Composite
79.2 / 100 percentile
Screener / 165602
C
Prestige Care Center of Fairfield
snfIA
400 Highland Street, Fairfield, IA 52556 · CCN 165602
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
73
Model
v1.2
Reads as: riskier than 79.2% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies65Licensure0Ownership13Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.2 | 89.9 | 0.30 | 0.2308 | 21.28 | in index |
| staffing risk | 93.6 | 93.6 | 0.25 | 0.1923 | 18.00 | in index |
| financial risk | 69.3 | 58.7 | 0.30 | 0.2308 | 15.99 | in index |
| chow risk | 41.6 | 41.7 | 0.15 | 0.1154 | 4.80 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | LAHASKY EPHRAM | 23 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 | 24.8 | A | 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 | 58.5 | C | v0.6 | default · in composite | |
| financial risk | 58.7 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.7 | — | 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 | 89.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 65.1 | D | 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 | 45.1 | C | 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 | 67.2 | 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 | 58.5 | C | 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 | 89.9 | 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 | 89.9 | 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 | 93.6 | 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 | 93.6 | 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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.41 | -1.42 | |
| 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) | 0.00 | -0.40 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Total nurse staffing (HPRD) | 2.38 | +0.13 |
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)
0.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
82.3
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 | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.38 | +0.35 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.41 | -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 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.38 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.58 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.35 | 2.96 | 3.11 | — |
| Weekday total | 2.40 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 52.6 | 2.38 | 0.58 | 0.26 | 1.54 | 2.35 | 0.0% |
| 2025Q3 | 92 | 53.4 | 2.56 | 0.51 | 0.37 | 1.69 | 2.56 | 0.0% |
| 2025Q2 | 91 | 61.8 | 2.77 | 0.43 | 0.45 | 1.89 | 2.55 | 0.0% |
| 2025Q1 | 90 | 65.6 | 2.54 | 0.32 | 0.42 | 1.79 | 2.35 | 0.0% |
| 2024Q4 | 92 | 65.8 | 2.50 | 0.39 | 0.34 | 1.77 | 2.31 | 0.0% |
| 2024Q3 | 92 | 66.2 | 2.75 | 0.45 | 0.34 | 1.95 | 2.43 | 0.0% |
| 2024Q2 | 91 | 62.7 | 2.80 | 0.38 | 0.38 | 2.04 | 2.55 | 0.0% |
| 2024Q1 | 91 | 65.5 | 2.66 | 0.41 | 0.32 | 1.93 | 2.36 | 0.0% |
| 2023Q4 | 92 | 67.6 | 2.88 | 0.58 | 0.36 | 1.94 | 2.42 | 0.0% |
| 2023Q3 | 92 | 62.9 | 2.77 | 0.67 | 0.33 | 1.77 | 2.63 | 0.0% |
| 2023Q2 | 91 | 63.5 | 2.98 | 0.89 | 0.35 | 1.75 | 2.81 | 0.0% |
| 2023Q1 | 90 | 62.9 | 3.29 | 0.87 | 0.58 | 1.84 | 2.90 | 0.0% |
| 2022Q4 | 92 | 62.1 | 2.65 | 0.52 | 0.46 | 1.68 | 2.25 | 0.0% |
| 2022Q3 | 92 | 63.3 | 2.75 | 0.59 | 0.45 | 1.71 | 2.43 | 0.0% |
| 2022Q2 | 91 | 60.9 | 2.81 | 0.56 | 0.31 | 1.94 | 2.66 | 0.0% |
| 2022Q1 | 90 | 65.4 | 0.65 | 0.17 | 0.12 | 0.36 | 0.59 | 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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-11 | Fine | $59,099 | CMS provider data |
| 2025-02-18 | Fine | $31,803 | CMS provider data |
| 2023-11-01 | Fine | $15,849 | CMS provider data |
| 2023-11-01 | Payment Denial | — | CMS provider data |
Total fines on record: $106,751
Deficiencies
65B × 1C × 4D × 39E × 15F × 1G × 4J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-06-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-07-10 |
| 2025-06-11 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-10 |
| 2025-06-11 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-10 |
| 2025-06-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-07-10 |
| 2025-06-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-07-10 |
| 2025-06-11 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2025-07-10 |
| 2025-06-11 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-07-10 |
| 2025-02-18 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | J | 2025-03-16 |
| 2024-10-29 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | 2024-11-22 |
| 2024-08-20 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-09-17 |
| 2024-08-20 | Health · complaint | 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 | 2024-09-17 |
| 2024-06-27 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-08-09 |
| 2024-06-27 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-08-09 |
| 2024-06-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-08-09 |
| 2024-06-27 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-09 |
| 2024-06-27 | 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 | 2024-08-09 |
| 2024-06-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-09 |
| 2024-06-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-09 |
| 2024-06-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-09 |
| 2024-06-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-09 |
| 2024-06-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-08-09 |
| 2024-06-27 | 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. | E | 2024-08-09 |
| 2024-06-27 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-09 |
| 2024-06-27 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | 2024-08-09 |
| 2024-05-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-23 |
| 2024-05-23 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2024-06-23 |
| 2024-05-23 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-06-23 |
| 2023-12-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-05 |
| 2023-12-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-05 |
| 2023-11-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-28 |
| 2023-11-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-28 |
| 2023-11-01 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2023-11-28 |
| 2023-03-20 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-04-30 |
| 2023-03-20 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2023-04-30 |
| 2023-03-20 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2023-04-30 |
| 2023-03-20 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-04-30 |
| 2023-03-20 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-30 |
| 2023-03-20 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-04-30 |
| 2023-03-20 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-04-30 |
| 2023-03-20 | 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. | D | 2023-04-30 |
| 2023-03-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-04-30 |
| 2023-03-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-04-30 |
| 2023-03-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-09 |
| 2023-03-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-04-30 |
| 2023-03-20 | 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. | D | 2023-04-30 |
| 2023-03-20 | Health | F0760 | Ensure that residents are free from significant medication errors. | G | 2023-04-30 |
| 2023-03-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-04-30 |
| 2023-03-20 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-04-30 |
| 2023-03-20 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2023-04-30 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ASCHENDORF, JONATHAN | ADP OF THE SNF | — | 2023-05-01 | current | pecos_ownership |
| HIGHLAND REALTY LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| HIGHLAND REALTY LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| JACOBS, TALISA | ADP OF THE SNF | — | 2025-07-02 | current | pecos_ownership |
| KAPLAN, YISROEL | DIRECT OWNERSHIP INTEREST | — | 2022-03-01 | current | pecos_ownership |
| LAHASKY, EPHRAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 | current | pecos_ownership |
| WEI, SHIPENG | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| HIGHLAND REALTY LLC | Individual has financial interest in both related organization and provider | 100% | 2022-03-01 | ended 2022-12-31 | hcris_a_8_1 |
| YISROEL KAPLAN | DIRECT OWNERSHIP INTEREST | 60% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | DIRECT OWNERSHIP INTEREST | 40% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| JONATHAN ASCHENDORF | ADP OF THE SNF | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| SHIPENG WEI | ADP OF THE SNF | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| TALISA JACOBS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-02 | ended 2026-05-18 | pecos_ownership |
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 |
|---|---|---|---|---|
| 2022-03-01 | — | SUNNYBROOK OPERATIONS LLC | SUNNYBROOK LIVING CARE CENTER LC | chow |
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19101 | acs median gross | 0 | $727 | 2024-12-31 | CENSUS_ACS5 |
| county 19101 | fmr | 0 | $821 | 2025-10-01 | HUD_USER_FMR |
| county 19101 | acs median gross | 1 | $751 | 2024-12-31 | CENSUS_ACS5 |
| county 19101 | fmr | 1 | $826 | 2025-10-01 | HUD_USER_FMR |
| county 19101 | acs median gross | 2 | $998 | 2024-12-31 | CENSUS_ACS5 |
| county 19101 | fmr | 2 | $1,084 | 2025-10-01 | HUD_USER_FMR |
| county 19101 | acs median gross | 3 | $876 | 2024-12-31 | CENSUS_ACS5 |
| county 19101 | fmr | 3 | $1,300 | 2025-10-01 | HUD_USER_FMR |
| county 19101 | acs median gross | 4 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 19101 | fmr | 4 | $1,435 | 2025-10-01 | HUD_USER_FMR |
| county 19101 | acs median gross | $883 | 2024-12-31 | CENSUS_ACS5 | |
| county 19101 | acs recent mover gross | $779 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52556 | acs median gross | 0 | $727 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52556 | acs median gross | 1 | $754 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52556 | acs median gross | 2 | $989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52556 | acs median gross | 3 | $886 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52556 | acs median gross | $878 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52556 | acs recent mover gross | $785 | 2024-12-31 | CENSUS_ACS5 | |
| zip 52556 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 110 | 1 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 90 | 1 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | safmr | 1 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 110 | 3 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 90 | 3 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | safmr | 3 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52556 | safmr | 4 | $1,440 | 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.