Composite
81.1 / 100 percentile
Screener / 265759
C
IGNITE MEDICAL RESORT ST MARYS LLC
snfMO
111 MOCK AVENUE, BLUE SPRINGS, MO 64014 · CCN 265759 · chain ISRAEL FAMILY INVESTMENT TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 81.1% 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 signals15Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies35Licensure0Ownership57Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 82.2 | 54.3 | 0.30 | 0.2308 | 18.97 | in index |
| staffing risk | 96.5 | 96.5 | 0.25 | 0.1923 | 18.56 | in index |
| regulatory risk | 41.6 | 30.5 | 0.30 | 0.2308 | 9.60 | in index |
| financial risk | 40.6 | 39.9 | 0.30 | 0.2308 | 9.37 | in index |
| chow risk | 39.6 | 37.9 | 0.15 | 0.1154 | 4.57 | 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
15| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +24.9 vs natl | BERGER FAM TR UA 06252014 | 15 facilities |
| connection | Owner fleet risk far above national | +24.9 vs natl | LUXE STAFFING LLC | 11 facilities |
| connection | Owner fleet risk far above national | +24.7 vs natl | STERN FAMILY INVESTMENT TR | 15 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | IGNITE VILLA HOLDCO LLC | 12 facilities |
| connection | Owner fleet risk far above national | +23.9 vs natl | BERGER AVIVA | 17 facilities |
| connection | Owner fleet risk far above national | +23.9 vs natl | ISRAEL YEHUDIS | 17 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | BLUE PEARL FINANCIAL LLC | 14 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | IGNITE POST ACUTE SOLUTIONS LLC | 14 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | GOLD PEARL LLC | 19 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | ISRAEL INVESTMENT TR | 19 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | STERN TODD | 45 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | FIELDS TIMOTHY | 21 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | ISRAEL FAMILY INVESTMENT TRUST | 19 facilities |
| connection | Owner fleet risk far above national | +21.7 vs natl | ISRAEL BENJAMIN | 40 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | CARR BARRY | 21 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 | 54.3 | C | 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 | 50.8 | C | v0.6 | default · in composite | |
| financial risk | 39.9 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 30.5 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 96.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.7 | 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 | 73.7 | 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 | 33.1 | 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 | 46.0 | 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 | 30.4 | B | 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 | 30.4 | B | 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 | 96.5 | F | 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 | 96.5 | F | 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
32.3
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) | 5.74 | -1.29 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.50 | +0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Total nurse staffing (HPRD) | 2.19 | +0.17 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
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 | 0.00 | +1.43 | |
| Chain size (log) | 3.50 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 2.19 | +0.43 | |
| Occupancy | 0.65 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.74 | -0.21 |
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 | 2.19 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.14 | 2.24 | 3.11 | — |
| Weekday total | 2.20 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 84.0 | 2.19 | 0.19 | 0.43 | 1.56 | 2.14 | 0.0% |
| 2025Q3 | 92 | 87.4 | 1.91 | 0.13 | 0.47 | 1.30 | 1.81 | 0.0% |
| 2025Q2 | 91 | 85.8 | 2.04 | 0.16 | 0.50 | 1.38 | 1.92 | 0.0% |
| 2025Q1 | 90 | 85.6 | 2.27 | 0.17 | 0.56 | 1.55 | 2.08 | 0.0% |
| 2024Q4 | 92 | 87.3 | 2.40 | 0.15 | 0.66 | 1.60 | 2.22 | 0.0% |
| 2024Q3 | 92 | 84.4 | 2.35 | 0.26 | 0.40 | 1.68 | 2.20 | 1.3% |
| 2024Q2 | 91 | 84.9 | 2.31 | 0.22 | 0.44 | 1.65 | 2.21 | 0.6% |
| 2024Q1 | 91 | 87.3 | 2.19 | 0.18 | 0.47 | 1.55 | 2.06 | 1.0% |
| 2023Q4 | 92 | 84.4 | 2.17 | 0.18 | 0.39 | 1.60 | 2.09 | 1.2% |
| 2023Q3 | 92 | 86.8 | 2.25 | 0.22 | 0.49 | 1.53 | 2.09 | 2.2% |
| 2023Q2 | 91 | 88.8 | 2.04 | 0.16 | 0.49 | 1.40 | 1.90 | 1.4% |
| 2023Q1 | 90 | 89.4 | 2.24 | 0.10 | 0.67 | 1.47 | 2.17 | 3.7% |
| 2022Q4 | 92 | 83.7 | 2.15 | 0.18 | 0.52 | 1.45 | 2.12 | 4.3% |
| 2022Q3 | 92 | 85.1 | 2.61 | 0.38 | 0.51 | 1.72 | 2.50 | 3.5% |
| 2022Q2 | 91 | 84.6 | 3.06 | 0.47 | 0.53 | 2.06 | 2.60 | 6.2% |
| 2022Q1 | 90 | 82.9 | 3.25 | 0.36 | 0.95 | 1.94 | 2.82 | 2.7% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
35D × 20E × 13F × 1G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-08-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-10 |
| 2024-08-27 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-10-10 |
| 2024-08-27 | 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 | 2024-10-10 |
| 2024-08-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-10 |
| 2024-08-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-10 |
| 2024-08-27 | 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 | 2024-10-10 |
| 2024-08-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-10 |
| 2024-08-27 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-10-10 |
| 2024-08-27 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-10-10 |
| 2024-08-27 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-10 |
| 2024-08-27 | 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 | 2024-10-10 |
| 2024-08-27 | 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. | E | 2024-10-10 |
| 2024-08-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-10 |
| 2024-08-27 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-10-10 |
| 2024-08-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-10 |
| 2024-08-27 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-10-10 |
| 2024-08-27 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2024-10-10 |
| 2024-08-27 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-10-10 |
| 2024-08-27 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-10-10 |
| 2022-10-25 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2022-12-09 |
| 2022-10-25 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2022-12-09 |
| 2022-10-25 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2022-12-09 |
| 2022-10-25 | 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 | 2022-12-09 |
| 2022-10-25 | 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 | 2022-12-09 |
| 2022-10-25 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2022-12-09 |
| 2022-10-25 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-12-09 |
| 2020-01-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-02-27 |
| 2020-01-14 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2020-02-27 |
| 2020-01-14 | 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 | 2020-02-27 |
| 2020-01-14 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2020-02-27 |
| 2020-01-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2020-02-27 |
| 2020-01-14 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2020-02-27 |
| 2020-01-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2020-02-27 |
| 2020-01-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2020-02-27 |
| 2020-01-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2020-02-27 |
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
57| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| IGNITE ST MARYS JV LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2020-11-01 | current | pecos_ownership |
| PRESTIGE WORLDWIDE ST MARYS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2020-11-01 | current | pecos_ownership |
| BERGER FAM TR UA 06252014 | 5% OR GREATER MORTGAGE INTEREST | — | 2021-03-01 | current | pecos_ownership |
| BERGER, AVIVA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| BERGER, MENACHEM | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | current | pecos_ownership |
| BLUE PEARL FINANCIAL LLC | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| CARR, BARRY | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| CARR, JARED | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| EDDLEMAN, MINDY | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| FIELDS, TIMOTHY | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | current | pecos_ownership |
| GILLIS, KAREN | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| GOBST, RYAN | INDIRECT OWNERSHIP INTEREST | — | 2020-11-01 | current | pecos_ownership |
| GOLD PEARL, LLC | INDIRECT OWNERSHIP INTEREST | — | 2020-11-01 | current | pecos_ownership |
| IGNITE MISSOURI PROPERTY JV LLC | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| IGNITE POST ACUTE SOLUTIONS LLC | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| IGNITE TEAM PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| IGNITE TEAM PARTNERS LLC | ADP OF THE SNF | — | 2025-03-02 | current | pecos_ownership |
| IGNITE-VILLA HOLDCO LLC | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| ISRAEL FAMILY INVESTMENT TRUST | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| ISRAEL INVESTMENT TR | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| ISRAEL INVESTMENT TR | INDIRECT OWNERSHIP INTEREST | — | 2020-11-01 | current | pecos_ownership |
| ISRAEL, BENJAMIN | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | current | pecos_ownership |
| ISRAEL, YEHUDIS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-28 | current | pecos_ownership |
| JABLONSKI, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| LUXE STAFFING LLC | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| MCFARLANE, JOHN | INDIRECT OWNERSHIP INTEREST | — | 2020-11-01 | current | pecos_ownership |
| PRESTIGE WORLDWIDE MISSOURI PROPERTY LLC | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| ROGERS, DYLAN | ADP OF THE SNF | — | 2024-04-01 | current | pecos_ownership |
| ROSE, MARC | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| SPARK THERAPY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| SPARK THERAPY LLC | ADP OF THE SNF | — | 2025-03-02 | current | pecos_ownership |
| STERN FAMILY INVESTMENT TR | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| STERN, TODD | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | current | pecos_ownership |
| SUDHOLT, WILLIAM | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| THENGIL, MATHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-11-01 | current | pecos_ownership |
| WHITE, JIM | ADP OF THE SNF | — | 2020-11-01 | current | pecos_ownership |
| BARRY CARR | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| IGNITE-VILLA HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| IGNITE POST ACUTE SOLUTIONS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY FIELDS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| STERN FAMILY INVESTMENT TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| BLUE PEARL FINANCIAL LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| ISRAEL FAMILY INVESTMENT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| JARED CARR | INDIRECT OWNERSHIP INTEREST | 3% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| RYAN GOBST | INDIRECT OWNERSHIP INTEREST | 2% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| DYLAN ROGERS | INDIRECT OWNERSHIP INTEREST | 1% | 2024-04-01 | ended 2026-05-18 | pecos_ownership |
| JIM WHITE | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MCFARLANE | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| KAREN GILLIS | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| MATHEW THENGIL | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| MINDY EDDLEMAN | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| NICOLE JABLONSKI | INDIRECT OWNERSHIP INTEREST | 1% | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN ISRAEL | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| MARC ROSE | ADP OF THE SNF | — | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| MENACHEM BERGER | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| TODD STERN | MANAGING CONTROL - GOVERNING BODY | — | 2020-11-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM SUDHOLT | ADP OF THE SNF | — | 2020-11-01 | 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 |
|---|---|---|---|---|
| 2020-11-01 | — | IGNITE MEDICAL RESORT ST MARYS LLC | CARONDELET LONG TERM CARE FACILITIES INC | 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29095 | acs median gross | 0 | $938 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 1 | $1,024 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 2 | $1,179 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 3 | $1,422 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 4 | $1,731 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 5 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | acs median gross | $1,197 | 2024-12-31 | CENSUS_ACS5 | |
| county 29095 | acs recent mover gross | $1,373 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64014 | acs median gross | 1 | $934 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 2 | $1,180 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 3 | $1,701 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 4 | $2,224 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | $1,402 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64014 | acs recent mover gross | $1,720 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64014 | payment standard 110 | 0 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 0 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 0 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 1 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 1 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 1 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 4 | $2,200 | 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.