Composite
85.2 / 100 percentile
Screener / 265735
D
HIDDEN LAKE HEALTH CARE CENTER
snfMO
11728 HIDDEN LAKE DRIVE, SAINT LOUIS, MO 63138 · CCN 265735 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
67
Model
v1.2
Reads as: riskier than 85.2% 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 radar1Staffing15Penalties3Deficiencies82Licensure0Ownership24Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 93.5 | 82.0 | 0.30 | 0.2308 | 21.58 | in index |
| regulatory risk | 89.7 | 87.3 | 0.30 | 0.2308 | 20.70 | in index |
| staffing risk | 82.7 | 82.7 | 0.25 | 0.1923 | 15.90 | in index |
| chow risk | 45.4 | 43.6 | 0.15 | 0.1154 | 5.24 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in 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| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.6 vs natl | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 61% fined | RELIANT CARE GROUP LLC | 18 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet enforcement cluster | 55% fined | RCG INC | 20 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | ARSHAD ABDULLAH | 24 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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. |
| chow risk | 62.1 | C | v0.6 | default · in composite | |
| financial risk | 82.0 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/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 12m | 0.0 | — | v0.1 | default · in composite | R22/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 risk | 87.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 82.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.1 | F | v0.1 | superseded | Pre-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 risk | 75.1 | D | v0.2 | superseded | Pre-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 risk | 73.2 | D | v0.3 | superseded | Pre-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 risk | 80.5 | F | v0.4 | superseded | Pre-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 risk | 87.2 | F | v0.1 | superseded | Pre-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 risk | 87.2 | F | v0.2 | superseded | Pre-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 risk | 82.7 | F | v0.1 | superseded | Pre-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 risk | 82.7 | F | v0.2 | superseded | Pre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 0.99 | -1.75 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.43 | +0.33 | |
| Occupancy | 0.64 | +0.16 | |
| Deficiencies, last 12 months | 1.00 | -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
50.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.64 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Current owner tenure (years) | 0.99 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +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
15| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.74 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.16 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.77 | 2.24 | 3.11 | — |
| Weekday total | 2.73 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 43.1 | 2.74 | 0.16 | 0.93 | 1.65 | 2.77 | 0.0% |
| 2025Q3 | 92 | 47.3 | 2.81 | 0.15 | 0.87 | 1.79 | 2.58 | 0.0% |
| 2025Q2 | 91 | 50.8 | 2.89 | 0.26 | 0.88 | 1.75 | 2.73 | 0.1% |
| 2025Q1 | 90 | 50.8 | 2.57 | 0.10 | 0.76 | 1.71 | 2.21 | 0.0% |
| 2024Q3 | 92 | 51.8 | 2.74 | 0.10 | 0.82 | 1.83 | 2.40 | 0.0% |
| 2024Q2 | 91 | 50.1 | 2.68 | 0.00 | 1.09 | 1.59 | 2.41 | 0.0% |
| 2024Q1 | 91 | 44.1 | 3.03 | 0.04 | 1.19 | 1.80 | 2.70 | 0.0% |
| 2023Q4 | 92 | 40.7 | 3.32 | 0.13 | 1.05 | 2.14 | 3.01 | 0.0% |
| 2023Q3 | 92 | 40.5 | 3.15 | 0.11 | 1.04 | 2.00 | 2.71 | 0.0% |
| 2023Q2 | 91 | 40.8 | 3.35 | 0.06 | 1.16 | 2.13 | 2.92 | 0.1% |
| 2023Q1 | 90 | 48.7 | 2.97 | 0.04 | 1.02 | 1.92 | 2.74 | 0.4% |
| 2022Q4 | 92 | 50.6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.01 | 100.0% |
| 2022Q3 | 92 | 53.5 | 2.46 | 0.00 | 0.94 | 1.51 | 2.32 | 0.0% |
| 2022Q2 | 91 | 55.5 | 2.17 | 0.00 | 0.78 | 1.39 | 2.21 | 0.0% |
| 2022Q1 | 90 | 52.8 | 2.31 | 0.02 | 0.85 | 1.43 | 2.24 | 0.0% |
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
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-08-19 | Fine | $96,420 | CMS provider data |
| 2024-08-19 | Payment Denial | — | CMS provider data |
| 2024-06-04 | Fine | $27,190 | CMS provider data |
Total fines on record: $123,610
Deficiencies
82B × 2C × 4D × 26E × 30F × 14G × 5K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-11 |
| 2025-06-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-07 |
| 2025-02-25 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-11 |
| 2025-02-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-11 |
| 2024-12-11 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2025-02-10 |
| 2024-12-11 | Health · complaint | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2025-02-07 |
| 2024-10-08 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-11-15 |
| 2024-08-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-03 |
| 2024-08-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-03 |
| 2024-08-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-10-03 |
| 2024-08-19 | Health · complaint | F0584 | Honor 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. | E | 2024-10-03 |
| 2024-08-19 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-11-15 |
| 2024-08-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-10-03 |
| 2024-08-19 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2024-10-03 |
| 2024-08-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-03 |
| 2024-08-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-03 |
| 2024-08-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-03 |
| 2024-08-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-10-03 |
| 2024-08-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-03 |
| 2024-08-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-03 |
| 2024-08-19 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-10-03 |
| 2024-08-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-10-03 |
| 2024-08-19 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-11-15 |
| 2024-08-19 | Health | F0727 | Have 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. | E | 2024-10-03 |
| 2024-08-19 | Health | F0761 | Ensure 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. | D | 2024-10-07 |
| 2024-08-19 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-10-03 |
| 2024-08-19 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2024-11-15 |
| 2024-08-19 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-03 |
| 2024-08-19 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-11-15 |
| 2024-08-19 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-15 |
| 2024-08-19 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-10-03 |
| 2024-08-19 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2024-11-15 |
| 2024-08-19 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-10-03 |
| 2024-08-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-10-03 |
| 2024-06-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-07-10 |
| 2024-06-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-10 |
| 2024-06-04 | Health · complaint | F0742 | Provide 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. | D | 2024-07-10 |
| 2023-08-09 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-23 |
| 2023-08-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-23 |
| 2022-10-28 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2022-12-08 |
| 2022-10-28 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2022-12-08 |
| 2022-10-28 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2022-12-08 |
| 2022-10-28 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2022-12-08 |
| 2022-10-28 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2022-12-08 |
| 2022-10-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-12-08 |
| 2022-10-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-12-08 |
| 2022-10-28 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | F | 2022-12-13 |
| 2022-10-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2022-12-08 |
| 2022-10-28 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | F | 2022-12-08 |
| 2022-10-28 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2022-12-08 |
| 2022-10-28 | Health | F0727 | Have 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. | E | 2022-12-13 |
| 2022-10-28 | Health | F0732 | Post nurse staffing information every day. | C | 2022-12-08 |
| 2022-10-28 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-12-08 |
| 2022-10-28 | Health | F0761 | Ensure 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. | E | 2022-12-08 |
| 2022-10-28 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2022-12-08 |
| 2022-10-28 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2022-12-08 |
| 2022-10-28 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2022-12-08 |
| 2022-10-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-08 |
| 2022-10-28 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2022-12-08 |
| 2022-10-28 | Health | F0880 | Provide and implement an infection prevention and control program. | K | 2023-02-07 |
| 2022-10-28 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-12-13 |
| 2022-10-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2022-12-08 |
| 2022-10-28 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2022-12-08 |
| 2022-10-28 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | 2022-12-08 |
| 2019-08-27 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2019-10-11 |
| 2019-08-27 | Health | F0584 | Honor 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. | E | 2019-11-14 |
| 2019-08-27 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2019-10-11 |
| 2019-08-27 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | 2019-10-11 |
| 2019-08-27 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2019-10-11 |
| 2019-08-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-10-11 |
| 2019-08-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2019-10-11 |
| 2019-08-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-10-11 |
| 2019-08-27 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2019-10-11 |
| 2019-08-27 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2019-10-11 |
| 2019-08-27 | Health | F0727 | Have 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. | F | 2019-10-11 |
| 2019-08-27 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2019-10-11 |
| 2019-08-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2019-10-11 |
| 2019-08-27 | Health | F0758 | Implement 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. | E | 2019-10-11 |
| 2019-08-27 | Health | F0761 | Ensure 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. | E | 2019-10-11 |
| 2019-08-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-11-14 |
| 2019-08-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2019-10-11 |
| 2019-08-27 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2019-10-11 |
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
24| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARSHAD, ABDULLAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | current | pecos_ownership |
| CARE CENTERS BUILDING | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CARE CENTERS BUILDING | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| DESTEFANE, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | current | pecos_ownership |
| HL PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| HL PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| HL PROPERTY, LLC | ADP OF THE SNF | — | 2025-08-01 | current | pecos_ownership |
| LUTZ, HAROLD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-20 | current | pecos_ownership |
| RCG INC | INDIRECT OWNERSHIP INTEREST | — | 2025-08-01 | current | pecos_ownership |
| RELIANT CARE GROUP LLC | DIRECT OWNERSHIP INTEREST | — | 2025-08-01 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2025-08-06 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-08-01 | current | pecos_ownership |
| RICHARD DESTEFANE | INDIRECT OWNERSHIP INTEREST | 100% | 2025-08-01 | ended 2026-05-18 | pecos_ownership |
| ABDULLAH ARSHAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | ended 2026-05-18 | pecos_ownership |
| CARE CENTERS BUILDING | Individual has financial interest in both related organization and provider | — | 2020-02-01 | ended 2020-12-31 | hcris_a_8_1 |
| CARE CENTERS BUILDING | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CARE CENTERS BUILDING | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-01-31 | hcris_a_8_1 |
| HAROLD LUTZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-20 | ended 2026-05-18 | pecos_ownership |
| HL PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| HL PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2020-02-01 | ended 2020-12-31 | hcris_a_8_1 |
| HL PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| INTERBUILD CONSTRUCTION | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-01-31 | hcris_a_8_1 |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-08-01 | — | HIDDEN LAKE HEALTH CARE CENTER, LLC | ESTATES OF HIDDEN LAKE LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTERthis facility | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63138 | acs median gross | 1 | $744 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63138 | acs median gross | 2 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63138 | acs median gross | 3 | $1,378 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63138 | acs median gross | 4 | $1,476 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63138 | acs median gross | $1,161 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63138 | acs recent mover gross | $828 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63138 | payment standard 110 | 0 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 90 | 0 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | safmr | 0 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 110 | 2 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 90 | 2 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | safmr | 2 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 110 | 3 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 90 | 3 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | safmr | 3 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 110 | 4 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | payment standard 90 | 4 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63138 | safmr | 4 | $1,770 | 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.