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 2026-08-05 01:05 UTC
Screener / 185200
B

Letcher Manor

snfKY
73 Piedmont Drive, Whitesburg, KY 41858 · CCN 185200 · chain VALLEY STREAM OPERATOR I LLC
Composite
39.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
142
Model
v1.2
Reads as: riskier than 39.4% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies12Licensure0Ownership55Related party5Transactions1Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct95.866.50.300.230822.11in index
staffing risk61.661.60.250.192311.85in index
chow risk40.338.60.150.11544.65in index
regulatory risk15.910.30.300.23083.67in index
financial risk10.019.20.300.23082.31in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains8 chainsFISCHEL MAYER45 facilities
connectionOwner spans multiple chains6 chainsLANDA BENJAMIN28 facilities
connectionOwner spans multiple chains5 chainsLEIFER JOEL22 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 conduct66.5Dv0.1-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 risk52.2Cv0.6default · in composite
financial risk19.2Av0.5default · in compositeR18.
p adverse action 12m0.1—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 risk10.3Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk61.6Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk88.6Fv0.1supersededPre-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 risk68.6Dv0.2supersededPre-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 risk34.6Bv0.3supersededPre-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 risk25.3Bv0.4supersededPre-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 risk10.2Av0.1supersededPre-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 risk10.2Av0.2supersededPre-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 risk61.6Cv0.1supersededPre-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 risk61.6Cv0.2supersededPre-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
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)9.74-0.90
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.82-0.34
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.71+0.17
Deficiencies, last 12 months1.00-0.15
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Occupancy0.82-0.28
Fine amount, 12m (log)0.00+0.18
Current owner tenure (years)9.74-0.14
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 facilityKY medianNational medianNational p25–p75
Total nurse3.113.113.282.90–3.77
RN0.290.410.390.25–0.58
Weekend total3.103.013.11—
Weekday total3.123.163.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492115.83.110.290.652.173.100.0%
2025Q392118.13.000.240.642.132.980.0%
2025Q291119.32.840.290.581.972.780.0%
2025Q190113.83.070.390.602.083.090.0%
2024Q492120.23.020.360.542.123.030.0%
2024Q392120.43.040.330.592.132.970.0%
2024Q291119.13.100.330.542.243.080.2%
2024Q191118.43.150.340.582.233.080.0%
2023Q492126.92.910.370.492.052.810.0%
2023Q392120.62.810.380.451.982.630.0%
2023Q291125.92.740.290.551.902.620.0%
2023Q190126.02.830.280.492.062.660.0%
2022Q492123.22.690.290.451.952.500.0%
2022Q392121.42.740.260.511.962.550.0%
2022Q291121.02.420.280.401.742.208.0%
2022Q190122.02.340.320.451.562.210.7%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

12
D × 10E × 2
deficiencies by survey year
531921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-05-13
2025-02-27HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2025-03-18
2025-02-27HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-18
2025-02-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-03-18
2025-02-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-03-18
2025-02-27HealthF0880Provide and implement an infection prevention and control program.D2025-03-18
2024-04-05Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.E2024-05-03
2024-04-05HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-05-03
2019-11-07HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2019-11-28
2019-11-07HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2019-11-28
2019-11-07HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2019-11-28
2019-11-07HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2019-11-28
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

55
OwnerRolePctFromStatusSource
KY EQUITY PARTNERS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST21%2023-01-01currentpecos_ownership
GRINSPAN, ELI5% OR GREATER DIRECT OWNERSHIP INTEREST15%2023-01-01currentpecos_ownership
KENNEDY KY HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST14%2023-01-01currentpecos_ownership
BERKOWITZ, CHESKELINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
BOWLING, AMANDAOPERATIONAL/MANAGERIAL CONTROL—2024-06-03currentpecos_ownership
BOWLING, AMANDAADP OF THE SNF—2023-03-28currentpecos_ownership
COMBS, KIMBERLYADP OF THE SNF—2021-08-02currentpecos_ownership
DAVID, ROCHELINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
DJLM REALTY LLC5% OR GREATER MORTGAGE INTEREST—2016-11-01currentpecos_ownership
EDELSTEIN, JOELINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
FISCHEL, MAYERADP OF THE SNF—2016-11-01currentpecos_ownership
FREUND, ISRAELADP OF THE SNF—2023-01-01currentpecos_ownership
FRIEDMAN, LEAHADP OF THE SNF—2023-01-01currentpecos_ownership
FUCHS, BERNARDADP OF THE SNF—2023-01-01currentpecos_ownership
FUCHS, GERALDINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
FUCHS, TOVAADP OF THE SNF—2023-01-01currentpecos_ownership
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY5% OR GREATER MORTGAGE INTEREST—2019-08-28currentpecos_ownership
GRINSPAN, ELIADP OF THE SNF—2016-11-01currentpecos_ownership
KY 90 EQUITIES LLCADP OF THE SNF—2023-01-01currentpecos_ownership
LANDA, BENJAMINADP OF THE SNF—2023-01-01currentpecos_ownership
LEIFER, JOELINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
RAICHEL, MICHAELADP OF THE SNF—2021-09-01currentpecos_ownership
VALLEY STREAM OPERATOR I LLCADP OF THE SNF—2025-04-12currentpecos_ownership
VALLEY STREAM OPERATOR I LLCOPERATIONAL/MANAGERIAL CONTROL—2016-11-01currentpecos_ownership
ZAHLER, CHARLESADP OF THE SNF—2023-01-01currentpecos_ownership
ZAHLER, CHAYAINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
ZAHLER, DAVIDADP OF THE SNF—2023-01-01currentpecos_ownership
ZAHLER, JACOBINDIRECT OWNERSHIP INTEREST—2023-01-01currentpecos_ownership
ZF REALTY LLCADP OF THE SNF—2023-01-01currentpecos_ownership
ZUPNICK, JOELADP OF THE SNF—2023-01-01currentpecos_ownership
ZUPNICK, MIRIAMADP OF THE SNF—2023-01-01currentpecos_ownership
ELI GRINSPANCORPORATE OFFICER100%2016-11-01ended 2026-05-18pecos_ownership
MAYER FISCHLCORPORATE OFFICER100%2016-11-01ended 2026-05-18pecos_ownership
BENJAMIN LANDA5% OR GREATER DIRECT OWNERSHIP INTEREST30%2023-01-01ended 2026-05-18pecos_ownership
ELI GRINSPAN5% OR GREATER DIRECT OWNERSHIP INTEREST15%2023-01-01ended 2026-05-18pecos_ownership
MAYER FISCHL5% OR GREATER DIRECT OWNERSHIP INTEREST10%2023-01-01ended 2026-05-18pecos_ownership
CHESKEL BERKOWITZINDIRECT OWNERSHIP INTEREST5%2023-01-01ended 2026-05-18pecos_ownership
JOEL LEIFERINDIRECT OWNERSHIP INTEREST5%2023-01-01ended 2026-05-18pecos_ownership
JOEL ZUPNICKINDIRECT OWNERSHIP INTEREST5%2023-01-01ended 2026-05-18pecos_ownership
MIRIAM ZUPNICKINDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
BERNARD FUCHSINDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
GERALD FUCHSINDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
ISRAEL FREUNDINDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
JOEL EDELSTEININDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
TOVA FUCHSINDIRECT OWNERSHIP INTEREST3%2023-01-01ended 2026-05-18pecos_ownership
CHARLES ZAHLERINDIRECT OWNERSHIP INTEREST1%2023-01-01ended 2026-05-18pecos_ownership
JACOB ZAHLERINDIRECT OWNERSHIP INTEREST1%2023-01-01ended 2026-05-18pecos_ownership
LEAH FRIEDMANINDIRECT OWNERSHIP INTEREST1%2023-01-01ended 2026-05-18pecos_ownership
ROCHEL DAVIDINDIRECT OWNERSHIP INTEREST1%2023-01-01ended 2026-05-18pecos_ownership
CHAYA ZAHLERINDIRECT OWNERSHIP INTEREST0%2023-01-01ended 2026-05-18pecos_ownership
DAVID ZAHLERINDIRECT OWNERSHIP INTEREST0%2023-01-01ended 2026-05-18pecos_ownership
AMANDA BOWLINGADP OF THE SNF—2023-03-28ended 2026-05-18pecos_ownership
AMANDA BOWLINGOPERATIONAL/MANAGERIAL CONTROL—2024-06-03ended 2026-05-18pecos_ownership
KIMBERLY COMBSADP OF THE SNF—2021-08-02ended 2026-05-18pecos_ownership
MICHAEL RAICHELADP OF THE SNF—2021-09-01ended 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
2016-11-01—DJLM OPERATIONS LLCDJ LETCHER MANOR LLCchow

Comparable trades — KY snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-07Auburn Nursing and Rehabilitation Center———66AUBURN OPCO LLC
2025-01-01Henson Park Health & Rehabilitation———90HENSON SNF OPERATIONS LLC
2025-01-01Chestnut Ridge Health & Rehabilitation———92CHESTNUT SNF OPERATIONS LLC
2024-11-01Green Meadows Health & Rehabilitation———122GREEN MEADOWS SNF OPERATIONS LLC
2024-09-01Maple Grove Senior Living LLC———90MAPLE GROVE SENIOR LIVING LLC
2024-08-30Sam Swope Care Center———136MASONIC HOMES OF LOUISVILLE LLC
2024-08-01Lyndon Crossing———145LYNDON CROSSING, LLC
2024-08-01Clifton Heights———110CLIFTON HEIGHTS, LLC
2024-08-01Green River Trails———118GREEN RIVER TRAILS, LLC
2024-08-01Mountain Ridge Health and Rehabilitation———59MONTICELLO KY OPCO LLC
2024-08-01Frankfort Trails———100FRANKFORT TRAILS, LLC
2024-08-01Vanceburg Hills———94VANCEBURG HILLS, 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

33
GeoKindBRAmountAs ofSource
county 21133acs median gross0$5042024-12-31CENSUS_ACS5
county 21133fmr0$6192025-10-01HUD_USER_FMR
county 21133acs median gross1$5762024-12-31CENSUS_ACS5
county 21133fmr1$7592025-10-01HUD_USER_FMR
county 21133acs median gross2$7392024-12-31CENSUS_ACS5
county 21133fmr2$8662025-10-01HUD_USER_FMR
county 21133acs median gross3$7702024-12-31CENSUS_ACS5
county 21133fmr3$1,1662025-10-01HUD_USER_FMR
county 21133acs median gross4$9832024-12-31CENSUS_ACS5
county 21133fmr4$1,3162025-10-01HUD_USER_FMR
county 21133acs median gross$6692024-12-31CENSUS_ACS5
county 21133acs recent mover gross$6352024-12-31CENSUS_ACS5
zcta 41858acs median gross0$5042024-12-31CENSUS_ACS5
zcta 41858acs median gross1$6242024-12-31CENSUS_ACS5
zcta 41858acs median gross2$8192024-12-31CENSUS_ACS5
zcta 41858acs median gross3$6452024-12-31CENSUS_ACS5
zcta 41858acs median gross$6542024-12-31CENSUS_ACS5
zcta 41858acs recent mover gross$1,1252024-12-31CENSUS_ACS5
zip 41858payment standard 1100$6822025-10-01HUD_USER_SAFMR
zip 41858payment standard 900$5582025-10-01HUD_USER_SAFMR
zip 41858safmr0$6202025-10-01HUD_USER_SAFMR
zip 41858payment standard 1101$8362025-10-01HUD_USER_SAFMR
zip 41858payment standard 901$6842025-10-01HUD_USER_SAFMR
zip 41858safmr1$7602025-10-01HUD_USER_SAFMR
zip 41858payment standard 1102$9572025-10-01HUD_USER_SAFMR
zip 41858payment standard 902$7832025-10-01HUD_USER_SAFMR
zip 41858safmr2$8702025-10-01HUD_USER_SAFMR
zip 41858payment standard 1103$1,2872025-10-01HUD_USER_SAFMR
zip 41858payment standard 903$1,0532025-10-01HUD_USER_SAFMR
zip 41858safmr3$1,1702025-10-01HUD_USER_SAFMR
zip 41858payment standard 1104$1,4522025-10-01HUD_USER_SAFMR
zip 41858payment standard 904$1,1882025-10-01HUD_USER_SAFMR
zip 41858safmr4$1,3202025-10-01HUD_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 · Letcher Manor (185200) · generated 2026-08-05 · 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