Composite
93.9 / 100 percentile
Screener / 265831
D
MONARCH SPRINGS WELLNESS & REHABILITATION
snfMO
894 LELAND AVENUE, UNIVERSITY CITY, MO 63130 · CCN 265831 · chain FIRST SWEETZER HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
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 model4ML signals25Components15CHOW radar1Distress radar1Staffing16Penalties0Deficiencies35Licensure0Ownership41Related party5Transactions1Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.2 | 94.5 | 0.30 | 0.3000 | 29.76 | in index |
| staffing risk | 79.7 | 79.7 | 0.25 | 0.2500 | 19.93 | in index |
| regulatory risk | 38.7 | 27.9 | 0.30 | 0.3000 | 11.61 | in index |
| chow risk | 58.3 | 57.7 | 0.15 | 0.1500 | 8.75 | 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
25| 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 | +39.5 vs natl | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet risk far above national | +36.7 vs natl | RIMPAU HOLDINGS TRUST | 14 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner fleet risk far above national | +31.0 vs natl | SASEM INVESTMENTS LLC | 21 facilities |
| connection | Owner fleet risk far above national | +30.5 vs natl | KAPLAN ESTHER | 55 facilities |
| connection | Owner fleet risk far above national | +29.1 vs natl | GAO SHAWN | 6 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | FIRST SWEETZER HOLDINGS LLC | 26 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | OPCO CA SKILLED MGMT INC | 41 facilities |
| connection | Owner fleet risk far above national | +28.9 vs natl | UNGER JEFFREY | 46 facilities |
| connection | Owner fleet risk far above national | +28.8 vs natl | GURWITZ SOLOMON | 42 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 11 chains | KAPLAN ESTHER | 54 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 10 chains | GURWITZ SOLOMON | 41 facilities |
| connection | Owner spans multiple chains | 9 chains | OPCO CA SKILLED MGMT INC | 40 facilities |
| connection | Owner spans multiple chains | 9 chains | UNGER JEFFREY | 45 facilities |
| connection | Owner spans multiple chains | 8 chains | DAVIDOVICH NIV | 19 facilities |
| connection | Owner spans multiple chains | 4 chains | PEASE BELL CPAS LLC | 13 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | DAVIDOVICH NIV | 20 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
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 24.9 | A | 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 | 90.6 | F | v0.6 | default · in composite | |
| financial risk | 94.5 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 27.9 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 79.7 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.1 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 50.1 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 74.6 | D | 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 | 92.9 | F | 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 | 27.7 | B | 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 | 27.7 | B | 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 | 79.7 | D | 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 | 79.7 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.24 | -1.72 | |
| Never sold on record | 0.00 | -1.62 | |
| Occupancy | 0.39 | +0.89 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.09 | +0.25 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
67.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.39 | +1.51 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.09 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.24 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +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 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.81 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.07 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.85 | 2.24 | 3.11 | — |
| Weekday total | 2.79 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 46.4 | 2.81 | 0.07 | 0.88 | 1.86 | 2.85 | 7.3% |
| 2025Q3 | 92 | 39.8 | 2.48 | 0.19 | 0.40 | 1.90 | 2.36 | 1.5% |
| 2025Q2 | 91 | 35.1 | 1.61 | 0.02 | 0.39 | 1.20 | 1.53 | 0.0% |
| 2025Q1 | 90 | 42.9 | 2.56 | 0.21 | 0.55 | 1.81 | 2.52 | 10.2% |
| 2024Q4 | 92 | 49.0 | 2.58 | 0.14 | 0.63 | 1.82 | 2.53 | 7.5% |
| 2024Q3 | 92 | 52.8 | 2.60 | 0.10 | 0.56 | 1.93 | 2.54 | 9.5% |
| 2024Q2 | 91 | 49.9 | 2.89 | 0.14 | 0.72 | 2.03 | 2.77 | 24.4% |
| 2024Q1 | 91 | 51.9 | 2.48 | 0.04 | 0.67 | 1.77 | 2.46 | 19.4% |
| 2023Q4 | 92 | 52.3 | 2.68 | 0.11 | 0.64 | 1.93 | 2.57 | 12.5% |
| 2023Q3 | 92 | 41.8 | 2.59 | 0.17 | 0.59 | 1.83 | 2.22 | 11.1% |
| 2023Q2 | 91 | 37.1 | 2.63 | 0.18 | 0.65 | 1.80 | 2.24 | 7.2% |
| 2023Q1 | 90 | 36.0 | 2.49 | 0.15 | 0.68 | 1.65 | 2.28 | 11.8% |
| 2022Q4 | 92 | 36.0 | 2.14 | 0.10 | 0.52 | 1.52 | 2.07 | 14.5% |
| 2022Q3 | 92 | 40.2 | 1.98 | 0.13 | 0.47 | 1.38 | 1.99 | 8.0% |
| 2022Q2 | 91 | 42.0 | 1.97 | 0.13 | 0.46 | 1.38 | 2.03 | 0.0% |
| 2022Q1 | 90 | 47.2 | 2.21 | 0.14 | 0.51 | 1.56 | 2.02 | 0.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
35C × 2D × 13E × 11F × 6G × 1J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-26 |
| 2025-12-31 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-01-05 |
| 2025-01-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-01-20 |
| 2024-07-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-08-16 |
| 2024-07-12 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-08-16 |
| 2024-07-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-08-16 |
| 2024-07-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-16 |
| 2024-07-12 | Health | F0732 | Post nurse staffing information every day. | C | 2024-08-16 |
| 2024-07-12 | 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 | 2024-08-16 |
| 2024-07-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-08-16 |
| 2024-07-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-16 |
| 2024-07-12 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-08-16 |
| 2024-07-12 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2024-08-09 |
| 2024-07-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-08-09 |
| 2024-05-02 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-05-29 |
| 2024-05-02 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-29 |
| 2024-05-02 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-05-29 |
| 2023-07-13 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | 2023-08-15 |
| 2023-06-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-07-07 |
| 2023-06-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-07-07 |
| 2022-12-09 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-01-06 |
| 2022-12-09 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-01-05 |
| 2022-12-09 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-01-06 |
| 2022-12-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-01-06 |
| 2022-12-09 | 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 | 2023-01-06 |
| 2022-12-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-01-06 |
| 2022-12-09 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2023-01-23 |
| 2022-12-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-01-06 |
| 2022-12-09 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2023-01-06 |
| 2022-12-09 | Health | F0908 | Keep all essential equipment working safely. | D | 2023-01-06 |
| 2019-08-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-10-03 |
| 2019-08-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2019-10-03 |
| 2019-08-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-10-03 |
| 2019-08-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-10-03 |
| 2019-08-19 | Health | F0908 | Keep all essential equipment working safely. | F | 2019-10-03 |
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 894 LELAND AVE MO LLC | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| AMBER HC TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| APM REAL ESTATE HOLDING | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| APM REAL ESTATE HOLDING | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| ARCHES HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| BANKWELL BANK | 5% OR GREATER SECURITY INTEREST | — | 2025-05-01 | current | pecos_ownership |
| CAMPBELL, KEVIN | ADP OF THE SNF | — | 2025-08-05 | current | pecos_ownership |
| CAMPBELL, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| DAVIDOVICH, NIV | TRUSTEE OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| FIRST SWEETZER HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2023-06-01 | current | pecos_ownership |
| GAO, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| GAO, SHAWN | ADP OF THE SNF | — | 2025-08-05 | current | pecos_ownership |
| GARETZ, DAVID | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| GURWITZ, SOLOMON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| HAGINS, ELIZABETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-08-05 | current | pecos_ownership |
| HERALD ADVISORS LLC | ADP OF THE SNF | — | 2025-08-05 | current | pecos_ownership |
| KAPLAN, ESTHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| LUCENT ADVISORS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| MINDLE, ADAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-08-05 | current | pecos_ownership |
| OPCO CA SKILLED MGMT INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| PEASE BELL CPAS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-14 | current | pecos_ownership |
| POTTER SPENCE, ALLENCIA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| RIMPAU HOLDINGS TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| SASEM INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | TRUSTEE OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| UNGER, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| ESTHER KAPLAN | INDIRECT OWNERSHIP INTEREST | 3% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| DAVID GARETZ | INDIRECT OWNERSHIP INTEREST | 1% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ALLENCIA POTTER SPENCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| APM REAL ESTATE HOLDING | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| APM REAL ESTATE HOLDING | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| APM REAL ESTATE HOLDING | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JEFFREY UNGER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER STERNSHEIN | TRUSTEE OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| KEVIN CAMPBELL | ADP OF THE SNF | — | 2025-08-05 | ended 2026-05-18 | pecos_ownership |
| KEVIN CAMPBELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| NIV DAVIDOVICH | TRUSTEE OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| SHAWN GAO | ADP OF THE SNF | — | 2025-08-05 | ended 2026-05-18 | pecos_ownership |
| SHAWN GAO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON GURWITZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | 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 |
|---|---|---|---|---|
| 2025-05-01 | — | MONARCH SPRINGS WELLNESS & REHABILITATION LLC | JPAM CONSULTING, INC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATIONthis facility | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63130 | acs median gross | 0 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63130 | acs median gross | 1 | $1,055 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63130 | acs median gross | 2 | $1,209 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63130 | acs median gross | 3 | $1,800 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63130 | acs median gross | 4 | $1,242 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63130 | acs median gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63130 | acs recent mover gross | $1,323 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63130 | payment standard 110 | 0 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 90 | 0 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | safmr | 0 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 110 | 1 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 90 | 1 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | safmr | 1 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 110 | 2 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 90 | 2 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | safmr | 2 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 110 | 3 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 90 | 3 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | safmr | 3 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 110 | 4 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | payment standard 90 | 4 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63130 | safmr | 4 | $2,020 | 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.