Composite
74.7 / 100 percentile
Screener / 165202
C
Azria Health Park Place
snfIASFF: SFF Candidate
2401 East Eighth Street, Des Moines, IA 50316 · CCN 165202 · chain BCP IOWA OPCO HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 74.7% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies69Licensure0Ownership6Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 89.2 | 76.4 | 0.30 | 0.2308 | 20.58 | in index |
| regulatory risk | 87.8 | 85.1 | 0.30 | 0.2308 | 20.26 | in index |
| staffing risk | 57.3 | 57.3 | 0.25 | 0.1923 | 11.02 | in index |
| chow risk | 53.4 | 51.5 | 0.15 | 0.1154 | 6.16 | 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 | 78.0 | D | v0.6 | default · in composite | |
| financial risk | 76.4 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | 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 | 85.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 57.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.1 | C | 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 | 32.1 | B | 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 | 65.2 | 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 | 76.8 | 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 | 85.1 | 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 | 85.1 | 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. |
| staffing risk | 57.3 | C | 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 | 57.3 | C | 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
33.3
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) | 6.86 | -1.18 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.33 | |
| Deficiencies, last 12 months | 18.00 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.14 | +0.11 |
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 | 18.00 | -1.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.02 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.81 | -0.26 | |
| Current owner tenure (years) | 6.86 | -0.19 | |
| Staffing trend, last 4 quarters | -0.25 | -0.14 |
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 | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.17 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.61 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.99 | 2.96 | 3.11 | — |
| Weekday total | 3.24 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 56.7 | 3.17 | 0.61 | 0.33 | 2.23 | 2.99 | 13.6% |
| 2025Q3 | 92 | 60.3 | 2.97 | 0.46 | 0.37 | 2.13 | 2.85 | 10.8% |
| 2025Q2 | 91 | 56.8 | 3.25 | 0.46 | 0.48 | 2.31 | 2.97 | 6.7% |
| 2025Q1 | 90 | 58.0 | 3.09 | 0.32 | 0.55 | 2.23 | 2.78 | 14.3% |
| 2024Q4 | 92 | 48.8 | 3.42 | 0.29 | 0.74 | 2.38 | 2.99 | 9.9% |
| 2024Q3 | 92 | 47.5 | 3.57 | 0.35 | 0.75 | 2.47 | 3.25 | 11.3% |
| 2024Q2 | 91 | 49.7 | 3.36 | 0.31 | 0.67 | 2.38 | 2.98 | 8.9% |
| 2024Q1 | 91 | 48.4 | 3.30 | 0.41 | 0.61 | 2.27 | 3.15 | 12.8% |
| 2023Q4 | 92 | 47.4 | 3.57 | 0.46 | 0.57 | 2.54 | 3.31 | 26.8% |
| 2023Q3 | 92 | 49.7 | 3.26 | 0.36 | 0.73 | 2.17 | 3.00 | 23.8% |
| 2023Q2 | 91 | 48.0 | 3.34 | 0.33 | 0.83 | 2.19 | 2.98 | 28.0% |
| 2023Q1 | 90 | 51.0 | 3.10 | 0.40 | 0.66 | 2.03 | 2.89 | 42.1% |
| 2022Q4 | 92 | 46.5 | 2.88 | 0.26 | 0.67 | 1.96 | 2.60 | 28.3% |
| 2022Q3 | 92 | 45.8 | 3.23 | 0.32 | 0.50 | 2.40 | 2.98 | 35.7% |
| 2022Q2 | 91 | 48.2 | 3.20 | 0.37 | 0.52 | 2.31 | 2.79 | 44.6% |
| 2022Q1 | 90 | 51.2 | 2.66 | 0.27 | 0.58 | 1.81 | 2.24 | 38.7% |
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 |
|---|---|---|---|
| 2025-09-11 | Fine | $22,490 | CMS provider data |
Total fines on record: $22,490
Deficiencies
69D × 42E × 19F × 6G × 1L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-04 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-01-02 |
| 2025-12-04 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-01-02 |
| 2025-12-04 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-01-02 |
| 2025-12-04 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-02 |
| 2025-12-04 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-01-02 |
| 2025-12-04 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-01-02 |
| 2025-12-04 | Health · complaint | 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 | 2026-01-02 |
| 2025-12-04 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-01-02 |
| 2025-12-04 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2026-01-02 |
| 2025-12-04 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-01-02 |
| 2025-12-04 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-01-02 |
| 2025-09-11 | 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. | F | 2025-10-03 |
| 2025-09-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-03 |
| 2025-09-11 | 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 | 2025-10-03 |
| 2025-09-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | 2025-10-03 |
| 2025-09-11 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-10-03 |
| 2025-09-11 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-10-03 |
| 2025-09-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-10-03 |
| 2024-11-26 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-11-27 |
| 2024-11-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-11-27 |
| 2024-11-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-11-27 |
| 2024-11-26 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2024-11-27 |
| 2024-11-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | 2024-11-27 |
| 2024-11-26 | 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 | 2024-11-27 |
| 2024-11-26 | 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 | 2024-11-27 |
| 2024-11-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-11-27 |
| 2024-11-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-27 |
| 2024-03-14 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-08 |
| 2024-03-14 | 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 | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-04-08 |
| 2024-03-14 | 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 | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-04-08 |
| 2024-03-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-08 |
| 2023-11-21 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-12-21 |
| 2023-11-21 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-12-21 |
| 2023-11-21 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-21 |
| 2023-11-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | Health | F0732 | Post nurse staffing information every day. | E | 2023-12-21 |
| 2023-11-21 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | Health · complaint | 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 | 2023-12-21 |
| 2023-11-21 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-12-21 |
| 2023-11-21 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2023-12-21 |
| 2023-11-21 | 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. | E | 2023-12-21 |
| 2023-11-21 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-12-21 |
| 2023-11-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-21 |
| 2023-11-21 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2023-12-21 |
| 2023-11-21 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2023-11-21 |
| 2023-11-21 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-21 |
| 2023-11-21 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-12-21 |
| 2023-11-21 | 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 | 2023-12-21 |
| 2023-11-21 | 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. | E | 2023-12-21 |
| 2023-07-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-27 |
| 2023-07-06 | 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 | 2023-07-27 |
| 2023-07-06 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-27 |
| 2023-07-06 | 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 | 2023-07-27 |
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 |
|---|---|---|---|---|---|
| BCP IOWA OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-09-17 | current | pecos_ownership |
| KAMINER, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-09-17 | current | pecos_ownership |
| ANDERSON, KELSEY | W-2 MANAGING EMPLOYEE | — | 2021-02-02 | current | pecos_ownership |
| OXFORD FINANCE LLC | 5% OR GREATER SECURITY INTEREST | — | 2019-09-17 | current | pecos_ownership |
| AARON KAMINER | CORPORATE OFFICER | 100% | 2019-09-17 | ended 2026-05-18 | pecos_ownership |
| KELSEY ANDERSON | W-2 MANAGING EMPLOYEE | 100% | 2021-02-02 | 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 |
|---|---|---|---|---|
| 2019-09-17 | — | BCP UNION PARK LLC | FIVE STAR QUALITY CARE-IA INC | 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 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19153 | acs median gross | 0 | $926 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 0 | $1,063 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 1 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 1 | $1,109 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 2 | $1,169 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 2 | $1,318 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 3 | $1,497 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 3 | $1,794 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 4 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | fmr | 4 | $1,841 | 2025-10-01 | HUD_USER_FMR |
| county 19153 | acs median gross | 5 | $1,834 | 2024-12-31 | CENSUS_ACS5 |
| county 19153 | acs median gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 19153 | acs recent mover gross | $1,235 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50316 | acs median gross | 0 | $635 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50316 | acs median gross | 1 | $828 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50316 | acs median gross | 2 | $993 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50316 | acs median gross | 3 | $1,348 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50316 | acs median gross | 4 | $1,713 | 2024-12-31 | CENSUS_ACS5 |
| zcta 50316 | acs median gross | $952 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 50316 | acs recent mover gross | $793 | 2024-12-31 | CENSUS_ACS5 | |
| zip 50316 | payment standard 110 | 0 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 90 | 0 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | safmr | 0 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 110 | 1 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 90 | 1 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | safmr | 1 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 110 | 3 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 90 | 3 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | safmr | 3 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 110 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | payment standard 90 | 4 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 50316 | 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.