Composite
80.1 / 100 percentile
Screener / 265501
C
ODESSA HEALTH CARE CENTER
snfMO
609 GOLF STREET, ODESSA, MO 64076 · CCN 265501 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 80.1% 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 radar1Staffing16Penalties0Deficiencies74Licensure0Ownership20Related party5Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 99.8 | 99.8 | 0.25 | 0.1923 | 19.19 | in index |
| financial risk | 80.0 | 66.9 | 0.30 | 0.2308 | 18.46 | in index |
| regulatory risk | 58.9 | 49.8 | 0.30 | 0.2308 | 13.59 | in index |
| chow risk | 58.2 | 60.7 | 0.15 | 0.1154 | 6.72 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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 | +22.6 vs natl | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet enforcement cluster | 55% fined | RCG INC | 20 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | ARSHAD ABDULLAH | 24 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | TLG II LLP | 17 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 | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | A | 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 | 96.7 | F | v0.6 | default · in composite | |
| financial risk | 66.9 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 49.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.9 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 73.9 | D | 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 | 60.6 | 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 | 68.7 | D | 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 | 49.7 | C | 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 | 49.7 | C | 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 | 99.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 99.8 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.51 | -1.70 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.95 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.14 | +0.38 | |
| Chain size (log) | 3.43 | +0.33 |
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 | 20.00 | -2.28 | |
| Total nurse staffing (HPRD) | 1.14 | +0.87 | |
| Occupancy | 0.95 | -0.83 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Staffing trend, last 4 quarters | -1.35 | -0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -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 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.14 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.12 | 2.24 | 3.11 | — |
| Weekday total | 1.15 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 56.8 | 1.14 | 0.22 | 0.21 | 0.71 | 1.12 | 0.0% |
| 2025Q3 | 92 | 54.5 | 1.68 | 0.24 | 0.31 | 1.13 | 1.64 | 0.0% |
| 2025Q2 | 91 | 55.4 | 1.63 | 0.08 | 0.45 | 1.11 | 1.50 | 0.0% |
| 2025Q1 | 90 | 53.6 | 2.01 | 0.26 | 0.49 | 1.26 | 1.96 | 0.0% |
| 2024Q4 | 92 | 50.2 | 2.49 | 0.26 | 0.56 | 1.67 | 2.43 | 0.0% |
| 2024Q3 | 92 | 51.8 | 2.05 | 0.17 | 0.67 | 1.21 | 2.00 | 24.5% |
| 2024Q2 | 91 | 48.7 | 1.93 | 0.14 | 0.75 | 1.03 | 1.68 | 19.5% |
| 2024Q1 | 91 | 46.2 | 1.70 | 0.18 | 0.50 | 1.02 | 1.36 | 0.0% |
| 2023Q4 | 92 | 43.5 | 1.82 | 0.29 | 0.64 | 0.89 | 1.61 | 5.9% |
| 2023Q3 | 92 | 43.2 | 2.19 | 0.18 | 0.65 | 1.37 | 1.94 | 0.0% |
| 2023Q2 | 91 | 47.9 | 1.18 | 0.02 | 0.00 | 1.16 | 1.11 | 15.1% |
| 2023Q1 | 90 | 43.8 | 1.04 | 0.27 | 0.00 | 0.77 | 0.98 | 24.0% |
| 2022Q4 | 92 | 32.8 | 2.26 | 0.09 | 0.63 | 1.54 | 1.89 | 44.8% |
| 2022Q3 | 92 | 30.0 | 2.45 | 0.07 | 0.86 | 1.52 | 2.24 | 48.6% |
| 2022Q2 | 91 | 24.7 | 2.80 | 0.08 | 1.00 | 1.71 | 2.65 | 57.4% |
| 2022Q1 | 90 | 19.7 | 3.13 | 0.10 | 1.21 | 1.82 | 3.18 | 58.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
74D × 29E × 28F × 17
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-03-21 |
| 2026-02-18 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2026-03-21 |
| 2026-02-18 | 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 | 2026-03-21 |
| 2026-02-18 | 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 | 2026-03-21 |
| 2026-02-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-21 |
| 2026-02-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-14 |
| 2026-02-18 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-03-21 |
| 2026-02-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-21 |
| 2026-02-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2026-03-21 |
| 2026-02-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2026-03-21 |
| 2026-02-18 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2026-03-21 |
| 2026-02-18 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2026-03-21 |
| 2026-02-18 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2026-03-21 |
| 2026-02-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-03-21 |
| 2026-02-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-21 |
| 2026-02-18 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-03-21 |
| 2026-02-18 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-21 |
| 2026-02-18 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-03-21 |
| 2026-02-18 | 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. | E | 2026-03-21 |
| 2026-02-18 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-03-21 |
| 2025-06-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-07-23 |
| 2025-06-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-07-23 |
| 2025-06-18 | Health · complaint | F0727 | Have 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. | F | 2025-07-23 |
| 2025-06-18 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-07-23 |
| 2025-06-18 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-07-23 |
| 2025-06-18 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | 2025-07-23 |
| 2025-04-09 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-05-23 |
| 2025-04-09 | Health · complaint | F0727 | Have 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. | F | 2025-05-23 |
| 2025-04-09 | Health · complaint | F0732 | Post nurse staffing information every day. | E | 2025-05-23 |
| 2025-02-20 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-02-19 |
| 2025-01-02 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-12-31 |
| 2024-05-28 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-07-05 |
| 2024-05-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-05 |
| 2024-05-28 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-07-05 |
| 2024-05-28 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-05 |
| 2024-05-28 | 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 | 2024-07-05 |
| 2024-05-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-05 |
| 2024-05-28 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-07-05 |
| 2024-05-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-05 |
| 2024-05-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-08-08 |
| 2024-05-28 | Health | F0727 | Have 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. | F | 2024-07-05 |
| 2024-05-28 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-07-05 |
| 2024-05-28 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-07-05 |
| 2024-05-28 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-07-05 |
| 2024-05-28 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-07-05 |
| 2024-05-28 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-08-08 |
| 2024-05-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-05 |
| 2024-05-28 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-07-05 |
| 2024-05-28 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-08-08 |
| 2022-09-15 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2022-10-24 |
| 2022-09-15 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2022-10-24 |
| 2022-09-15 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2022-10-24 |
| 2022-09-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-10-24 |
| 2022-09-15 | Health | F0637 | Assess the resident when there is a significant change in condition | E | 2022-10-24 |
| 2022-09-15 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2022-10-24 |
| 2022-09-15 | Health | F0642 | Ensure a qualified health professional conducts resident assessments. | E | 2022-10-24 |
| 2022-09-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-10-24 |
| 2022-09-15 | 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 | 2022-10-24 |
| 2022-09-15 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2022-10-24 |
| 2022-09-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-10-24 |
| 2022-09-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-10-24 |
| 2022-09-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-10-24 |
| 2022-09-15 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2022-10-24 |
| 2022-09-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-10-24 |
| 2022-09-15 | 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 | 2022-10-24 |
| 2022-09-15 | Health | F0732 | Post nurse staffing information every day. | F | 2022-10-24 |
| 2022-09-15 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2022-10-24 |
| 2022-09-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-10-24 |
| 2022-09-15 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-10-24 |
| 2022-09-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-24 |
| 2022-09-15 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2022-10-24 |
| 2022-09-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-10-24 |
| 2022-09-15 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2022-10-24 |
| 2022-09-15 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-10-24 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| EASTON PROPCO | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| ARSHAD, ABDULLAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-25 | current | pecos_ownership |
| DESTEFANE, RICHARD | ADP OF THE SNF | — | 2025-01-25 | current | pecos_ownership |
| ODESSA RE ASSOCIATES, L.L.C. | ADP OF THE SNF | — | 2025-01-25 | current | pecos_ownership |
| PAGE, WESLEY | ADP OF THE SNF | — | 2025-01-25 | current | pecos_ownership |
| RCG INC | INDIRECT OWNERSHIP INTEREST | — | 2025-01-25 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-25 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2025-02-03 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | ADP OF THE SNF | — | 2025-01-25 | current | pecos_ownership |
| TLG II LLP | ADP OF THE SNF | — | 2025-01-25 | current | pecos_ownership |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RELIANT CARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-01-25 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-01-25 | ended 2026-05-18 | pecos_ownership |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ABDULLAH ARSHAD | ADP OF THE SNF | — | 2025-01-25 | ended 2026-05-18 | pecos_ownership |
| WESLEY PAGE | ADP OF THE SNF | — | 2025-01-25 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-01-25 | — | ODESSA HEALTH CARE CENTER, L.L.C. | ANEW HEALTHCARE OPERATIONS - ODESSA, LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29107 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29107 | acs median gross | 1 | $601 | 2024-12-31 | CENSUS_ACS5 |
| county 29107 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29107 | acs median gross | 2 | $972 | 2024-12-31 | CENSUS_ACS5 |
| county 29107 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29107 | acs median gross | 3 | $1,013 | 2024-12-31 | CENSUS_ACS5 |
| county 29107 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29107 | acs median gross | 4 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 29107 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29107 | acs median gross | 5 | $1,102 | 2024-12-31 | CENSUS_ACS5 |
| county 29107 | acs median gross | $928 | 2024-12-31 | CENSUS_ACS5 | |
| county 29107 | acs recent mover gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64076 | acs median gross | 1 | $881 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64076 | acs median gross | 2 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64076 | acs median gross | 3 | $1,031 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64076 | acs median gross | $1,045 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64076 | acs recent mover gross | $1,084 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64076 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 110 | 2 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 90 | 2 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | safmr | 2 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 110 | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 90 | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | safmr | 3 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 110 | 4 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | payment standard 90 | 4 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64076 | safmr | 4 | $1,670 | 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.