Composite
89.7 / 100 percentile
Screener / 265482
D
RIVER CITY LIVING COMMUNITY
snfMO
3038 WEST TRUMAN BLVD, JEFFERSON CITY, MO 65109 · CCN 265482 · chain LTC MANAGEMENT SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
87
Model
v1.2
Reads as: riskier than 89.7% 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 signals6Components16CHOW radar1Distress radar1Staffing14Penalties1Deficiencies49Licensure0Ownership15Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 97.4 | 89.3 | 0.30 | 0.2308 | 22.48 | in index |
| regulatory risk | 90.7 | 88.3 | 0.30 | 0.2308 | 20.93 | in index |
| staffing risk | 68.9 | 68.9 | 0.25 | 0.1923 | 13.25 | in index |
| chow risk | 62.0 | 61.1 | 0.15 | 0.1154 | 7.15 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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
6| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.7 vs natl | LINCOLN JUDY | 55 facilities |
| connection | Owner fleet risk far above national | +28.6 vs natl | ERGO MIDWEST INC | 57 facilities |
| connection | Owner fleet risk far above national | +28.6 vs natl | SYSTEMS LEASING INC | 57 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | LTC MANAGEMENT SERVICES LLC | 37 facilities |
| connection | Owner fleet risk far above national | +27.5 vs natl | LINCOLN JAMES | 56 facilities |
| connection | Owner spans multiple chains | 4 chains | ERGO MIDWEST INC | 38 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 | 10.0 | 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 | 97.2 | F | v0.6 | default · in composite | |
| financial risk | 89.3 | 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 | 0.4 | — | 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 | 88.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 68.9 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.9 | 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 | 74.9 | 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 | 73.5 | 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 | 87.7 | 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 | 88.2 | 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 | 88.2 | 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 | 68.9 | D | 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 | 68.9 | D | 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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
48.9
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) | 9.91 | -0.89 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.49 | +0.60 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.64 | +0.37 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.04 | -0.03 |
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
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.49 | +1.08 | |
| Chain size (log) | 3.64 | -0.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.91 | -0.14 |
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
14| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.00 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.10 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.92 | 2.24 | 3.11 | — |
| Weekday total | 3.03 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 42.7 | 3.00 | 0.10 | 0.55 | 2.35 | 2.92 | 4.1% |
| 2025Q3 | 92 | 37.8 | 2.89 | 0.24 | 0.58 | 2.07 | 2.69 | 7.5% |
| 2025Q2 | 91 | 37.8 | 2.76 | 0.17 | 0.58 | 2.00 | 2.42 | 17.4% |
| 2025Q1 | 90 | 39.4 | 2.96 | 0.22 | 0.49 | 2.25 | 2.65 | 36.5% |
| 2024Q4 | 92 | 40.4 | 2.84 | 0.20 | 0.40 | 2.23 | 2.64 | 69.6% |
| 2024Q3 | 92 | 43.2 | 2.83 | 0.27 | 0.30 | 2.26 | 2.69 | 77.8% |
| 2024Q2 | 91 | 53.1 | 2.07 | 0.32 | 0.20 | 1.55 | 1.87 | 59.0% |
| 2024Q1 | 91 | 52.0 | 2.29 | 0.25 | 0.33 | 1.71 | 2.14 | 30.3% |
| 2023Q4 | 92 | 52.3 | 2.19 | 0.16 | 0.37 | 1.67 | 2.19 | 20.8% |
| 2023Q3 | 92 | 43.5 | 2.29 | 0.23 | 0.47 | 1.59 | 2.12 | 18.7% |
| 2023Q2 | 91 | 43.5 | 2.25 | 0.30 | 0.38 | 1.57 | 2.14 | 30.3% |
| 2023Q1 | 90 | 43.8 | 2.43 | 0.10 | 0.52 | 1.81 | 2.28 | 67.9% |
| 2022Q4 | 92 | 47.0 | 2.57 | 0.09 | 0.65 | 1.83 | 2.57 | 62.6% |
| 2022Q3 | 92 | 31.4 | 3.68 | 0.21 | 0.85 | 2.62 | 3.63 | 72.4% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-06-26 | Fine | $237,995 | CMS provider data |
Total fines on record: $237,995
Deficiencies
49C × 5D × 17E × 19F × 5G × 1J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | 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 | 2026-05-07 |
| 2026-03-26 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-05-07 |
| 2026-03-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-07 |
| 2025-11-18 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-12-05 |
| 2025-10-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-10-31 |
| 2025-10-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-10-31 |
| 2025-05-06 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-06-17 |
| 2025-05-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-06-17 |
| 2025-02-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-10 |
| 2025-02-13 | Health · complaint | 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 | 2025-03-10 |
| 2025-01-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-28 |
| 2024-10-04 | 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 | 2024-11-15 |
| 2024-10-04 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-11-15 |
| 2024-10-04 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-11-15 |
| 2024-10-04 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | D | 2024-11-15 |
| 2024-10-04 | 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 | 2024-11-15 |
| 2024-10-04 | 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 |
| 2024-10-04 | Health | 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 |
| 2024-10-04 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-11-15 |
| 2024-10-04 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-11-15 |
| 2024-10-04 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-11-15 |
| 2024-10-04 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | 2024-11-15 |
| 2024-06-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-07-12 |
| 2024-06-26 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-07-12 |
| 2024-06-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2024-07-12 |
| 2024-06-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-12 |
| 2023-09-27 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-09-14 |
| 2023-06-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-07-20 |
| 2023-01-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-02-22 |
| 2023-01-12 | 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 | 2023-02-22 |
| 2023-01-12 | 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 | 2023-02-22 |
| 2023-01-12 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-02-22 |
| 2023-01-12 | 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. | C | 2023-02-22 |
| 2023-01-12 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-02-22 |
| 2023-01-12 | 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 | 2023-02-22 |
| 2023-01-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-02-22 |
| 2023-01-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-02-22 |
| 2023-01-12 | Health | F0732 | Post nurse staffing information every day. | C | 2023-02-22 |
| 2023-01-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-02-22 |
| 2023-01-12 | 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 | 2023-02-22 |
| 2023-01-12 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C | 2023-02-22 |
| 2023-01-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-02-10 |
| 2023-01-12 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2023-02-22 |
| 2019-08-02 | 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 | 2019-09-12 |
| 2019-08-02 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-09-12 |
| 2019-08-02 | 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. | D | 2019-09-12 |
| 2019-08-02 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2019-09-12 |
| 2019-08-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-09-12 |
| 2019-08-02 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2019-09-12 |
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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| LINCOLN, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | current | pecos_ownership |
| LINCOLN, JUDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | current | pecos_ownership |
| LTC MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-09-01 | current | pecos_ownership |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| JAMES LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | ended 2026-05-18 | pecos_ownership |
| JUDY LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | 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 |
|---|---|---|---|---|
| 2016-09-01 | — | N & R OF JEFFERSON CITY LLC | GGNSC JEFFERSON CITY 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 CENTER | — | — | — | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29051 | acs median gross | 0 | $725 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | fmr | 0 | $689 | 2025-10-01 | HUD_USER_FMR |
| county 29051 | acs median gross | 1 | $590 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | fmr | 1 | $694 | 2025-10-01 | HUD_USER_FMR |
| county 29051 | acs median gross | 2 | $795 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | fmr | 2 | $910 | 2025-10-01 | HUD_USER_FMR |
| county 29051 | acs median gross | 3 | $1,049 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | fmr | 3 | $1,266 | 2025-10-01 | HUD_USER_FMR |
| county 29051 | acs median gross | 4 | $1,250 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | fmr | 4 | $1,379 | 2025-10-01 | HUD_USER_FMR |
| county 29051 | acs median gross | 5 | $1,733 | 2024-12-31 | CENSUS_ACS5 |
| county 29051 | acs median gross | $834 | 2024-12-31 | CENSUS_ACS5 | |
| county 29051 | acs recent mover gross | $865 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65109 | acs median gross | 0 | $633 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65109 | acs median gross | 1 | $586 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65109 | acs median gross | 2 | $817 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65109 | acs median gross | 3 | $1,056 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65109 | acs median gross | 4 | $1,100 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65109 | acs median gross | $861 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65109 | acs recent mover gross | $892 | 2024-12-31 | CENSUS_ACS5 | |
| zip 65109 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 110 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 90 | 1 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | safmr | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 110 | 2 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 90 | 2 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | safmr | 2 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 110 | 3 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 90 | 3 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | safmr | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65109 | 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.