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 21:37 UTC
Screener / 165173
D

Osage Rehab and Health Care Center

snfIA
830 South Fifth Street, Osage, IA 50461 · CCN 165173 · chain CAMPBELL STREET SERVICES LLC
Composite
94.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
46
Model
v1.2
Reads as: riskier than 94.6% 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 signals14Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies46Licensure0Ownership21Related party5Transactions1Comps12Market rent29

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk92.480.60.300.230821.32in index
regulatory risk81.478.20.300.230818.78in index
staffing risk75.975.90.250.192314.60in index
billing conduct44.937.30.300.230810.36in index
chow risk49.948.00.150.11545.76in 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

14
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+33.0 vs natlSATTERFIELD BRENDA7 facilities
connectionOwner fleet risk far above national+21.4 vs natlNAP HOLDINGS LLC7 facilities
connectionOwner fleet risk far above national+21.4 vs natlBEAR CREEK SRAF GP HOLDINGS LLC7 facilities
connectionOwner fleet risk far above national+21.4 vs natlCAMPBELL STREET IA 10 LLC7 facilities
connectionOwner fleet risk far above national+21.3 vs natlBIRCHWOOD FOUNDATION LLC5 facilities
connectionOwner fleet risk far above national+21.1 vs natlBIRCHWOOD HEALTHCARE PARTNERS LLC10 facilities
connectionOwner fleet risk far above national+20.7 vs natlBEAR CREEK STRATEGIC REAL ASSETS FUND LP9 facilities
connectionOwner fleet enforcement cluster57% finedSATTERFIELD BRENDA7 facilities
connectionOwner fleet enforcement cluster50% finedBIRCHWOOD HEALTHCARE PARTNERS LLC10 facilities
connectionOwner fleet enforcement cluster43% finedCAMPBELL STREET IA 10 LLC7 facilities
connectionOwner fleet enforcement cluster43% finedNAP HOLDINGS LLC7 facilities
connectionOwner fleet enforcement cluster43% finedBEAR CREEK SRAF GP HOLDINGS LLC7 facilities
connectionOwner fleet enforcement cluster42% finedCAMPBELL STREET SERVICES LLC19 facilities
connectionOwner fleet enforcement cluster40% finedBIRCHWOOD FOUNDATION LLC5 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 conduct37.3Bv0.1-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 risk71.1Dv0.6default · in composite
financial risk80.6Fv0.5default · in compositeR18.
p adverse action 12m0.0—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 risk78.2Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk75.9Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk74.5Dv0.1supersededPre-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 risk54.5Cv0.2supersededPre-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 risk74.7Dv0.3supersededPre-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 risk78.9Dv0.4supersededPre-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 risk78.1Dv0.1supersededPre-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 risk78.1Dv0.2supersededPre-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 risk75.9Dv0.1supersededPre-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 risk75.9Dv0.2supersededPre-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
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.49-1.70
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.53+0.47
No PBJ staffing report0.00+0.42
Chain size (log)3.00+0.23
Deficiencies, last 12 months16.00+0.22
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 months16.00-1.54
Occupancy0.53+0.90
For-profit ownership1.00-0.69
Chain size (log)3.00-0.54
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.49-0.28
Ownership changes, last 5 years1.00+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

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse2.883.153.282.90–3.77
RN0.520.460.390.25–0.58
Weekend total2.752.963.11—
Weekday total2.933.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49224.62.880.520.292.072.752.4%
2025Q39224.13.460.520.762.193.081.6%
2025Q29125.83.410.510.562.343.0813.3%
2025Q19029.13.230.670.571.993.0011.8%
2024Q49226.93.040.390.691.962.955.8%
2024Q39228.72.920.470.681.772.9214.0%
2024Q29131.53.100.380.851.873.098.0%
2024Q19131.72.690.290.691.712.615.1%
2023Q49231.72.900.240.801.862.846.4%
2023Q39231.42.390.300.821.282.330.1%
2023Q29134.33.080.390.761.922.780.0%
2023Q19034.12.460.410.281.772.210.0%
2022Q49232.22.380.360.331.702.520.0%
2022Q39231.62.280.240.611.442.290.0%
2022Q29130.03.420.061.072.282.760.0%
2022Q19034.12.590.130.731.742.455.5%
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
fines by year
$14.4k$7.2k2425
DateTypeFineSource
2025-12-22Payment Denial—CMS provider data
2025-02-28Payment Denial—CMS provider data
2024-07-17Fine$14,433CMS provider data
Total fines on record: $14,433

Deficiencies

46
B × 2D × 35E × 4F × 2G × 1J × 2
deficiencies by survey year
191023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-02Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2026-04-27
2026-04-02Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-04-27
2026-04-02Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-04-27
2026-02-11Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-02-20
2025-12-22HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-01-16
2025-12-22HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2026-01-16
2025-12-22Health · complaintF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2026-01-16
2025-12-22HealthF0641Ensure each resident receives an accurate assessment.D2026-01-16
2025-12-22HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-01-16
2025-12-22Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-01-16
2025-12-22Health · complaintF0727Have 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.F2026-01-16
2025-12-22Health · complaintF0732Post nurse staffing information every day.D2026-01-16
2025-12-22HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2026-01-16
2025-12-22HealthF0880Provide and implement an infection prevention and control program.D2026-01-16
2025-12-22HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D2026-01-16
2025-12-22HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2026-01-16
2025-06-11Health · complaintF0774Help the resident with transportation to and from laboratory services outside of the facility.D2025-06-24
2025-04-08Health · 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.E2025-05-01
2025-04-08Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2025-05-01
2025-02-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-22
2025-02-28Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-03-22
2025-02-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-03-22
2025-02-28Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-05-01
2024-11-14HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2024-12-12
2024-11-14Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-12-12
2024-11-14HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-12-12
2024-11-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-12-12
2024-11-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-12
2024-11-14Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-12-12
2024-07-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-08-20
2024-07-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-20
2024-07-17Health · complaintF0693Ensure 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.J2024-08-20
2024-04-09Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-25
2024-04-09Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-04-25
2024-04-09Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.F2024-04-25
2023-08-30HealthF0584Honor 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.E2023-09-21
2023-08-30HealthF0641Ensure each resident receives an accurate assessment.B2023-09-21
2023-08-30HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-09-21
2023-08-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-21
2023-08-30HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-09-21
2023-08-30HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-09-21
2023-08-30HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-21
2023-08-30HealthF0761Ensure 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.D2023-09-21
2023-08-30HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.B2023-09-21
2023-06-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-06-30
2023-06-13Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2023-06-20
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

21
OwnerRolePctFromStatusSource
5V+ SENIORS HEALTHCARE FUND GP, LLCADP OF THE SNF—2025-05-06currentpecos_ownership
5V+ SENIORS HEALTHCARE FUND, LPADP OF THE SNF—2025-05-06currentpecos_ownership
ACD CONSOLIDATED LLCADP OF THE SNF—2024-09-01currentpecos_ownership
BEAR CREEK SRAF GP HOLDINGS LLCADP OF THE SNF—2024-09-01currentpecos_ownership
BEAR CREEK STRATEGIC REAL ASSETS FUND LPADP OF THE SNF—2024-09-01currentpecos_ownership
BIRCHWOOD FOUNDATION LLCADP OF THE SNF—2025-05-02currentpecos_ownership
BIRCHWOOD HEALTHCARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
CAMPBELL STREET IA 10 LLCOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
CAMPBELL STREET SERVICES LLCADP OF THE SNF—2025-02-01currentpecos_ownership
DAVIS SQUARE HOLDINGS LLCADP OF THE SNF—2025-05-02currentpecos_ownership
DEFRANCO INVESTMENT CO LTDADP OF THE SNF—2024-09-01currentpecos_ownership
DOLE, ISAACMANAGING CONTROL - GOVERNING BODY—2025-02-01currentpecos_ownership
HOLDCO, IA, 10, LLCOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
IAGA SNF HOLDINGS LLCADP OF THE SNF—2024-09-01currentpecos_ownership
IAGA SNF OSAGE LLCADP OF THE SNF—2025-09-01currentpecos_ownership
IAGA SNF PORTFOLIO LLCADP OF THE SNF—2025-05-06currentpecos_ownership
NAP HOLDINGS LLCADP OF THE SNF—2024-09-01currentpecos_ownership
SATTERFIELD, BRENDAOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
VIRTUS EQUITY LLCADP OF THE SNF—2025-05-06currentpecos_ownership
ISAAC DOLE5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2025-02-01ended 2026-05-18pecos_ownership
BRENDA SATTERFIELDOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 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
2025-02-01—OPCO OSAGE IA LLCPREMIER ESTATES 508 LLCchow

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Centerthis facility———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA 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

29
GeoKindBRAmountAs ofSource
county 19131fmr0$6822025-10-01HUD_USER_FMR
county 19131acs median gross1$6832024-12-31CENSUS_ACS5
county 19131fmr1$7742025-10-01HUD_USER_FMR
county 19131acs median gross2$7682024-12-31CENSUS_ACS5
county 19131fmr2$9192025-10-01HUD_USER_FMR
county 19131acs median gross3$6932024-12-31CENSUS_ACS5
county 19131fmr3$1,1562025-10-01HUD_USER_FMR
county 19131acs median gross4$8342024-12-31CENSUS_ACS5
county 19131fmr4$1,2272025-10-01HUD_USER_FMR
county 19131acs median gross$7382024-12-31CENSUS_ACS5
zcta 50461acs median gross1$6592024-12-31CENSUS_ACS5
zcta 50461acs median gross2$7502024-12-31CENSUS_ACS5
zcta 50461acs median gross3$9102024-12-31CENSUS_ACS5
zcta 50461acs median gross$7222024-12-31CENSUS_ACS5
zip 50461payment standard 1100$7482025-10-01HUD_USER_SAFMR
zip 50461payment standard 900$6122025-10-01HUD_USER_SAFMR
zip 50461safmr0$6802025-10-01HUD_USER_SAFMR
zip 50461payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 50461payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 50461safmr1$7702025-10-01HUD_USER_SAFMR
zip 50461payment standard 1102$1,0122025-10-01HUD_USER_SAFMR
zip 50461payment standard 902$8282025-10-01HUD_USER_SAFMR
zip 50461safmr2$9202025-10-01HUD_USER_SAFMR
zip 50461payment standard 1103$1,2762025-10-01HUD_USER_SAFMR
zip 50461payment standard 903$1,0442025-10-01HUD_USER_SAFMR
zip 50461safmr3$1,1602025-10-01HUD_USER_SAFMR
zip 50461payment standard 1104$1,4192025-10-01HUD_USER_SAFMR
zip 50461payment standard 904$1,1612025-10-01HUD_USER_SAFMR
zip 50461safmr4$1,2902025-10-01HUD_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 · Osage Rehab and Health Care Center (165173) · 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