Composite
30.3 / 100 percentile
Screener / 161621
B
Affinity Care of Iowa LLC
hospiceIA
4601 Westown Pkwy Ste 100, WEST DES MOINES, IA 50266 · CCN 161621 · chain SYGS 2023 TRUST
Peer group
hospice n = 6,737
Evidence depth
moderate
Certified beds
—
Model
v1.2
Reads as: riskier than 30.3% of the 6,737 facilities in the hospice 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 model4Components4Penalties0Deficiencies0Licensure0Ownership5Related party0Transactions0Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 74.1 | 35.3 | 0.30 | 0.4000 | 29.64 | in index |
| chow risk | 55.1 | 15.0 | 0.15 | 0.2000 | 11.02 | in index |
| regulatory risk | 0.0 | 0.0 | 0.30 | 0.4000 | 0.00 | in index |
| ownership opacity | 33.5 | 11.2 | excluded |
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.
Component scores and registry models
4| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 15.0 | 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. |
| financial risk | 35.0 | B | v0.1-hospiceown | default · in composite | Hospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source. |
| ownership opacity | 10.4 | A | v0.1-hospiceown | default · in composite | Hospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source. |
| regulatory risk | 0.0 | A | v0.6-pos | default · in composite | R31. Extends v0.5-pos to hospices (provider type 12): same fields, same weights, no expression change. Hospice regulatory coverage before this was 148 of 6,535 scored hospices, all from the TX HCSSA state model. SNF/NF (type 20) deliberately excluded: the deficiency-based v0.3 already covers 14,315 of 14,720 and is richer evidence than a POS compliance flag. |
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.
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
0No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
5| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SYGS MANAGEMENT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-05-23 | current | pecos_ownership |
| SYGS 2023 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95% | 2025-05-23 | current | pecos_ownership |
| SAMUEL STERN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2025-05-23 | current | pecos_ownership |
| CHARLES KELLER | W-2 MANAGING EMPLOYEE | 0% | 2025-08-05 | current | pecos_ownership |
| KYLE VALOIS | W-2 MANAGING EMPLOYEE | 0% | 2025-08-08 | current | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19153 | acs median gross | 0 | $926 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 0 | $1,063 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 1 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 1 | $1,109 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 2 | $1,169 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 2 | $1,318 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 3 | $1,497 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 3 | $1,794 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 4 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 4 | $1,841 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 5 | $1,834 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | acs median gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 19153 | acs recent mover gross | $1,235 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50266 | acs median gross | 0 | $1,101 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50266 | acs median gross | 1 | $1,279 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50266 | acs median gross | 2 | $1,367 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50266 | acs median gross | 3 | $1,473 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50266 | acs median gross | 4 | $2,306 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50266 | acs median gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50266 | acs recent mover gross | $1,406 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50266 | payment standard 110 | 0 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 90 | 0 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | safmr | 0 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 110 | 1 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 90 | 1 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | safmr | 1 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 110 | 2 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 90 | 2 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | safmr | 2 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 110 | 3 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 90 | 3 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | safmr | 3 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 110 | 4 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | payment standard 90 | 4 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50266 | safmr | 4 | $2,220 | 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.