Composite
91.1 / 100 percentile
Screener / 265433
D
LINCOLN COUNTY NURSING & REHAB
snfMOSFF: SFF
1145 EAST CHERRY STREET, TROY, MO 63379 · CCN 265433
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 91.1% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies115Licensure0Ownership17Related party5Transactions0Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.4 | 97.4 | 0.30 | 0.2308 | 22.71 | in index |
| financial risk | 90.9 | 78.7 | 0.30 | 0.2308 | 20.98 | in index |
| staffing risk | 99.6 | 99.6 | 0.25 | 0.1923 | 19.15 | in index |
| chow risk | 41.5 | 43.1 | 0.15 | 0.1154 | 4.79 | 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.
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 | 24.6 | 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 | 61.7 | C | v0.6 | default · in composite | |
| financial risk | 78.7 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.5 | — | 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 | 2.7 | — | 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 | 97.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 57.9 | C | 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 | 37.9 | B | 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 | 72.6 | 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 | 77.2 | D | 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 | 97.4 | 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 | 97.4 | 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 | 99.6 | 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 | 99.6 | 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)
2.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
75.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 1.44 | +0.32 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
74.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| Total nurse staffing (HPRD) | 1.44 | +0.75 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.44 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.06 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.21 | 2.24 | 3.11 | — |
| Weekday total | 1.53 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.7 | 1.44 | 0.06 | 0.54 | 0.84 | 1.21 | 0.9% |
| 2025Q3 | 92 | 79.9 | 1.46 | 0.07 | 0.50 | 0.89 | 1.42 | 1.7% |
| 2025Q2 | 91 | 67.1 | 1.28 | 0.08 | 0.56 | 0.64 | 1.19 | 5.1% |
| 2025Q1 | 90 | 65.7 | 1.17 | 0.07 | 0.61 | 0.49 | 0.93 | 3.2% |
| 2024Q4 | 92 | 67.8 | 1.49 | 0.10 | 0.55 | 0.83 | 1.31 | 37.0% |
| 2024Q3 | 92 | 65.6 | 2.40 | 0.15 | 0.54 | 1.71 | 2.18 | 62.5% |
| 2024Q2 | 91 | 68.8 | 1.98 | 0.05 | 0.56 | 1.38 | 2.05 | 68.0% |
| 2024Q1 | 91 | 70.9 | 1.45 | 0.05 | 0.53 | 0.87 | 1.40 | 48.1% |
| 2023Q4 | 92 | 72.4 | 1.72 | 0.05 | 0.54 | 1.12 | 1.71 | 47.7% |
| 2023Q3 | 92 | 65.9 | 1.70 | 0.10 | 0.40 | 1.21 | 1.72 | 65.6% |
| 2023Q2 | 91 | 60.4 | 1.57 | 0.16 | 0.41 | 1.00 | 1.39 | 63.8% |
| 2023Q1 | 90 | 58.9 | 1.73 | 0.14 | 0.52 | 1.07 | 1.55 | 72.0% |
| 2022Q4 | 92 | 65.8 | 1.65 | 0.08 | 0.43 | 1.14 | 1.36 | 57.8% |
| 2022Q3 | 92 | 61.3 | 1.71 | 0.10 | 0.40 | 1.21 | 1.50 | 29.3% |
| 2022Q2 | 91 | 68.0 | 1.64 | 0.19 | 0.48 | 0.97 | 1.36 | 48.3% |
| 2022Q1 | 90 | 69.6 | 1.39 | 0.35 | 0.41 | 0.63 | 1.24 | 24.5% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-23 | Fine | $151,801 | CMS provider data |
| 2024-05-23 | Payment Denial | — | CMS provider data |
| 2024-03-29 | Fine | $30,641 | CMS provider data |
| 2023-10-17 | Fine | $52,972 | CMS provider data |
Total fines on record: $235,414
Deficiencies
115C × 7D × 22E × 50F × 27G × 7H × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | 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 | 2026-05-28 |
| 2026-04-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-03-30 |
| 2025-11-17 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-11-28 |
| 2025-01-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-03 |
| 2025-01-17 | 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 | 2025-03-03 |
| 2024-10-08 | 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 | 2024-11-22 |
| 2024-10-08 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-11-22 |
| 2024-05-23 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-05 |
| 2024-05-23 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-07-05 |
| 2024-05-23 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2024-07-05 |
| 2024-05-23 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | 2024-07-05 |
| 2024-05-23 | 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. | F | 2024-07-05 |
| 2024-05-23 | Health | 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. | E | 2024-07-05 |
| 2024-05-23 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0637 | Assess the resident when there is a significant change in condition | E | 2024-07-05 |
| 2024-05-23 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-05 |
| 2024-05-23 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-07-05 |
| 2024-05-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-07-05 |
| 2024-05-23 | 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. | F | 2024-07-05 |
| 2024-05-23 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-07-05 |
| 2024-05-23 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2024-07-05 |
| 2024-05-23 | Health | F0687 | Provide appropriate foot care. | E | 2024-07-05 |
| 2024-05-23 | 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. | E | 2024-07-05 |
| 2024-05-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2024-07-05 |
| 2024-05-23 | Health | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-05 |
| 2024-05-23 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-07-05 |
| 2024-05-23 | 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. | F | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | 2024-07-05 |
| 2024-05-23 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-07-05 |
| 2024-05-23 | Health | F0732 | Post nurse staffing information every day. | C | 2024-07-05 |
| 2024-05-23 | Health | 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. | G | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-07-05 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-07-08 |
| 2024-05-23 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-07-05 |
| 2024-05-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-05 |
| 2024-05-23 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-07-05 |
| 2024-05-23 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | C | 2024-07-05 |
| 2024-05-23 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-07-05 |
| 2024-05-23 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-07-05 |
| 2024-05-23 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-07-05 |
| 2024-05-23 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-05 |
| 2024-05-23 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-08-14 |
| 2024-05-23 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-07-05 |
| 2024-05-23 | 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. | E | 2024-07-05 |
| 2024-05-23 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-07-05 |
| 2024-05-23 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | 2024-07-05 |
| 2024-05-23 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-07-05 |
| 2024-05-23 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-07-05 |
| 2024-03-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-29 |
| 2024-03-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-29 |
| 2024-03-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-29 |
| 2024-03-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-04-29 |
| 2024-03-29 | 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 | 2024-04-29 |
| 2024-03-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-04-29 |
| 2024-01-03 | 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 | 2024-02-12 |
| 2024-01-03 | 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. | F | 2024-02-12 |
| 2023-10-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2023-11-12 |
| 2023-10-17 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2023-11-12 |
| 2023-10-17 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-11-12 |
| 2022-10-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-12-10 |
| 2022-10-27 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2022-12-10 |
| 2022-10-27 | 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 | 2022-12-10 |
| 2022-10-27 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2022-12-10 |
| 2022-10-27 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2022-12-10 |
| 2022-10-27 | 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. | C | 2022-12-10 |
| 2022-10-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2022-12-10 |
| 2022-10-27 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2022-12-10 |
| 2022-10-27 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2022-12-10 |
| 2022-10-27 | 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 | 2022-12-10 |
| 2022-10-27 | 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. | D | 2022-12-10 |
| 2022-10-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-12-10 |
| 2022-10-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2022-12-10 |
| 2022-10-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-12-10 |
| 2022-10-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-12-10 |
| 2022-10-27 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-12-10 |
| 2022-10-27 | 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 | 2022-12-10 |
| 2022-10-27 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2022-12-10 |
| 2022-10-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-12-10 |
| 2022-10-27 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2022-12-10 |
| 2022-10-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-10 |
| 2022-10-27 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2022-12-10 |
| 2022-10-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2022-12-10 |
| 2022-10-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-12-10 |
| 2022-10-27 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-12-10 |
| 2022-10-27 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2022-12-10 |
| 2019-06-20 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-08-01 |
| 2019-06-20 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2019-08-01 |
| 2019-06-20 | 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 | 2019-08-01 |
| 2019-06-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-08-01 |
| 2019-06-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-08-01 |
| 2019-06-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-08-01 |
| 2019-06-20 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2019-08-01 |
| 2019-06-20 | Health | 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 | 2019-08-01 |
| 2019-06-20 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2019-08-01 |
| 2019-06-20 | 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 | 2019-08-01 |
| 2019-06-20 | 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 | 2019-08-01 |
| 2019-06-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2019-08-01 |
| 2019-06-20 | 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. | E | 2019-08-01 |
| 2019-06-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-08-01 |
| 2019-06-20 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2019-08-01 |
| 2019-06-20 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2019-08-01 |
| 2019-06-20 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2019-08-01 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| ERGO MIDWEST | 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% | 1998-08-01 | current | pecos_ownership |
| LINCOLN, JUDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1998-08-01 | current | pecos_ownership |
| BRICK, JULIE | W-2 MANAGING EMPLOYEE | — | 2017-06-29 | current | pecos_ownership |
| N & R OF LINCOLN COUNTY, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1990-06-16 | current | pecos_ownership |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| JULIE BRICK | W-2 MANAGING EMPLOYEE | 100% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| 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 |
| 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% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JAMES LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1998-08-01 | ended 2026-05-18 | pecos_ownership |
| JUDY LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 1998-08-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29113 | acs median gross | 0 | $665 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29113 | acs median gross | 1 | $645 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29113 | acs median gross | 2 | $893 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29113 | acs median gross | 3 | $1,193 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29113 | acs median gross | 4 | $1,231 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29113 | acs median gross | 5 | $1,158 | 2024-12-31 | CENSUS_ACS5 |
| county 29113 | acs median gross | $961 | 2024-12-31 | CENSUS_ACS5 | |
| county 29113 | acs recent mover gross | $1,103 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63379 | acs median gross | 1 | $624 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63379 | acs median gross | 2 | $815 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63379 | acs median gross | 3 | $1,321 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63379 | acs median gross | $932 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63379 | acs recent mover gross | $980 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63379 | payment standard 110 | 0 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 90 | 0 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | safmr | 0 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 110 | 3 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 90 | 3 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | safmr | 3 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63379 | safmr | 4 | $1,730 | 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.