Composite
99.7 / 100 percentile
Screener / 165466
F
Chapters Living of Council Bluffs
snfIASFF: SFF Candidate
3000 Risen Son Blvd, Council Bluffs, IA 51503 · CCN 165466
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
102
Model
v1.2
Reads as: riskier than 99.7% 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 model4ML signals2Components13CHOW radar1Distress radar1Staffing14Penalties1Deficiencies68Licensure0Ownership24Related party5Transactions1Comps12Market rent36
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.6 | 96.5 | 0.30 | 0.2857 | 28.46 | in index |
| regulatory risk | 95.8 | 94.2 | 0.30 | 0.2857 | 27.37 | in index |
| billing conduct | 53.5 | 40.9 | 0.30 | 0.2857 | 15.29 | in index |
| chow risk | 94.5 | 76.3 | 0.15 | 0.1429 | 13.50 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Quarter-over-quarter staffing cliff | −100% QoQ | this facility | 2026-07-29 |
| anomaly | Federal penalty spike | no prior fines | this facility | 2026-07-29 |
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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 97.5 | F | v0.6 | default · in composite | |
| financial risk | 96.5 | F | 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 | 0.3 | — | 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 | 94.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 92.0 | 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 | 72.0 | 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 | 76.7 | D | 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 | 95.0 | F | 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 | 94.1 | 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 | 94.1 | 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. |
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
46.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.48 | -1.70 | |
| Never sold on record | 0.00 | -1.62 | |
| Occupancy | 0.25 | +1.29 | |
| Deficiencies, last 12 months | 46.00 | +0.95 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Total nurse staffing (HPRD) | 0.02 | +0.60 | |
| No PBJ staffing report | 0.00 | +0.42 |
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 | 46.00 | -7.10 | |
| Occupancy | 0.25 | +2.08 | |
| Staffing trend, last 4 quarters | -4.08 | -1.93 | |
| Total nurse staffing (HPRD) | 0.02 | +1.34 | |
| Chain size (log) | 0.00 | +1.20 | |
| Fine amount, 12m (log) | 12.01 | -0.70 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 |
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
14| 2025Q2 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 0.02 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.01 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 0.06 | 2.96 | 3.11 | — |
| Weekday total | 0.01 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q2 | 91 | 25.9 | 0.02 | 0.01 | 0.01 | 0.00 | 0.06 | 0.0% |
| 2025Q1 | 90 | 22.7 | 4.20 | 0.41 | 1.04 | 2.75 | 4.36 | 0.0% |
| 2024Q4 | 92 | 23.1 | 4.73 | 0.48 | 1.24 | 3.01 | 4.83 | 0.0% |
| 2024Q3 | 92 | 27.2 | 4.10 | 0.48 | 1.06 | 2.56 | 4.07 | 0.0% |
| 2024Q2 | 91 | 27.8 | 4.10 | 0.44 | 1.28 | 2.37 | 4.21 | 0.0% |
| 2024Q1 | 91 | 26.3 | 4.07 | 0.38 | 1.52 | 2.17 | 4.12 | 0.0% |
| 2023Q4 | 92 | 31.3 | 3.39 | 0.23 | 1.39 | 1.77 | 3.52 | 0.0% |
| 2023Q3 | 92 | 30.1 | 3.60 | 0.28 | 1.51 | 1.81 | 3.74 | 9.5% |
| 2023Q2 | 91 | 30.9 | 3.87 | 0.36 | 1.43 | 2.08 | 3.89 | 10.7% |
| 2023Q1 | 90 | 28.8 | 3.91 | 0.37 | 1.36 | 2.19 | 4.17 | 12.7% |
| 2022Q4 | 92 | 36.6 | 4.14 | 0.41 | 1.30 | 2.44 | 4.30 | 22.0% |
| 2022Q3 | 92 | 62.5 | 3.24 | 0.29 | 1.02 | 1.92 | 3.37 | 46.7% |
| 2022Q2 | 91 | 59.8 | 3.51 | 0.34 | 1.02 | 2.15 | 3.52 | 59.2% |
| 2022Q1 | 90 | 62.1 | 3.37 | 0.53 | 0.91 | 1.93 | 3.42 | 54.8% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-30 | Fine | $163,800 | CMS provider data |
Total fines on record: $163,800
Deficiencies
68D × 29E × 31F × 7K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-30 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-04-02 |
| 2026-01-30 | Health · complaint | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2026-02-27 |
| 2026-01-30 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2026-02-27 |
| 2026-01-30 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2026-02-27 |
| 2026-01-30 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-02-27 |
| 2026-01-30 | 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 | 2026-02-27 |
| 2026-01-30 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2026-02-27 |
| 2026-01-30 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-02-27 |
| 2026-01-30 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | 2026-02-27 |
| 2026-01-30 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2026-02-27 |
| 2026-01-30 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2026-02-27 |
| 2026-01-30 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-27 |
| 2026-01-30 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-02-27 |
| 2026-01-30 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-02-27 |
| 2026-01-30 | 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. | F | 2026-02-27 |
| 2026-01-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-02-27 |
| 2026-01-30 | 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. | E | 2026-02-27 |
| 2026-01-30 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-02-27 |
| 2026-01-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-27 |
| 2026-01-30 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2026-02-27 |
| 2026-01-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-04-02 |
| 2026-01-30 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-02-27 |
| 2026-01-30 | 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. | D | 2026-02-27 |
| 2026-01-30 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-02-27 |
| 2026-01-30 | Health | 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 | 2026-02-27 |
| 2026-01-30 | 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 | 2026-02-27 |
| 2026-01-30 | 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. | E | 2026-02-27 |
| 2026-01-30 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2026-02-27 |
| 2026-01-30 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2026-04-02 |
| 2026-01-30 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2026-02-27 |
| 2026-01-30 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-04-02 |
| 2026-01-30 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2026-02-27 |
| 2026-01-30 | 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 | 2026-02-27 |
| 2026-01-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-04-02 |
| 2026-01-30 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2026-02-27 |
| 2026-01-30 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-04-02 |
| 2026-01-30 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2026-02-27 |
| 2026-01-30 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-02-27 |
| 2026-01-30 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-02-27 |
| 2026-01-30 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2026-02-27 |
| 2026-01-30 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-02 |
| 2026-01-30 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2026-02-27 |
| 2026-01-30 | 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. | F | 2026-02-27 |
| 2025-11-12 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-01-09 |
| 2025-11-12 | Health · complaint | 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. | E | 2026-01-09 |
| 2025-11-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-09 |
| 2025-06-13 | 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. | D | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-14 |
| 2025-06-13 | 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 | 2025-07-14 |
| 2025-06-13 | 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 | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-14 |
| 2025-06-13 | 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. | D | 2025-07-14 |
| 2025-06-13 | Health · complaint | 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. | E | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-14 |
| 2025-06-13 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2025-07-14 |
| 2025-01-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-31 |
| 2025-01-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-01-31 |
| 2025-01-09 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-31 |
| 2025-01-09 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2025-01-31 |
| 2025-01-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-31 |
| 2025-01-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-31 |
| 2025-01-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-31 |
| 2025-01-09 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2025-01-31 |
| 2024-01-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-07 |
| 2024-01-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-07 |
| 2024-01-10 | 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. | D | 2024-02-07 |
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
24| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ABRAMCZYK, SOLOMON | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| BARON, ELIYAHU | INDIRECT OWNERSHIP INTEREST | — | 2025-02-06 | current | pecos_ownership |
| BEH MO IA IL LLC | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| CHAPTERS SENIOR LIVING LLC | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| FELDMAN, STEVEN | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| GELLER, SETH | INDIRECT OWNERSHIP INTEREST | — | 2025-02-06 | current | pecos_ownership |
| IANN, SAMUEL | INDIRECT OWNERSHIP INTEREST | — | 2025-02-06 | current | pecos_ownership |
| MO IA IL HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| OBERLANDER, CHAIM | INDIRECT OWNERSHIP INTEREST | — | 2025-02-06 | current | pecos_ownership |
| SHARP, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-06 | current | pecos_ownership |
| SHARP, DAVID | ADP OF THE SNF | — | 2026-02-03 | current | pecos_ownership |
| SLB CAPITAL CH LLC | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| STRICKER, DANIEL | ADP OF THE SNF | — | 2025-02-06 | current | pecos_ownership |
| WALKER, SHYANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-06 | current | pecos_ownership |
| DANIEL STRICKER | INDIRECT OWNERSHIP INTEREST | 19% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| CHAIM OBERLANDER | INDIRECT OWNERSHIP INTEREST | 15% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| ELIYAHU BARON | INDIRECT OWNERSHIP INTEREST | 15% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| SETH GELLER | INDIRECT OWNERSHIP INTEREST | 15% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| STEVEN FELDMAN | INDIRECT OWNERSHIP INTEREST | 15% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| SAMUEL IANN | INDIRECT OWNERSHIP INTEREST | 8% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| SOLOMON ABRAMCZYK | INDIRECT OWNERSHIP INTEREST | 8% | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| DAVID SHARP | ADP OF THE SNF | — | 2026-02-03 | ended 2026-05-18 | pecos_ownership |
| DAVID SHARP | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-06 | ended 2026-05-18 | pecos_ownership |
| SHYANN WALKER | ADP OF THE SNF | — | 2025-02-06 | 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 |
|---|---|---|---|---|
| 2025-02-05 | — | CHAPTERS COUNCIL BLUFFS OPCO LLC | RISEN SON CHRISTIAN VILLAGE | chow |
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 Bluffsthis facility | — | — | — | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19155 | acs median gross | 0 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | fmr | 0 | $1,090 | 2025-10-01 | HUD_USER_FMR |
| county 19155 | acs median gross | 1 | $809 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | fmr | 1 | $1,148 | 2025-10-01 | HUD_USER_FMR |
| county 19155 | acs median gross | 2 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | fmr | 2 | $1,368 | 2025-10-01 | HUD_USER_FMR |
| county 19155 | acs median gross | 3 | $1,185 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | fmr | 3 | $1,813 | 2025-10-01 | HUD_USER_FMR |
| county 19155 | acs median gross | 4 | $1,253 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | fmr | 4 | $2,046 | 2025-10-01 | HUD_USER_FMR |
| county 19155 | acs median gross | 5 | $1,388 | 2024-12-31 | CENSUS_ACS5 |
| county 19155 | acs median gross | $1,018 | 2024-12-31 | CENSUS_ACS5 | |
| county 19155 | acs recent mover gross | $1,067 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 51503 | acs median gross | 0 | $1,152 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | 1 | $770 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | 2 | $1,064 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | 3 | $1,153 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | 4 | $1,440 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | 5 | $1,600 | 2024-12-31 | CENSUS_ACS5 |
| zcta 51503 | acs median gross | $991 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 51503 | acs recent mover gross | $1,275 | 2024-12-31 | CENSUS_ACS5 | |
| zip 51503 | payment standard 110 | 0 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 90 | 0 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | safmr | 0 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 110 | 3 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 90 | 3 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | safmr | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 51503 | safmr | 4 | $1,730 | 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.