Composite
87.8 / 100 percentile
Screener / 265585
D
HILLSIDE HEALTH CARE CENTER
snfMOSFF: SFF
1265 MCLARAN AVENUE, SAINT LOUIS, MO 63147 · CCN 265585 · chain AMA HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
208
Model
v1.2
Reads as: riskier than 87.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies120Licensure0Ownership6Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.3 | 96.0 | 0.30 | 0.2308 | 22.45 | in index |
| staffing risk | 99.6 | 99.6 | 0.25 | 0.1923 | 19.15 | in index |
| financial risk | 37.1 | 37.9 | 0.30 | 0.2308 | 8.56 | in index |
| billing conduct | 33.2 | 33.0 | 0.30 | 0.2308 | 7.66 | in index |
| chow risk | 62.9 | 41.6 | 0.15 | 0.1154 | 7.26 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 44.9 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 38.4 | B | v0.6 | default · in composite | |
| financial risk | 37.9 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 96.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.7 | 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 | 48.7 | 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 | 35.5 | B | 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 | 43.9 | B | 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 | 96.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 96.0 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 99.6 | 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 | 99.6 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.77 | -1.38 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.40 | +0.33 | |
| Chain size (log) | 2.71 | +0.17 | |
| Deficiencies, last 12 months | 14.00 | +0.17 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
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 | 14.00 | -1.17 | |
| Total nurse staffing (HPRD) | 1.40 | +0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.71 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | -0.52 | -0.27 | |
| Occupancy | 0.69 | +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 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.40 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.21 | 2.24 | 3.11 | — |
| Weekday total | 1.47 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 144.0 | 1.40 | 0.09 | 0.36 | 0.95 | 1.21 | 0.0% |
| 2025Q3 | 92 | 145.0 | 2.77 | 0.14 | 0.72 | 1.91 | 2.40 | 10.3% |
| 2025Q2 | 91 | 145.3 | 2.23 | 0.10 | 0.61 | 1.51 | 1.89 | 11.6% |
| 2025Q1 | 90 | 146.8 | 1.86 | 0.08 | 0.50 | 1.28 | 1.65 | 12.7% |
| 2024Q4 | 92 | 147.0 | 1.92 | 0.12 | 0.58 | 1.22 | 1.74 | 10.1% |
| 2024Q3 | 92 | 142.3 | 2.20 | 0.10 | 0.64 | 1.46 | 2.04 | 12.2% |
| 2024Q2 | 91 | 152.2 | 1.91 | 0.04 | 0.53 | 1.35 | 1.77 | 5.3% |
| 2024Q1 | 91 | 159.2 | 1.64 | 0.03 | 0.44 | 1.17 | 1.47 | 4.8% |
| 2023Q4 | 92 | 150.0 | 1.80 | 0.09 | 0.43 | 1.28 | 1.66 | 1.5% |
| 2023Q3 | 92 | 158.4 | 1.62 | 0.10 | 0.36 | 1.16 | 1.52 | 12.6% |
| 2023Q2 | 91 | 149.7 | 1.61 | 0.06 | 0.37 | 1.18 | 1.51 | 25.1% |
| 2023Q1 | 90 | 128.8 | 1.85 | 0.09 | 0.41 | 1.35 | 1.68 | 16.5% |
| 2022Q4 | 92 | 122.8 | 2.04 | 0.13 | 0.34 | 1.57 | 1.87 | 15.7% |
| 2022Q3 | 92 | 119.9 | 2.15 | 0.10 | 0.38 | 1.67 | 1.99 | 26.2% |
| 2022Q2 | 91 | 121.3 | 2.33 | 0.09 | 0.67 | 1.56 | 2.09 | 37.2% |
| 2022Q1 | 90 | 118.8 | 1.81 | 0.06 | 0.57 | 1.17 | 1.48 | 30.0% |
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 |
|---|---|---|---|
| 2025-02-06 | Fine | $11,492 | CMS provider data |
| 2024-07-16 | Fine | $95,096 | CMS provider data |
| 2024-07-16 | Payment Denial | — | CMS provider data |
| 2023-07-14 | Fine | $19,568 | CMS provider data |
Total fines on record: $126,156
Deficiencies
120C × 2D × 55E × 34F × 12G × 11J × 4L × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | — |
| 2026-04-24 | Health · complaint | F0555 | Honor the resident's right to choose his or her attending physician. | D | — |
| 2026-04-24 | Health · complaint | 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 | — |
| 2026-04-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2026-04-24 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | — |
| 2026-04-24 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | — |
| 2026-04-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | — |
| 2026-04-24 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | — |
| 2026-04-24 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | — |
| 2026-04-24 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | — |
| 2026-04-24 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | — |
| 2026-03-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-30 |
| 2026-03-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-30 |
| 2026-03-26 | 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. | E | 2026-03-30 |
| 2025-03-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-26 |
| 2025-03-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-03-26 |
| 2025-03-20 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-03-26 |
| 2025-02-06 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-03-03 |
| 2025-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-26 |
| 2025-02-06 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-03-26 |
| 2025-02-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-03 |
| 2025-02-06 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-03 |
| 2025-02-06 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-03-26 |
| 2024-11-05 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-26 |
| 2024-11-05 | Health · complaint | 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 | 2024-11-26 |
| 2024-11-05 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | F | 2024-11-26 |
| 2024-07-16 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-08-26 |
| 2024-07-16 | Health · complaint | 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 | 2024-08-26 |
| 2024-07-16 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | 2024-08-26 |
| 2024-07-16 | 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 | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-08-26 |
| 2024-07-16 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | 2024-09-05 |
| 2024-07-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-08-26 |
| 2024-07-16 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | J | 2024-08-26 |
| 2024-07-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2024-08-26 |
| 2024-07-16 | 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 | 2024-08-26 |
| 2024-07-16 | 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 | 2024-08-26 |
| 2024-07-16 | Health | F0732 | Post nurse staffing information every day. | C | 2024-08-26 |
| 2024-07-16 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-08-26 |
| 2024-07-16 | 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. | D | 2024-09-04 |
| 2024-07-16 | 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 | 2024-08-26 |
| 2024-07-16 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-08-26 |
| 2024-07-16 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-08-26 |
| 2024-07-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-26 |
| 2024-07-16 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-08-26 |
| 2024-07-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-04 |
| 2024-07-16 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-08-26 |
| 2024-07-16 | Health · complaint | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | 2024-08-26 |
| 2024-07-16 | 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 | 2024-08-26 |
| 2024-01-19 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-02-07 |
| 2023-11-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-09-28 |
| 2023-11-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-20 |
| 2023-11-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-20 |
| 2023-11-08 | Health · complaint | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | 2023-11-20 |
| 2023-09-14 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-17 |
| 2023-09-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-20 |
| 2023-09-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-20 |
| 2023-09-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-17 |
| 2023-09-14 | Health · complaint | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | 2023-11-20 |
| 2023-09-14 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2023-10-17 |
| 2023-08-01 | Health · complaint | 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. | L | 2023-08-03 |
| 2023-07-14 | Health · complaint | 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 | 2023-08-03 |
| 2023-07-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2023-08-24 |
| 2023-07-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-08-24 |
| 2023-07-14 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2023-08-24 |
| 2022-01-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-03-10 |
| 2022-01-25 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2022-03-10 |
| 2022-01-25 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2022-03-10 |
| 2022-01-25 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2022-03-10 |
| 2022-01-25 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | F | 2022-03-10 |
| 2022-01-25 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | F | 2022-03-10 |
| 2022-01-25 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | 2022-03-10 |
| 2022-01-25 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-03-10 |
| 2022-01-25 | 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 | 2022-03-10 |
| 2022-01-25 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2022-03-10 |
| 2022-01-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-03-10 |
| 2022-01-25 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2022-03-10 |
| 2022-01-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-03-10 |
| 2022-01-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-03-10 |
| 2022-01-25 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-03-10 |
| 2022-01-25 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2022-03-10 |
| 2022-01-25 | 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 | 2022-03-10 |
| 2022-01-25 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-03-10 |
| 2022-01-25 | Health | F0909 | Regularly 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. | E | 2022-03-10 |
| 2019-12-24 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2020-01-28 |
| 2019-12-24 | 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 | 2020-01-28 |
| 2019-12-24 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2020-01-28 |
| 2019-12-24 | 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. | E | 2020-01-28 |
| 2019-12-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2020-01-28 |
| 2019-12-24 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2020-01-28 |
| 2019-12-24 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2020-01-28 |
| 2019-12-24 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2020-01-28 |
| 2019-12-24 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | L | 2020-01-28 |
| 2019-12-24 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2020-01-28 |
| 2019-12-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2020-01-28 |
| 2019-12-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2020-01-28 |
| 2019-12-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2020-01-28 |
| 2019-12-24 | 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 | 2020-01-28 |
| 2019-12-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2020-01-28 |
| 2019-12-24 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2020-01-28 |
| 2019-12-24 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2020-01-28 |
| 2019-12-24 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2020-01-28 |
| 2019-12-24 | 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 | 2020-01-28 |
| 2019-12-24 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2020-01-28 |
| 2019-12-24 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2020-01-28 |
| 2019-12-24 | 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. | D | 2020-01-28 |
| 2019-12-24 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2020-01-28 |
| 2019-12-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-02-11 |
| 2019-12-24 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2020-01-28 |
| 2019-12-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2020-01-28 |
| 2019-12-24 | Health | F0908 | Keep all essential equipment working safely. | D | 2020-01-28 |
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
6| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MO OPERATION HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-10-19 | ended 2026-05-18 | pecos_ownership |
| DEF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 80% | 2021-10-19 | ended 2026-05-18 | pecos_ownership |
| AMA HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-10-19 | ended 2026-05-18 | pecos_ownership |
| ASHER MARX | CORPORATE DIRECTOR | 50% | 2021-10-19 | ended 2026-05-18 | pecos_ownership |
| JACQUES WOLF | CORPORATE DIRECTOR | 50% | 2021-10-19 | ended 2026-05-18 | pecos_ownership |
| REBEKA JONES | W-2 MANAGING EMPLOYEE | — | 2023-01-09 | 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 |
|---|---|---|---|---|
| 2021-10-19 | — | HILLSIDE OPERATOR LLC | HILLSIDE MANOR HEALTHCARE & REHAB. CENTER | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29510 | acs median gross | 0 | $894 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 1 | $880 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 2 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 3 | $1,218 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 4 | $1,255 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 5 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | acs median gross | $997 | 2024-12-31 | CENSUS_ACS5 | |
| county 29510 | acs recent mover gross | $1,173 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63147 | acs median gross | 0 | $286 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63147 | acs median gross | 1 | $837 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63147 | acs median gross | 2 | $1,097 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63147 | acs median gross | 3 | $1,140 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63147 | acs median gross | 4 | $788 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63147 | acs median gross | $997 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63147 | acs recent mover gross | $898 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63147 | payment standard 110 | 0 | $946 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 90 | 0 | $774 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | safmr | 0 | $860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 110 | 1 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 90 | 1 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | safmr | 1 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 110 | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 90 | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | safmr | 3 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 110 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | payment standard 90 | 4 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63147 | safmr | 4 | $1,620 | 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.