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 23:50 UTC
Screener / 435035
F

ROLLING HILLS HEALTHCARE

snfSD
2200 13TH AVE, BELLE FOURCHE, SD 57717 · CCN 435035 · chain EDURO HEALTHCARE LLC
Composite
97.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
83
Model
v1.2
Reads as: riskier than 97.0% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk90.087.60.300.230820.77in index
billing conduct88.358.40.300.230820.38in index
staffing risk80.780.70.250.192315.52in index
financial risk60.052.30.300.230813.85in index
chow risk33.231.90.150.11543.83in 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

9
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+39.6 vs natlRAMOS BRIAN8 facilities
connectionOwner fleet risk far above national+28.1 vs natlEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet risk far above national+23.4 vs natlTHOMPSON CHRISTOPHER11 facilities
connectionOwner fleet risk far above national+20.2 vs natlBEWSEY MICHAEL31 facilities
connectionOwner spans multiple chains6 chainsBEWSEY MICHAEL29 facilities
connectionOwner fleet enforcement cluster88% finedRAMOS BRIAN8 facilities
connectionOwner fleet enforcement cluster50% finedEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet enforcement cluster48% finedBEWSEY MICHAEL31 facilities
connectionOwner fleet enforcement cluster46% finedTHOMPSON CHRISTOPHER11 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 conduct58.4Cv0.1-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 risk38.7Bv0.6default · in composite
financial risk52.3Cv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.2v0.1default · 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 risk87.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk80.7Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk55.4Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk35.4Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk45.2Cv0.3supersededPre-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 risk57.2Cv0.4supersededPre-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 risk87.5Fv0.1supersededPre-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 risk87.5Fv0.2supersededPre-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 risk80.7Fv0.1supersededPre-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 risk80.7Fv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
42.6
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)7.49-1.12
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.71+0.17
Deficiencies, last 12 months12.00+0.12
Occupancy0.66+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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months12.00-0.80
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.58-0.60
No PBJ staffing report0.00+0.39
Occupancy0.66+0.39
Chain size (log)2.71-0.37
Staffing trend, last 4 quarters0.69+0.30
Never sold on record0.00-0.28
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 facilitySD medianNational medianNational p25–p75
Total nurse2.782.963.282.90–3.77
RN0.330.520.390.25–0.58
Weekend total2.242.753.11
Weekday total3.003.063.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49254.52.780.330.511.952.249.0%
2025Q39252.72.130.170.481.481.942.7%
2025Q29147.82.000.240.311.451.8525.1%
2025Q19047.51.920.340.141.441.7516.7%
2024Q49248.62.090.450.201.441.970.0%
2024Q39250.02.130.370.221.541.950.0%
2024Q29152.62.070.240.381.461.730.0%
2024Q19151.32.280.400.351.531.900.0%
2023Q49251.32.260.380.431.452.000.3%
2023Q39252.92.230.280.481.462.004.5%
2023Q29151.72.380.440.341.602.2939.3%
2023Q19052.42.510.420.451.642.4838.3%
2022Q49252.52.580.280.471.822.5136.4%
2022Q39252.32.290.330.481.472.0326.5%
2022Q29153.82.170.300.391.481.898.0%
2022Q19057.42.560.470.311.772.170.0%
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

4
fines by year
$48.1k$24.1k2425
DateTypeFineSource
2025-09-29Fine$39,215CMS provider data
2025-01-28Fine$7,008CMS provider data
2024-10-17Fine$16,656CMS provider data
2024-09-04Fine$31,480CMS provider data
Total fines on record: $94,359

Deficiencies

34
D × 19E × 8F × 2G × 4L × 1
deficiencies by survey year
13723242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-12HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-03-17
2026-02-12HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2026-03-17
2026-02-12HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-03-17
2026-02-12HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-03-17
2026-02-12HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2026-03-17
2026-02-12HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2026-03-17
2026-02-12HealthF0727Have 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.F2026-03-17
2026-02-12HealthF0761Ensure 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.E2026-03-17
2026-02-12HealthF0880Provide and implement an infection prevention and control program.E2026-03-17
2025-09-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-10-22
2025-09-29Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.D2025-10-22
2025-09-29Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-10-22
2025-06-03Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-07-05
2025-01-28Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-01-24
2024-10-17HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-11-09
2024-10-17HealthF0584Honor 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.D2024-11-09
2024-10-17HealthF0610Respond appropriately to all alleged violations.D2024-11-09
2024-10-17HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-11-09
2024-10-17HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-09
2024-10-17HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-11-09
2024-10-17Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2024-11-09
2024-10-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-11-09
2024-09-04Health · complaintF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2024-09-23
2024-09-04Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.L2024-09-23
2024-09-04Health · complaintF0880Provide and implement an infection prevention and control program.D2024-09-23
2024-06-27Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-05-21
2024-06-27Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-08-02
2023-09-27HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-31
2023-09-27HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-10-31
2023-09-27HealthF0584Honor 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.E2023-10-31
2023-09-27HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-10-31
2023-09-27HealthF0761Ensure 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.D2023-10-31
2023-09-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-10-31
2023-09-27HealthF0880Provide and implement an infection prevention and control program.D2023-10-31
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

7
OwnerRolePctFromStatusSource
RAMOS, BRIAN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2019-02-01currentpecos_ownership
BEWSEY, MICHAELCORPORATE OFFICER2019-02-01currentpecos_ownership
EDURO HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL2019-02-01currentpecos_ownership
THOMPSON, CHRISTOPHERCORPORATE OFFICER2019-02-01currentpecos_ownership
BRIAN RAMOS5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2019-02-01ended 2026-05-18pecos_ownership
MICHAEL BEWSEYCORPORATE OFFICER50%2019-02-01ended 2026-05-18pecos_ownership
CHRISTOPHER THOMPSONCORPORATE OFFICER0%2019-02-01ended 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
2019-02-01BELLE FOURCHE NURSING AND REHAB CENTER LLCBELLE FOURCHE HEALTHCARE, LLCchow

Comparable trades — SD snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2023-08-31RIVERVIEW HEALTHCARE CENTER63RIVERVIEW SNF OPERATIONS, LLC
2023-08-31Wheatcrest Hills Healthcare Center60WHEATCREST HILLS SNF OPERATIONS, LLC
2023-08-31PALISADE HEALTHCARE CENTER55PALISADE SNF OPERATIONS, LLC
2023-08-31PRAIRIE VIEW HEALTHCARE CENTER42PRAIRIE VIEW SNF OPERATIONS, LLC
2023-08-31FIRESTEEL HEALTHCARE CENTER125FIRESTEEL SNF OPERATIONS, LLC
2023-08-31Fountain Springs Healthcare90FOUNTAIN SPRINGS SNF OPERATIONS, LLC
2019-10-02AVANTARA NORTON110NORTON SD SKILLED NURSING FACILITY LLC
2019-10-02AVANTARA HURON119HURON SD SKILLED NURSING FACILITY, LLC
2019-10-01DIAMOND CARE CENTER36BRIDGEWATER NURSING HOME CORPORATION
2019-07-01AVANTARA SAINT CLOUD78SAINT CLOUD SD SKILLED NURSING FACILITY, LLC
2019-07-01AVANTARA WATERTOWN51WATERTOWN SD SKILLED NURSING FACILITY, LLC
2019-07-01AVANTARA CLARK CITY35CLARK CITY SD SKILLED NURSING FACILITY 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

31
GeoKindBRAmountAs ofSource
county 46019acs median gross0$2772024-12-31CENSUS_ACS5
county 46019fmr0$7582025-10-01HUD_USER_FMR
county 46019acs median gross1$5802024-12-31CENSUS_ACS5
county 46019fmr1$8382025-10-01HUD_USER_FMR
county 46019acs median gross2$1,1402024-12-31CENSUS_ACS5
county 46019fmr2$1,0992025-10-01HUD_USER_FMR
county 46019acs median gross3$1,0602024-12-31CENSUS_ACS5
county 46019fmr3$1,3182025-10-01HUD_USER_FMR
county 46019fmr4$1,7012025-10-01HUD_USER_FMR
county 46019acs median gross$9722024-12-31CENSUS_ACS5
county 46019acs recent mover gross$1,1422024-12-31CENSUS_ACS5
zcta 57717acs median gross1$5832024-12-31CENSUS_ACS5
zcta 57717acs median gross2$1,1532024-12-31CENSUS_ACS5
zcta 57717acs median gross3$1,0682024-12-31CENSUS_ACS5
zcta 57717acs median gross$9732024-12-31CENSUS_ACS5
zcta 57717acs recent mover gross$1,1252024-12-31CENSUS_ACS5
zip 57717payment standard 1100$8802025-10-01HUD_USER_SAFMR
zip 57717payment standard 900$7202025-10-01HUD_USER_SAFMR
zip 57717safmr0$8002025-10-01HUD_USER_SAFMR
zip 57717payment standard 1101$9902025-10-01HUD_USER_SAFMR
zip 57717payment standard 901$8102025-10-01HUD_USER_SAFMR
zip 57717safmr1$9002025-10-01HUD_USER_SAFMR
zip 57717payment standard 1102$1,1992025-10-01HUD_USER_SAFMR
zip 57717payment standard 902$9812025-10-01HUD_USER_SAFMR
zip 57717safmr2$1,0902025-10-01HUD_USER_SAFMR
zip 57717payment standard 1103$1,4412025-10-01HUD_USER_SAFMR
zip 57717payment standard 903$1,1792025-10-01HUD_USER_SAFMR
zip 57717safmr3$1,3102025-10-01HUD_USER_SAFMR
zip 57717payment standard 1104$1,9032025-10-01HUD_USER_SAFMR
zip 57717payment standard 904$1,5572025-10-01HUD_USER_SAFMR
zip 57717safmr4$1,7302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.