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 20:19 UTC
Screener / 165411
D

Southfield Wellness Community

snfIA
2416 Des Moines Street, Webster City, IA 50595 · CCN 165411 · chain CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
Composite
93.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
65
Model
v1.2
Reads as: riskier than 93.9% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies58Licensure0Ownership63Related party6Transactions1Comps12Market rent32

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk92.289.90.300.230821.28in index
financial risk90.878.50.300.230820.95in index
staffing risk66.566.50.250.192312.79in index
billing conduct35.634.10.300.23088.22in index
chow risk59.758.20.150.11546.89in 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

6
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+31.4 vs natlGPN FAMILY TRUST U A D 4 28 0874 facilities
connectionOwner fleet risk far above national+30.1 vs natlDOROS GENERATION TRUST U A D 1 3 1272 facilities
connectionOwner fleet risk far above national+26.2 vs natlLEGACY HEALTHCARE FINANCIAL SERVICES LLC79 facilities
connectionOwner fleet risk far above national+25.1 vs natlOAKWAY OPERATIONS LLC44 facilities
connectionOwner fleet risk far above national+24.2 vs natlSHABAT MENACHEM85 facilities
connectionOwner spans multiple chains5 chainsRAJCHENBACH CHAIM49 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 conduct34.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk91.4Fv0.6default · in composite
financial risk78.5Dv0.5default · 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 12m0.0—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 risk89.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk66.5Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk58.4Cv0.1supersededPre-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 risk38.4Bv0.2supersededPre-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 risk67.8Dv0.3supersededPre-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 risk78.2Dv0.4supersededPre-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 risk89.8Fv0.1supersededPre-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 risk89.8Fv0.2supersededPre-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 risk66.5Dv0.1supersededPre-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 risk66.5Dv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.95-1.66
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.49+0.55
Occupancy0.85-0.44
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months19.00+0.29
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
DriverValuePull on odds
Deficiencies, last 12 months19.00-2.09
Chain size (log)4.49-1.41
For-profit ownership1.00-0.69
Occupancy0.85-0.43
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.95-0.27
Ownership changes, last 5 years1.00+0.23
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 facilityIA medianNational medianNational p25–p75
Total nurse3.043.153.282.90–3.77
RN0.420.460.390.25–0.58
Weekend total2.932.963.11—
Weekday total3.083.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49255.33.040.420.342.282.9320.8%
2025Q39258.93.220.330.362.533.0626.3%
2025Q29156.03.520.360.402.753.3327.6%
2025Q19053.43.430.370.482.583.3624.8%
2024Q49251.73.350.400.452.513.258.5%
2024Q39251.83.390.430.482.483.150.8%
2024Q29149.53.440.390.662.383.220.0%
2024Q19146.53.650.370.722.563.562.6%
2023Q49251.43.470.370.582.523.410.1%
2023Q39254.53.300.430.452.423.210.1%
2023Q29153.03.530.420.482.633.450.4%
2023Q19057.73.130.480.432.233.081.6%
2022Q49255.63.290.390.522.383.147.3%
2022Q39252.73.240.460.432.353.1710.1%
2022Q29151.72.990.710.292.002.9612.2%
2022Q19052.73.030.620.322.092.8518.2%
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

2
fines by year
$38.4k$19.2k2324
DateTypeFineSource
2024-12-04Fine$33,540CMS provider data
2023-11-06Fine$38,357CMS provider data
Total fines on record: $71,897

Deficiencies

58
D × 46E × 6F × 2G × 4
deficiencies by survey year
241223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-19HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-16
2026-02-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-03-16
2026-02-19HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-03-16
2026-02-19HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-03-16
2026-02-19HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-16
2026-02-19Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-03-16
2026-02-19HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-16
2026-02-19HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-03-16
2026-02-19HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2026-03-16
2026-02-19HealthF0760Ensure that residents are free from significant medication errors.D2026-03-16
2026-02-19HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2026-03-16
2026-01-28Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-02
2025-12-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-01-16
2025-11-18Health · 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.D2025-12-19
2025-11-18Health · complaintF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-12-19
2025-11-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-12-19
2025-11-18Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-19
2025-11-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-19
2025-11-18Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-12-19
2025-03-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-02
2025-03-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-02
2025-03-03HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-04-02
2025-03-03HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-04-02
2025-03-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-02
2025-03-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-02
2025-03-03HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-04-02
2025-03-03HealthF0713Provide or arrange emergency care by a doctor 24 hours a day.D2025-04-02
2025-03-03HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2025-04-02
2025-03-03HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-04-02
2025-03-03HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2025-04-02
2025-03-03HealthF0881Implement a program that monitors antibiotic use.F2025-04-02
2024-12-04Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-12-19
2024-12-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-12-19
2024-12-04Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2024-12-19
2023-11-06HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-12-11
2023-11-06HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-29
2023-11-06HealthF0610Respond appropriately to all alleged violations.D2023-11-29
2023-11-06HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-12-11
2023-11-06HealthF0625Notify 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.D2023-12-11
2023-11-06HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-12-11
2023-11-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-11
2023-11-06HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-12-11
2023-11-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-11
2023-11-06Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-12-11
2023-11-06HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-11
2023-11-06Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-11-29
2023-11-06Health · complaintF0688Provide 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.D2023-12-11
2023-11-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-11-29
2023-11-06HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-12-11
2023-11-06Health · complaintF0693Ensure 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.D2023-12-11
2023-11-06HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-12-11
2023-11-06Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2023-12-11
2023-11-06HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-12-11
2023-11-06Health · complaintF0758Implement 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.D2023-12-11
2023-11-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-12-11
2023-11-06HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2023-12-11
2023-11-06HealthF0880Provide and implement an infection prevention and control program.D2023-12-11
2023-11-06HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E2023-12-11
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

63
OwnerRolePctFromStatusSource
BEASLEY, KARLAADP OF THE SNF—2024-08-15currentpecos_ownership
BEHOUNEK, LINSEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BURKEN, SHERIOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
CASCADE CAPITAL HOLDINGS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CASCADE CAPITAL PARTNERS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CCG GORGONA LLCADP OF THE SNF—2024-08-15currentpecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/12INDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
FRIEDENBERG, LAURAADP OF THE SNF—2024-08-15currentpecos_ownership
FRIEDMAN, BRIANTRUSTEE OF THE SNF—2021-01-03currentpecos_ownership
GORGONA HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA PROPCO HOLDINGS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA SUB HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNF—2025-03-03currentpecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08INDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
HASSEBROCK, MEGANOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HEDBERG, JENNIFEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HEITLAND, ASHLEYOPERATIONAL/MANAGERIAL CONTROL—2025-01-01currentpecos_ownership
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HOUSTON, MINDYADP OF THE SNF—2024-08-15currentpecos_ownership
IOWA PORTFOLIO OPCO HOLDINGS LLCDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
JAEGER, KRYSTLEADP OF THE SNF—2024-08-15currentpecos_ownership
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNF—2024-08-15currentpecos_ownership
MCCLURE, DOROTHYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MN8 RH HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
OAKWAY OPERATIONS LLCADP OF THE SNF—2025-03-03currentpecos_ownership
OAKWAY OPERATIONS LLCINDIRECT OWNERSHIP INTEREST—2024-08-15currentpecos_ownership
OTTERBECK, PATRICIAADP OF THE SNF—2024-08-15currentpecos_ownership
RAJCHENBACH, AVRUMTRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
RAJCHENBACH, CHAIMADP OF THE SNF—2024-08-15currentpecos_ownership
RAJCHENBACH, RIVKATRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
SHABAT, AHUVATRUSTEE OF THE SNF—2012-01-03currentpecos_ownership
SHABAT, MENACHEMCORPORATE OFFICER—2024-08-15currentpecos_ownership
SHEAR, KILEYADP OF THE SNF—2024-08-15currentpecos_ownership
VAN VEGHEL, ELIZABETHADP OF THE SNF—2024-08-15currentpecos_ownership
WEBSTER CITY IA PROPERTY HOLDINGS, LLCADP OF THE SNF—2024-08-15currentpecos_ownership
WIERSCHEM, BOBBIEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008INDIRECT OWNERSHIP INTEREST46%2024-08-15ended 2026-05-18pecos_ownership
AHUVA SHABATTRUSTEE OF THE SNF—2012-01-03ended 2026-05-18pecos_ownership
ASHLEY HEITLANDADP OF THE SNF—2025-01-01ended 2026-05-18pecos_ownership
AVRUM RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
BOBBIE WIERSCHEMADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
BRIAN FRIEDMANTRUSTEE OF THE SNF—2021-01-03ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACHADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008ADP OF THE SNF—2025-03-03ended 2026-05-18pecos_ownership
DOROTHY MCCLUREADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
ELIZABETH VAN VEGHELOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNIFER HEDBERGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNY BORCHERDINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KARLA BEASLEYADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
KILEY SHEAROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KRYSTLE JAEGERADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
LARINA HEYINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LAURA FRIEDENBERGADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
LINSEY BEHOUNEKADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
MEGAN HASSEBROCKOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MELISSA LARSONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MENACHEM SHABATOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MINDY HOUSTONADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
PATRICIA OTTERBECKADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
RIVKA RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
SHERI BURKENOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-08-15—WEBSTER CITY IA SKILLED NURSING FACILITY LLCWEBSTER CARE CORPORATIONchow

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA 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

32
GeoKindBRAmountAs ofSource
county 19079fmr0$7382025-10-01HUD_USER_FMR
county 19079acs median gross1$7622024-12-31CENSUS_ACS5
county 19079fmr1$7912025-10-01HUD_USER_FMR
county 19079acs median gross2$8832024-12-31CENSUS_ACS5
county 19079fmr2$9942025-10-01HUD_USER_FMR
county 19079acs median gross3$9152024-12-31CENSUS_ACS5
county 19079fmr3$1,1922025-10-01HUD_USER_FMR
county 19079acs median gross4$7842024-12-31CENSUS_ACS5
county 19079fmr4$1,3162025-10-01HUD_USER_FMR
county 19079acs median gross$8772024-12-31CENSUS_ACS5
county 19079acs recent mover gross$1,0422024-12-31CENSUS_ACS5
zcta 50595acs median gross1$9022024-12-31CENSUS_ACS5
zcta 50595acs median gross2$8812024-12-31CENSUS_ACS5
zcta 50595acs median gross3$9782024-12-31CENSUS_ACS5
zcta 50595acs median gross4$7442024-12-31CENSUS_ACS5
zcta 50595acs median gross$8992024-12-31CENSUS_ACS5
zcta 50595acs recent mover gross$1,0722024-12-31CENSUS_ACS5
zip 50595payment standard 1100$8142025-10-01HUD_USER_SAFMR
zip 50595payment standard 900$6662025-10-01HUD_USER_SAFMR
zip 50595safmr0$7402025-10-01HUD_USER_SAFMR
zip 50595payment standard 1101$8802025-10-01HUD_USER_SAFMR
zip 50595payment standard 901$7202025-10-01HUD_USER_SAFMR
zip 50595safmr1$8002025-10-01HUD_USER_SAFMR
zip 50595payment standard 1102$1,1002025-10-01HUD_USER_SAFMR
zip 50595payment standard 902$9002025-10-01HUD_USER_SAFMR
zip 50595safmr2$1,0002025-10-01HUD_USER_SAFMR
zip 50595payment standard 1103$1,3202025-10-01HUD_USER_SAFMR
zip 50595payment standard 903$1,0802025-10-01HUD_USER_SAFMR
zip 50595safmr3$1,2002025-10-01HUD_USER_SAFMR
zip 50595payment standard 1104$1,4632025-10-01HUD_USER_SAFMR
zip 50595payment standard 904$1,1972025-10-01HUD_USER_SAFMR
zip 50595safmr4$1,3302025-10-01HUD_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 · Southfield Wellness Community (165411) · 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