Composite
65.6 / 100 percentile
Screener / 26A443
C
HOPE CARE CENTER
snfMO
115 EAST 83RD STREET, KANSAS CITY, MO 64114 · CCN 26A443
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
16
Model
v1.2
Reads as: riskier than 65.6% 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 model4Components12CHOW radar1Distress radar1Staffing15Penalties0Deficiencies27Licensure0Ownership0Related party0Transactions0Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 73.2 | 61.4 | 0.30 | 0.3000 | 21.96 | in index |
| staffing risk | 82.2 | 82.2 | 0.25 | 0.2500 | 20.55 | in index |
| regulatory risk | 29.5 | 20.1 | 0.30 | 0.3000 | 8.85 | in index |
| chow risk | 19.5 | 24.7 | 0.15 | 0.1500 | 2.93 | 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
12| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 24.7 | 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. |
| financial risk | 61.4 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 2.5 | — | 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 | 0.3 | — | 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 | 20.1 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 82.2 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.4 | 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 | 61.4 | C | 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 | 20.0 | A | 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 | 20.0 | A | 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 | 82.2 | 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 | 82.2 | 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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
45.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Occupancy | 1.00 | -0.88 | |
| 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) | 0.00 | -0.40 | |
| Facility size (log beds) | 2.83 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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)
2.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
92.9
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 | |
| Occupancy | 1.00 | -1.06 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 2.83 | +0.32 | |
| Total nurse staffing (HPRD) | 2.76 | +0.19 | |
| 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
15| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.76 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.82 | 2.24 | 3.11 | — |
| Weekday total | 2.73 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 16.0 | 2.76 | 0.19 | 0.95 | 1.62 | 2.82 | 7.7% |
| 2025Q3 | 92 | 15.5 | 4.18 | 0.22 | 1.62 | 2.33 | 3.38 | 15.8% |
| 2025Q2 | 91 | 15.9 | 3.82 | 0.30 | 1.43 | 2.08 | 3.74 | 20.2% |
| 2025Q1 | 90 | 15.0 | 3.95 | 0.32 | 1.57 | 2.07 | 3.80 | 22.7% |
| 2024Q3 | 92 | 13.1 | 4.51 | 0.39 | 1.76 | 2.36 | 4.36 | 20.8% |
| 2024Q2 | 91 | 8.6 | 5.98 | 0.47 | 2.50 | 3.01 | 5.43 | 4.8% |
| 2024Q1 | 91 | 13.5 | 3.69 | 0.23 | 1.54 | 1.92 | 3.55 | 12.6% |
| 2023Q4 | 92 | 13.8 | 3.68 | 0.34 | 1.43 | 1.91 | 3.67 | 26.6% |
| 2023Q3 | 92 | 14.5 | 3.39 | 0.49 | 1.20 | 1.70 | 3.38 | 35.0% |
| 2023Q2 | 91 | 13.8 | 3.58 | 0.52 | 1.23 | 1.83 | 3.52 | 30.1% |
| 2023Q1 | 90 | 12.9 | 4.74 | 0.43 | 1.50 | 2.81 | 4.31 | 21.1% |
| 2022Q4 | 92 | 12.9 | 5.01 | 0.51 | 1.46 | 3.04 | 4.62 | 20.1% |
| 2022Q3 | 92 | 13.7 | 4.62 | 0.71 | 1.26 | 2.65 | 4.54 | 20.7% |
| 2022Q2 | 91 | 13.6 | 4.81 | 0.50 | 1.43 | 2.88 | 4.70 | 17.5% |
| 2022Q1 | 90 | 15.3 | 3.24 | 0.32 | 1.04 | 1.89 | 3.05 | 9.1% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
27D × 14E × 8F × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-23 |
| 2025-09-09 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-10-23 |
| 2025-09-09 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2025-10-23 |
| 2024-06-13 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-07-27 |
| 2024-06-13 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-07-27 |
| 2024-06-13 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-07-27 |
| 2024-06-13 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2024-07-27 |
| 2024-06-13 | 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 | 2024-07-27 |
| 2024-06-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-27 |
| 2024-06-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-27 |
| 2024-06-13 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-07-27 |
| 2024-06-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-07-27 |
| 2024-06-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-27 |
| 2024-06-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-27 |
| 2023-01-27 | 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 | 2023-02-01 |
| 2023-01-27 | 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 | 2023-02-01 |
| 2023-01-27 | 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 | 2023-02-01 |
| 2023-01-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-02-01 |
| 2023-01-27 | 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 | 2023-02-01 |
| 2023-01-27 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-02-01 |
| 2023-01-27 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-02-01 |
| 2023-01-27 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2023-02-01 |
| 2023-01-27 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-02-01 |
| 2023-01-27 | 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. | D | 2023-02-01 |
| 2023-01-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-01 |
| 2023-01-27 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-02-01 |
| 2023-01-27 | Health | F0924 | Put firmly secured handrails on each side of hallways. | F | 2023-02-01 |
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
0No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
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 64114 | acs median gross | 0 | $1,029 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64114 | acs median gross | 1 | $1,128 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64114 | acs median gross | 2 | $1,437 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64114 | acs median gross | 3 | $1,691 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64114 | acs median gross | 4 | $2,080 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64114 | acs median gross | $1,364 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64114 | acs recent mover gross | $1,522 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64114 | payment standard 110 | 0 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 90 | 0 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | safmr | 0 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 110 | 1 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 90 | 1 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | safmr | 1 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 110 | 2 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 90 | 2 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | safmr | 2 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 110 | 3 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 90 | 3 | $1,863 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | safmr | 3 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 110 | 4 | $2,706 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | payment standard 90 | 4 | $2,214 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64114 | safmr | 4 | $2,460 | 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.