Composite
39.5 / 100 percentile
Screener / 165438
B
Stacyville Community Nursing Home
snfIA
413 South Broad Street, Stacyville, IA 50476 · CCN 165438
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
34
Model
v1.2
Reads as: riskier than 39.5% 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 radar1Staffing15Penalties2Deficiencies39Licensure0Ownership23Related party0Transactions0Comps12Market rent27
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 80.2 | 67.2 | 0.30 | 0.2308 | 18.51 | in index |
| regulatory risk | 78.3 | 74.8 | 0.30 | 0.2308 | 18.07 | in index |
| chow risk | 55.1 | 53.3 | 0.15 | 0.1154 | 6.36 | in index |
| staffing risk | 8.7 | 8.8 | 0.25 | 0.1923 | 1.67 | 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.
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 | 25.0 | 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 | 81.5 | F | v0.6 | default · in composite | |
| financial risk | 67.2 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 17.4 | — | 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 | 0.5 | — | 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 | 74.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 8.8 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.5 | 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 | 46.5 | 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 | 55.0 | 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 | 67.0 | 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 | 74.7 | D | 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 | 74.7 | D | 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 | 8.8 | A | 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 | 8.8 | A | 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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
54.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.55 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 4.45 | -0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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)
17.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Staffing trend, last 4 quarters | 2.07 | +0.94 | |
| Occupancy | 0.55 | +0.84 | |
| Total nurse staffing (HPRD) | 4.45 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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
15| 2025Q4 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.45 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.78 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 4.05 | 2.96 | 3.11 | — |
| Weekday total | 4.61 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 18.7 | 4.45 | 0.78 | 0.81 | 2.87 | 4.05 | 0.4% |
| 2025Q3 | 92 | 20.2 | 4.31 | 0.86 | 0.86 | 2.59 | 3.81 | 5.1% |
| 2025Q2 | 91 | 23.2 | 3.53 | 0.74 | 0.66 | 2.12 | 3.08 | 21.8% |
| 2025Q1 | 90 | 27.4 | 3.04 | 0.38 | 0.60 | 2.06 | 2.80 | 27.1% |
| 2024Q4 | 92 | 27.8 | 2.38 | 0.38 | 0.54 | 1.46 | 2.35 | 15.7% |
| 2024Q2 | 91 | 23.4 | 3.28 | 0.27 | 0.91 | 2.11 | 2.94 | 0.0% |
| 2024Q1 | 91 | 22.3 | 2.99 | 0.30 | 0.83 | 1.85 | 2.48 | 0.0% |
| 2023Q4 | 92 | 18.1 | 4.43 | 0.83 | 0.54 | 3.07 | 3.80 | 16.7% |
| 2023Q3 | 92 | 16.2 | 4.55 | 0.48 | 0.69 | 3.38 | 3.92 | 12.7% |
| 2023Q2 | 91 | 15.8 | 5.05 | 0.76 | 0.77 | 3.53 | 4.29 | 9.1% |
| 2023Q1 | 90 | 16.0 | 5.28 | 0.48 | 1.18 | 3.62 | 4.92 | 8.0% |
| 2022Q4 | 92 | 16.7 | 4.88 | 0.28 | 1.25 | 3.35 | 4.48 | 8.6% |
| 2022Q3 | 92 | 18.0 | 4.52 | 0.59 | 0.71 | 3.22 | 4.12 | 16.9% |
| 2022Q2 | 91 | 16.5 | 3.87 | 0.66 | 0.67 | 2.53 | 3.73 | 0.0% |
| 2022Q1 | 90 | 16.9 | 3.63 | 0.75 | 0.79 | 2.09 | 3.29 | 1.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-17 | Fine | $21,986 | CMS provider data |
| 2024-02-15 | Payment Denial | — | CMS provider data |
Total fines on record: $21,986
Deficiencies
39B × 1C × 1D × 25E × 3F × 7G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-23 |
| 2026-04-22 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-23 |
| 2025-06-05 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-28 |
| 2025-06-05 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-06-28 |
| 2025-06-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-06-28 |
| 2025-06-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-28 |
| 2025-04-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-25 |
| 2025-04-01 | Health · complaint | 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 | 2025-04-25 |
| 2025-04-01 | Health · complaint | 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. | D | 2025-04-25 |
| 2025-04-01 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-25 |
| 2025-04-01 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-04-25 |
| 2025-02-07 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-04-25 |
| 2025-02-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-03 |
| 2025-02-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-03 |
| 2025-02-07 | 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 |
| 2025-02-07 | 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 | 2025-03-03 |
| 2025-02-07 | Health · complaint | 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. | F | 2025-03-03 |
| 2025-02-07 | 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 | 2025-03-03 |
| 2025-02-07 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-04-25 |
| 2025-02-07 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-03-03 |
| 2025-02-07 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-04-25 |
| 2025-02-07 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-03-03 |
| 2024-07-17 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-08-16 |
| 2024-07-17 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-16 |
| 2024-07-17 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-16 |
| 2024-07-17 | Health · complaint | 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 | 2024-08-16 |
| 2024-07-17 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-08-16 |
| 2024-07-17 | 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 | 2024-08-16 |
| 2024-07-17 | 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 | 2024-08-16 |
| 2024-07-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-08-16 |
| 2024-07-17 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | 2024-08-16 |
| 2024-07-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-16 |
| 2024-07-17 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2024-08-16 |
| 2024-07-17 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-08-16 |
| 2024-02-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-15 |
| 2024-02-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-15 |
| 2023-05-18 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-06-30 |
| 2023-05-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-06-30 |
| 2023-05-18 | 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 | 2023-06-30 |
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 |
|---|---|---|---|---|---|
| BISSEN, LAWRENCE | CORPORATE DIRECTOR | — | 2016-03-01 | current | pecos_ownership |
| BISSEN, LAWRENCE | CORPORATE OFFICER | — | 2022-03-01 | current | pecos_ownership |
| BRUMM, KAREN | CORPORATE OFFICER | — | 2015-03-31 | current | pecos_ownership |
| EMERSON, MELANIE | CORPORATE DIRECTOR | — | 2022-04-01 | current | pecos_ownership |
| HEMANN, KURT | CORPORATE OFFICER | — | 2024-03-11 | current | pecos_ownership |
| LENTZ, HALEY | ADP OF THE SNF | — | 2025-12-09 | current | pecos_ownership |
| LENTZ, HALEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-16 | current | pecos_ownership |
| PITZEN, RONNIE | CORPORATE DIRECTOR | — | 2022-04-01 | current | pecos_ownership |
| POINTCLICKCARE TECHNOLOGIES, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| ROSS, KELLY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| STREIT, PHIL | CORPORATE OFFICER | — | 2022-03-01 | current | pecos_ownership |
| WEIS, MARLENE | CORPORATE DIRECTOR | — | 2020-03-01 | current | pecos_ownership |
| KAREN BRUMM | CORPORATE OFFICER | 14% | 2015-03-31 | ended 2026-05-18 | pecos_ownership |
| LAWRENCE BISSEN | CORPORATE OFFICER | 14% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| MARLENE WEIS | CORPORATE DIRECTOR | 14% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| MELANIE EMERSON | CORPORATE DIRECTOR | 14% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| PHIL STREIT | CORPORATE OFFICER | 14% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| RONNIE PITZEN | CORPORATE DIRECTOR | 14% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| HALEY LENTZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-16 | ended 2026-05-18 | pecos_ownership |
| HALEY LENTZ | ADP OF THE SNF | — | 2025-12-09 | ended 2026-05-18 | pecos_ownership |
| KELLY ROSS | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| KURT HEMANN | CORPORATE OFFICER | — | 2024-03-11 | ended 2026-05-18 | pecos_ownership |
| LAWRENCE BISSEN | CORPORATE DIRECTOR | — | 2016-03-01 | 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 — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO GRUNDY CENTER IA 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
27| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19131 | fmr | 0 | $682 | 2025-10-01 | HUD_USER_FMR |
| county 19131 | acs median gross | 1 | $683 | 2024-12-31 | CENSUS_ACS5 |
| county 19131 | fmr | 1 | $774 | 2025-10-01 | HUD_USER_FMR |
| county 19131 | acs median gross | 2 | $768 | 2024-12-31 | CENSUS_ACS5 |
| county 19131 | fmr | 2 | $919 | 2025-10-01 | HUD_USER_FMR |
| county 19131 | acs median gross | 3 | $693 | 2024-12-31 | CENSUS_ACS5 |
| county 19131 | fmr | 3 | $1,156 | 2025-10-01 | HUD_USER_FMR |
| county 19131 | acs median gross | 4 | $834 | 2024-12-31 | CENSUS_ACS5 |
| county 19131 | fmr | 4 | $1,227 | 2025-10-01 | HUD_USER_FMR |
| county 19131 | acs median gross | $738 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50476 | acs median gross | 2 | $758 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50476 | acs median gross | $664 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50476 | payment standard 110 | 0 | $748 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 90 | 0 | $612 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | safmr | 0 | $680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 110 | 1 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 90 | 1 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | safmr | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 110 | 2 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 90 | 2 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | safmr | 2 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 110 | 4 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | payment standard 90 | 4 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50476 | safmr | 4 | $1,230 | 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.