Composite
66.0 / 100 percentile
Screener / 165275
C
Accura Healthcare of Creston
snfIA
1000 East Howard, Creston, IA 50801 · CCN 165275 · chain AVENUE94 LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
31
Model
v1.2
Reads as: riskier than 66.0% 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 signals4Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies33Licensure0Ownership33Related party5Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 85.2 | 72.0 | 0.30 | 0.2308 | 19.66 | in index |
| regulatory risk | 78.5 | 75.0 | 0.30 | 0.2308 | 18.12 | in index |
| staffing risk | 50.8 | 50.8 | 0.25 | 0.1923 | 9.77 | in index |
| chow risk | 59.5 | 58.0 | 0.15 | 0.1154 | 6.87 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.7 vs natl | MILLER DANIEL | 14 facilities |
| connection | Owner spans multiple chains | 9 chains | MILLER DANIEL | 12 facilities |
| connection | Owner spans multiple chains | 7 chains | OMEGA HEALTHCARE INVESTORS INC | 44 facilities |
| connection | Owner spans multiple chains | 4 chains | OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | 11 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 | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 91.0 | F | v0.6 | default · in composite | |
| financial risk | 72.0 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 75.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 50.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.9 | 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 | 61.9 | 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 | 63.1 | 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 | 73.0 | D | 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 | 75.0 | 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 | 75.0 | 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 | 50.8 | 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 | 50.8 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.49 | -1.70 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.78 | -0.25 | |
| Facility size (log beds) | 3.47 | +0.13 | |
| Deficiencies, last 12 months | 2.00 | -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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
56.1
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 | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.80 | +0.35 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.49 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Facility size (log beds) | 3.47 | +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
16| 2025Q4 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.26 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.61 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 3.27 | 2.96 | 3.11 | — |
| Weekday total | 3.26 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 24.3 | 3.26 | 0.61 | 0.34 | 2.31 | 3.27 | 2.1% |
| 2025Q3 | 92 | 24.3 | 3.56 | 0.75 | 0.38 | 2.44 | 3.36 | 16.6% |
| 2025Q2 | 91 | 26.9 | 3.16 | 0.59 | 0.41 | 2.17 | 2.95 | 7.2% |
| 2025Q1 | 90 | 26.3 | 2.85 | 0.52 | 0.23 | 2.10 | 2.46 | 0.0% |
| 2024Q4 | 92 | 29.7 | 2.46 | 0.24 | 0.34 | 1.88 | 2.25 | 0.0% |
| 2024Q3 | 92 | 28.5 | 2.59 | 0.21 | 0.36 | 2.02 | 2.43 | 0.0% |
| 2024Q2 | 91 | 29.0 | 2.25 | 0.21 | 0.21 | 1.84 | 2.08 | 0.0% |
| 2024Q1 | 91 | 26.8 | 2.61 | 0.30 | 0.41 | 1.90 | 2.38 | 0.0% |
| 2023Q4 | 92 | 26.9 | 2.86 | 0.48 | 0.44 | 1.94 | 2.69 | 0.0% |
| 2023Q3 | 92 | 22.8 | 2.08 | 0.36 | 0.64 | 1.08 | 2.02 | 0.0% |
| 2023Q2 | 91 | 25.3 | 2.61 | 0.51 | 0.49 | 1.61 | 2.30 | 0.0% |
| 2023Q1 | 90 | 27.9 | 2.09 | 0.39 | 0.45 | 1.25 | 1.84 | 0.0% |
| 2022Q4 | 92 | 27.6 | 5.34 | 0.58 | 1.16 | 3.60 | 5.33 | 0.0% |
| 2022Q3 | 92 | 24.0 | 3.28 | 0.33 | 0.75 | 2.20 | 3.07 | 0.0% |
| 2022Q2 | 91 | 27.0 | 2.79 | 0.42 | 0.62 | 1.75 | 2.68 | 0.0% |
| 2022Q1 | 90 | 25.8 | 2.67 | 0.69 | 0.39 | 1.58 | 2.49 | 0.0% |
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| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-11 | Fine | $16,801 | CMS provider data |
| 2024-01-31 | Payment Denial | — | CMS provider data |
Total fines on record: $16,801
Deficiencies
33C × 2D × 16E × 10F × 3G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-10-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-12 |
| 2025-10-30 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-12-12 |
| 2024-07-11 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2024-08-08 |
| 2024-07-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-08-08 |
| 2024-07-11 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-08-08 |
| 2024-07-11 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-08-08 |
| 2024-07-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-08 |
| 2024-07-11 | 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 | 2024-08-08 |
| 2024-07-11 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-08-08 |
| 2024-07-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-08 |
| 2024-07-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-08 |
| 2024-07-11 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-08-08 |
| 2024-07-11 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-08 |
| 2024-07-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-08-08 |
| 2024-07-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-08-08 |
| 2024-07-11 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | 2024-07-25 |
| 2024-07-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-08 |
| 2024-07-11 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2024-08-08 |
| 2024-07-11 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | 2024-08-08 |
| 2024-07-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-08 |
| 2024-07-11 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2024-08-08 |
| 2024-07-11 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-08-08 |
| 2024-07-11 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2024-08-08 |
| 2024-07-11 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-08-08 |
| 2024-07-11 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2024-08-08 |
| 2024-07-11 | Health | F0946 | Provide training in compliance and ethics. | E | 2024-08-08 |
| 2024-07-11 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-08-08 |
| 2024-05-16 | Health · complaint | 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 | 2024-06-01 |
| 2024-03-21 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2024-03-22 |
| 2024-02-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-26 |
| 2024-02-01 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-02-26 |
| 2024-02-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-02-08 |
| 2024-02-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-26 |
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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| ALLEN, BRADY | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| AVENUE94 LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| AVIV FINANCING II LLC | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| AVIV HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| AVIV HEALTHCARE HOLDINGS LLC | ADP OF THE SNF | — | 2025-06-03 | current | pecos_ownership |
| AVIV HEALTHCARE OF THE MIDWEST LLC | ADP OF THE SNF | — | 2025-06-03 | current | pecos_ownership |
| AVIV HEALTHCARE OF THE MIDWEST LLC | DIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| AVIV OP LIMITED PARTNER LLC | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| GLASER, KRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| IOWA LINCOLN COUNTY PROPERTY LLC | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| KIMMONS HEALTHCARE INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| KIMMONS HEALTHCARE INVESTMENTS LLC | ADP OF THE SNF | — | 2025-06-03 | current | pecos_ownership |
| KLEINSASSER, MEGAN | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| KTL ENTERPRISES LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| LENEAVE, TED | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| LITTLE RIVER INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| MILLER, DANIEL | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| ROHRIG, RICKY | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| TOTI, LISA | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| WILLIAMS, CARA | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| ZRR OPCO LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-01 | current | pecos_ownership |
| TED LENEAVE | INDIRECT OWNERSHIP INTEREST | 80% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| BRADY ALLEN | INDIRECT OWNERSHIP INTEREST | 5% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| KRISTOPHER GLASER | INDIRECT OWNERSHIP INTEREST | 5% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| LISA TOTI | INDIRECT OWNERSHIP INTEREST | 5% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| MEGAN KLEINSASSER | INDIRECT OWNERSHIP INTEREST | 5% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| CARA WILLIAMS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL MILLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| RICKY ROHRIG | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-02-01 | — | ACCURA HEALTHCARE OF CRESTON LLC | CREST HAVEN CARE CENTER, LLC | chow |
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Crestonthis facility | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19175 | fmr | 0 | $634 | 2025-10-01 | HUD_USER_FMR |
| county 19175 | acs median gross | 1 | $347 | 2024-12-31 | CENSUS_ACS5 |
| county 19175 | fmr | 1 | $700 | 2025-10-01 | HUD_USER_FMR |
| county 19175 | acs median gross | 2 | $813 | 2024-12-31 | CENSUS_ACS5 |
| county 19175 | fmr | 2 | $919 | 2025-10-01 | HUD_USER_FMR |
| county 19175 | acs median gross | 3 | $950 | 2024-12-31 | CENSUS_ACS5 |
| county 19175 | fmr | 3 | $1,212 | 2025-10-01 | HUD_USER_FMR |
| county 19175 | acs median gross | 4 | $875 | 2024-12-31 | CENSUS_ACS5 |
| county 19175 | fmr | 4 | $1,217 | 2025-10-01 | HUD_USER_FMR |
| county 19175 | acs median gross | $721 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50801 | acs median gross | 1 | $345 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50801 | acs median gross | 2 | $823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50801 | acs median gross | 3 | $1,025 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50801 | acs median gross | 4 | $850 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50801 | acs median gross | $716 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50801 | acs recent mover gross | $842 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50801 | payment standard 110 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 90 | 0 | $567 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | safmr | 0 | $630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 110 | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 90 | 1 | $630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | safmr | 1 | $700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 110 | 2 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 90 | 2 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | safmr | 2 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 110 | 3 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 90 | 3 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | safmr | 3 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 110 | 4 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | payment standard 90 | 4 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50801 | safmr | 4 | $1,220 | 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.