CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 13:57 UTC
Screener / 265883
D

ARBOR HILLS CARE & REHAB CENTER

snfMO
800 CHAMBERS ROAD, FERGUSON, MO 63135 · CCN 265883 · chain 10 26 NATIONWIDE TR
Composite
92.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 92.1% 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

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.496.10.300.230822.48in index
financial risk89.076.10.300.230820.54in index
staffing risk82.982.90.250.192315.94in index
chow risk82.634.80.150.11549.53in index
billing conduct0.00.00.300.23080.00in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+26.2 vs natlCDW INVESTMENTS LLC6 facilities
connectionOwner fleet risk far above national+22.8 vs natlBIENSTOCK JUDAH20 facilities
connectionOwner fleet risk far above national+22.5 vs natlFRIEDMAN NAFTALI7 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

13
Score typeScoreGradeModelStatusRegistry model notes
billing conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk34.8Bv0.1-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.
financial risk76.1Dv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · 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 12m0.0v0.1default · 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 risk96.1Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk82.9Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk58.7Cv0.3supersededPre-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 risk78.5Dv0.4supersededPre-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 risk96.0Fv0.1supersededPre-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 risk96.0Fv0.2supersededPre-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 risk82.9Fv0.1supersededPre-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 risk82.9Fv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)0.82-1.76
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.53+0.50
No PBJ staffing report0.00+0.42
Chain size (log)3.74+0.39
Facility size (log beds)5.02-0.10
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
47.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.74-0.97
Occupancy0.53+0.94
For-profit ownership1.00-0.69
Deficiencies, last 12 months4.00+0.69
No PBJ staffing report0.00+0.39
Current owner tenure (years)0.82-0.29
Never sold on record0.00-0.28
Ownership changes, last 5 years1.00+0.23
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 HPRDThis facilityMO medianNational medianNational p25–p75
Total nurse2.732.413.282.90–3.77
RN0.030.250.390.25–0.58
Weekend total2.582.243.11
Weekday total2.792.493.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49278.82.730.030.692.022.580.0%
2025Q39275.02.860.070.782.012.540.0%
2025Q29180.72.580.120.811.662.370.0%
2025Q19085.62.450.130.751.562.220.0%
2024Q49289.72.310.100.701.502.090.0%
2024Q39283.52.290.260.611.421.960.0%
2024Q29177.72.480.110.751.622.050.0%
2024Q19170.02.490.120.731.642.200.0%
2023Q49263.32.430.000.791.642.130.0%
2023Q39261.82.410.020.741.652.100.0%
2023Q29156.42.650.040.841.772.190.0%
2023Q19047.32.790.100.831.852.390.0%
2022Q49244.42.740.150.771.832.250.0%
2022Q39241.03.100.170.852.082.660.0%
2022Q29137.62.350.150.661.542.020.2%
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

4
fines by year
$155.6k$77.8k2425
DateTypeFineSource
2025-01-28Fine$127,275CMS provider data
2025-01-28Payment DenialCMS provider data
2024-05-17Fine$155,565CMS provider data
2024-05-17Payment DenialCMS provider data
Total fines on record: $282,840

Deficiencies

54
D × 27E × 15F × 5G × 6J × 1
deficiencies by survey year
341723242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-04-08
2026-02-20Health · complaintF0880Provide and implement an infection prevention and control program.E2026-04-08
2025-09-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-10-29
2025-09-16Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2025-10-29
2025-04-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-05
2025-04-03Health · complaintF0761Ensure 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.E2025-04-17
2025-03-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-04-15
2025-03-12Health · complaintF0610Respond appropriately to all alleged violations.D2025-04-15
2025-03-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-04-15
2025-03-12Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2025-04-15
2025-01-28Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-15
2025-01-28Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-04-15
2025-01-28Health · complaintF0610Respond appropriately to all alleged violations.D2025-04-15
2025-01-28Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-04-15
2025-01-28Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-02-28
2025-01-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-02-28
2025-01-28Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-15
2025-01-28Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2025-04-15
2024-11-15Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-12-06
2024-11-15Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-12-06
2024-09-19Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-12-06
2024-09-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-10-22
2024-09-19Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-12-06
2024-09-19Health · complaintF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2024-10-22
2024-06-17Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2024-07-30
2024-05-17HealthF0567Honor the resident's right to manage his or her financial affairs.E2024-07-31
2024-05-17HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E2024-08-01
2024-05-17HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E2024-07-30
2024-05-17HealthF0570Assure the security of all personal funds of residents deposited with the facility.E2024-07-01
2024-05-17Health · complaintF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.E2024-07-30
2024-05-17Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E2024-07-01
2024-05-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-07-01
2024-05-17Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.E2024-07-30
2024-05-17HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2024-07-01
2024-05-17Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-07-01
2024-05-17Health · complaintF0610Respond appropriately to all alleged violations.D2024-07-01
2024-05-17Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-07-01
2024-05-17Health · complaintF0625Notify 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.D2024-07-01
2024-05-17Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-07-01
2024-05-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-07-01
2024-05-17Health · complaintF0727Have 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.F2024-07-01
2024-05-17Health · complaintF0732Post nurse staffing information every day.E2024-07-01
2024-05-17Health · complaintF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D2024-07-01
2024-05-17Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-07-29
2024-05-17Health · complaintF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2024-07-01
2024-05-17Health · complaintF0838Conduct 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.F2024-07-01
2024-05-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-07-01
2024-05-17Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2024-07-01
2024-05-17Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2024-07-09
2024-05-17Health · complaintF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF2024-07-09
2024-02-23Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-03-08
2024-01-10Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-02-08
2023-10-20Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-11-10
2023-10-20Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-11-10
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

33
OwnerRolePctFromStatusSource
MAGNOLIA HILLS LLCIndividual has financial interest in both related organization and provider50%2024-01-01currenthcris_a_8_1
MAGNOLIA HILLS LLCIndividual has financial interest in both related organization and provider50%2023-01-01currenthcris_a_8_1
10-26 NATIONWIDE TRADP OF THE SNF2025-10-01currentpecos_ownership
1026 ENTERPRISES II, LLCDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
ARBOR HILLS REALTY, LLCADP OF THE SNF2025-10-01currentpecos_ownership
BCJ ENTERPRISES, LLCINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
BIENSTOCK, FAIGIEADP OF THE SNF2025-10-01currentpecos_ownership
BIENSTOCK, JUDAHINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
CDW INVESTMENTS LLCDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
CISSELL, KRISTAOPERATIONAL/MANAGERIAL CONTROL2020-10-01currentpecos_ownership
CISSELL, KRISTAADP OF THE SNF2025-10-31currentpecos_ownership
FRIEDMAN, NAFTALIINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
JEREMIAS, BARUCHADP OF THE SNF2025-10-01currentpecos_ownership
JFB CAPITAL HOLDINGS, LLCINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
LABONTE, CHRISTOPHERADP OF THE SNF2025-10-31currentpecos_ownership
LABONTE, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROL2025-10-01currentpecos_ownership
MM ACQUISITIONS, LLCDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
MO OPCO GROUP, LLCDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
MO PROPCO GROUP LLCADP OF THE SNF2025-10-01currentpecos_ownership
NDF HOLDINGS, LLCDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
WINTER, CHAIMINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
WINTER, MENACHEMINDIRECT OWNERSHIP INTEREST2025-10-01currentpecos_ownership
MAGNOLIA HILLS LLCIndividual has financial interest in both related organization and provider50%2022-01-19ended 2022-12-31hcris_a_8_1
BARUCH JEREMIASINDIRECT OWNERSHIP INTEREST46%2025-10-01ended 2026-05-18pecos_ownership
FAIGIE BIENSTOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST23%2025-10-01ended 2026-05-18pecos_ownership
JUDAH BIENSTOCKINDIRECT OWNERSHIP INTEREST23%2025-10-01ended 2026-05-18pecos_ownership
CHAIM WINTERINDIRECT OWNERSHIP INTEREST4%2025-10-01ended 2026-05-18pecos_ownership
MENACHEM WINTERINDIRECT OWNERSHIP INTEREST3%2025-10-01ended 2026-05-18pecos_ownership
NAFTALI FRIEDMANINDIRECT OWNERSHIP INTEREST3%2025-10-01ended 2026-05-18pecos_ownership
CHRISTOPHER LABONTEADP OF THE SNF2025-10-31ended 2026-05-18pecos_ownership
CHRISTOPHER LABONTEOPERATIONAL/MANAGERIAL CONTROL2025-10-01ended 2026-05-18pecos_ownership
KRISTA CISSELLOPERATIONAL/MANAGERIAL CONTROL2020-10-01ended 2026-05-18pecos_ownership
KRISTA CISSELLADP OF THE SNF2025-10-31ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2025-10-01ARBOR HILLS HEALTHCARE, LLCEMERALD HEIGHTS LLCchow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTERthis facility150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION115ISLAND HC OPERATIONS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

34
GeoKindBRAmountAs ofSource
county 29189acs median gross0$1,0672024-12-31CENSUS_ACS5
county 29189fmr0$9552025-10-01HUD_USER_FMR
county 29189acs median gross1$9952024-12-31CENSUS_ACS5
county 29189fmr1$9952025-10-01HUD_USER_FMR
county 29189acs median gross2$1,2162024-12-31CENSUS_ACS5
county 29189fmr2$1,2182025-10-01HUD_USER_FMR
county 29189acs median gross3$1,4462024-12-31CENSUS_ACS5
county 29189fmr3$1,5682025-10-01HUD_USER_FMR
county 29189acs median gross4$1,7422024-12-31CENSUS_ACS5
county 29189fmr4$1,8122025-10-01HUD_USER_FMR
county 29189acs median gross5$1,8502024-12-31CENSUS_ACS5
county 29189acs median gross$1,2092024-12-31CENSUS_ACS5
county 29189acs recent mover gross$1,3692024-12-31CENSUS_ACS5
zcta 63135acs median gross1$8122024-12-31CENSUS_ACS5
zcta 63135acs median gross2$1,1632024-12-31CENSUS_ACS5
zcta 63135acs median gross3$1,3532024-12-31CENSUS_ACS5
zcta 63135acs median gross4$1,6602024-12-31CENSUS_ACS5
zcta 63135acs median gross$1,1702024-12-31CENSUS_ACS5
zcta 63135acs recent mover gross$1,3382024-12-31CENSUS_ACS5
zip 63135payment standard 1100$1,1112025-10-01HUD_USER_SAFMR
zip 63135payment standard 900$9092025-10-01HUD_USER_SAFMR
zip 63135safmr0$1,0102025-10-01HUD_USER_SAFMR
zip 63135payment standard 1101$1,1552025-10-01HUD_USER_SAFMR
zip 63135payment standard 901$9452025-10-01HUD_USER_SAFMR
zip 63135safmr1$1,0502025-10-01HUD_USER_SAFMR
zip 63135payment standard 1102$1,4192025-10-01HUD_USER_SAFMR
zip 63135payment standard 902$1,1612025-10-01HUD_USER_SAFMR
zip 63135safmr2$1,2902025-10-01HUD_USER_SAFMR
zip 63135payment standard 1103$1,8262025-10-01HUD_USER_SAFMR
zip 63135payment standard 903$1,4942025-10-01HUD_USER_SAFMR
zip 63135safmr3$1,6602025-10-01HUD_USER_SAFMR
zip 63135payment standard 1104$2,1122025-10-01HUD_USER_SAFMR
zip 63135payment standard 904$1,7282025-10-01HUD_USER_SAFMR
zip 63135safmr4$1,9202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.