CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 21:44 UTC
Screener / 175435
D

HOLTON HEALTH CARE CENTER

snfKSSFF: SFF Candidate
1121 W 7TH STREET, HOLTON, KS 66436 · CCN 175435 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Composite
94.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
45
Model
v1.2
Reads as: riskier than 94.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals8Components16CHOW radar1Distress radar1Staffing13Penalties4Deficiencies60Licensure0Ownership13Related party6Transactions1Comps12Market rent32

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk98.191.10.300.230822.64in index
regulatory risk97.896.70.300.230822.57in index
staffing risk97.897.80.250.192318.81in index
chow risk53.459.20.150.11546.16in index
billing conduct0.00.00.300.23080.00in 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

8
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+22.6 vs natlRICHARD J DESTEFANE REVOCABLE LIVING TRUST23 facilities
connectionOwner fleet risk far above national+20.4 vs natlRELIANT CARE MANAGEMENT COMPANY LLC32 facilities
connectionOwner fleet enforcement cluster61% finedRELIANT CARE GROUP LLC18 facilities
connectionOwner fleet enforcement cluster59% finedDESTEFANE RICHARD32 facilities
connectionOwner fleet enforcement cluster59% finedRELIANT CARE MANAGEMENT COMPANY LLC32 facilities
connectionOwner fleet enforcement cluster56% finedRICHARD J DESTEFANE REVOCABLE LIVING TRUST23 facilities
connectionOwner fleet enforcement cluster55% finedRCG INC20 facilities
connectionOwner fleet enforcement cluster47% finedTLG II LLP17 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 conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk23.8Av0.1-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 risk94.6Fv0.6default · in composite
financial risk91.1Fv0.5default · 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 12m0.1—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 risk96.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.8Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk72.7Dv0.1supersededPre-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 risk52.7Cv0.2supersededPre-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 risk76.9Dv0.3supersededPre-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 risk89.6Fv0.4supersededPre-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 risk96.7Fv0.1supersededPre-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 risk96.7Fv0.2supersededPre-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 risk97.8Fv0.1supersededPre-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 risk97.8Fv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.51-1.70
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Deficiencies, last 12 months27.00+0.48
No PBJ staffing report0.00+0.42
Chain size (log)3.43+0.33
Total nurse staffing (HPRD)2.02+0.20
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 months27.00-3.58
Chain size (log)3.43-0.80
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)2.02+0.50
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.51-0.28
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

13
2025Q4 HPRDThis facilityKS medianNational medianNational p25–p75
Total nurse2.023.033.282.90–3.77
RN0.280.440.390.25–0.58
Weekend total1.842.873.11—
Weekday total2.093.103.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49232.52.020.280.431.311.840.0%
2025Q39233.11.950.190.531.241.950.0%
2025Q29137.11.680.110.630.931.570.0%
2025Q19034.12.150.310.621.222.230.0%
2024Q19118.03.480.371.012.103.6076.1%
2023Q49221.33.290.650.891.753.0674.8%
2023Q39224.72.910.520.701.692.9581.1%
2023Q29125.82.770.230.781.762.9067.2%
2023Q19024.73.060.311.091.662.9061.4%
2022Q49226.73.510.351.231.943.0749.3%
2022Q39228.32.910.290.921.712.7238.7%
2022Q29130.62.500.260.731.522.1334.0%
2022Q19030.72.310.140.961.212.1110.8%
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

4
fines by year
$185.7k$92.8k2324
DateTypeFineSource
2024-12-30Fine$14,672CMS provider data
2024-08-19Fine$126,089CMS provider data
2024-01-29Fine$44,922CMS provider data
2023-10-16Fine$15,931CMS provider data
Total fines on record: $201,614

Deficiencies

60
C × 1D × 22E × 15F × 15G × 3J × 4
deficiencies by survey year
271422232425
SurveyTypeTagDeficiencyScopeCorrected
2025-08-26HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-10-03
2025-08-26HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-10-03
2025-08-26HealthF0584Honor 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.E2025-10-03
2025-08-26HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E2025-10-03
2025-08-26HealthF0641Ensure each resident receives an accurate assessment.E2025-10-03
2025-08-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-10-03
2025-08-26HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-10-03
2025-08-26HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-10-03
2025-08-26HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-10-03
2025-08-26HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-10-03
2025-08-26HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-10-03
2025-08-26HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2025-10-03
2025-08-26HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-10-03
2025-08-26HealthF0730Observe each nurse aide's job performance and give regular training.F2025-10-03
2025-08-26HealthF0732Post nurse staffing information every day.C2025-10-03
2025-08-26HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2025-10-03
2025-08-26HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-10-03
2025-08-26HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-10-03
2025-08-26HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2025-10-03
2025-08-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-10-03
2025-08-26HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-10-03
2025-08-26HealthF0880Provide and implement an infection prevention and control program.F2025-10-03
2025-08-26HealthF0881Implement a program that monitors antibiotic use.F2025-10-03
2025-08-26HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2025-10-03
2025-08-26HealthF0887Educate 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.E2025-10-03
2025-08-26HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2025-10-03
2025-08-26HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F2025-10-03
2024-12-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-12-20
2024-08-19Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.G2024-09-05
2024-08-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2024-09-05
2024-08-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-09-05
2024-01-29Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-02-26
2024-01-29Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2024-02-26
2024-01-29Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2024-02-26
2024-01-29Health · complaintF0610Respond appropriately to all alleged violations.D2024-02-26
2024-01-29Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-26
2024-01-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-02-26
2024-01-29Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.J2024-02-26
2024-01-29Health · complaintF0727Have 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.F2024-02-26
2024-01-29Health · complaintF0742Provide 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.J2024-02-26
2024-01-29Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-02-26
2024-01-29Health · 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.D2024-02-26
2024-01-29Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2024-02-26
2024-01-29Health · complaintF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F2024-02-26
2024-01-29Health · complaintF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F2024-02-26
2024-01-29Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2024-02-26
2024-01-29Health · complaintF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF2024-02-26
2024-01-29Health · complaintF0880Provide and implement an infection prevention and control program.D2024-02-26
2024-01-29Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2024-02-26
2023-10-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J2023-10-09
2022-08-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-09-16
2022-08-10HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-09-16
2022-08-10HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2022-09-16
2022-08-10HealthF0758Implement 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.D2022-09-16
2022-08-10HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-09-16
2022-08-10HealthF0761Ensure 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.D2022-09-16
2022-08-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-09-16
2022-08-10HealthF0880Provide and implement an infection prevention and control program.F2022-09-16
2022-08-10HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2022-09-16
2022-08-10HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2022-09-16
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

13
OwnerRolePctFromStatusSource
BAHR-SLOCUM, JENNIFEROPERATIONAL/MANAGERIAL CONTROL—2025-01-25currentpecos_ownership
DESTEFANE, RICHARDINDIRECT OWNERSHIP INTEREST—2025-01-25currentpecos_ownership
HOLTON ASSOCIATES, L.L.C.ADP OF THE SNF—2025-01-25currentpecos_ownership
MANZER, JONATHANADP OF THE SNF—2025-01-25currentpecos_ownership
RCG INCINDIRECT OWNERSHIP INTEREST—2025-01-25currentpecos_ownership
RELIANT CARE GROUP LLCDIRECT OWNERSHIP INTEREST—2025-01-25currentpecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLCADP OF THE SNF—2025-02-05currentpecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROL—2025-01-25currentpecos_ownership
RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTADP OF THE SNF—2025-01-25currentpecos_ownership
TLG II LLPADP OF THE SNF—2025-01-25currentpecos_ownership
RICHARD DESTEFANECORPORATE OFFICER100%2025-01-25ended 2026-05-18pecos_ownership
JENNIFER BAHR-SLOCUMOPERATIONAL/MANAGERIAL CONTROL—2025-01-25ended 2026-05-18pecos_ownership
JONATHAN MANZERADP OF THE SNF—2025-01-25ended 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
2025-01-25—HOLTON HEALTH CARE CENTER LLCANEW HEALTHCARE OPERATIONS HOLTON LLCchow

Comparable trades — KS snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-07-01VIA CHRISTI VILLAGE PITTSBURG———96VIA CHRISTI VILLAGE PITTSBURG KS LLC
2025-07-01VIA CHRISTI VILLAGE HAYS KS LLC———96VIA CHRISTI VILLAGE HAYS KS LLC
2025-01-25HOLTON HEALTH CARE CENTERthis facility———45HOLTON HEALTH CARE CENTER LLC
2024-08-25SWAN HEALTH AT OVERLAND PARK———44HHN KS2 LLC
2024-08-01IGNITE MEDICAL RESORT OVERLAND PARK LLC———102IGNITE MEDICAL RESORT OVERLAND PARK LLC
2024-05-01HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR———49OSAGE VALLEY HEALTHCARE LLC
2024-03-01ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING———45EARHART HEALTHCARE LLC
2024-02-01PROVIDENCE LIVING CENTER———78PROVIDENCE OPCO LLC
2023-11-01TONGANOXIE TERRACE———90TONGANOXIE OPCO LLC
2023-10-01PROVIDENCE PLACE———45STREETCAR HEALTHCARE, INC.
2023-09-01MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER———53HIAWATHA OPCO LLC
2023-08-01OVERLAND PARK POST ACUTE———140EXCEL OF OVERLAND PARK 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 20085fmr0$7922025-10-01HUD_USER_FMR
county 20085acs median gross1$5812024-12-31CENSUS_ACS5
county 20085fmr1$8202025-10-01HUD_USER_FMR
county 20085acs median gross2$9012024-12-31CENSUS_ACS5
county 20085fmr2$1,0572025-10-01HUD_USER_FMR
county 20085acs median gross3$1,0362024-12-31CENSUS_ACS5
county 20085fmr3$1,3922025-10-01HUD_USER_FMR
county 20085acs median gross4$1,3442024-12-31CENSUS_ACS5
county 20085fmr4$1,4112025-10-01HUD_USER_FMR
county 20085acs median gross5$1,1542024-12-31CENSUS_ACS5
county 20085acs median gross$8142024-12-31CENSUS_ACS5
county 20085acs recent mover gross$1,0752024-12-31CENSUS_ACS5
zcta 66436acs median gross1$5442024-12-31CENSUS_ACS5
zcta 66436acs median gross2$9332024-12-31CENSUS_ACS5
zcta 66436acs median gross3$1,0872024-12-31CENSUS_ACS5
zcta 66436acs median gross4$1,3882024-12-31CENSUS_ACS5
zcta 66436acs median gross$7252024-12-31CENSUS_ACS5
zip 66436payment standard 1100$7592025-10-01HUD_USER_SAFMR
zip 66436payment standard 900$6212025-10-01HUD_USER_SAFMR
zip 66436safmr0$6902025-10-01HUD_USER_SAFMR
zip 66436payment standard 1101$7812025-10-01HUD_USER_SAFMR
zip 66436payment standard 901$6392025-10-01HUD_USER_SAFMR
zip 66436safmr1$7102025-10-01HUD_USER_SAFMR
zip 66436payment standard 1102$1,0122025-10-01HUD_USER_SAFMR
zip 66436payment standard 902$8282025-10-01HUD_USER_SAFMR
zip 66436safmr2$9202025-10-01HUD_USER_SAFMR
zip 66436payment standard 1103$1,3312025-10-01HUD_USER_SAFMR
zip 66436payment standard 903$1,0892025-10-01HUD_USER_SAFMR
zip 66436safmr3$1,2102025-10-01HUD_USER_SAFMR
zip 66436payment standard 1104$1,3752025-10-01HUD_USER_SAFMR
zip 66436payment standard 904$1,1252025-10-01HUD_USER_SAFMR
zip 66436safmr4$1,2502025-10-01HUD_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 · HOLTON HEALTH CARE CENTER (175435) · 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