Composite
78.7 / 100 percentile
Screener / 265824
C
ST PETERS POST ACUTE
snfMO
5400 EXECUTIVE CENTRE PARKWAY, SAINT PETERS, MO 63376 · CCN 265824 · chain PACS HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 78.7% 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 model5ML signals7Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies64Licensure0Ownership36Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.7 | 87.3 | 0.30 | 0.2308 | 20.70 | in index |
| financial risk | 70.1 | 59.2 | 0.30 | 0.2308 | 16.18 | in index |
| staffing risk | 46.6 | 46.6 | 0.25 | 0.1923 | 8.96 | in index |
| billing conduct | 34.4 | 33.6 | 0.30 | 0.2308 | 7.94 | in index |
| chow risk | 52.6 | 50.8 | 0.15 | 0.1154 | 6.07 | 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
7| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | JERGENSEN JOSHUA | 249 facilities |
| connection | Owner spans multiple chains | 7 chains | MITCHELL JOHN | 264 facilities |
| connection | Owner spans multiple chains | 6 chains | MURRAY JASON | 40 facilities |
| connection | Owner spans multiple chains | 6 chains | THE PROVIDENCE GROUPS LLC | 34 facilities |
| connection | Owner spans multiple chains | 6 chains | APT FREDERICK | 254 facilities |
| connection | Owner spans multiple chains | 5 chains | PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | 62 facilities |
| connection | Owner spans multiple chains | 5 chains | HANCOCK MARK | 158 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.5 | B | 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 | 76.6 | D | v0.6 | default · in composite | |
| financial risk | 59.2 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 87.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.6 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.4 | 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 | 69.4 | 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 | 68.8 | 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 | 58.6 | C | 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 | 87.2 | 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 | 87.2 | 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 | 46.6 | 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 | 46.6 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.41 | -1.61 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.51 | +0.77 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.87 | -0.50 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.21 | +0.22 |
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 | |
|---|---|---|---|
| Chain size (log) | 5.51 | -2.01 | |
| For-profit ownership | 1.00 | -0.69 | |
| Staffing trend, last 4 quarters | 1.31 | +0.59 | |
| Occupancy | 0.87 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.41 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.34 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.16 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 3.07 | 2.24 | 3.11 | — |
| Weekday total | 3.44 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 113.0 | 3.34 | 0.16 | 1.06 | 2.12 | 3.07 | 20.6% |
| 2025Q3 | 92 | 112.9 | 3.24 | 0.11 | 1.01 | 2.12 | 2.91 | 22.4% |
| 2025Q2 | 91 | 114.5 | 3.44 | 0.26 | 1.11 | 2.07 | 3.19 | 27.6% |
| 2025Q1 | 90 | 113.6 | 3.32 | 0.12 | 1.23 | 1.97 | 3.02 | 22.8% |
| 2024Q4 | 92 | 110.1 | 2.03 | 0.06 | 0.79 | 1.17 | 1.55 | 0.0% |
| 2024Q3 | 92 | 115.1 | 3.21 | 0.06 | 1.18 | 1.97 | 2.92 | 38.2% |
| 2024Q2 | 91 | 118.6 | 3.10 | 0.16 | 1.05 | 1.90 | 2.75 | 35.8% |
| 2024Q1 | 91 | 115.9 | 3.44 | 0.32 | 1.05 | 2.08 | 3.12 | 22.9% |
| 2023Q4 | 92 | 115.9 | 3.60 | 0.38 | 1.03 | 2.19 | 3.30 | 30.4% |
| 2023Q3 | 92 | 113.8 | 3.57 | 0.39 | 1.01 | 2.17 | 3.24 | 36.6% |
| 2023Q2 | 91 | 119.4 | 3.60 | 0.36 | 1.08 | 2.15 | 3.42 | 47.4% |
| 2023Q1 | 90 | 115.5 | 3.56 | 0.33 | 1.10 | 2.12 | 3.28 | 43.9% |
| 2022Q4 | 92 | 115.6 | 3.85 | 0.26 | 1.16 | 2.42 | 3.59 | 52.5% |
| 2022Q3 | 92 | 117.7 | 3.66 | 0.24 | 1.25 | 2.17 | 3.37 | 52.4% |
| 2022Q2 | 91 | 117.9 | 3.60 | 0.18 | 1.31 | 2.11 | 3.35 | 55.1% |
| 2022Q1 | 90 | 111.9 | 3.15 | 0.17 | 1.31 | 1.67 | 2.86 | 40.6% |
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 |
|---|---|---|---|
| 2024-06-14 | Fine | $69,999 | CMS provider data |
| 2024-06-14 | Payment Denial | — | CMS provider data |
Total fines on record: $69,999
Deficiencies
64B × 1C × 2D × 23E × 25F × 8G × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-02 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-04-22 |
| 2026-02-17 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | 2026-03-11 |
| 2026-02-17 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2026-03-11 |
| 2026-02-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-11 |
| 2025-11-25 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-11-20 |
| 2025-11-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-12 |
| 2025-11-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2025-06-12 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-07-10 |
| 2025-06-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-10 |
| 2025-02-06 | Health · complaint | 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 | 2025-03-03 |
| 2025-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-03-03 |
| 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 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-03-03 |
| 2024-12-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-01-15 |
| 2024-12-19 | 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 | 2025-03-03 |
| 2024-12-19 | 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 | 2025-01-15 |
| 2024-12-19 | 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. | C | 2025-01-15 |
| 2024-12-19 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-01-15 |
| 2024-12-19 | 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 | 2025-01-15 |
| 2024-12-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-03-03 |
| 2024-12-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-03 |
| 2024-12-19 | 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 | 2025-01-15 |
| 2024-12-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-03-03 |
| 2024-12-19 | 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 | 2025-01-15 |
| 2024-12-19 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-01-15 |
| 2024-12-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-15 |
| 2024-12-19 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2025-01-15 |
| 2024-09-25 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-11-21 |
| 2024-09-25 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-11-21 |
| 2024-08-21 | 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 | 2024-08-21 |
| 2024-08-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | 2024-08-21 |
| 2024-08-21 | 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 | 2024-11-21 |
| 2024-08-21 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2024-11-21 |
| 2024-08-21 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-08-21 |
| 2024-08-21 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-08-21 |
| 2024-07-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-07-24 |
| 2024-07-24 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-07-24 |
| 2024-07-24 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-11-21 |
| 2024-07-24 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-21 |
| 2024-07-24 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-11-21 |
| 2024-06-14 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-11-21 |
| 2024-06-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-16 |
| 2024-06-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-07-16 |
| 2024-06-14 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-11-21 |
| 2024-06-14 | 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 | 2024-11-21 |
| 2024-06-14 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-11-21 |
| 2024-06-14 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-21 |
| 2024-06-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-16 |
| 2024-06-14 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-11-21 |
| 2024-03-28 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2024-04-30 |
| 2023-06-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-07-21 |
| 2022-12-08 | 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 | 2023-01-16 |
| 2022-12-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-01-16 |
| 2019-08-16 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2019-09-18 |
| 2019-08-16 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2019-09-18 |
| 2019-08-16 | 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 | 2019-09-18 |
| 2019-08-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-09-18 |
| 2019-08-16 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2019-09-18 |
| 2019-08-16 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2019-09-18 |
| 2019-08-16 | Health | F0642 | Ensure a qualified health professional conducts resident assessments. | B | 2019-09-18 |
| 2019-08-16 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2019-09-18 |
| 2019-08-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-09-18 |
| 2019-08-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2019-09-18 |
| 2019-08-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2019-09-18 |
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
36| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 5400 EXECUTIVE CENTRE PARKWAY LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| APT, FREDERICK | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| APT, FREDERICK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| BLUEBIRD MASTER TENANT LLC | DIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| HANCOCK, MARK | CORPORATE DIRECTOR | — | 2024-01-01 | current | pecos_ownership |
| HANCOCK, MARK | INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| JERGENSEN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| MITCHELL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| MITCHELL, JOHN | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| MOORE, ALISON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-16 | current | pecos_ownership |
| MURRAY, JASON | INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| MURRAY, JASON | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| NASH, MICHAEL | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| PACS GROUP, INC. | INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| PACS GROUP, INC. | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| PACS HOLDINGS, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| PACS HOLDINGS, LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| PROVIDENCE GROUP INC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| PROVIDENCE GROUP INC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| STEWART, KALVIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-22 | current | pecos_ownership |
| ZENZOO LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| JASON MURRAY | INDIRECT OWNERSHIP INTEREST | 35% | 2023-08-02 | ended 2026-05-18 | pecos_ownership |
| MARK HANCOCK | INDIRECT OWNERSHIP INTEREST | 35% | 2023-08-02 | ended 2026-05-18 | pecos_ownership |
| ALISON MOORE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-16 | ended 2026-05-18 | pecos_ownership |
| FREDERICK APT | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| FREDERICK APT | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JASON MURRAY | ADP OF THE SNF | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MITCHELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MITCHELL | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA JERGENSEN | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA JERGENSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| KALVIN STEWART | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-22 | ended 2026-05-18 | pecos_ownership |
| MARK HANCOCK | CORPORATE DIRECTOR | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL NASH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-03-01 | — | ST PETERS COMMUNITY HEALTHCARE LLC | VILLAGES OF ST PETERS LLC | chow |
Comparable trades — MO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | AVENIR AT MAPLE GROVE | — | — | — | 90 | NBH2 MGOPCO LLC |
| 2025-10-01 | AVENIR AT MARK TWAIN | — | — | — | 120 | NBH1 MTOPCO LLC |
| 2025-10-01 | ARBOR HILLS CARE & REHAB CENTER | — | — | — | 150 | ARBOR HILLS HEALTHCARE, LLC |
| 2025-10-01 | ASCEND AT AURORA | — | — | — | 125 | NBH3 SFOPCO LLC |
| 2025-09-01 | HUBBLE CREEK | — | — | — | 105 | HUBBLE CREEK LLC |
| 2025-08-01 | HIDDEN LAKE HEALTH CARE CENTER | — | — | — | 67 | HIDDEN LAKE HEALTH CARE CENTER, LLC |
| 2025-05-01 | PINE GROVE MANOR | — | — | — | 77 | PINE GROVE MANOR LLC |
| 2025-05-01 | MONARCH SPRINGS WELLNESS & REHABILITATION | — | — | — | 119 | MONARCH SPRINGS WELLNESS & REHABILITATION LLC |
| 2025-05-01 | ASPIRE SENIOR LIVING NEW FLORENCE | — | — | — | 87 | ASPIRE SENIOR LIVING NEW FLORENCE LLC |
| 2025-04-01 | SOUTH COUNTY HEALTH CARE CENTER | — | — | — | 153 | SOUTH COUNTY HEALTH CARE CENTER, L.L.C. |
| 2025-02-01 | ARBOR VIEW NURSING AND REHABILITATION | — | — | — | 150 | FORREST OPCO LLC |
| 2025-02-01 | AMBERWOOD ESTATES NURSING AND REHABILITATION | — | — | — | 115 | ISLAND HC OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29183 | acs median gross | 0 | $1,204 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29183 | acs median gross | 1 | $1,223 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29183 | acs median gross | 2 | $1,328 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29183 | acs median gross | 3 | $1,640 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29183 | acs median gross | 4 | $2,080 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29183 | acs median gross | 5 | $2,337 | 2024-12-31 | CENSUS_ACS5 |
| county 29183 | acs median gross | $1,370 | 2024-12-31 | CENSUS_ACS5 | |
| county 29183 | acs recent mover gross | $1,652 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63376 | acs median gross | 0 | $1,184 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | 1 | $1,206 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | 2 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | 3 | $1,918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | 4 | $1,903 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | 5 | $2,356 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63376 | acs median gross | $1,349 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63376 | acs recent mover gross | $1,778 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63376 | payment standard 110 | 0 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 90 | 0 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | safmr | 0 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 110 | 1 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 90 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | safmr | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 110 | 2 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 90 | 2 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | safmr | 2 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 110 | 3 | $1,914 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 90 | 3 | $1,566 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | safmr | 3 | $1,740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 110 | 4 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | payment standard 90 | 4 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63376 | safmr | 4 | $2,010 | 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.