Composite
85.0 / 100 percentile
Screener / 275025
D
KALISPELL REHABILITATION AND NURSING LLC
snfMTSFF: SFF Candidate
171 HERITAGE WAY, KALISPELL, MT 59901 · CCN 275025 · chain MAZE FAMILY LIMITED PARTNERSHIP
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
140
Model
v1.2
Reads as: riskier than 85.0% 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 signals11Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies90Licensure0Ownership32Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.3 | 96.0 | 0.30 | 0.2308 | 22.45 | in index |
| staffing risk | 84.3 | 84.3 | 0.25 | 0.1923 | 16.21 | in index |
| financial risk | 61.6 | 53.4 | 0.30 | 0.2308 | 14.22 | in index |
| chow risk | 59.0 | 57.4 | 0.15 | 0.1154 | 6.81 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.2308 | 3.53 | 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
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.9 vs natl | PROFESSIONAL BUSINESS ADVISORS LLC | 7 facilities |
| connection | Owner fleet risk far above national | +25.8 vs natl | FEY KRISTIN | 6 facilities |
| connection | Owner fleet risk far above national | +24.5 vs natl | ANDERSON WENDY | 5 facilities |
| connection | Owner fleet risk far above national | +24.5 vs natl | CASHMER LLC | 5 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | MYERS WALTER | 22 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | SWAIN JARED | 19 facilities |
| connection | Owner fleet risk far above national | +20.7 vs natl | COTTONWOOD HEALTHCARE LLC | 22 facilities |
| connection | Owner spans multiple chains | 6 chains | WIPFLI LLP | 67 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | SWAIN JARED | 19 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | COTTONWOOD HEALTHCARE LLC | 22 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | MYERS WALTER | 22 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 | 20.0 | 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 | 89.8 | F | v0.6 | default · in composite | |
| financial risk | 53.4 | C | 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 | 96.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.3 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.0 | 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 | 70.0 | D | 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 | 40.1 | 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 | 59.1 | 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 | 96.0 | F | 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 | 96.0 | F | 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 | 84.3 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 84.3 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
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) | 3.08 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| High-severity deficiencies, 12m | 5.00 | +0.26 | |
| Chain size (log) | 2.94 | +0.22 |
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
0.0
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 | 27.00 | -3.58 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.87 | -0.62 | |
| Chain size (log) | 2.94 | -0.51 | |
| Occupancy | 0.64 | +0.47 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 5.00 | -0.36 | |
| Never sold on record | 0.00 | -0.28 |
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 | MT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.71 | 3.25 | 3.28 | 2.90–3.77 |
| RN | 0.46 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 2.46 | 3.12 | 3.11 | — |
| Weekday total | 2.81 | 3.34 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 89.1 | 2.71 | 0.46 | 0.55 | 1.70 | 2.46 | 0.0% |
| 2025Q3 | 92 | 84.9 | 2.62 | 0.48 | 0.48 | 1.65 | 2.45 | 0.0% |
| 2025Q2 | 91 | 82.0 | 2.52 | 0.55 | 0.41 | 1.55 | 2.27 | 0.0% |
| 2025Q1 | 90 | 76.5 | 2.73 | 0.60 | 0.38 | 1.76 | 2.44 | 0.0% |
| 2024Q4 | 92 | 77.6 | 2.93 | 0.59 | 0.43 | 1.91 | 2.48 | 0.0% |
| 2024Q3 | 92 | 82.8 | 2.44 | 0.40 | 0.45 | 1.59 | 1.99 | 0.0% |
| 2024Q2 | 91 | 80.1 | 2.41 | 0.38 | 0.52 | 1.51 | 2.00 | 0.0% |
| 2024Q1 | 91 | 76.2 | 2.69 | 0.40 | 0.62 | 1.67 | 2.25 | 0.0% |
| 2023Q4 | 92 | 67.7 | 3.09 | 0.51 | 0.64 | 1.95 | 2.53 | 0.0% |
| 2023Q3 | 92 | 60.9 | 1.47 | 0.44 | 0.32 | 0.71 | 0.43 | 4.3% |
| 2023Q2 | 91 | 63.5 | 2.05 | 0.30 | 0.49 | 1.25 | 1.86 | 30.4% |
| 2023Q1 | 90 | 72.2 | 2.54 | 0.28 | 0.57 | 1.70 | 2.25 | 32.6% |
| 2022Q4 | 92 | 78.1 | 2.43 | 0.38 | 0.51 | 1.55 | 2.25 | 14.6% |
| 2022Q3 | 92 | 50.1 | 3.08 | 0.46 | 0.69 | 1.94 | 2.73 | 26.7% |
| 2022Q2 | 91 | 48.6 | 3.44 | 0.53 | 0.85 | 2.06 | 3.06 | 26.2% |
| 2022Q1 | 90 | 45.6 | 3.26 | 0.50 | 0.91 | 1.85 | 3.00 | 16.8% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-17 | Fine | $52,728 | CMS provider data |
| 2024-08-28 | Fine | $52,716 | CMS provider data |
| 2023-10-12 | Fine | $9,311 | CMS provider data |
Total fines on record: $114,755
Deficiencies
90C × 2D × 45E × 21F × 9G × 11J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-12 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2026-04-13 |
| 2026-03-12 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-04-13 |
| 2026-03-12 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2026-04-13 |
| 2026-03-12 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2026-04-13 |
| 2026-03-12 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-13 |
| 2026-03-12 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-13 |
| 2026-03-12 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-04-13 |
| 2026-03-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | — |
| 2026-03-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-13 |
| 2026-03-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | — |
| 2026-03-12 | Health · complaint | 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. | G | 2026-04-13 |
| 2026-03-12 | Health | 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. | G | 2026-04-13 |
| 2026-03-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-13 |
| 2026-03-12 | 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. | D | 2026-04-13 |
| 2026-03-12 | Health | 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 | 2026-04-13 |
| 2026-03-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-04-13 |
| 2026-03-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-13 |
| 2026-03-12 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-04-13 |
| 2026-03-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-13 |
| 2025-12-17 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2026-01-23 |
| 2025-12-17 | 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. | E | 2026-01-23 |
| 2025-12-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-01-23 |
| 2025-12-17 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-01-23 |
| 2025-12-17 | 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. | E | 2026-01-23 |
| 2025-12-17 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2026-01-23 |
| 2025-12-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-23 |
| 2025-12-17 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | 2026-01-23 |
| 2025-01-16 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-02-20 |
| 2025-01-16 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-02-20 |
| 2025-01-16 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-02-20 |
| 2025-01-16 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-02-20 |
| 2025-01-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-20 |
| 2025-01-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-20 |
| 2025-01-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-02-20 |
| 2025-01-16 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-02-20 |
| 2025-01-16 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-02-20 |
| 2025-01-16 | Health | F0742 | Provide 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. | D | 2025-02-20 |
| 2025-01-16 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-02-20 |
| 2025-01-16 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2025-02-20 |
| 2025-01-16 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2025-02-20 |
| 2025-01-16 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-02-20 |
| 2025-01-16 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-02-20 |
| 2025-01-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-02-20 |
| 2024-08-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-11-27 |
| 2024-08-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-27 |
| 2024-08-28 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-27 |
| 2024-08-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-11-27 |
| 2024-08-28 | 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. | J | 2024-09-27 |
| 2024-08-28 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-11-27 |
| 2024-08-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-11-27 |
| 2024-06-05 | 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. | E | 2024-07-03 |
| 2024-06-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-03 |
| 2024-06-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-03 |
| 2024-06-05 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2024-07-03 |
| 2024-06-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-03 |
| 2024-04-09 | 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. | E | 2024-05-07 |
| 2024-04-09 | 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 | 2024-05-07 |
| 2024-04-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-07 |
| 2024-01-31 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-19 |
| 2024-01-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-01-29 |
| 2024-01-31 | 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 | 2024-02-19 |
| 2023-12-21 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-01-29 |
| 2023-12-21 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-29 |
| 2023-12-21 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | C | 2024-01-29 |
| 2023-12-21 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-01-29 |
| 2023-12-21 | 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 | 2024-01-29 |
| 2023-12-21 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-01-29 |
| 2023-12-21 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-29 |
| 2023-12-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-01-29 |
| 2023-12-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-29 |
| 2023-12-21 | Health | 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 | 2024-01-29 |
| 2023-12-21 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-01-29 |
| 2023-12-21 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-01-29 |
| 2023-12-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-29 |
| 2023-12-21 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-01-29 |
| 2023-12-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-01-29 |
| 2023-10-12 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-11-03 |
| 2023-10-12 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-11-03 |
| 2023-10-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-02 |
| 2023-10-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-02 |
| 2023-08-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-09-20 |
| 2023-08-30 | 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. | F | 2023-09-20 |
| 2023-06-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | G | 2023-07-07 |
| 2023-06-08 | 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 | 2023-07-07 |
| 2023-06-08 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2023-07-07 |
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
32| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FEY, KRISTIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2023-07-01 | current | pecos_ownership |
| ANDERSON, WENDY | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| CASHMER LLC | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| COTTONWOOD HEALTHCARE LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| COTTONWOOD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| FEY, DANIEL | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| GEDLAMAN, DEREK | ADP OF THE SNF | — | 2025-05-02 | current | pecos_ownership |
| GEDLAMAN, DEREK | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| HARDY, TAYLOR | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| MYERS, WALTER | CORPORATE DIRECTOR | — | 2023-07-01 | current | pecos_ownership |
| PROFESSIONAL BUSINESS ADVISORS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| PROFESSIONAL BUSINESS ADVISORS LLC | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| SWAIN, CAMERON | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| SWAIN, JARED | CORPORATE OFFICER | — | 2023-07-01 | current | pecos_ownership |
| SWAIN, SERENE | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| WIPFLI LLP | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| WALTER MYERS | CORPORATE DIRECTOR | 100% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| JARED SWAIN | CORPORATE OFFICER | 50% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MAZE FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| CHARLY BELLO FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DOVER RUXPIN FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| KRISTIN FEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| KATIE MYERS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| HOLLY SWAIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| CAMERON SWAIN | INDIRECT OWNERSHIP INTEREST | 2% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| SERENE SWAIN | INDIRECT OWNERSHIP INTEREST | 2% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL FEY | INDIRECT OWNERSHIP INTEREST | 0% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DEREK GEDLAMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DEREK GEDLAMAN | ADP OF THE SNF | — | 2025-05-02 | ended 2026-05-18 | pecos_ownership |
| TAYLOR HARDY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| WENDY ANDERSON | ADP OF THE SNF | — | 2023-07-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-07-01 | — | KALISPELL REHABILITATION AND NURSING LLC | KISMET GPI, LLC | chow |
Comparable trades — MT snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-03-01 | NORTHERN MONTANA CARE CENTER | — | — | — | 135 | NORTHERN MONTANA CARE CENTER INC |
| 2023-10-01 | RIVER RIDGE REHABILITATION AND NURSING LLC | — | — | — | 129 | RIVER RIDGE REHABILITATION AND NURSING LLC |
| 2023-08-31 | ASPEN MEADOWS HEALTH AND REHABILITATION CENTER | — | — | — | 90 | ASPEN MEADOWS SNF OPERATIONS, LLC |
| 2023-08-31 | LIVINGSTON HEALTH & REHABILITATION CENTER | — | — | — | 115 | LIVINGSTON SNF OPERATIONS LLC |
| 2023-08-31 | POLSON HEALTH & REHABILITATION CENTER | — | — | — | 70 | POLSON SNF OPERATIONS LLC |
| 2023-08-31 | MISSOULA HEALTH & REHABILITATION CENTER | — | — | — | 53 | MISSOULA SNF OPERATIONS LLC |
| 2023-08-31 | LAUREL HEALTH & REHABILITATION CENTER | — | — | — | 79 | LAUREL SNF OPERATIONS LLC |
| 2023-08-31 | HOT SPRINGS HEALTH & REHABILITATION CENTER | — | — | — | 40 | HOT SPRINGS SNF OPERATIONS LLC |
| 2023-07-01 | KALISPELL REHABILITATION AND NURSING LLCthis facility | — | — | — | 140 | KALISPELL REHABILITATION AND NURSING LLC |
| 2023-07-01 | NORTHERN PINES REHABILITATION AND NURSING | — | — | — | 41 | NORTHERN PINES REHABILITATION AND NURSING |
| 2023-07-01 | BILLINGS REHABILITATION AND NURSING LLC | — | — | — | 100 | BILLINGS REHABILITATION AND NURSING LLC |
| 2023-07-01 | VALLE VISTA REHABILITATION AND NURSING LLC | — | — | — | 101 | VALLE VISTA REHABILITATION AND NURSING 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 30029 | acs median gross | 0 | $915 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | fmr | 0 | $1,267 | 2025-10-01 | HUD_USER_FMR |
| county 30029 | acs median gross | 1 | $827 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | fmr | 1 | $1,289 | 2025-10-01 | HUD_USER_FMR |
| county 30029 | acs median gross | 2 | $1,150 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | fmr | 2 | $1,691 | 2025-10-01 | HUD_USER_FMR |
| county 30029 | acs median gross | 3 | $1,476 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | fmr | 3 | $2,224 | 2025-10-01 | HUD_USER_FMR |
| county 30029 | acs median gross | 4 | $1,497 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | fmr | 4 | $2,837 | 2025-10-01 | HUD_USER_FMR |
| county 30029 | acs median gross | 5 | $2,640 | 2024-12-31 | CENSUS_ACS5 |
| county 30029 | acs median gross | $1,142 | 2024-12-31 | CENSUS_ACS5 | |
| county 30029 | acs recent mover gross | $1,447 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59901 | acs median gross | 0 | $914 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | 1 | $755 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | 2 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | 3 | $1,541 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | 4 | $2,014 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | 5 | $2,610 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59901 | acs median gross | $1,117 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59901 | acs recent mover gross | $1,405 | 2024-12-31 | CENSUS_ACS5 | |
| zip 59901 | payment standard 110 | 0 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 90 | 0 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | safmr | 0 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 110 | 1 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 90 | 1 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | safmr | 1 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 110 | 2 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 90 | 2 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | safmr | 2 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 110 | 3 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 90 | 3 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | safmr | 3 | $2,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 110 | 4 | $3,003 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | payment standard 90 | 4 | $2,457 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59901 | safmr | 4 | $2,730 | 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.