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 / 265719
C

AMBERWOOD ESTATES NURSING AND REHABILITATION

snfMO
5303 BERMUDA DRIVE, SAINT LOUIS, MO 63121 · CCN 265719 · chain KFT IRREVOCABLE TRUST
Composite
84.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
115
Model
v1.2
Reads as: riskier than 84.1% 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 model5ML signals3Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies74Licensure0Ownership35Related party4Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk97.797.70.250.192318.79in index
regulatory risk78.274.70.300.230818.05in index
financial risk60.752.80.300.230814.01in index
chow risk52.956.50.150.11546.10in index
billing conduct25.229.10.300.23085.82in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains47 chainsFORVIS MAZARS LLP251 facilities
connectionOwner fleet risk far above national+39.7 vs natlMAYLACK ELIZABETH6 facilities
connectionOwner fleet enforcement cluster50% finedMAYLACK ELIZABETH6 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 conduct29.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.3Av0.1-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 risk88.7Fv0.6default · in composite
financial risk52.8Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.0—v0.1default · 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 risk74.7Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.7Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk81.0Fv0.1supersededPre-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 risk61.0Cv0.2supersededPre-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 risk57.5Cv0.3supersededPre-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 risk55.4Cv0.4supersededPre-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 risk74.6Dv0.1supersededPre-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 risk74.6Dv0.2supersededPre-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 risk97.7Fv0.1supersededPre-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 risk97.7Fv0.2supersededPre-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
Total nurse staffing (HPRD)2.04+0.20
Chain size (log)1.10-0.17
Occupancy0.74-0.13
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership1.00-0.69
Chain size (log)1.10+0.56
Total nurse staffing (HPRD)2.04+0.50
Staffing trend, last 4 quarters-0.93-0.46
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.49-0.28
Deficiencies, last 12 months9.00-0.24
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 nurse2.042.413.282.90–3.77
RN0.090.250.390.25–0.58
Weekend total2.002.243.11—
Weekday total2.052.493.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49285.42.040.090.561.392.000.0%
2025Q39281.42.170.060.641.472.050.0%
2025Q29179.71.240.040.340.871.220.0%
2025Q19078.42.240.100.671.472.130.0%
2024Q49280.42.960.111.001.852.560.0%
2024Q39289.52.240.080.721.442.030.0%
2024Q29188.42.000.070.701.231.750.0%
2024Q19192.60.680.200.140.340.691.6%
2023Q49295.12.110.090.771.251.932.8%
2023Q39294.92.160.010.721.421.975.2%
2023Q29197.90.550.000.170.380.6221.9%
2023Q19094.91.760.080.521.171.7121.9%
2022Q49283.82.270.140.711.422.1730.3%
2022Q39279.70.760.030.270.460.6823.7%
2022Q29176.91.880.080.711.091.7312.1%
2022Q19080.21.670.090.610.961.544.3%
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

3
DateTypeFineSource
2023-09-25Fine$3,882CMS provider data
2023-09-05Fine$9,527CMS provider data
2023-07-31Fine$6,351CMS provider data
Total fines on record: $19,760

Deficiencies

74
C × 1D × 41E × 31F × 1
deficiencies by survey year
31162223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-04Health · complaintF0584Honor 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.E2026-03-16
2026-02-04Health · 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.E2026-03-16
2026-02-04Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2026-03-16
2026-02-04Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2026-03-16
2026-02-04Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-03-16
2026-02-04Health · complaintF0809Ensure 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.D2026-03-16
2026-02-04Health · complaintF0880Provide and implement an infection prevention and control program.E2026-03-16
2025-09-09Health · complaintF0584Honor 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.E2025-09-19
2025-08-06Health · complaintF0610Respond appropriately to all alleged violations.D2025-08-07
2025-05-01Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-10
2024-11-22Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-12-09
2024-11-22Health · complaintF0584Honor 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.E2024-12-09
2024-11-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-12-09
2024-09-19Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-12-09
2024-09-19Health · complaintF0584Honor 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.E2024-12-09
2024-09-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-02
2024-09-19Health · complaintF0610Respond appropriately to all alleged violations.D2024-11-02
2024-09-19Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-11-02
2024-09-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-12-09
2024-04-18HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-05-28
2024-04-18HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2024-05-28
2024-04-18Health · complaintF0584Honor 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.E2024-05-30
2024-04-18Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-05-28
2024-04-18Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-05-30
2024-04-18HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-05-28
2024-04-18HealthF0688Provide 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.D2024-05-28
2024-04-18HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-05-28
2024-04-18HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-05-30
2024-04-18Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-05-28
2024-04-18HealthF0732Post nurse staffing information every day.C2024-05-28
2024-04-18HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-05-28
2024-04-18HealthF0758Implement 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.D2024-05-28
2024-04-18HealthF0761Ensure 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.E2024-05-30
2024-04-18HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-05-28
2024-04-18HealthF0880Provide and implement an infection prevention and control program.D2024-05-30
2024-04-18HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-05-28
2024-02-09Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-03-21
2024-02-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-03-21
2024-01-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-01-29
2024-01-03Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-11-30
2024-01-03Health · complaintF0727Have 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.E2024-01-29
2023-07-31Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.E2023-08-14
2023-06-09Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.E2023-08-14
2023-06-09Health · complaintF0584Honor 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.E2023-07-19
2023-06-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-07-19
2023-06-09Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-07-19
2022-09-09HealthF0583Keep residents' personal and medical records private and confidential.D2022-10-07
2022-09-09HealthF0641Ensure each resident receives an accurate assessment.E2022-10-07
2022-09-09HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2022-10-07
2022-09-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-10-07
2022-09-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-10-07
2022-09-09HealthF0693Ensure 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.D2022-10-07
2022-09-09HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-10-07
2022-09-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-10-07
2022-09-09HealthF0880Provide and implement an infection prevention and control program.D2022-10-07
2022-02-15HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2022-03-25
2022-02-15HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-03-25
2022-02-15HealthF0567Honor the resident's right to manage his or her financial affairs.E2022-03-25
2022-02-15HealthF0584Honor 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.E2022-03-25
2022-02-15HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-03-25
2022-02-15HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-03-25
2022-02-15HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-03-25
2022-02-15HealthF0693Ensure 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.D2022-03-25
2022-02-15HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-03-25
2022-02-15HealthF0700Try 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.D2022-03-25
2022-02-15HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2022-03-25
2022-02-15HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-03-25
2022-02-15HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2022-03-25
2022-02-15HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2022-03-25
2022-02-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-03-25
2022-02-15HealthF0880Provide and implement an infection prevention and control program.E2022-03-11
2022-02-15HealthF0909Regularly 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.D2022-03-25
2022-02-15HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2022-03-25
2022-02-15HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2022-03-25
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

35
OwnerRolePctFromStatusSource
ALEEM, GWENDOLYNOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
CROCKER, ANITAOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
FARMER, ERIKAOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
FORVIS MAZARS LLPADP OF THE SNF—2023-06-01currentpecos_ownership
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROL—2025-01-01currentpecos_ownership
GS CAPITAL FUNDING LLC5% OR GREATER SECURITY INTEREST—2025-02-01currentpecos_ownership
LAZAR, LEVIOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
MAYLACK, ELIZABETHOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
MAYLACK, ELIZABETHADP OF THE SNF—2025-05-20currentpecos_ownership
MBURU, EMMAHOPERATIONAL/MANAGERIAL CONTROL—2025-04-07currentpecos_ownership
NEUBERGER, ISAACTRUSTEE OF THE SNF—2025-02-01currentpecos_ownership
PHIFER, MONAOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
REVACH LLCADP OF THE SNF—2025-02-01currentpecos_ownership
RICE, CICELYOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
SMITH, DEMARCUSOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
TAIT, KATHERINAOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
ZIDELE, BORUCHADP OF THE SNF—2025-05-20currentpecos_ownership
ZIDELE, BORUCHOPERATIONAL/MANAGERIAL CONTROL—2025-02-01currentpecos_ownership
KFT IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2025-02-01ended 2026-05-18pecos_ownership
SIRO PROP OAKWOOD LLCCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
SIRO PROP OAKWOOD LLCCorporation, partnership or other organization has financial interest in provider100%2023-01-01ended 2023-05-31hcris_a_8_1
ANITA CROCKEROPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
BORUCH ZIDELEADP OF THE SNF—2025-05-20ended 2026-05-18pecos_ownership
BORUCH ZIDELEOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
CICELY RICEOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
DEMARCUS SMITHOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
ELIZABETH MAYLACKOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
ELIZABETH MAYLACKADP OF THE SNF—2025-05-20ended 2026-05-18pecos_ownership
EMMAH MBURUOPERATIONAL/MANAGERIAL CONTROL—2025-04-07ended 2026-05-18pecos_ownership
ERIKA FARMEROPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
GWENDOLYN ALEEMOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
ISAAC NEUBERGERTRUSTEE OF THE SNF—2025-02-01ended 2026-05-18pecos_ownership
KATHERINA TAITOPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
LEVI LAZAROPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 2026-05-18pecos_ownership
MONA PHIFEROPERATIONAL/MANAGERIAL CONTROL—2025-02-01ended 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
2025-02-01—ISLAND HC OPERATIONS LLCBERMUDA DRIVE HEALTHCARE LLCchow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE———90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN———120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER———150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA———125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK———105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER———67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR———77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION———119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE———87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER———153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION———150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATIONthis facility———115ISLAND HC OPERATIONS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 29189acs median gross0$1,0672024-12-31CENSUS_ACS5
county 29189fmr0$9552025-10-01HUD_USER_FMR
county 29189acs median gross1$9952024-12-31CENSUS_ACS5
county 29189fmr1$9952025-10-01HUD_USER_FMR
county 29189acs median gross2$1,2162024-12-31CENSUS_ACS5
county 29189fmr2$1,2182025-10-01HUD_USER_FMR
county 29189acs median gross3$1,4462024-12-31CENSUS_ACS5
county 29189fmr3$1,5682025-10-01HUD_USER_FMR
county 29189acs median gross4$1,7422024-12-31CENSUS_ACS5
county 29189fmr4$1,8122025-10-01HUD_USER_FMR
county 29189acs median gross5$1,8502024-12-31CENSUS_ACS5
county 29189acs median gross$1,2092024-12-31CENSUS_ACS5
county 29189acs recent mover gross$1,3692024-12-31CENSUS_ACS5
zcta 63121acs median gross0$7972024-12-31CENSUS_ACS5
zcta 63121acs median gross1$7852024-12-31CENSUS_ACS5
zcta 63121acs median gross2$1,0312024-12-31CENSUS_ACS5
zcta 63121acs median gross3$1,1412024-12-31CENSUS_ACS5
zcta 63121acs median gross4$1,1752024-12-31CENSUS_ACS5
zcta 63121acs median gross$9852024-12-31CENSUS_ACS5
zcta 63121acs recent mover gross$9132024-12-31CENSUS_ACS5
zip 63121payment standard 1100$9572025-10-01HUD_USER_SAFMR
zip 63121payment standard 900$7832025-10-01HUD_USER_SAFMR
zip 63121safmr0$8702025-10-01HUD_USER_SAFMR
zip 63121payment standard 1101$1,0012025-10-01HUD_USER_SAFMR
zip 63121payment standard 901$8192025-10-01HUD_USER_SAFMR
zip 63121safmr1$9102025-10-01HUD_USER_SAFMR
zip 63121payment standard 1102$1,2212025-10-01HUD_USER_SAFMR
zip 63121payment standard 902$9992025-10-01HUD_USER_SAFMR
zip 63121safmr2$1,1102025-10-01HUD_USER_SAFMR
zip 63121payment standard 1103$1,5732025-10-01HUD_USER_SAFMR
zip 63121payment standard 903$1,2872025-10-01HUD_USER_SAFMR
zip 63121safmr3$1,4302025-10-01HUD_USER_SAFMR
zip 63121payment standard 1104$1,8152025-10-01HUD_USER_SAFMR
zip 63121payment standard 904$1,4852025-10-01HUD_USER_SAFMR
zip 63121safmr4$1,6502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · AMBERWOOD ESTATES NURSING AND REHABILITATION (265719) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency