Composite
46.8 / 100 percentile
Screener / 235297
B
Rivergate Health Care Center
snfMI
14041 Pennsylvania Rd, Riverview, MI 48193 · CCN 235297 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
223
Model
v1.2
Reads as: riskier than 46.8% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies21Licensure0Ownership49Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 68.0 | 46.7 | 0.30 | 0.2308 | 15.69 | in index |
| regulatory risk | 65.1 | 57.8 | 0.30 | 0.2308 | 15.02 | in index |
| staffing risk | 56.3 | 56.3 | 0.25 | 0.1923 | 10.83 | in index |
| chow risk | 26.2 | 25.2 | 0.15 | 0.1154 | 3.02 | in index |
| financial risk | 12.0 | 20.9 | 0.30 | 0.2308 | 2.77 | 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 46.7 | C | 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 | 25.4 | B | v0.6 | default · in composite | |
| financial risk | 20.9 | A | 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 | 4.7 | — | 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 | 57.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 56.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 77.2 | D | 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 | 57.2 | 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 | 34.3 | B | 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 | 27.0 | B | 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 | 57.6 | C | 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 | 57.6 | C | 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 | 56.3 | 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 | 56.3 | 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)
4.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
87.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.87 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.41 | -0.16 |
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
10.1
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) | 5.31 | -1.89 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Occupancy | 0.87 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.41 | -0.22 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.19 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 2.81 | 3.32 | 3.11 | — |
| Weekday total | 3.34 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 194.8 | 3.19 | 0.28 | 1.06 | 1.84 | 2.81 | 0.0% |
| 2025Q3 | 92 | 193.4 | 3.34 | 0.30 | 1.08 | 1.96 | 2.90 | 0.0% |
| 2025Q2 | 91 | 187.8 | 3.25 | 0.36 | 1.05 | 1.83 | 2.78 | 0.0% |
| 2025Q1 | 90 | 188.7 | 3.16 | 0.34 | 1.07 | 1.75 | 2.86 | 0.0% |
| 2024Q4 | 92 | 189.6 | 3.27 | 0.30 | 1.10 | 1.87 | 2.92 | 0.0% |
| 2024Q3 | 92 | 182.4 | 3.20 | 0.28 | 1.04 | 1.88 | 2.77 | 0.0% |
| 2024Q2 | 91 | 180.2 | 3.14 | 0.34 | 1.00 | 1.79 | 2.65 | 0.0% |
| 2024Q1 | 91 | 185.7 | 3.02 | 0.34 | 0.91 | 1.77 | 2.59 | 0.0% |
| 2023Q4 | 92 | 186.0 | 2.82 | 0.29 | 0.90 | 1.63 | 2.41 | 0.0% |
| 2023Q3 | 92 | 184.3 | 2.67 | 0.26 | 0.88 | 1.53 | 2.25 | 0.0% |
| 2023Q2 | 91 | 186.8 | 2.67 | 0.31 | 0.80 | 1.55 | 2.26 | 0.0% |
| 2023Q1 | 90 | 171.5 | 2.94 | 0.33 | 0.94 | 1.68 | 2.60 | 0.0% |
| 2022Q4 | 92 | 171.1 | 3.01 | 0.35 | 0.93 | 1.73 | 2.66 | 0.0% |
| 2022Q3 | 92 | 168.3 | 2.92 | 0.33 | 0.94 | 1.65 | 2.55 | 1.1% |
| 2022Q2 | 91 | 159.3 | 2.67 | 0.42 | 0.77 | 1.47 | 2.30 | 2.6% |
| 2022Q1 | 90 | 158.2 | 2.52 | 0.44 | 0.71 | 1.38 | 2.24 | 4.1% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-17 | Fine | $8,408 | CMS provider data |
Total fines on record: $8,408
Deficiencies
21D × 14E × 1F × 5J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-11-22 |
| 2025-11-21 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-11-22 |
| 2025-11-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-11-22 |
| 2025-11-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-11-22 |
| 2025-05-01 | 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 | 2025-05-02 |
| 2025-04-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-04-04 |
| 2024-12-06 | 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. | D | 2024-12-16 |
| 2024-10-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-18 |
| 2024-05-31 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-06-05 |
| 2024-05-31 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-06-05 |
| 2024-05-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-05 |
| 2024-05-31 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-06-05 |
| 2024-05-31 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-06-05 |
| 2024-03-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-27 |
| 2024-03-22 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-27 |
| 2024-03-22 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-17 |
| 2023-05-02 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-05-24 |
| 2023-05-02 | 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 | 2023-05-24 |
| 2023-05-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-05-24 |
| 2023-05-02 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-05-24 |
| 2023-05-02 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2023-05-24 |
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
49| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RIVERGATE HEALTH RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| RIVERGATE HEALTH RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| CROSS, CINDY | CORPORATE OFFICER | — | 1994-04-21 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | INDIRECT OWNERSHIP INTEREST | — | 1993-06-01 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| GUPTA, BALDEV | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-10-01 | current | pecos_ownership |
| GUPTA, BALDEV | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 1999-08-16 | current | pecos_ownership |
| JECU, OANA | MANAGING CONTROL - GOVERNING BODY | — | 2016-01-27 | current | pecos_ownership |
| LAY, LISA | CORPORATE OFFICER | — | 2018-02-09 | current | pecos_ownership |
| LAY, LISA | CORPORATE DIRECTOR | — | 2017-04-24 | current | pecos_ownership |
| LIFE CARE AFFILIATES II | OPERATIONAL/MANAGERIAL CONTROL | — | 1993-06-01 | current | pecos_ownership |
| LIFE CARE AFFILIATES II | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-02-13 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| LONG, ZOFIA | MANAGING CONTROL - GOVERNING BODY | — | 1999-07-01 | current | pecos_ownership |
| PEEPER, MICHELLE | ADP OF THE SNF | — | 2025-02-13 | current | pecos_ownership |
| PEEPER, MICHELLE | MANAGING CONTROL - GOVERNING BODY | — | 2018-07-30 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| PRESTON, FORREST | LIMITED PARTNERSHIP INTEREST | — | — | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| PRESTON, FORREST | INDIRECT OWNERSHIP INTEREST | — | 1993-06-01 | current | pecos_ownership |
| RIVERVIEW MEDICAL INVESTORS LIMITED PARTNERSHIP | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE OFFICER | — | 2011-04-01 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2000-09-21 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| RIVERGATE HEALTH RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RIVERGATE HEALTH RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| RIVERGATE HEALTH RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| FORREST PRESTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 1993-06-01 | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | LIMITED PARTNERSHIP INTEREST | 1% | — | ended 2026-05-18 | pecos_ownership |
| AUBREY PRESTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| BALDEV GUPTA | ADP OF THE SNF | — | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| BALDEV GUPTA | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-10-01 | ended 2026-05-18 | pecos_ownership |
| CINDY CROSS | CORPORATE OFFICER | — | 1994-04-21 | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | ADP OF THE SNF | — | 2004-05-07 | ended 2026-05-18 | pecos_ownership |
| JAMES ZIEGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2000-09-21 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE OFFICER | — | 2018-02-09 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE DIRECTOR | — | 2017-04-24 | ended 2026-05-18 | pecos_ownership |
| MICHELLE PEEPER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-07-30 | ended 2026-05-18 | pecos_ownership |
| MICHELLE PEEPER | ADP OF THE SNF | — | 2025-02-13 | ended 2026-05-18 | pecos_ownership |
| OANA JECU | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-27 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE DIRECTOR | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE OFFICER | — | 2011-04-01 | ended 2026-05-18 | pecos_ownership |
| TERRY HENRY | CORPORATE OFFICER | — | 1999-08-16 | ended 2026-05-18 | pecos_ownership |
| TODD FLETCHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| ZOFIA LONG | MANAGING CONTROL - GOVERNING BODY | — | 1999-07-01 | 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
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 — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS OPCO 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 26163 | acs median gross | 0 | $876 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | fmr | 0 | $1,009 | 2025-10-01 | HUD_USER_FMR |
| county 26163 | acs median gross | 1 | $876 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | fmr | 1 | $1,122 | 2025-10-01 | HUD_USER_FMR |
| county 26163 | acs median gross | 2 | $1,144 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | fmr | 2 | $1,411 | 2025-10-01 | HUD_USER_FMR |
| county 26163 | acs median gross | 3 | $1,310 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | fmr | 3 | $1,724 | 2025-10-01 | HUD_USER_FMR |
| county 26163 | acs median gross | 4 | $1,395 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | fmr | 4 | $1,868 | 2025-10-01 | HUD_USER_FMR |
| county 26163 | acs median gross | 5 | $1,431 | 2024-12-31 | CENSUS_ACS5 |
| county 26163 | acs median gross | $1,132 | 2024-12-31 | CENSUS_ACS5 | |
| county 26163 | acs recent mover gross | $1,309 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48193 | acs median gross | 0 | $1,784 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48193 | acs median gross | 1 | $935 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48193 | acs median gross | 2 | $1,134 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48193 | acs median gross | 3 | $1,214 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48193 | acs median gross | 4 | $1,533 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48193 | acs median gross | $1,121 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48193 | acs recent mover gross | $1,685 | 2024-12-31 | CENSUS_ACS5 | |
| zip 48193 | payment standard 110 | 0 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 90 | 0 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | safmr | 0 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 110 | 1 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 90 | 1 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | safmr | 1 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 110 | 2 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 90 | 2 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | safmr | 2 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 110 | 3 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 90 | 3 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | safmr | 3 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 110 | 4 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | payment standard 90 | 4 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48193 | safmr | 4 | $1,680 | 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.