Composite
99.8 / 100 percentile
Screener / 265480
F
GRAND RIVER HEALTH CARE
snfMO
118 TRENTON ROAD, CHILLICOTHE, MO 64601 · CCN 265480
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 99.8% 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 model4ML signals8Components15CHOW radar1Distress radar1Staffing16Penalties3Deficiencies60Licensure0Ownership23Related party5Transactions0Comps12Market rent33
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 97.3 | 89.1 | 0.30 | 0.3000 | 29.19 | in index |
| regulatory risk | 84.9 | 82.0 | 0.30 | 0.3000 | 25.47 | in index |
| staffing risk | 97.1 | 97.1 | 0.25 | 0.2500 | 24.28 | in index |
| chow risk | 46.0 | 44.2 | 0.15 | 0.1500 | 6.90 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +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 | +27.5 vs natl | LINCOLN JAMES | 56 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | STUTTS CHARLOTTE | 18 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | CRANE GARY | 18 facilities |
| connection | Owner fleet risk far above national | +25.2 vs natl | DRAKE TIMOTHY | 21 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
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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 | 63.4 | C | v0.6 | default · in composite | |
| financial risk | 89.1 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.3 | — | 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 | 12.0 | — | 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 | 82.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 97.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 48.3 | 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 | 28.3 | 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 | 70.9 | 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 | 88.0 | 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 | 81.9 | 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 | 81.9 | 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 | 97.1 | 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 | 97.1 | 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)
12.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.7
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 | |
| Occupancy | 0.48 | +0.63 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.28 | +0.34 | |
| 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)
1.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
87.9
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 | |
| Occupancy | 0.48 | +1.14 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.64 | -0.60 | |
| Total nurse staffing (HPRD) | 2.12 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.28 | +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 | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.12 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.42 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.11 | 2.24 | 3.11 | — |
| Weekday total | 2.12 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 28.7 | 2.12 | 0.42 | 0.43 | 1.27 | 2.11 | 27.9% |
| 2025Q3 | 92 | 28.4 | 1.87 | 0.58 | 0.38 | 0.90 | 1.81 | 3.9% |
| 2025Q2 | 91 | 25.1 | 2.01 | 0.87 | 0.21 | 0.93 | 1.91 | 24.0% |
| 2025Q1 | 90 | 25.8 | 1.64 | 0.76 | 0.35 | 0.53 | 1.43 | 19.4% |
| 2024Q4 | 92 | 27.8 | 1.65 | 0.71 | 0.29 | 0.65 | 1.57 | 7.3% |
| 2024Q3 | 92 | 28.7 | 1.54 | 0.74 | 0.25 | 0.55 | 1.42 | 0.0% |
| 2024Q2 | 91 | 27.9 | 1.56 | 0.69 | 0.27 | 0.59 | 1.45 | 0.0% |
| 2024Q1 | 91 | 27.0 | 1.52 | 0.80 | 0.27 | 0.46 | 1.35 | 0.0% |
| 2023Q4 | 92 | 25.5 | 1.87 | 0.85 | 0.20 | 0.82 | 1.86 | 0.0% |
| 2023Q3 | 92 | 24.1 | 2.17 | 0.91 | 0.25 | 1.01 | 2.19 | 0.0% |
| 2023Q2 | 91 | 25.7 | 1.67 | 0.93 | 0.25 | 0.48 | 1.58 | 0.0% |
| 2023Q1 | 90 | 26.8 | 1.69 | 1.00 | 0.26 | 0.43 | 1.71 | 0.0% |
| 2022Q4 | 92 | 26.9 | 1.95 | 0.87 | 0.23 | 0.85 | 1.88 | 0.0% |
| 2022Q3 | 92 | 26.8 | 1.72 | 0.65 | 0.19 | 0.88 | 1.55 | 0.0% |
| 2022Q2 | 91 | 26.8 | 1.87 | 0.64 | 0.27 | 0.97 | 1.75 | 6.4% |
| 2022Q1 | 90 | 29.7 | 1.98 | 0.57 | 0.35 | 1.07 | 2.05 | 3.7% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-09 | Fine | $41,615 | CMS provider data |
| 2024-12-05 | Fine | $26,611 | CMS provider data |
| 2024-12-05 | Payment Denial | — | CMS provider data |
Total fines on record: $68,226
Deficiencies
60D × 28E × 26F × 2G × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-01-27 |
| 2026-01-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-27 |
| 2025-11-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-11-30 |
| 2025-03-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-22 |
| 2025-03-25 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-04-22 |
| 2025-03-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-22 |
| 2025-02-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-04-07 |
| 2025-02-27 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-04-07 |
| 2025-02-27 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2025-04-07 |
| 2025-02-27 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2025-04-07 |
| 2025-02-27 | 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 | 2025-04-07 |
| 2025-02-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-07 |
| 2025-02-27 | 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 | 2025-04-07 |
| 2025-02-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-04-07 |
| 2025-02-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-07 |
| 2025-02-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-04-07 |
| 2025-02-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-07 |
| 2025-02-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-04-07 |
| 2025-02-27 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-04-07 |
| 2025-02-27 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-07 |
| 2025-02-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-07 |
| 2024-12-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-01-10 |
| 2024-12-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-12-27 |
| 2024-12-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-27 |
| 2024-09-11 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-10-11 |
| 2024-09-11 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-10-11 |
| 2023-04-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-06-06 |
| 2023-04-24 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2023-06-06 |
| 2023-04-24 | 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 | 2023-06-06 |
| 2023-04-24 | 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 | 2023-06-06 |
| 2023-04-24 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-06-06 |
| 2023-04-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-06 |
| 2023-04-24 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-07-27 |
| 2023-04-24 | 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 | 2023-06-06 |
| 2023-04-24 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-06-06 |
| 2023-04-24 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-06-06 |
| 2023-04-24 | 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 | 2023-06-06 |
| 2023-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-06 |
| 2023-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-07-27 |
| 2023-04-24 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2023-06-06 |
| 2021-02-10 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2021-05-18 |
| 2021-02-10 | 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 | 2021-03-06 |
| 2021-02-10 | 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 | 2021-05-18 |
| 2021-02-10 | 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 | 2021-05-18 |
| 2021-02-10 | 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. | D | 2021-05-18 |
| 2021-02-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-03-06 |
| 2021-02-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2021-03-06 |
| 2021-02-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-03-06 |
| 2021-02-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2021-05-18 |
| 2021-02-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-03-06 |
| 2021-02-10 | 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 | 2021-03-06 |
| 2021-02-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-03-06 |
| 2021-02-10 | 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 | 2021-03-06 |
| 2021-02-10 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2021-03-06 |
| 2021-02-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-03-06 |
| 2021-02-10 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2021-03-06 |
| 2021-02-10 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2021-03-06 |
| 2021-02-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-03-06 |
| 2021-02-10 | Health | F0908 | Keep all essential equipment working safely. | D | 2021-03-06 |
| 2021-02-10 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2021-03-06 |
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
23| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | 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 |
| CRANE, GARY | CORPORATE DIRECTOR | — | 1998-08-01 | current | pecos_ownership |
| DRAKE, TIMOTHY | CORPORATE OFFICER | — | 2022-04-25 | current | pecos_ownership |
| LAUHOFF, KENT | W-2 MANAGING EMPLOYEE | — | 2022-04-25 | current | pecos_ownership |
| N & R OF CHILLICOTHE, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1998-08-01 | current | pecos_ownership |
| STUTTS, CHARLOTTE | CORPORATE OFFICER | — | 1998-08-01 | 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% | 2020-01-01 | ended 2020-12-31 | 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 |
| KENT LAUHOFF | W-2 MANAGING EMPLOYEE | 100% | 2022-04-25 | 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% | 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 |
| CHARLOTTE STUTTS | CORPORATE OFFICER | 50% | 1998-08-01 | ended 2026-05-18 | pecos_ownership |
| GARY CRANE | CORPORATE DIRECTOR | 50% | 1998-08-01 | ended 2026-05-18 | pecos_ownership |
| 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 |
| TIMOTHY DRAKE | CORPORATE OFFICER | 50% | 2022-04-25 | 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 29117 | acs median gross | 0 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 29117 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29117 | acs median gross | 1 | $476 | 2024-12-31 | CENSUS_ACS5 |
| county 29117 | fmr | 1 | $677 | 2025-10-01 | HUD_USER_FMR |
| county 29117 | acs median gross | 2 | $768 | 2024-12-31 | CENSUS_ACS5 |
| county 29117 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29117 | acs median gross | 3 | $865 | 2024-12-31 | CENSUS_ACS5 |
| county 29117 | fmr | 3 | $1,147 | 2025-10-01 | HUD_USER_FMR |
| county 29117 | acs median gross | 4 | $1,028 | 2024-12-31 | CENSUS_ACS5 |
| county 29117 | fmr | 4 | $1,331 | 2025-10-01 | HUD_USER_FMR |
| county 29117 | acs median gross | $768 | 2024-12-31 | CENSUS_ACS5 | |
| county 29117 | acs recent mover gross | $942 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64601 | acs median gross | 0 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64601 | acs median gross | 1 | $473 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64601 | acs median gross | 2 | $771 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64601 | acs median gross | 3 | $878 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64601 | acs median gross | $769 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64601 | acs recent mover gross | $972 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64601 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 110 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 90 | 2 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | safmr | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 110 | 4 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | payment standard 90 | 4 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64601 | safmr | 4 | $1,350 | 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.