Composite
52.7 / 100 percentile
Screener / 175340
B
THE GARDENS AT ALDERSGATE
snfKS
3220 SW ALBRIGHT DRIVE, TOPEKA, KS 66614 · CCN 175340 · chain MAD FAMILY HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
175
Model
v1.2
Reads as: riskier than 52.7% 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 radar1Staffing16Penalties3Deficiencies56Licensure0Ownership35Related party4Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.1 | 87.7 | 0.30 | 0.2308 | 20.79 | in index |
| billing conduct | 63.8 | 45.0 | 0.30 | 0.2308 | 14.72 | in index |
| staffing risk | 45.3 | 45.4 | 0.25 | 0.1923 | 8.71 | in index |
| financial risk | 15.2 | 23.6 | 0.30 | 0.2308 | 3.51 | in index |
| chow risk | 14.2 | 20.2 | 0.15 | 0.1154 | 1.64 | 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 | 45.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.9 | A | 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 | 16.6 | A | v0.6 | default · in composite | |
| financial risk | 23.6 | A | 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 | 87.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 45.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.4 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 30.1 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 29.5 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 87.6 | 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 | 87.6 | 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 | 45.4 | 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 | 45.4 | 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
21.2
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) | 5.08 | -1.35 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.56 | +0.35 | |
| Deficiencies, last 12 months | 17.00 | +0.24 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
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 | 17.00 | -1.72 | |
| Chain size (log) | 3.56 | -0.87 | |
| Occupancy | 0.93 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.08 | -0.22 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.36 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 3.22 | 2.87 | 3.11 | — |
| Weekday total | 3.41 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 162.6 | 3.36 | 0.53 | 0.87 | 1.95 | 3.22 | 7.4% |
| 2025Q3 | 92 | 152.3 | 3.61 | 0.46 | 0.94 | 2.21 | 3.40 | 8.5% |
| 2025Q2 | 91 | 143.2 | 3.58 | 0.45 | 0.83 | 2.30 | 3.33 | 10.3% |
| 2025Q1 | 90 | 145.5 | 3.60 | 0.50 | 0.84 | 2.26 | 3.48 | 11.1% |
| 2024Q4 | 92 | 153.4 | 3.61 | 0.47 | 0.87 | 2.27 | 3.53 | 13.1% |
| 2024Q3 | 92 | 150.2 | 3.60 | 0.56 | 0.78 | 2.26 | 3.54 | 9.8% |
| 2024Q2 | 91 | 150.2 | 3.45 | 0.60 | 0.75 | 2.09 | 3.25 | 1.1% |
| 2024Q1 | 91 | 148.7 | 3.33 | 0.55 | 0.73 | 2.06 | 3.27 | 0.0% |
| 2023Q4 | 92 | 144.4 | 3.36 | 0.59 | 0.75 | 2.02 | 3.26 | 0.0% |
| 2023Q3 | 92 | 145.3 | 3.38 | 0.73 | 0.67 | 1.98 | 3.13 | 0.0% |
| 2023Q2 | 91 | 141.1 | 3.31 | 0.60 | 0.70 | 2.01 | 3.21 | 0.0% |
| 2023Q1 | 90 | 136.2 | 3.21 | 0.60 | 0.66 | 1.95 | 3.12 | 0.0% |
| 2022Q4 | 92 | 131.3 | 3.17 | 0.64 | 0.64 | 1.89 | 2.99 | 0.0% |
| 2022Q3 | 92 | 131.6 | 3.17 | 0.64 | 0.63 | 1.90 | 3.05 | 0.0% |
| 2022Q2 | 91 | 131.5 | 3.33 | 0.60 | 0.72 | 2.01 | 3.16 | 0.0% |
| 2022Q1 | 90 | 131.9 | 3.06 | 0.59 | 0.73 | 1.74 | 2.88 | 0.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-02 | Fine | $23,520 | CMS provider data |
| 2024-05-09 | Fine | $17,965 | CMS provider data |
| 2024-02-22 | Fine | $15,132 | CMS provider data |
Total fines on record: $56,617
Deficiencies
56D × 39E × 7F × 6G × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-01 |
| 2026-01-07 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-20 |
| 2026-01-07 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-02-20 |
| 2026-01-07 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2026-02-20 |
| 2026-01-07 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-02-20 |
| 2026-01-07 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-02-20 |
| 2026-01-07 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-20 |
| 2026-01-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-20 |
| 2026-01-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-02-20 |
| 2026-01-07 | 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 | 2026-02-20 |
| 2026-01-07 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-02-20 |
| 2026-01-07 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2026-02-20 |
| 2026-01-07 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2026-02-20 |
| 2026-01-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-02-20 |
| 2026-01-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-02-20 |
| 2026-01-07 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-02-20 |
| 2026-01-07 | Health | F0908 | Keep all essential equipment working safely. | E | 2026-02-20 |
| 2025-07-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-09 |
| 2024-12-30 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-01-10 |
| 2024-10-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-23 |
| 2024-05-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-06-01 |
| 2024-03-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-19 |
| 2024-02-22 | 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. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | 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 | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-19 |
| 2024-02-22 | Health · complaint | 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 | 2024-03-19 |
| 2024-02-22 | 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. | E | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-19 |
| 2024-02-22 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-03-19 |
| 2023-07-18 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-08-18 |
| 2022-08-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-09-23 |
| 2022-08-18 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-09-23 |
| 2022-08-18 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-09-23 |
| 2022-08-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-09-23 |
| 2022-08-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-09-23 |
| 2022-08-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-09-23 |
| 2022-08-18 | 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 | 2022-09-23 |
| 2022-08-18 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2022-09-23 |
| 2022-08-18 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2022-09-23 |
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
35| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BETTEN END SNF REALTY | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| BETTEN END SNF REALTY | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| BHNV 2 LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| CUEVAS, TRACI | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | current | pecos_ownership |
| CUEVAS, TRACI | ADP OF THE SNF | — | 2025-04-02 | current | pecos_ownership |
| GOLDSTEIN, AVROHOM | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| HALBERSTAM, MIRIAM | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| HALBERSTAM, MOSHE | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| KAMNA HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| KANSAS SNF HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| MAD FAMILY HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| MARGULIES, ZISHA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | current | pecos_ownership |
| MIDWEST SNF HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| MRC SNF MANAGEMENT LLC | ADP OF THE SNF | — | 2025-02-07 | current | pecos_ownership |
| MRC SNF MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 | current | pecos_ownership |
| MRCMM II LLC | DIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| NATR TRUST | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| NZM HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| RARMNA HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| RATR TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| RECOVER-CARE HEALTHCARE LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-02-28 | current | pecos_ownership |
| RHUNKE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 | current | pecos_ownership |
| RHUNKE, MATTHEW | ADP OF THE SNF | — | 2025-03-24 | current | pecos_ownership |
| RNR HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| WETR TRUST | ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| BETTEN END SNF REALTY | Individual has financial interest in both related organization and provider | 200% | 2021-07-01 | ended 2021-12-31 | hcris_a_8_1 |
| BETTEN END SNF REALTY | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AVROHOM GOLDSTEIN | INDIRECT OWNERSHIP INTEREST | 23% | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| ZISHA MARGULIES | INDIRECT OWNERSHIP INTEREST | 23% | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| MIRIAM HALBERSTAM | INDIRECT OWNERSHIP INTEREST | 2% | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| MOSHE HALBERSTAM | INDIRECT OWNERSHIP INTEREST | 2% | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| MATTHEW RHUNKE | ADP OF THE SNF | — | 2025-03-24 | ended 2026-05-18 | pecos_ownership |
| MATTHEW RHUNKE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 | ended 2026-05-18 | pecos_ownership |
| TRACI CUEVAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| TRACI CUEVAS | ADP OF THE SNF | — | 2025-04-02 | 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 |
|---|---|---|---|---|
| 2021-07-01 | — | THE GARDENS AT ALDERSGATE LLC | UNITED METHODIST HOMES, INC. | chow |
Comparable trades — KS snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK 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 20177 | acs median gross | 0 | $671 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | fmr | 0 | $792 | 2025-10-01 | HUD_USER_FMR |
| county 20177 | acs median gross | 1 | $760 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | fmr | 1 | $820 | 2025-10-01 | HUD_USER_FMR |
| county 20177 | acs median gross | 2 | $1,017 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | fmr | 2 | $1,057 | 2025-10-01 | HUD_USER_FMR |
| county 20177 | acs median gross | 3 | $1,230 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | fmr | 3 | $1,392 | 2025-10-01 | HUD_USER_FMR |
| county 20177 | acs median gross | 4 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | fmr | 4 | $1,411 | 2025-10-01 | HUD_USER_FMR |
| county 20177 | acs median gross | 5 | $1,607 | 2024-12-31 | CENSUS_ACS5 |
| county 20177 | acs median gross | $1,000 | 2024-12-31 | CENSUS_ACS5 | |
| county 20177 | acs recent mover gross | $1,036 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66614 | acs median gross | 0 | $841 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66614 | acs median gross | 1 | $788 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66614 | acs median gross | 2 | $1,077 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66614 | acs median gross | 3 | $1,373 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66614 | acs median gross | 4 | $989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66614 | acs median gross | $1,016 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66614 | acs recent mover gross | $1,100 | 2024-12-31 | CENSUS_ACS5 | |
| zip 66614 | payment standard 110 | 0 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 90 | 0 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | safmr | 0 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 110 | 1 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 90 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | safmr | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 110 | 2 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 90 | 2 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | safmr | 2 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 110 | 3 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 90 | 3 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | safmr | 3 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 110 | 4 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | payment standard 90 | 4 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66614 | safmr | 4 | $1,520 | 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.