CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 07:02 UTC
Screener / 165110
B

Southeast Iowa Regional Medical - Klein Center

snfIA
1307 South Gear Avenue, West Burlington, IA 52655 · CCN 165110 · chain GREAT RIVER HEALTH SYSTEM INC
Composite
31.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
160
Model
v1.2
Reads as: riskier than 31.3% 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.

Composite explanation

3
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk75.872.10.300.428632.49in index
chow risk25.225.00.150.21435.40in index
staffing risk9.39.40.250.35713.32in 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

2
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike21.3x priorthis facility2026-07-29
connectionOwner spans multiple chains20 chainsCLIFTONLARSONALLEN LLP98 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

9
Score typeScoreGradeModelStatusRegistry model notes
chow risk25.0Bv0.1-posdefault · in compositeChange-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.
p adverse action 12m0.2v0.1default · in compositeR23/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 12m0.3v0.1default · in compositeR22/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 risk72.1Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk9.4Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk71.9Dv0.1supersededPre-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 risk71.9Dv0.2supersededPre-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 risk9.4Av0.1supersededPre-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 risk9.4Av0.2supersededPre-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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
47.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.87-0.50
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.40-0.27
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months2.00-0.12
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
64.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months2.00+1.06
Fine amount, 12m (log)10.95-0.62
Occupancy0.87-0.51
Total nurse staffing (HPRD)4.40-0.50
No PBJ staffing report0.00+0.39
Chain size (log)1.61+0.26
Facility size (log beds)5.08-0.15
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 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse4.403.153.282.90–3.77
RN0.990.460.390.25–0.58
Weekend total4.212.963.11
Weekday total4.483.203.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492139.04.400.990.492.924.211.1%
2025Q392136.14.110.920.482.713.901.3%
2025Q291127.33.900.910.442.553.721.0%
2025Q190124.03.960.970.492.503.870.4%
2024Q492109.84.281.100.462.714.090.4%
2024Q392102.14.181.090.402.693.960.1%
2024Q291100.04.180.980.442.763.942.1%
2024Q19196.04.221.080.382.763.966.0%
2023Q49289.64.040.960.402.673.806.6%
2023Q39287.44.220.920.542.763.899.6%
2023Q29186.54.201.040.472.693.8816.3%
2023Q19086.33.891.110.432.353.6511.0%
2022Q49288.93.981.150.452.383.789.5%
2022Q39291.94.161.110.402.653.859.4%
2022Q29197.43.881.020.002.863.7215.6%
2022Q19094.73.711.030.002.683.465.9%
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

2
fines by year
$57.1k$28.5k2425
DateTypeFineSource
2025-12-17Fine$57,073CMS provider data
2024-11-12Fine$8,021CMS provider data
Total fines on record: $65,094

Deficiencies

14
D × 9E × 3J × 2
deficiencies by survey year
84232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-12-22
2025-10-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-11-13
2025-06-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-07-03
2025-05-01Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-23
2025-05-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-05-23
2025-05-01Health · complaintF0610Respond appropriately to all alleged violations.D2025-05-23
2025-05-01HealthF0803Ensure 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.E2025-05-23
2025-05-01Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2025-05-23
2024-11-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-12-05
2024-06-13HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-07-12
2024-06-13HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-07-12
2023-03-16HealthF0727Have 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.D2023-04-13
2023-03-16HealthF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E2023-04-13
2023-03-16HealthF0880Provide and implement an infection prevention and control program.D2023-04-13
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

0
No 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

60
OwnerRolePctFromStatusSource
GREAT RIVER HEALTH SYSTEM INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-08-01currentpecos_ownership
ALEXANDER, JEREMYADP OF THE SNF2019-09-16currentpecos_ownership
ANDERSON, JOYCORPORATE DIRECTOR2021-03-01currentpecos_ownership
ARAMARK HEALTHCARE SUPPORT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2024-02-23currentpecos_ownership
ARAMARK HEALTHCARE SUPPORT SERVICES LLCADP OF THE SNF2025-02-19currentpecos_ownership
BARR, DEANNAOPERATIONAL/MANAGERIAL CONTROL2021-03-01currentpecos_ownership
CHELF, TODDADP OF THE SNF2021-01-18currentpecos_ownership
CLIFTONLARSONALLEN LLPADP OF THE SNF2021-06-14currentpecos_ownership
COLGAN, TERESACORPORATE OFFICER2021-07-01currentpecos_ownership
DEETS, RYANCORPORATE DIRECTOR2026-01-27currentpecos_ownership
DODD, NEALCORPORATE DIRECTOR2022-01-01currentpecos_ownership
DUNN, HOPEADP OF THE SNF2022-06-27currentpecos_ownership
ENGBERG, ROBERTOPERATIONAL/MANAGERIAL CONTROL2019-01-01currentpecos_ownership
FLEMING, BETHADP OF THE SNF2023-03-20currentpecos_ownership
HAGAN, TOMIADP OF THE SNF2018-12-03currentpecos_ownership
HICKEY, MICHAELOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
HUFFMAN, ROBERTOPERATIONAL/MANAGERIAL CONTROL2022-01-01currentpecos_ownership
KLOPFENSTEIN, MARYADP OF THE SNF2023-12-01currentpecos_ownership
LINHART, DANIELADP OF THE SNF2021-01-01currentpecos_ownership
MARTIN, DOUGLASCORPORATE DIRECTOR2019-01-01currentpecos_ownership
MCCOY, MICHAELOPERATIONAL/MANAGERIAL CONTROL2022-11-16currentpecos_ownership
MCCOY, MICHAELCORPORATE OFFICER2022-10-12currentpecos_ownership
MCKILLIP, JOHNOPERATIONAL/MANAGERIAL CONTROL2019-01-01currentpecos_ownership
MCNAMEE, CARLACORPORATE DIRECTOR2021-03-01currentpecos_ownership
RASHID, JOHNADP OF THE SNF2025-01-01currentpecos_ownership
RIHERD, GINACORPORATE DIRECTOR2025-07-01currentpecos_ownership
RODRIGUEZ, RUSSELLOPERATIONAL/MANAGERIAL CONTROL2022-08-01currentpecos_ownership
RYON, JOELOPERATIONAL/MANAGERIAL CONTROL2023-01-23currentpecos_ownership
SOUTHEAST IOWA REGIONAL MEDICAL CENTER INCOPERATIONAL/MANAGERIAL CONTROL2010-12-16currentpecos_ownership
SOUTHEAST IOWA REGIONAL MEDICAL CENTER INCADP OF THE SNF2013-04-01currentpecos_ownership
STEPHENSON, VICTORIAOPERATIONAL/MANAGERIAL CONTROL2022-01-01currentpecos_ownership
WEST, AMYADP OF THE SNF2024-08-26currentpecos_ownership
YOST, MICHAELOPERATIONAL/MANAGERIAL CONTROL2023-02-13currentpecos_ownership
DOUGLAS MARTINCORPORATE DIRECTOR0%2019-01-01ended 2026-05-18pecos_ownership
MICHAEL HICKEYCORPORATE DIRECTOR0%2024-07-01ended 2026-05-18pecos_ownership
MICHAEL MCCOYOPERATIONAL/MANAGERIAL CONTROL0%2022-11-16ended 2026-05-18pecos_ownership
MICHAEL MCCOYCORPORATE OFFICER0%2022-10-12ended 2026-05-18pecos_ownership
ROBERT ENGBERGCORPORATE DIRECTOR0%2019-01-01ended 2026-05-18pecos_ownership
AMY WESTOPERATIONAL/MANAGERIAL CONTROL2024-08-26ended 2026-05-18pecos_ownership
BETH FLEMINGOPERATIONAL/MANAGERIAL CONTROL2023-03-20ended 2026-05-18pecos_ownership
CARLA MCNAMEEOPERATIONAL/MANAGERIAL CONTROL2021-03-01ended 2026-05-18pecos_ownership
DANIEL LINHARTADP OF THE SNF2021-01-01ended 2026-05-18pecos_ownership
DEANNA BARRCORPORATE DIRECTOR2021-03-01ended 2026-05-18pecos_ownership
GINA RIHERDCORPORATE DIRECTOR2025-07-01ended 2026-05-18pecos_ownership
HOPE DUNNADP OF THE SNF2022-06-27ended 2026-05-18pecos_ownership
JEREMY ALEXANDERADP OF THE SNF2019-09-16ended 2026-05-18pecos_ownership
JOEL RYONOPERATIONAL/MANAGERIAL CONTROL2023-01-23ended 2026-05-18pecos_ownership
JOHN MCKILLIPCORPORATE DIRECTOR2019-01-01ended 2026-05-18pecos_ownership
JOHN RASHIDOPERATIONAL/MANAGERIAL CONTROL2025-01-01ended 2026-05-18pecos_ownership
JOY ANDERSONCORPORATE DIRECTOR2021-03-01ended 2026-05-18pecos_ownership
MARY KLOPFENSTEINADP OF THE SNF2023-12-01ended 2026-05-18pecos_ownership
MICHAEL YOSTADP OF THE SNF2023-02-13ended 2026-05-18pecos_ownership
NEAL DODDCORPORATE DIRECTOR2022-01-01ended 2026-05-18pecos_ownership
ROBERT HUFFMANOPERATIONAL/MANAGERIAL CONTROL2022-01-01ended 2026-05-18pecos_ownership
RUSSELL RODRIGUEZOPERATIONAL/MANAGERIAL CONTROL2022-08-01ended 2026-05-18pecos_ownership
RYAN DEETSOPERATIONAL/MANAGERIAL CONTROL2026-01-27ended 2026-05-18pecos_ownership
TERESA COLGANOPERATIONAL/MANAGERIAL CONTROL2021-07-01ended 2026-05-18pecos_ownership
TODD CHELFOPERATIONAL/MANAGERIAL CONTROL2021-01-18ended 2026-05-18pecos_ownership
TOMI HAGANOPERATIONAL/MANAGERIAL CONTROL2018-12-03ended 2026-05-18pecos_ownership
VICTORIA STEPHENSONCORPORATE DIRECTOR2022-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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 — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center40OPCO GRUNDY CENTER IA LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

32
GeoKindBRAmountAs ofSource
county 19057acs median gross0$5352024-12-31CENSUS_ACS5
county 19057fmr0$7332025-10-01HUD_USER_FMR
county 19057acs median gross1$6132024-12-31CENSUS_ACS5
county 19057fmr1$8102025-10-01HUD_USER_FMR
county 19057acs median gross2$9792024-12-31CENSUS_ACS5
county 19057fmr2$1,0632025-10-01HUD_USER_FMR
county 19057acs median gross3$1,2062024-12-31CENSUS_ACS5
county 19057fmr3$1,3692025-10-01HUD_USER_FMR
county 19057acs median gross4$1,3332024-12-31CENSUS_ACS5
county 19057fmr4$1,4262025-10-01HUD_USER_FMR
county 19057acs median gross$9042024-12-31CENSUS_ACS5
county 19057acs recent mover gross$8722024-12-31CENSUS_ACS5
zcta 52655acs median gross1$6602024-12-31CENSUS_ACS5
zcta 52655acs median gross2$9092024-12-31CENSUS_ACS5
zcta 52655acs median gross3$1,2762024-12-31CENSUS_ACS5
zcta 52655acs median gross$8622024-12-31CENSUS_ACS5
zcta 52655acs recent mover gross$9462024-12-31CENSUS_ACS5
zip 52655payment standard 1100$7702025-10-01HUD_USER_SAFMR
zip 52655payment standard 900$6302025-10-01HUD_USER_SAFMR
zip 52655safmr0$7002025-10-01HUD_USER_SAFMR
zip 52655payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 52655payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 52655safmr1$7702025-10-01HUD_USER_SAFMR
zip 52655payment standard 1102$1,1112025-10-01HUD_USER_SAFMR
zip 52655payment standard 902$9092025-10-01HUD_USER_SAFMR
zip 52655safmr2$1,0102025-10-01HUD_USER_SAFMR
zip 52655payment standard 1103$1,4302025-10-01HUD_USER_SAFMR
zip 52655payment standard 903$1,1702025-10-01HUD_USER_SAFMR
zip 52655safmr3$1,3002025-10-01HUD_USER_SAFMR
zip 52655payment standard 1104$1,4962025-10-01HUD_USER_SAFMR
zip 52655payment standard 904$1,2242025-10-01HUD_USER_SAFMR
zip 52655safmr4$1,3602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.