Composite
98.8 / 100 percentile
Screener / 275080
F
COONEY HEALTHCARE AND REHABILITATION
snfMTSFF: SFF Candidate
2555 E BROADWAY, HELENA, MT 59601 · CCN 275080 · chain EDURO HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 98.8% 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 model5ML signals16Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies76Licensure0Ownership30Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.9 | 98.2 | 0.30 | 0.2308 | 22.82 | in index |
| billing conduct | 82.2 | 54.3 | 0.30 | 0.2308 | 18.97 | in index |
| staffing risk | 95.7 | 95.7 | 0.25 | 0.1923 | 18.40 | in index |
| financial risk | 65.8 | 56.2 | 0.30 | 0.2308 | 15.18 | in index |
| chow risk | 32.1 | 30.7 | 0.15 | 0.1154 | 3.70 | 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
16| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | EDURO HEALTHCARE LLC | 10 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | MONROE DUSTIN | 9 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | THOMPSON CHRISTOPHER | 11 facilities |
| connection | Owner fleet risk far above national | +21.6 vs natl | ECAPITAL HEALTHCARE CORP | 26 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | BEWSEY MICHAEL | 31 facilities |
| connection | Owner spans multiple chains | 18 chains | CTR PARTNERSHIP LP | 99 facilities |
| connection | Owner spans multiple chains | 15 chains | CARETRUST REIT INC | 96 facilities |
| connection | Owner spans multiple chains | 11 chains | CARETRUST GP LLC | 89 facilities |
| connection | Owner spans multiple chains | 6 chains | BEWSEY MICHAEL | 29 facilities |
| connection | Owner spans multiple chains | 6 chains | ECAPITAL HEALTHCARE CORP | 24 facilities |
| connection | Owner fleet enforcement cluster | 62% fined | ECAPITAL HEALTHCARE CORP | 26 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | MONROE DUSTIN | 9 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | EDURO HEALTHCARE LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | BEWSEY MICHAEL | 31 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | THOMPSON CHRISTOPHER | 11 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 | 54.3 | 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 | 36.5 | B | v0.6 | default · in composite | |
| financial risk | 56.2 | 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 | 0.4 | — | 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 | 98.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 59.3 | C | 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 | 39.3 | B | 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 | 59.5 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 58.4 | 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 | 98.2 | 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 | 98.2 | 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 | 95.7 | 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 | 95.7 | 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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
51.4
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) | 5.82 | -1.28 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 34.00 | +0.65 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| High-severity deficiencies, 12m | 5.00 | +0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.71 | +0.17 |
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 | 34.00 | -4.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.66 | -0.67 | |
| Total nurse staffing (HPRD) | 2.26 | +0.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.71 | -0.37 | |
| 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 | 2.26 | 3.25 | 3.28 | 2.90–3.77 |
| RN | 0.61 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 1.88 | 3.12 | 3.11 | — |
| Weekday total | 2.40 | 3.34 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 65.8 | 2.26 | 0.61 | 0.33 | 1.32 | 1.88 | 11.3% |
| 2025Q3 | 92 | 63.9 | 2.28 | 0.59 | 0.22 | 1.47 | 1.84 | 5.1% |
| 2025Q2 | 91 | 67.0 | 1.99 | 0.42 | 0.16 | 1.41 | 1.74 | 2.6% |
| 2025Q1 | 90 | 70.9 | 1.90 | 0.33 | 0.25 | 1.32 | 1.50 | 28.4% |
| 2024Q4 | 92 | 68.2 | 2.76 | 0.41 | 0.57 | 1.77 | 2.55 | 46.5% |
| 2024Q3 | 92 | 72.5 | 2.56 | 0.36 | 0.63 | 1.56 | 2.26 | 44.3% |
| 2024Q2 | 91 | 77.5 | 2.38 | 0.44 | 0.46 | 1.48 | 2.06 | 34.3% |
| 2024Q1 | 91 | 76.3 | 2.18 | 0.48 | 0.33 | 1.37 | 1.55 | 9.0% |
| 2023Q4 | 92 | 73.6 | 2.46 | 0.47 | 0.37 | 1.62 | 2.01 | 22.7% |
| 2023Q3 | 92 | 79.1 | 2.18 | 0.52 | 0.27 | 1.39 | 1.73 | 8.6% |
| 2023Q2 | 91 | 74.2 | 2.31 | 0.51 | 0.35 | 1.45 | 1.96 | 17.2% |
| 2023Q1 | 90 | 68.5 | 2.44 | 0.52 | 0.32 | 1.59 | 1.94 | 24.8% |
| 2022Q4 | 92 | 65.4 | 2.49 | 0.29 | 0.47 | 1.73 | 2.10 | 41.2% |
| 2022Q3 | 92 | 62.2 | 2.54 | 0.39 | 0.39 | 1.76 | 1.76 | 17.8% |
| 2022Q2 | 91 | 67.1 | 2.25 | 0.38 | 0.30 | 1.58 | 1.70 | 2.4% |
| 2022Q1 | 90 | 66.1 | 2.24 | 0.48 | 0.23 | 1.54 | 1.66 | 1.8% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-06 | Fine | $14,505 | CMS provider data |
| 2025-08-06 | Fine | $101,533 | CMS provider data |
| 2025-08-06 | Payment Denial | — | CMS provider data |
| 2024-08-15 | Fine | $44,363 | CMS provider data |
| 2024-05-02 | Fine | $52,735 | CMS provider data |
| 2023-08-17 | Fine | $34,076 | CMS provider data |
Total fines on record: $247,212
Deficiencies
76D × 41E × 12F × 12G × 10J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-31 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-01-23 |
| 2025-12-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-23 |
| 2025-12-04 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2025-12-15 |
| 2025-12-04 | 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. | F | 2025-12-15 |
| 2025-12-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-12-15 |
| 2025-12-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-15 |
| 2025-12-04 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | 2025-12-15 |
| 2025-12-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-15 |
| 2025-12-04 | 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 | 2025-12-15 |
| 2025-09-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-10-24 |
| 2025-09-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-10-24 |
| 2025-09-11 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-10-24 |
| 2025-09-11 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-24 |
| 2025-09-11 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2025-08-01 |
| 2025-09-11 | 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 | 2025-10-24 |
| 2025-09-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-10-24 |
| 2025-09-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-10-24 |
| 2025-09-11 | 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. | D | 2025-10-24 |
| 2025-09-11 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-10-24 |
| 2025-09-11 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-10-24 |
| 2025-09-11 | 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 | 2025-10-24 |
| 2025-09-11 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2025-10-24 |
| 2025-09-11 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-10-24 |
| 2025-09-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-10-24 |
| 2025-09-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-10-24 |
| 2025-09-11 | 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. | E | 2025-10-24 |
| 2025-09-11 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-10-24 |
| 2025-09-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-10-24 |
| 2025-09-11 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2025-10-24 |
| 2025-08-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-09-19 |
| 2025-08-06 | 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 | 2025-09-19 |
| 2025-08-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-09-19 |
| 2025-08-06 | 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 | 2025-09-19 |
| 2025-08-06 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2025-09-19 |
| 2024-10-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-31 |
| 2024-10-03 | 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. | E | 2024-10-31 |
| 2024-10-03 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-10-31 |
| 2024-08-15 | Health | 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 | 2024-09-09 |
| 2024-08-15 | 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 | 2024-09-09 |
| 2024-08-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-09-09 |
| 2024-08-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-09 |
| 2024-08-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-09 |
| 2024-08-15 | 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 | 2024-09-09 |
| 2024-08-15 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-09-09 |
| 2024-08-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-09-09 |
| 2024-08-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-09 |
| 2024-08-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-09-09 |
| 2024-08-15 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2024-09-09 |
| 2024-08-15 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-09 |
| 2024-05-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-21 |
| 2024-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-05-21 |
| 2024-05-02 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2024-05-21 |
| 2024-02-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-29 |
| 2024-01-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-29 |
| 2024-01-16 | 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 | 2024-02-29 |
| 2023-08-17 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-21 |
| 2023-08-17 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2023-09-21 |
| 2023-08-17 | 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 | 2023-09-21 |
| 2023-08-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-09-21 |
| 2023-08-17 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-09-21 |
| 2023-08-17 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-09-21 |
| 2023-08-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-21 |
| 2023-08-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-09-21 |
| 2023-08-17 | 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 | 2023-09-21 |
| 2023-08-17 | 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 | 2023-09-21 |
| 2023-08-17 | 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. | D | 2023-09-21 |
| 2023-08-17 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-09-21 |
| 2023-08-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2023-09-21 |
| 2023-08-17 | 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. | D | 2023-09-21 |
| 2023-08-17 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-09-21 |
| 2023-08-17 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-09-21 |
| 2023-08-17 | 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. | F | 2023-09-28 |
| 2023-08-17 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-09-21 |
| 2023-08-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-21 |
| 2023-08-17 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-09-21 |
| 2023-08-17 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-09-21 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALLRED JACKSON, P.C. | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-01 | current | pecos_ownership |
| ALLRED JACKSON, P.C. | ADP OF THE SNF | — | 2025-10-16 | current | pecos_ownership |
| BEWSEY ENTERPRISES LLC | INDIRECT OWNERSHIP INTEREST | — | 2020-09-01 | current | pecos_ownership |
| BEWSEY, MICHAEL | INDIRECT OWNERSHIP INTEREST | — | 2020-09-01 | current | pecos_ownership |
| CARETRUST GP LLC | ADP OF THE SNF | — | 2020-09-01 | current | pecos_ownership |
| CARETRUST REIT INC | ADP OF THE SNF | — | 2020-09-01 | current | pecos_ownership |
| COTTON, CHRISTOPHER | ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| CTR PARTNERSHIP LP | ADP OF THE SNF | — | 2025-10-16 | current | pecos_ownership |
| DODGE, JENIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-22 | current | pecos_ownership |
| ECAPITAL HEALTHCARE CORP | 5% OR GREATER SECURITY INTEREST | — | 2020-09-01 | current | pecos_ownership |
| ECAPITAL HEALTHCARE CORP | ADP OF THE SNF | — | 2025-10-16 | current | pecos_ownership |
| EDURO HEALTHCARE LLC | ADP OF THE SNF | — | 2026-04-21 | current | pecos_ownership |
| EDURO HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | — | 2020-09-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-09-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2025-10-16 | current | pecos_ownership |
| HIMMEL, ROGER | ADP OF THE SNF | — | 2020-09-01 | current | pecos_ownership |
| MARSH, JAMES | ADP OF THE SNF | — | 2020-09-01 | current | pecos_ownership |
| MONROE, DUSTIN | ADP OF THE SNF | — | 2020-09-01 | current | pecos_ownership |
| MONROE, DUSTIN | CORPORATE OFFICER | — | 2023-06-01 | current | pecos_ownership |
| RUEB, CAYLA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-03 | current | pecos_ownership |
| THOMPSON, CHRISTOPHER | MANAGING CONTROL - GOVERNING BODY | — | 2020-09-01 | current | pecos_ownership |
| WILLIAMS, HEIDI | MANAGING CONTROL - GOVERNING BODY | — | 2020-09-01 | current | pecos_ownership |
| WSRP, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-09-01 | current | pecos_ownership |
| WSRP, LLC | ADP OF THE SNF | — | 2025-10-16 | current | pecos_ownership |
| CHRISTOPHER THOMPSON | W-2 MANAGING EMPLOYEE | 100% | 2020-07-07 | ended 2026-05-18 | pecos_ownership |
| COONEY REALTY COMPANY | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-09-30 | hcris_a_8_1 |
| EDURO HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-07-07 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BEWSEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-07-07 | ended 2026-05-18 | pecos_ownership |
| DUSTIN MONROE | CORPORATE OFFICER | — | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| JENIFER DODGE | OTHER | — | 2024-01-01 | 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 |
|---|---|---|---|---|
| 2020-10-01 | — | HELENA NURSING AND REHAB CENTER LLC | COONEY HEALTH CARE INC | 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 LLC | — | — | — | 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 30049 | acs median gross | 0 | $736 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | fmr | 0 | $1,136 | 2025-10-01 | HUD_USER_FMR |
| county 30049 | acs median gross | 1 | $875 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | fmr | 1 | $1,319 | 2025-10-01 | HUD_USER_FMR |
| county 30049 | acs median gross | 2 | $1,126 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | fmr | 2 | $1,647 | 2025-10-01 | HUD_USER_FMR |
| county 30049 | acs median gross | 3 | $1,583 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | fmr | 3 | $2,250 | 2025-10-01 | HUD_USER_FMR |
| county 30049 | acs median gross | 4 | $1,424 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | fmr | 4 | $2,496 | 2025-10-01 | HUD_USER_FMR |
| county 30049 | acs median gross | 5 | $714 | 2024-12-31 | CENSUS_ACS5 |
| county 30049 | acs median gross | $1,102 | 2024-12-31 | CENSUS_ACS5 | |
| county 30049 | acs recent mover gross | $1,571 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59601 | acs median gross | 0 | $709 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | 1 | $888 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | 2 | $1,118 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | 3 | $1,567 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | 4 | $1,324 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | 5 | $714 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59601 | acs median gross | $1,046 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59601 | acs recent mover gross | $1,426 | 2024-12-31 | CENSUS_ACS5 | |
| zip 59601 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 110 | 1 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 90 | 1 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | safmr | 1 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 110 | 2 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 90 | 2 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | safmr | 2 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 110 | 3 | $2,464 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 90 | 3 | $2,016 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | safmr | 3 | $2,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 110 | 4 | $2,739 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | payment standard 90 | 4 | $2,241 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59601 | safmr | 4 | $2,490 | 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.