Composite
78.1 / 100 percentile
Screener / 175274
C
MERIDIAN REHABILITATION AND HEALTH CARE CENTER
snfKS
1555 N MERIDIAN STREET, WICHITA, KS 67203 · CCN 175274 · chain WALNUT CREEK MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
106
Model
v1.2
Reads as: riskier than 78.1% 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 signals8Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies63Licensure0Ownership23Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.6 | 89.3 | 0.30 | 0.2308 | 21.14 | in index |
| financial risk | 67.0 | 57.1 | 0.30 | 0.2308 | 15.46 | in index |
| staffing risk | 74.6 | 74.6 | 0.25 | 0.1923 | 14.35 | in index |
| chow risk | 74.8 | 55.7 | 0.15 | 0.1154 | 8.63 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +29.3 vs natl | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet risk far above national | +27.2 vs natl | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 facilities |
| connection | Owner fleet risk far above national | +27.0 vs natl | GANNON JEFF | 6 facilities |
| connection | Owner fleet risk far above national | +26.8 vs natl | BROOKS KILEY | 29 facilities |
| connection | Owner fleet risk far above national | +25.2 vs natl | JCT FAMILY LIMITED PARTNERSHIP | 6 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | BROOKS KILEY | 29 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 56.3 | C | v0.6 | default · in composite | |
| financial risk | 57.1 | 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 | 4.1 | — | 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 | 89.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 74.6 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 74.4 | D | 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 | 54.4 | 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 | 63.5 | 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 | 58.1 | 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 | 89.3 | 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 | 89.3 | 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 | 74.6 | D | 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 | 74.6 | D | 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)
4.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
85.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.94 | -0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| 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) | 3.18 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 15.00 | +0.19 |
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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 15.00 | -1.35 | |
| Occupancy | 0.94 | -0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.18 | -0.65 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 2.91 | +0.13 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.91 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.31 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 2.65 | 2.87 | 3.11 | — |
| Weekday total | 3.01 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 99.8 | 2.91 | 0.31 | 0.84 | 1.76 | 2.65 | 5.3% |
| 2025Q3 | 92 | 99.1 | 2.85 | 0.22 | 0.93 | 1.71 | 2.73 | 5.4% |
| 2025Q2 | 91 | 99.3 | 2.80 | 0.23 | 0.92 | 1.65 | 2.74 | 4.8% |
| 2025Q1 | 90 | 95.7 | 2.77 | 0.24 | 0.95 | 1.57 | 2.70 | 7.5% |
| 2024Q4 | 92 | 91.5 | 2.94 | 0.26 | 1.03 | 1.64 | 2.75 | 4.7% |
| 2024Q3 | 92 | 93.7 | 2.85 | 0.25 | 0.95 | 1.66 | 2.61 | 8.4% |
| 2024Q2 | 91 | 90.9 | 2.85 | 0.27 | 0.94 | 1.65 | 2.76 | 8.3% |
| 2024Q1 | 91 | 89.5 | 2.98 | 0.22 | 1.04 | 1.72 | 2.78 | 14.4% |
| 2023Q4 | 92 | 93.8 | 2.64 | 0.20 | 0.55 | 1.89 | 2.48 | 20.4% |
| 2023Q3 | 92 | 86.6 | 2.85 | 0.24 | 0.47 | 2.14 | 2.67 | 18.9% |
| 2023Q2 | 91 | 88.6 | 2.42 | 0.25 | 0.45 | 1.73 | 2.40 | 8.0% |
| 2023Q1 | 90 | 91.4 | 2.54 | 0.25 | 0.43 | 1.86 | 2.42 | 7.8% |
| 2022Q4 | 92 | 91.2 | 2.50 | 0.23 | 0.43 | 1.84 | 2.34 | 5.4% |
| 2022Q3 | 92 | 93.0 | 2.44 | 0.20 | 0.43 | 1.82 | 2.32 | 8.4% |
| 2022Q2 | 91 | 93.7 | 2.35 | 0.16 | 0.51 | 1.67 | 2.21 | 9.2% |
| 2022Q1 | 90 | 85.1 | 1.80 | 0.11 | 0.39 | 1.30 | 1.75 | 12.0% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-08-05 | Fine | $13,627 | CMS provider data |
| 2024-08-05 | Fine | $16,055 | CMS provider data |
| 2024-08-05 | Fine | $16,801 | CMS provider data |
| 2023-08-07 | Fine | $15,593 | CMS provider data |
Total fines on record: $62,076
Deficiencies
63C × 2D × 34E × 13F × 8G × 1J × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | — |
| 2026-04-29 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | — |
| 2026-04-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | — |
| 2026-04-29 | 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. | D | — |
| 2026-04-29 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | — |
| 2026-04-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | — |
| 2026-04-29 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | — |
| 2026-04-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | — |
| 2026-04-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | — |
| 2026-04-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2026-04-29 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | — |
| 2026-04-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | — |
| 2026-04-29 | Health | F0814 | Dispose of garbage and refuse properly. | C | — |
| 2026-04-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | — |
| 2026-02-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-02-23 |
| 2024-08-05 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-09-03 |
| 2024-08-05 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-09-03 |
| 2024-08-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-09-03 |
| 2024-08-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-09-03 |
| 2024-08-05 | 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 | 2024-09-03 |
| 2024-08-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-07-23 |
| 2024-08-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-09-03 |
| 2024-08-05 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-09-03 |
| 2024-08-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-09-03 |
| 2024-08-05 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-09-03 |
| 2024-08-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-07-02 |
| 2024-08-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-09-03 |
| 2024-08-05 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-09-03 |
| 2024-08-05 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | 2024-07-23 |
| 2024-08-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-03 |
| 2024-08-05 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-09-03 |
| 2024-08-05 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-09-03 |
| 2024-08-05 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2024-09-03 |
| 2024-08-05 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-09-03 |
| 2024-08-05 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-09-03 |
| 2023-08-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-07-27 |
| 2023-06-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2023-07-05 |
| 2022-12-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-02-22 |
| 2022-12-13 | 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 | 2023-02-22 |
| 2022-12-13 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-02-22 |
| 2022-12-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-02-22 |
| 2022-12-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-03-20 |
| 2022-12-13 | 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 | 2023-02-22 |
| 2022-12-13 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-02-22 |
| 2022-12-13 | 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 | 2023-02-22 |
| 2022-12-13 | 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 | 2023-02-22 |
| 2022-12-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-02-22 |
| 2022-12-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-02-22 |
| 2022-12-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-02-22 |
| 2022-12-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-02-22 |
| 2022-12-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-03-20 |
| 2022-12-13 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-02-22 |
| 2022-12-13 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-02-22 |
| 2022-12-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-02-22 |
| 2022-12-13 | 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. | D | 2023-02-22 |
| 2022-12-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-03-20 |
| 2022-12-13 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2023-02-22 |
| 2022-12-13 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2023-02-22 |
| 2022-12-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-22 |
| 2022-12-13 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-02-22 |
| 2022-12-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-02-22 |
| 2022-12-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-02-22 |
| 2022-12-13 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-03-20 |
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
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 |
|---|---|---|---|---|---|
| COLUMBIA PRATHER LLC | Corporation, partnership or other organization has financial interest in provider | 1% | 2024-01-01 | current | hcris_a_8_1 |
| COLUMBIA PRATHER LLC | Corporation, partnership or other organization has financial interest in provider | 1% | 2023-01-01 | current | hcris_a_8_1 |
| BROOKS, KILEY | CORPORATE OFFICER | — | 2013-06-01 | current | pecos_ownership |
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-15 | current | pecos_ownership |
| GANNON, JEFF | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-15 | current | pecos_ownership |
| JCT FAMILY LIMITED PARTNERSHIP | LIMITED PARTNERSHIP INTEREST | — | 2005-01-01 | current | pecos_ownership |
| TUTERA, DOMINIC | LIMITED PARTNERSHIP INTEREST | — | 2005-01-01 | current | pecos_ownership |
| TUTERA, HANNAH | LIMITED PARTNERSHIP INTEREST | — | 2005-01-01 | current | pecos_ownership |
| TUTERA, JOSEPH | LIMITED PARTNERSHIP INTEREST | — | 2005-01-01 | current | pecos_ownership |
| TUTERA, LAURA | LIMITED PARTNERSHIP INTEREST | — | 2005-01-01 | current | pecos_ownership |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-01-01 | current | pecos_ownership |
| COLUMBIA PRATHER LLC | Corporation, partnership or other organization has financial interest in provider | 99% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| COLUMBIA PRATHER LLC | Corporation, partnership or other organization has financial interest in provider | 99% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| COLUMBIA PRATHER LLC | Corporation, partnership or other organization has financial interest in provider | 99% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JOSEPH TUTERA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| KILEY BROOKS | OPERATIONAL/MANAGERIAL CONTROL | 10% | 2022-02-15 | ended 2026-05-18 | pecos_ownership |
| TUTERA INVESTMENTS, LLC | OTHER | 10% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFF GANNON | OPERATIONAL/MANAGERIAL CONTROL | 5% | 2022-02-15 | ended 2026-05-18 | pecos_ownership |
| KILEY BROOKS | CORPORATE OFFICER | 5% | 2013-06-01 | ended 2026-05-18 | pecos_ownership |
| JCT FAMILY LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 4% | 2013-11-20 | ended 2026-05-18 | pecos_ownership |
| DOMINIC TUTERA | LIMITED PARTNERSHIP INTEREST | 0% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| HANNAH TUTERA | LIMITED PARTNERSHIP INTEREST | 0% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| LAURA TUTERA | LIMITED PARTNERSHIP INTEREST | 0% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — KS snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20173 | acs median gross | 0 | $793 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 0 | $782 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 1 | $807 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 1 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 2 | $1,007 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 2 | $1,099 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 3 | $1,258 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 3 | $1,444 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 4 | $1,539 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 5 | $1,589 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | acs median gross | $998 | 2024-12-31 | CENSUS_ACS5 | |
| county 20173 | acs recent mover gross | $1,074 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67203 | acs median gross | 0 | $810 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | 1 | $790 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | 2 | $966 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | 3 | $1,190 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | 4 | $1,517 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | 5 | $1,442 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67203 | acs median gross | $934 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67203 | acs recent mover gross | $1,093 | 2024-12-31 | CENSUS_ACS5 | |
| zip 67203 | payment standard 110 | 0 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 90 | 0 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | safmr | 0 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 110 | 3 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 90 | 3 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | safmr | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 110 | 4 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | payment standard 90 | 4 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67203 | safmr | 4 | $1,770 | 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.