CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 14:55 UTC
Screener / 265430
D

ARBOR VIEW NURSING AND REHABILITATION

snfMO
6400 THE CEDARS COURT, CEDAR HILL, MO 63016 · CCN 265430 · chain KFT IRREVOCABLE TRUST
Composite
90.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 90.8% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk84.371.10.300.230819.45in index
staffing risk97.397.30.250.192318.71in index
regulatory risk79.676.20.300.230818.37in index
chow risk60.358.90.150.11546.96in index
billing conduct16.820.50.300.23083.88in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains47 chainsFORVIS MAZARS LLP251 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct20.5Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk92.8Fv0.6default · in composite
financial risk71.1Dv0.5default · in compositeR18.
p adverse action 12m0.5v0.1default · in compositeR23/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 12m0.0v0.1default · in compositeR22/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 risk76.2Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.3Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk93.2Fv0.1supersededPre-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 risk73.2Dv0.2supersededPre-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 risk60.5Cv0.3supersededPre-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 risk72.9Dv0.4supersededPre-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 risk76.1Dv0.1supersededPre-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 risk76.1Dv0.2supersededPre-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 risk97.3Fv0.1supersededPre-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 risk97.3Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.49-1.70
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.60+0.27
Total nurse staffing (HPRD)2.08+0.19
Chain size (log)1.10-0.17
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
75.5
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
For-profit ownership1.00-0.69
Occupancy0.60+0.61
Chain size (log)1.10+0.56
Total nurse staffing (HPRD)2.08+0.48
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.49-0.28
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 HPRDThis facilityMO medianNational medianNational p25–p75
Total nurse2.082.413.282.90–3.77
RN0.160.250.390.25–0.58
Weekend total1.792.243.11
Weekday total2.192.493.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49290.52.080.160.721.191.790.0%
2025Q39284.92.270.180.771.321.930.0%
2025Q29183.72.300.150.781.371.950.0%
2025Q19091.31.760.200.471.101.660.0%
2024Q49290.11.910.180.481.251.740.0%
2024Q39282.62.050.230.541.291.780.0%
2024Q29182.62.150.210.551.401.830.0%
2024Q19184.72.460.320.491.652.340.0%
2023Q49284.82.040.170.641.231.655.2%
2023Q39296.12.100.180.611.311.734.6%
2023Q291100.52.090.150.471.461.692.5%
2023Q19097.22.250.100.511.642.080.1%
2022Q49289.92.060.100.631.342.001.6%
2022Q39283.30.270.010.080.180.247.3%
2022Q29190.12.320.030.671.622.231.0%
2022Q19086.02.370.110.691.572.270.5%
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

5
DateTypeFineSource
2023-10-13Fine$17,141CMS provider data
2023-10-13Payment DenialCMS provider data
2023-10-02Fine$3,176CMS provider data
2023-09-25Fine$2,823CMS provider data
2023-09-05Fine$6,351CMS provider data
Total fines on record: $29,491

Deficiencies

55
B × 1C × 2D × 41E × 8F × 2K × 1
deficiencies by survey year
221122232425
SurveyTypeTagDeficiencyScopeCorrected
2025-11-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-20
2025-04-02HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.C2025-05-23
2025-04-02HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2025-05-21
2025-04-02HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2025-05-21
2025-04-02HealthF0584Honor 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.D2025-05-21
2025-04-02HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-05-21
2025-04-02HealthF0625Notify 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.D2025-05-21
2025-04-02HealthF0679Provide activities to meet all resident's needs.C2025-05-21
2025-04-02HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2025-05-21
2025-04-02HealthF0727Have 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.E2025-05-21
2025-04-02HealthF0730Observe each nurse aide's job performance and give regular training.D2025-05-21
2025-04-02HealthF0758Implement 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.D2025-05-21
2025-04-02HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-05-21
2025-04-02HealthF0809Ensure 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.D2025-05-21
2025-04-02HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-05-21
2025-04-02HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2025-05-21
2025-04-02HealthF0908Keep all essential equipment working safely.D2025-05-21
2025-04-02HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-05-21
2025-04-02HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2025-05-21
2025-02-06Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-07
2024-12-13Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-01-12
2024-10-30Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-13
2024-08-23Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2024-10-04
2024-08-23Health · complaintF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D2024-10-04
2024-08-23Health · complaintF0567Honor the resident's right to manage his or her financial affairs.B2024-10-04
2024-06-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-07-08
2024-06-07HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-07-08
2024-06-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-07-08
2024-06-07HealthF0814Dispose of garbage and refuse properly.D2024-07-08
2024-06-07HealthF0880Provide and implement an infection prevention and control program.D2024-07-08
2024-06-07HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2024-07-08
2023-10-13Health · complaintF0880Provide and implement an infection prevention and control program.K2023-11-24
2023-08-15Health · complaintF0585Honor 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.D2023-09-05
2022-12-06HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-01-20
2022-12-06HealthF0578Honor 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.D2023-01-20
2022-12-06HealthF0584Honor 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.E2023-01-20
2022-12-06HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2023-01-20
2022-12-06HealthF0625Notify 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.D2023-01-20
2022-12-06HealthF0641Ensure each resident receives an accurate assessment.D2023-01-20
2022-12-06HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-01-20
2022-12-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-01-20
2022-12-06HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-01-20
2022-12-06HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-01-20
2022-12-06HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-01-20
2022-12-06HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-01-20
2022-12-06HealthF0688Provide 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.D2023-01-20
2022-12-06HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-01-20
2022-12-06HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-01-20
2022-12-06HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-01-20
2022-12-06HealthF0732Post nurse staffing information every day.D2023-01-20
2022-12-06HealthF0761Ensure 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.D2023-01-20
2022-12-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-01-20
2022-12-06HealthF0880Provide and implement an infection prevention and control program.E2023-01-20
2022-12-06HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-01-20
2022-12-06HealthF0924Put firmly secured handrails on each side of hallways.E2023-01-20
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

0
No 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

40
OwnerRolePctFromStatusSource
AAR OPCO HOLDINGS LLCDIRECT OWNERSHIP INTEREST2025-02-01currentpecos_ownership
BARNES, MELODYOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
BREWER, DALEADP OF THE SNF2025-07-18currentpecos_ownership
BREWER, DALEOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
BREWER, HEIDIOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
BRYANT, KAITLYNOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
CAITO, JENEEOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
CREEK, AMANDAOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
FORVIS MAZARS LLPADP OF THE SNF2023-06-01currentpecos_ownership
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
GARNER, AMANDAOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
GS CAPITAL FUNDING LLC5% OR GREATER SECURITY INTEREST2025-02-01currentpecos_ownership
HOSEA, CHRISTENAADP OF THE SNF2025-07-21currentpecos_ownership
HOSEA, CHRISTENAOPERATIONAL/MANAGERIAL CONTROL2025-03-17currentpecos_ownership
KFT HOLDINGS LLCINDIRECT OWNERSHIP INTEREST2025-02-01currentpecos_ownership
KFT IRREVOCABLE TRUSTINDIRECT OWNERSHIP INTEREST2025-02-01currentpecos_ownership
LAZAR, LEVIOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
MOORE, ANGELAOPERATIONAL/MANAGERIAL CONTROL2025-03-17currentpecos_ownership
NEUBERGER, ISAACTRUSTEE OF THE SNF2025-02-01currentpecos_ownership
QHS OPERATIONS LLCINDIRECT OWNERSHIP INTEREST2025-02-01currentpecos_ownership
RAINEY, JONOPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
REVACH LLCADP OF THE SNF2025-02-01currentpecos_ownership
WILSON, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROL2025-02-01currentpecos_ownership
SIRO PROP BIG RIVER LLCCorporation, partnership or other organization has financial interest in provider100%2023-01-01ended 2023-05-31hcris_a_8_1
SIRO PROP BIG RIVER LLCCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
AMANDA CREEKOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
AMANDA GARNEROPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
ANGELA MOOREOPERATIONAL/MANAGERIAL CONTROL2025-03-17ended 2026-05-18pecos_ownership
CHRISTENA HOSEAADP OF THE SNF2025-07-21ended 2026-05-18pecos_ownership
CHRISTENA HOSEAOPERATIONAL/MANAGERIAL CONTROL2025-03-17ended 2026-05-18pecos_ownership
CHRISTOPHER WILSONOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
DALE BREWERADP OF THE SNF2025-07-18ended 2026-05-18pecos_ownership
DALE BREWEROPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
HEIDI BREWEROPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
ISAAC NEUBERGERTRUSTEE OF THE SNF2025-02-01ended 2026-05-18pecos_ownership
JENEE CAITOOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
JON RAINEYOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
KAITLYN BRYANTOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
LEVI LAZAROPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
MELODY BARNESOPERATIONAL/MANAGERIAL CONTROL2025-02-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2025-02-01FORREST OPCO LLCCEDARS COURT HEALTHCARE LLCchow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATIONthis facility150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION115ISLAND 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

31
GeoKindBRAmountAs ofSource
county 29099acs median gross0$7782024-12-31CENSUS_ACS5
county 29099fmr0$9552025-10-01HUD_USER_FMR
county 29099acs median gross1$7462024-12-31CENSUS_ACS5
county 29099fmr1$9952025-10-01HUD_USER_FMR
county 29099acs median gross2$9322024-12-31CENSUS_ACS5
county 29099fmr2$1,2182025-10-01HUD_USER_FMR
county 29099acs median gross3$1,1632024-12-31CENSUS_ACS5
county 29099fmr3$1,5682025-10-01HUD_USER_FMR
county 29099acs median gross4$1,1742024-12-31CENSUS_ACS5
county 29099fmr4$1,8122025-10-01HUD_USER_FMR
county 29099acs median gross5$1,5342024-12-31CENSUS_ACS5
county 29099acs median gross$9792024-12-31CENSUS_ACS5
county 29099acs recent mover gross$9202024-12-31CENSUS_ACS5
zcta 63016acs median gross2$7842024-12-31CENSUS_ACS5
zcta 63016acs median gross3$1,0072024-12-31CENSUS_ACS5
zcta 63016acs median gross$1,2082024-12-31CENSUS_ACS5
zip 63016payment standard 1100$8692025-10-01HUD_USER_SAFMR
zip 63016payment standard 900$7112025-10-01HUD_USER_SAFMR
zip 63016safmr0$7902025-10-01HUD_USER_SAFMR
zip 63016payment standard 1101$9022025-10-01HUD_USER_SAFMR
zip 63016payment standard 901$7382025-10-01HUD_USER_SAFMR
zip 63016safmr1$8202025-10-01HUD_USER_SAFMR
zip 63016payment standard 1102$1,1112025-10-01HUD_USER_SAFMR
zip 63016payment standard 902$9092025-10-01HUD_USER_SAFMR
zip 63016safmr2$1,0102025-10-01HUD_USER_SAFMR
zip 63016payment standard 1103$1,4302025-10-01HUD_USER_SAFMR
zip 63016payment standard 903$1,1702025-10-01HUD_USER_SAFMR
zip 63016safmr3$1,3002025-10-01HUD_USER_SAFMR
zip 63016payment standard 1104$1,6502025-10-01HUD_USER_SAFMR
zip 63016payment standard 904$1,3502025-10-01HUD_USER_SAFMR
zip 63016safmr4$1,5002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.