CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 21:34 UTC
Screener / 265834
F

QUARTERS AT DES PERES, THE

snfMO
13230 MANCHESTER ROAD, DES PERES, MO 63131 · CCN 265834 · chain 10 26 NATIONWIDE TR
Composite
98.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
147
Model
v1.2
Reads as: riskier than 98.6% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies82Licensure0Ownership12Related party5Transactions0Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.298.60.300.230822.89in index
financial risk86.873.60.300.230820.03in index
billing conduct75.850.60.300.230817.49in index
staffing risk77.577.50.250.192314.90in index
chow risk26.632.40.150.11543.07in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

3
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+33.5 vs natlMLS ACQUISITIONS L L C 6 facilities
connectionOwner fleet risk far above national+22.8 vs natlBIENSTOCK JUDAH20 facilities
connectionOwner fleet enforcement cluster50% finedMLS ACQUISITIONS L L C 6 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 typeScoreGradeModelStatusRegistry model notes
billing conduct50.5Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk23.7Av0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk41.1Bv0.6default · in composite
financial risk73.6Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m5.8—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk98.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk77.5Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk81.3Fv0.1supersededPre-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 risk61.3Cv0.2supersededPre-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 risk66.2Dv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk73.7Dv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk98.5Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk98.5Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk77.5Dv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk77.5Dv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
5.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
91.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.86-0.47
No PBJ staffing report0.00+0.42
Chain size (log)3.74+0.39
Ownership changes, last 5 years0.00+0.20
Facility size (log beds)5.00-0.10
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.74-0.97
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.92-0.62
Occupancy0.86-0.47
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.85+0.15
Staffing trend, last 4 quarters0.38+0.15
Facility size (log beds)5.00-0.13
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 HPRDThis facilityMO medianNational medianNational p25–p75
Total nurse2.852.413.282.90–3.77
RN0.340.250.390.25–0.58
Weekend total2.552.243.11—
Weekday total2.972.493.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492126.52.850.340.591.922.557.8%
2025Q392119.72.820.290.631.902.517.9%
2025Q291118.32.720.310.721.692.3414.0%
2025Q190111.02.810.300.711.792.4432.2%
2024Q492117.12.470.220.641.612.0517.2%
2024Q392122.51.690.070.551.081.526.0%
2024Q291102.92.140.060.791.291.940.0%
2024Q191105.62.170.120.881.171.850.0%
2023Q492106.62.160.170.741.251.910.0%
2023Q392106.02.410.200.701.512.071.0%
2023Q29197.02.670.320.861.492.1013.9%
2023Q19087.43.140.431.041.682.4831.3%
2022Q49298.52.220.200.871.152.0015.5%
2022Q392101.62.250.130.841.282.0415.4%
2022Q29196.62.410.190.991.232.0815.5%
2022Q19097.72.390.170.931.282.2322.6%
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

6
fines by year
$265.2k$132.6k2425
DateTypeFineSource
2025-08-29Fine$55,250CMS provider data
2025-06-03Fine$14,505CMS provider data
2024-09-18Fine$248,196CMS provider data
2024-09-18Payment Denial—CMS provider data
2024-01-17Fine$16,982CMS provider data
2024-01-17Payment Denial—CMS provider data
Total fines on record: $334,933

Deficiencies

82
B × 2C × 5D × 37E × 26G × 4H × 7J × 1
deficiencies by survey year
5126212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-23Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-05-13
2026-04-23Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-05-13
2025-11-18Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-11-21
2025-08-29Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2025-09-22
2025-08-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-09-22
2025-08-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-09-22
2025-08-29Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E2025-09-22
2025-06-03HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-07-09
2025-06-03HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2025-07-09
2025-06-03HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.C2025-07-09
2025-06-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-07-09
2025-06-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-09
2025-06-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-07-09
2025-06-03HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-07-09
2025-06-03HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-07-09
2025-06-03Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-07-09
2025-06-03HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-07-09
2025-06-03HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2025-07-09
2025-06-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-07-09
2025-06-03Health · complaintF0880Provide and implement an infection prevention and control program.E2025-07-09
2024-12-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-02-06
2024-12-24Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-02-06
2024-12-24Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-02-06
2024-12-24Health · complaintF0759Ensure medication error rates are not 5 percent or greater.E2025-02-06
2024-10-31Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.H2024-12-11
2024-10-31Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H2025-02-06
2024-10-31Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.H2024-12-11
2024-10-31Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2024-12-11
2024-09-18Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-02-06
2024-09-18Health · complaintF0584Honor 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.D2024-10-22
2024-09-18Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H2024-12-11
2024-09-18Health · complaintF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D2024-10-22
2024-09-18Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-22
2024-09-18Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-22
2024-09-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-02-06
2024-09-18Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.H2024-12-11
2024-09-18Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H2025-02-06
2024-09-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-22
2024-09-18Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.H2024-12-11
2024-09-18Health · complaintF0759Ensure medication error rates are not 5 percent or greater.E2025-02-06
2024-09-18Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-10-22
2024-09-18Health · complaintF0808Ensure 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.D2024-10-22
2024-09-18Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-10-22
2024-03-06Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-03-07
2024-03-06Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2024-03-07
2024-03-06Health · complaintF0584Honor 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.E2024-03-07
2024-03-06Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-03-07
2024-01-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G2024-03-07
2024-01-17Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2024-03-07
2024-01-17HealthF0574The resident has the right to receive notices in a format and a language he or she understands.B2024-02-15
2024-01-17HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C2024-02-15
2024-01-17HealthF0578Honor 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.D2024-02-15
2024-01-17Health · complaintF0584Honor 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.E2024-03-07
2024-01-17HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C2024-01-05
2024-01-17HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.C2024-02-15
2024-01-17HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-02-15
2024-01-17Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-02-15
2024-01-17Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-03-07
2024-01-17HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-02-15
2024-01-17HealthF0693Ensure 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.D2024-02-15
2024-01-17HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2024-02-15
2024-01-17HealthF0732Post nurse staffing information every day.C2024-02-15
2024-01-17HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2024-02-15
2024-01-17Health · complaintF0759Ensure medication error rates are not 5 percent or greater.E2024-02-15
2024-01-17HealthF0760Ensure that residents are free from significant medication errors.D2024-03-04
2024-01-17HealthF0761Ensure 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.E2024-02-15
2024-01-17HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2024-02-15
2024-01-17Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-02-15
2024-01-17HealthF0880Provide and implement an infection prevention and control program.D2024-02-15
2024-01-17HealthF0881Implement a program that monitors antibiotic use.D2024-02-15
2024-01-17HealthF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E2024-03-06
2023-11-14Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-12-13
2021-04-23HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D2021-05-19
2021-04-23HealthF0578Honor 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.D2021-05-19
2021-04-23HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2021-05-19
2021-04-23HealthF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2021-05-19
2021-04-23HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2021-05-19
2021-04-23HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2021-05-19
2021-04-23HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2021-05-19
2021-04-23HealthF0732Post nurse staffing information every day.B2021-05-19
2021-04-23HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2021-05-19
2021-04-23HealthF0761Ensure 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.E2021-05-19
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

12
OwnerRolePctFromStatusSource
BIENSTOCK, JUDAH5% OR GREATER DIRECT OWNERSHIP INTEREST38%2021-01-01currentpecos_ownership
MLS ACQUISITION LLC5% OR GREATER DIRECT OWNERSHIP INTEREST5%2016-03-01currentpecos_ownership
SCHREIBER, MOSHE5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2016-03-01currentpecos_ownership
GRODEON, MARYW-2 MANAGING EMPLOYEE—2022-05-09currentpecos_ownership
JEREMIAS, BARUCHCORPORATE OFFICER—2016-03-01currentpecos_ownership
WINTER, CHAIMOPERATIONAL/MANAGERIAL CONTROL—2016-03-01currentpecos_ownership
BARUCH JEREMIASCORPORATE OFFICER100%2016-03-01ended 2026-05-18pecos_ownership
CHAIM WINTEROPERATIONAL/MANAGERIAL CONTROL100%2016-03-01ended 2026-05-18pecos_ownership
MARY GRODEONW-2 MANAGING EMPLOYEE100%2022-05-09ended 2026-05-18pecos_ownership
10-26 NATIONWIDE TR5% OR GREATER DIRECT OWNERSHIP INTEREST48%2021-01-01ended 2026-05-18pecos_ownership
JUDAH BIENSTOCK5% OR GREATER DIRECT OWNERSHIP INTEREST38%2021-01-01ended 2026-05-18pecos_ownership
MOSHE SCHREIBER5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2016-03-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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 — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE———90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN———120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER———150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA———125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK———105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER———67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR———77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION———119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE———87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER———153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION———150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION———115ISLAND 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

33
GeoKindBRAmountAs ofSource
county 29189acs median gross0$1,0672024-12-31CENSUS_ACS5
county 29189fmr0$9552025-10-01HUD_USER_FMR
county 29189acs median gross1$9952024-12-31CENSUS_ACS5
county 29189fmr1$9952025-10-01HUD_USER_FMR
county 29189acs median gross2$1,2162024-12-31CENSUS_ACS5
county 29189fmr2$1,2182025-10-01HUD_USER_FMR
county 29189acs median gross3$1,4462024-12-31CENSUS_ACS5
county 29189fmr3$1,5682025-10-01HUD_USER_FMR
county 29189acs median gross4$1,7422024-12-31CENSUS_ACS5
county 29189fmr4$1,8122025-10-01HUD_USER_FMR
county 29189acs median gross5$1,8502024-12-31CENSUS_ACS5
county 29189acs median gross$1,2092024-12-31CENSUS_ACS5
county 29189acs recent mover gross$1,3692024-12-31CENSUS_ACS5
zcta 63131acs median gross2$1,8272024-12-31CENSUS_ACS5
zcta 63131acs median gross3$2,1002024-12-31CENSUS_ACS5
zcta 63131acs median gross4$2,5752024-12-31CENSUS_ACS5
zcta 63131acs median gross$1,8962024-12-31CENSUS_ACS5
zcta 63131acs recent mover gross$1,7532024-12-31CENSUS_ACS5
zip 63131payment standard 1100$1,5842025-10-01HUD_USER_SAFMR
zip 63131payment standard 900$1,2962025-10-01HUD_USER_SAFMR
zip 63131safmr0$1,4402025-10-01HUD_USER_SAFMR
zip 63131payment standard 1101$1,6392025-10-01HUD_USER_SAFMR
zip 63131payment standard 901$1,3412025-10-01HUD_USER_SAFMR
zip 63131safmr1$1,4902025-10-01HUD_USER_SAFMR
zip 63131payment standard 1102$2,0132025-10-01HUD_USER_SAFMR
zip 63131payment standard 902$1,6472025-10-01HUD_USER_SAFMR
zip 63131safmr2$1,8302025-10-01HUD_USER_SAFMR
zip 63131payment standard 1103$2,5962025-10-01HUD_USER_SAFMR
zip 63131payment standard 903$2,1242025-10-01HUD_USER_SAFMR
zip 63131safmr3$2,3602025-10-01HUD_USER_SAFMR
zip 63131payment standard 1104$2,9922025-10-01HUD_USER_SAFMR
zip 63131payment standard 904$2,4482025-10-01HUD_USER_SAFMR
zip 63131safmr4$2,7202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · QUARTERS AT DES PERES, THE (265834) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency