|---|
| ANEW HEALTHCARE OPERATIONS | Corporation, partnership or other organization has financial interest in provider | — | 2023-05-19 | current | hcris_a_8_1 |
| ANEW HEALTHCARE OPERATIONS | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| AVERY, SCOTT | CONTRACTED MANAGING EMPLOYEE | — | 2024-05-19 | current | pecos_ownership |
| BLEDSOE, JIM | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| COTTON, CARMEN | W-2 MANAGING EMPLOYEE | — | 2024-05-19 | current | pecos_ownership |
| EVANS, KURT | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| HARE, WAKEFIELD | CORPORATE OFFICER | — | 2024-05-19 | current | pecos_ownership |
| HOWELL, M | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| MINOR, CAROL | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| SARSANY, JAMI | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| SMITH, JENNIFER | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| SONTHEIMER, TOM | CORPORATE DIRECTOR | — | 2024-05-19 | current | pecos_ownership |
| WALL, HAVA | CORPORATE OFFICER | — | 2024-05-19 | current | pecos_ownership |
| CARMEN COTTON | W-2 MANAGING EMPLOYEE | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| CAROL MINOR | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| HAVA WALL | CORPORATE OFFICER | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| JAMI SARSANY | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SMITH | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| JIM BLEDSOE | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| KURT EVANS | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| M HOWELL | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| SCOTT AVERY | CONTRACTED MANAGING EMPLOYEE | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| TOM SONTHEIMER | CORPORATE DIRECTOR | — | 2024-05-19 | ended 2026-05-18 | pecos_ownership |
| WAKEFIELD HARE | CORPORATE OFFICER | — | 2024-05-19 | 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 |
|---|---|---|---|---|
| 2024-05-19 | — | ANDREW COUNTY NURSING HOME DISTRICT | ANEW HEALTHCARE OPERATIONS - SAVANNAH, 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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29003 | fmr | 0 | $774 | 2025-10-01 | HUD_USER_FMR |
| county 29003 | acs median gross | 1 | $508 | 2024-12-31 | CENSUS_ACS5 |
| county 29003 | fmr | 1 | $832 | 2025-10-01 | HUD_USER_FMR |
| county 29003 | acs median gross | 2 | $914 | 2024-12-31 | CENSUS_ACS5 |
| county 29003 | fmr | 2 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 29003 | acs median gross | 3 | $1,228 | 2024-12-31 | CENSUS_ACS5 |
| county 29003 | fmr | 3 | $1,363 | 2025-10-01 | HUD_USER_FMR |
| county 29003 | acs median gross | 4 | $1,272 | 2024-12-31 | CENSUS_ACS5 |
| county 29003 | fmr | 4 | $1,566 | 2025-10-01 | HUD_USER_FMR |
| county 29003 | acs median gross | $961 | 2024-12-31 | CENSUS_ACS5 | |
| county 29003 | acs recent mover gross | $1,155 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64485 | acs median gross | 2 | $835 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64485 | acs median gross | 3 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64485 | acs median gross | $852 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64485 | acs recent mover gross | $1,305 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64485 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 110 | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 90 | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | safmr | 3 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 110 | 4 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | payment standard 90 | 4 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64485 | safmr | 4 | $1,500 | 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.