Composite
50.6 / 100 percentile
Screener / 265112
B
FLORISSANT VALLEY HEALTH & REHABILITATION CENTER
snfMO
1200 GRAHAM ROAD, FLORISSANT, MO 63031 · CCN 265112 · chain 10 26 NATIONWIDE TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
98
Model
v1.2
Reads as: riskier than 50.6% 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 model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies72Licensure0Ownership17Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 74.8 | 74.8 | 0.25 | 0.1923 | 14.38 | in index |
| regulatory risk | 52.8 | 42.4 | 0.30 | 0.2308 | 12.18 | in index |
| financial risk | 44.6 | 42.2 | 0.30 | 0.2308 | 10.29 | in index |
| billing conduct | 37.2 | 34.7 | 0.30 | 0.2308 | 8.58 | in index |
| chow risk | 27.3 | 26.2 | 0.15 | 0.1154 | 3.15 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.8 vs natl | BIENSTOCK JUDAH | 20 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 | 34.6 | B | 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 | 27.4 | B | v0.6 | default · in composite | |
| financial risk | 42.2 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.1 | — | 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 | 42.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 74.8 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.1 | 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 | 61.1 | 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 | 47.9 | 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 | 46.7 | 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 | 42.3 | B | 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 | 42.3 | B | 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 | 74.8 | D | 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 | 74.8 | D | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
30.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.97 | -1.07 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.74 | +0.39 | |
| Occupancy | 0.77 | -0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 3.00 | -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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
27.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.74 | -0.97 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | 0.55 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 7.97 | -0.17 |
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 | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.90 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.50 | 2.24 | 3.11 | — |
| Weekday total | 3.06 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 75.6 | 2.90 | 0.22 | 0.61 | 2.07 | 2.50 | 0.0% |
| 2025Q3 | 92 | 73.8 | 2.90 | 0.23 | 0.57 | 2.10 | 2.61 | 0.0% |
| 2025Q2 | 91 | 76.5 | 3.07 | 0.19 | 0.73 | 2.15 | 2.72 | 0.0% |
| 2025Q1 | 90 | 74.4 | 3.00 | 0.06 | 0.83 | 2.11 | 2.69 | 0.1% |
| 2024Q4 | 92 | 76.8 | 2.35 | 0.06 | 0.69 | 1.59 | 2.04 | 0.0% |
| 2024Q3 | 92 | 79.0 | 2.38 | 0.02 | 0.77 | 1.59 | 2.13 | 0.0% |
| 2024Q2 | 91 | 82.9 | 2.02 | 0.06 | 0.69 | 1.27 | 1.77 | 0.0% |
| 2024Q1 | 91 | 79.5 | 1.96 | 0.14 | 0.68 | 1.13 | 1.75 | 0.0% |
| 2023Q4 | 92 | 82.9 | 1.59 | 0.13 | 0.53 | 0.94 | 1.44 | 0.0% |
| 2023Q3 | 92 | 79.7 | 1.75 | 0.14 | 0.57 | 1.04 | 1.56 | 0.0% |
| 2023Q2 | 91 | 77.9 | 1.82 | 0.10 | 0.57 | 1.15 | 1.55 | 2.7% |
| 2023Q1 | 90 | 77.7 | 1.89 | 0.10 | 0.65 | 1.14 | 1.72 | 8.8% |
| 2022Q4 | 92 | 74.8 | 2.09 | 0.08 | 0.72 | 1.29 | 1.98 | 19.9% |
| 2022Q3 | 92 | 79.7 | 1.78 | 0.10 | 0.62 | 1.06 | 1.58 | 18.0% |
| 2022Q2 | 91 | 81.1 | 1.91 | 0.24 | 0.58 | 1.09 | 1.62 | 18.5% |
| 2022Q1 | 90 | 77.7 | 1.89 | 0.12 | 0.60 | 1.16 | 1.80 | 32.8% |
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
72C × 1D × 38E × 26F × 6G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-10-29 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | — |
| 2025-08-07 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-09-09 |
| 2025-08-07 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-09 |
| 2025-03-31 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-04-15 |
| 2025-01-15 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-01-24 |
| 2024-11-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-02 |
| 2024-11-22 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-01-02 |
| 2024-11-22 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2025-01-02 |
| 2024-11-22 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-01-02 |
| 2024-11-22 | 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 | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-01-24 |
| 2024-11-22 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-01-02 |
| 2024-11-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-02 |
| 2024-11-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-02 |
| 2024-11-22 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-01-02 |
| 2024-11-22 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-01-02 |
| 2024-11-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-02 |
| 2024-11-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-15 |
| 2024-11-22 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2025-01-02 |
| 2024-08-14 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-09-11 |
| 2024-08-14 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-11 |
| 2024-08-14 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2024-09-11 |
| 2024-06-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-08-07 |
| 2024-06-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-07 |
| 2024-06-27 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-09-11 |
| 2024-06-27 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-11 |
| 2024-06-27 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-09-11 |
| 2023-06-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-20 |
| 2023-06-09 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-08-17 |
| 2023-06-09 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-07-20 |
| 2023-06-09 | Health | F0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | D | 2023-07-20 |
| 2023-06-09 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2023-07-20 |
| 2023-06-09 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-01 |
| 2023-06-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-17 |
| 2023-06-09 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-08-17 |
| 2023-06-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-20 |
| 2023-06-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-20 |
| 2023-06-09 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-08-17 |
| 2023-06-09 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-17 |
| 2023-06-09 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-08-17 |
| 2023-06-09 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-07-20 |
| 2019-05-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2019-07-02 |
| 2019-05-22 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2019-07-02 |
| 2019-05-22 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2019-07-02 |
| 2019-05-22 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2019-07-02 |
| 2019-05-22 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2019-07-02 |
| 2019-05-22 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2019-07-02 |
| 2019-05-22 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2019-07-02 |
| 2019-05-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-07-02 |
| 2019-05-22 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2019-07-02 |
| 2019-05-22 | 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. | E | 2019-07-02 |
| 2019-05-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-07-02 |
| 2019-05-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-07-02 |
| 2019-05-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-07-02 |
| 2019-05-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-07-02 |
| 2019-05-22 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2019-07-02 |
| 2019-05-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-07-02 |
| 2019-05-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2019-07-02 |
| 2019-05-22 | Health | 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. | E | 2019-07-02 |
| 2019-05-22 | Health | F0758 | Implement 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. | E | 2019-07-02 |
| 2019-05-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2019-07-02 |
| 2019-05-22 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2019-07-02 |
| 2019-05-22 | 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. | E | 2019-07-02 |
| 2019-05-22 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2019-07-02 |
| 2019-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-07-02 |
| 2019-05-22 | 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. | F | 2019-07-02 |
| 2019-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-07-02 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-08-08 | current | pecos_ownership |
| SPRINGFLO INVESTMENTS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2018-08-08 | current | pecos_ownership |
| SPRINGFIELD FLORISSANT RESOURCES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2018-08-08 | current | pecos_ownership |
| LEVY, ARIEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2018-08-08 | current | pecos_ownership |
| SCHREIBER, MOSHE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2018-08-08 | current | pecos_ownership |
| BIENSTOCK, JUDAH | CORPORATE OFFICER | — | 2018-08-08 | current | pecos_ownership |
| SWEET, ANGELA | W-2 MANAGING EMPLOYEE | — | 2022-07-26 | current | pecos_ownership |
| ANGELA SWEET | W-2 MANAGING EMPLOYEE | 100% | 2022-07-26 | ended 2026-05-18 | pecos_ownership |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| FLORISSANT SPRINGFIELD HOLDINGS LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| JUDAH BIENSTOCK | CORPORATE OFFICER | 100% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| 10-26 NATIONWIDE TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| BARUCH JEREMIAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| ARIEL LEVY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2018-08-08 | ended 2026-05-18 | pecos_ownership |
| MOSHE SCHREIBER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2018-08-08 | 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 |
|---|---|---|---|---|
| 2018-08-08 | — | FLORISSANT HEALTHCARE, LLC | MANOR CARE OF FLORISSANT MO LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63031 | acs median gross | 0 | $1,036 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 1 | $966 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 2 | $1,278 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 3 | $1,555 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | 4 | $2,106 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63031 | acs median gross | $1,429 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63031 | acs recent mover gross | $1,633 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63031 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 2 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 2 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 110 | 4 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | payment standard 90 | 4 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63031 | safmr | 4 | $2,140 | 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.