Composite
71.8 / 100 percentile
Screener / 165449
C
Spencer Post Acute Rehabilitation Center
snfIA
711 West 11th Street, Spencer, IA 51301 · CCN 165449 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
82
Model
v1.2
Reads as: riskier than 71.8% 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 signals6Components13CHOW radar1Distress radar1Staffing15Penalties3Deficiencies45Licensure0Ownership19Related party6Transactions1Comps12Market rent32
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.9 | 83.0 | 0.30 | 0.2857 | 24.54 | in index |
| financial risk | 62.3 | 53.9 | 0.30 | 0.2857 | 17.80 | in index |
| billing conduct | 26.2 | 29.7 | 0.30 | 0.2857 | 7.49 | in index |
| chow risk | 48.4 | 46.5 | 0.15 | 0.1429 | 6.91 | 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 | +24.0 vs natl | GATEWAY HEALTHCARE LLC | 12 facilities |
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 12 chains | THE ENSIGN GROUP INC | 123 facilities |
| connection | Owner spans multiple chains | 11 chains | STANDARD BEARER HEALTHCARE OP LP | 83 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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 29.7 | B | 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 | 68.0 | D | v0.6 | default · in composite | |
| financial risk | 53.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.1 | — | 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 | 83.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 83.2 | 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 | 63.2 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.5 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 58.3 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 83.0 | 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 | 83.0 | 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. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.24 | -1.63 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.46 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 15.00 | +0.19 | |
| Occupancy | 0.74 | -0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
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) | 5.46 | -1.98 | |
| Deficiencies, last 12 months | 15.00 | -1.35 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.24 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Total nurse staffing (HPRD) | 2.67 | +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
15| 2025Q3 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.67 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.63 | 2.96 | 3.11 | — |
| Weekday total | 2.68 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 60.7 | 2.67 | 0.35 | 0.45 | 1.86 | 2.63 | 13.2% |
| 2025Q2 | 91 | 63.2 | 2.51 | 0.29 | 0.38 | 1.84 | 2.51 | 10.0% |
| 2025Q1 | 90 | 63.7 | 3.10 | 0.44 | 0.48 | 2.19 | 3.14 | 29.5% |
| 2024Q4 | 92 | 55.5 | 3.43 | 0.38 | 0.62 | 2.44 | 3.43 | 30.2% |
| 2024Q3 | 92 | 53.7 | 3.09 | 0.37 | 0.65 | 2.07 | 2.90 | 15.3% |
| 2024Q2 | 91 | 53.6 | 3.07 | 0.41 | 0.68 | 1.98 | 2.69 | 3.1% |
| 2024Q1 | 91 | 54.7 | 3.46 | 0.58 | 0.53 | 2.35 | 2.97 | 0.0% |
| 2023Q4 | 92 | 54.7 | 3.29 | 0.47 | 0.48 | 2.34 | 3.08 | 0.0% |
| 2023Q3 | 92 | 54.4 | 3.20 | 0.54 | 0.46 | 2.20 | 2.78 | 0.0% |
| 2023Q2 | 91 | 54.8 | 3.42 | 0.59 | 0.50 | 2.33 | 2.85 | 0.8% |
| 2023Q1 | 90 | 55.5 | 3.54 | 0.58 | 0.56 | 2.40 | 3.09 | 8.5% |
| 2022Q4 | 92 | 55.8 | 3.74 | 0.61 | 0.63 | 2.49 | 3.41 | 26.6% |
| 2022Q3 | 92 | 60.2 | 4.23 | 0.69 | 0.76 | 2.78 | 3.63 | 21.2% |
| 2022Q2 | 91 | 59.8 | 4.37 | 0.75 | 0.76 | 2.86 | 3.77 | 16.1% |
| 2022Q1 | 90 | 60.2 | 4.08 | 0.78 | 0.61 | 2.69 | 3.60 | 15.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-20 | Fine | $14,433 | CMS provider data |
| 2023-10-30 | Fine | $10,273 | CMS provider data |
| 2023-10-30 | Payment Denial | — | CMS provider data |
Total fines on record: $24,706
Deficiencies
45D × 26E × 17J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-01 |
| 2025-08-14 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-09-13 |
| 2025-08-14 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-13 |
| 2025-08-14 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-09-13 |
| 2025-08-14 | 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 | 2025-09-13 |
| 2025-08-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-13 |
| 2025-08-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-13 |
| 2025-08-14 | 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 | 2025-09-13 |
| 2025-08-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-13 |
| 2025-08-14 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-09-13 |
| 2025-08-14 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-09-13 |
| 2025-08-14 | 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 | 2025-09-13 |
| 2025-08-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-13 |
| 2025-08-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-09-13 |
| 2025-08-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-09-13 |
| 2024-08-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-09-12 |
| 2024-08-22 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-09-12 |
| 2024-08-22 | 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 | 2024-09-12 |
| 2024-08-22 | 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 | 2024-09-12 |
| 2024-08-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-12 |
| 2024-08-22 | 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. | D | 2024-09-12 |
| 2024-08-22 | 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 | 2024-09-12 |
| 2024-08-22 | Health | F0732 | Post nurse staffing information every day. | E | 2024-09-12 |
| 2024-08-22 | 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 | 2024-09-12 |
| 2024-08-22 | 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 | 2024-09-12 |
| 2024-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-12 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-12 |
| 2024-05-20 | Health · complaint | 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. | J | 2024-05-06 |
| 2024-03-14 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-12 |
| 2024-03-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-12 |
| 2024-03-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-12 |
| 2023-10-30 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-11-22 |
| 2023-10-30 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-11-22 |
| 2023-10-30 | 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 | 2023-11-22 |
| 2023-10-30 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-11-22 |
| 2023-10-30 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-11-22 |
| 2023-10-30 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-11-22 |
| 2023-10-30 | 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 | 2023-11-22 |
| 2023-10-30 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-11-22 |
| 2023-10-30 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-11-22 |
| 2023-10-30 | Health | F0760 | Ensure that residents are free from significant medication errors. | J | 2023-11-09 |
| 2023-10-30 | 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 | 2023-11-22 |
| 2023-10-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-22 |
| 2023-10-30 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-22 |
| 2023-07-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-07-13 |
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
19| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BURNAM, SOON | CORPORATE OFFICER | — | 2024-02-22 | current | pecos_ownership |
| DEWEY HEALTH HOLDINGS LLC | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| FELDMANN, BRUCE | ADP OF THE SNF | — | 2025-07-05 | current | pecos_ownership |
| FELDMANN, BRUCE | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-01 | current | pecos_ownership |
| GATEWAY HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | — | 2024-02-22 | current | pecos_ownership |
| JORGENSEN, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-08 | current | pecos_ownership |
| KEETCH, CHAD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-08 | current | pecos_ownership |
| KOENIG, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-22 | current | pecos_ownership |
| KOENIG, DEBRA | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-05 | current | pecos_ownership |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| THE ENSIGN GROUP INC | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| DEBRA KOENIG | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-02-22 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-22 | ended 2026-05-18 | pecos_ownership |
| BRUCE FELDMANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| BRUCE FELDMANN | ADP OF THE SNF | — | 2025-07-05 | ended 2026-05-18 | pecos_ownership |
| DEBRA KOENIG | ADP OF THE SNF | — | 2025-04-14 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | MANAGING CONTROL - GOVERNING BODY | — | 2024-02-22 | 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 |
|---|---|---|---|---|
| 2024-05-01 | — | PARKER CREEK HEALTHCARE LLC | LONGHOUSE-NORTHSHIRE, LTD | chow |
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO GRUNDY CENTER IA LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19041 | fmr | 0 | $682 | 2025-10-01 | HUD_USER_FMR |
| county 19041 | acs median gross | 1 | $527 | 2024-12-31 | CENSUS_ACS5 |
| county 19041 | fmr | 1 | $700 | 2025-10-01 | HUD_USER_FMR |
| county 19041 | acs median gross | 2 | $857 | 2024-12-31 | CENSUS_ACS5 |
| county 19041 | fmr | 2 | $919 | 2025-10-01 | HUD_USER_FMR |
| county 19041 | acs median gross | 3 | $1,015 | 2024-12-31 | CENSUS_ACS5 |
| county 19041 | fmr | 3 | $1,198 | 2025-10-01 | HUD_USER_FMR |
| county 19041 | acs median gross | 4 | $1,047 | 2024-12-31 | CENSUS_ACS5 |
| county 19041 | fmr | 4 | $1,217 | 2025-10-01 | HUD_USER_FMR |
| county 19041 | acs median gross | $811 | 2024-12-31 | CENSUS_ACS5 | |
| county 19041 | acs recent mover gross | $886 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 51301 | acs median gross | 1 | $529 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51301 | acs median gross | 2 | $878 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51301 | acs median gross | 3 | $1,042 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51301 | acs median gross | 4 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51301 | acs median gross | $807 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 51301 | acs recent mover gross | $880 | 2024-12-31 | CENSUS_ACS5 | |
| zip 51301 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 110 | 1 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 90 | 1 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | safmr | 1 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 110 | 2 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 90 | 2 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | safmr | 2 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 110 | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 90 | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | safmr | 3 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 110 | 4 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | payment standard 90 | 4 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51301 | safmr | 4 | $1,270 | 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.