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 16:09 UTC
Screener / 275047
F

LIVINGSTON HEALTH & REHABILITATION CENTER

snfMT
510 S 14TH ST, LIVINGSTON, MT 59047 · CCN 275047 · chain COUVE FINANCIAL SERVICES LLC
Composite
98.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
115
Model
v1.2
Reads as: riskier than 98.4% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies39Licensure0Ownership30Related party6Transactions1Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk99.094.00.300.230822.85in index
billing conduct80.853.40.300.230818.65in index
regulatory risk74.370.30.300.230817.15in index
staffing risk64.264.20.250.192312.35in index
chow risk60.358.90.150.11546.96in 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

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains8 chainsHERZKA YISROEL70 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 conduct53.4Cv0.1-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 risk92.7Fv0.6default · in composite
financial risk94.0Fv0.5default · 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 risk70.3Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk64.2Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk65.1Dv0.1supersededPre-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 risk45.1Cv0.2supersededPre-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 risk75.4Dv0.3supersededPre-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 risk92.4Fv0.4supersededPre-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 risk70.2Dv0.1supersededPre-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 risk70.2Dv0.2supersededPre-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 risk64.2Cv0.1supersededPre-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 risk64.2Cv0.2supersededPre-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
28.2
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)2.91-1.56
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.48+0.63
Contract staffing share0.43+0.58
No PBJ staffing report0.00+0.42
Chain size (log)3.71+0.39
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
49.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.48+1.12
Chain size (log)3.71-0.96
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Contract staffing share0.43+0.39
Deficiencies, last 12 months6.00+0.32
Never sold on record0.00-0.28
Current owner tenure (years)2.91-0.25
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 facilityMT medianNational medianNational p25–p75
Total nurse3.073.253.282.90–3.77
RN0.530.620.390.25–0.58
Weekend total3.093.123.11—
Weekday total3.063.343.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49255.43.070.530.342.203.0943.5%
2025Q39252.22.970.480.462.032.9529.8%
2025Q29146.72.970.690.321.962.9323.8%
2025Q19046.32.910.650.421.842.9725.1%
2024Q49244.42.800.480.611.722.8643.5%
2024Q39240.43.080.490.721.863.0344.4%
2024Q29137.53.230.820.431.983.2418.1%
2024Q19137.63.170.890.361.923.0721.3%
2023Q49236.92.950.770.461.712.9435.3%
2023Q39238.12.790.640.441.702.7759.2%
2023Q29134.73.140.660.611.873.0865.6%
2023Q19034.23.290.900.511.883.1164.8%
2022Q49233.03.750.800.652.303.6364.8%
2022Q39230.33.531.080.272.173.2955.6%
2022Q29129.92.440.840.331.272.2025.4%
2022Q19030.82.740.920.391.432.7923.2%
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

1
DateTypeFineSource
2024-12-31Fine$17,404CMS provider data
Total fines on record: $17,404

Deficiencies

39
B × 2D × 20E × 9F × 6G × 2
deficiencies by survey year
179232425
SurveyTypeTagDeficiencyScopeCorrected
2025-11-18Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-12-03
2025-11-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.B2025-12-03
2025-11-18Health · complaintF0610Respond appropriately to all alleged violations.E2025-12-03
2025-11-18Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.B2025-12-03
2025-11-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-12-03
2025-11-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-03
2025-06-05HealthF0583Keep residents' personal and medical records private and confidential.D2025-07-22
2025-06-05HealthF0584Honor 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.D2025-07-22
2025-06-05HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-22
2025-06-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-07-22
2025-06-05HealthF0761Ensure 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.E2025-07-22
2025-06-05HealthF0880Provide and implement an infection prevention and control program.F2025-07-22
2025-06-05HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-07-22
2024-12-31Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-02-03
2024-12-31Health · complaintF0610Respond appropriately to all alleged violations.E2025-02-03
2024-12-31Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2025-02-03
2024-12-31Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-02-03
2024-12-31Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2025-01-28
2024-12-31Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-02-03
2024-12-31Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-02-03
2024-12-31Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F2025-02-03
2024-12-31Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-02-03
2024-07-03HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-08-09
2024-07-03HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-08-09
2024-07-03Health · complaintF0610Respond appropriately to all alleged violations.E2024-08-09
2024-07-03HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-08-09
2024-07-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-08-09
2024-07-03HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-08-09
2024-07-03HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2024-08-09
2024-07-03HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2024-08-09
2023-06-08Health · complaintF0584Honor 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.D2023-07-20
2023-06-08Health · complaintF0610Respond appropriately to all alleged violations.D2023-07-20
2023-06-08HealthF0641Ensure each resident receives an accurate assessment.D2023-07-20
2023-06-08HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-07-23
2023-06-08HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-20
2023-06-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-07-20
2023-06-08HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-07-20
2023-06-08HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.F2023-07-20
2023-06-08HealthF0880Provide and implement an infection prevention and control program.F2023-07-20
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

30
OwnerRolePctFromStatusSource
CH PACIFIC NORTHWEST HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
CHEEKS, DONALDMANAGING CONTROL - GOVERNING BODY—2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF—2026-02-12currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF—2025-03-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
HERZKA, YISROELADP OF THE SNF—2023-08-31currentpecos_ownership
JOHNSON, REBECCAOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
LIVINGSTON SNF OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
LIVINGSTON SNF OPERATIONS LLCADP OF THE SNF—2025-06-11currentpecos_ownership
MITCHELL, LAURENOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
MONTANA SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
MONTANA SNF CONSULTING LLCADP OF THE SNF—2025-03-31currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCADP OF THE SNF—2025-03-27currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (MT) LLCDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
RICH, KARRIEOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
SPIELMAN, SHIMONCORPORATE OFFICER—2023-08-31currentpecos_ownership
WITZCORP GLOBAL LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
YENOWITZ, YITZCHOKINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
YITZCHOK YENOWITZOPERATIONAL/MANAGERIAL CONTROL100%2023-08-31ended 2026-05-18pecos_ownership
YISROEL HERZKAINDIRECT OWNERSHIP INTEREST67%2023-08-31ended 2026-05-18pecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF—2025-03-27ended 2026-05-18pecos_ownership
DONALD CHEEKSOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
HAROLD PERLMANADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
KARRIE RICHOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
LAUREN MITCHELLADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
REBECCA JOHNSONADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
SHIMON SPIELMANOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 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
2023-08-31—LIVINGSTON SNF OPERATIONS LLCEVERGREEN AT LIVINGSTON LLCchow

Comparable trades — MT snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-03-01NORTHERN MONTANA CARE CENTER———135NORTHERN MONTANA CARE CENTER INC
2023-10-01RIVER RIDGE REHABILITATION AND NURSING LLC———129RIVER RIDGE REHABILITATION AND NURSING LLC
2023-08-31ASPEN MEADOWS HEALTH AND REHABILITATION CENTER———90ASPEN MEADOWS SNF OPERATIONS, LLC
2023-08-31LIVINGSTON HEALTH & REHABILITATION CENTERthis facility———115LIVINGSTON SNF OPERATIONS LLC
2023-08-31POLSON HEALTH & REHABILITATION CENTER———70POLSON SNF OPERATIONS LLC
2023-08-31MISSOULA HEALTH & REHABILITATION CENTER———53MISSOULA SNF OPERATIONS LLC
2023-08-31LAUREL HEALTH & REHABILITATION CENTER———79LAUREL SNF OPERATIONS LLC
2023-08-31HOT SPRINGS HEALTH & REHABILITATION CENTER———40HOT SPRINGS SNF OPERATIONS LLC
2023-07-01KALISPELL REHABILITATION AND NURSING LLC———140KALISPELL REHABILITATION AND NURSING LLC
2023-07-01NORTHERN PINES REHABILITATION AND NURSING———41NORTHERN PINES REHABILITATION AND NURSING
2023-07-01BILLINGS REHABILITATION AND NURSING LLC———100BILLINGS REHABILITATION AND NURSING LLC
2023-07-01VALLE VISTA REHABILITATION AND NURSING LLC———101VALLE VISTA REHABILITATION AND NURSING 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 30067fmr0$1,1072025-10-01HUD_USER_FMR
county 30067acs median gross1$9022024-12-31CENSUS_ACS5
county 30067fmr1$1,3852025-10-01HUD_USER_FMR
county 30067acs median gross2$1,0982024-12-31CENSUS_ACS5
county 30067fmr2$1,6052025-10-01HUD_USER_FMR
county 30067acs median gross3$1,3112024-12-31CENSUS_ACS5
county 30067fmr3$2,2322025-10-01HUD_USER_FMR
county 30067acs median gross4$2,2112024-12-31CENSUS_ACS5
county 30067fmr4$2,6922025-10-01HUD_USER_FMR
county 30067acs median gross$9762024-12-31CENSUS_ACS5
county 30067acs recent mover gross$1,8752024-12-31CENSUS_ACS5
zcta 59047acs median gross0$7162024-12-31CENSUS_ACS5
zcta 59047acs median gross1$9122024-12-31CENSUS_ACS5
zcta 59047acs median gross2$1,1702024-12-31CENSUS_ACS5
zcta 59047acs median gross3$1,4252024-12-31CENSUS_ACS5
zcta 59047acs median gross4$2,2212024-12-31CENSUS_ACS5
zcta 59047acs median gross$1,0482024-12-31CENSUS_ACS5
zcta 59047acs recent mover gross$1,9692024-12-31CENSUS_ACS5
zip 59047payment standard 1100$1,2542025-10-01HUD_USER_SAFMR
zip 59047payment standard 900$1,0262025-10-01HUD_USER_SAFMR
zip 59047safmr0$1,1402025-10-01HUD_USER_SAFMR
zip 59047payment standard 1101$1,5622025-10-01HUD_USER_SAFMR
zip 59047payment standard 901$1,2782025-10-01HUD_USER_SAFMR
zip 59047safmr1$1,4202025-10-01HUD_USER_SAFMR
zip 59047payment standard 1102$1,8152025-10-01HUD_USER_SAFMR
zip 59047payment standard 902$1,4852025-10-01HUD_USER_SAFMR
zip 59047safmr2$1,6502025-10-01HUD_USER_SAFMR
zip 59047payment standard 1103$2,5192025-10-01HUD_USER_SAFMR
zip 59047payment standard 903$2,0612025-10-01HUD_USER_SAFMR
zip 59047safmr3$2,2902025-10-01HUD_USER_SAFMR
zip 59047payment standard 1104$3,0472025-10-01HUD_USER_SAFMR
zip 59047payment standard 904$2,4932025-10-01HUD_USER_SAFMR
zip 59047safmr4$2,7702025-10-01HUD_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 · LIVINGSTON HEALTH & REHABILITATION CENTER (275047) · 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