Composite
99.6 / 100 percentile
Screener / 265703
F
BLUEBIRD WELLNESS AND REHABILITATION
snfMO
9350 GREEN PARK ROAD, SAINT LOUIS, MO 63123 · CCN 265703 · chain DERHOBEN TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
188
Model
v1.2
Reads as: riskier than 99.6% 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 signals25Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies84Licensure0Ownership37Related party7Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.6 | 97.7 | 0.30 | 0.2308 | 22.75 | in index |
| financial risk | 93.1 | 81.5 | 0.30 | 0.2308 | 21.48 | in index |
| staffing risk | 98.3 | 98.3 | 0.25 | 0.1923 | 18.90 | in index |
| billing conduct | 46.1 | 37.8 | 0.30 | 0.2308 | 10.64 | in index |
| chow risk | 86.4 | 67.4 | 0.15 | 0.1154 | 9.97 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +45.3 vs natl | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | WILDFLOWER HEALTHCARE LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | PAS B SOL TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +43.6 vs natl | LINZ TRUST | 9 facilities |
| connection | Owner fleet risk far above national | +39.5 vs natl | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.5 vs natl | ZIMMERMAN CAROLINE | 35 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner fleet risk far above national | +30.0 vs natl | KAPLAN MORDECHAI | 38 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 9 chains | KAPLAN MORDECHAI | 37 facilities |
| connection | Owner spans multiple chains | 8 chains | DAVIDOVICH NIV | 19 facilities |
| connection | Owner spans multiple chains | 6 chains | ZIMMERMAN CAROLINE | 33 facilities |
| connection | Owner spans multiple chains | 4 chains | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | PAS B SOL TRUST | 5 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 | 37.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 53.9 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 80.9 | F | v0.6 | default · in composite | |
| financial risk | 81.5 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | 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 | 97.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.3 | 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 | 73.6 | 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 | 79.9 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 97.7 | 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 | 97.7 | 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 | 98.3 | 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 | 98.3 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.00 | -1.65 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.86 | -0.47 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.93 | +0.22 | |
| Facility size (log beds) | 5.24 | -0.14 |
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 1.93 | +0.54 | |
| Occupancy | 0.86 | -0.47 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.74 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.00 | -0.27 |
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 | 1.93 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.07 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.70 | 2.24 | 3.11 | — |
| Weekday total | 2.02 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 161.7 | 1.93 | 0.07 | 0.62 | 1.24 | 1.70 | 0.0% |
| 2025Q3 | 92 | 165.7 | 2.07 | 0.09 | 0.60 | 1.38 | 1.85 | 0.0% |
| 2025Q2 | 91 | 168.0 | 1.97 | 0.10 | 0.52 | 1.35 | 1.69 | 0.0% |
| 2025Q1 | 90 | 166.6 | 1.98 | 0.12 | 0.35 | 1.51 | 1.69 | 0.3% |
| 2024Q4 | 92 | 157.3 | 2.67 | 0.18 | 0.47 | 2.02 | 2.07 | 8.2% |
| 2024Q3 | 92 | 160.7 | 2.53 | 0.18 | 0.44 | 1.91 | 2.29 | 0.2% |
| 2024Q2 | 91 | 154.1 | 2.58 | 0.15 | 0.58 | 1.85 | 2.33 | 0.0% |
| 2024Q1 | 91 | 144.7 | 2.62 | 0.23 | 0.63 | 1.75 | 2.27 | 0.0% |
| 2023Q4 | 92 | 125.0 | 2.82 | 0.28 | 0.73 | 1.80 | 2.61 | 0.0% |
| 2023Q3 | 92 | 121.4 | 2.72 | 0.20 | 0.71 | 1.81 | 2.48 | 1.8% |
| 2023Q2 | 91 | 127.5 | 2.78 | 0.25 | 0.73 | 1.80 | 2.60 | 15.7% |
| 2023Q1 | 90 | 144.3 | 2.77 | 0.37 | 0.70 | 1.70 | 2.58 | 28.2% |
| 2022Q4 | 92 | 141.2 | 2.92 | 0.32 | 0.69 | 1.92 | 2.73 | 40.1% |
| 2022Q3 | 92 | 163.5 | 2.53 | 0.16 | 0.65 | 1.72 | 2.45 | 34.5% |
| 2022Q2 | 91 | 161.3 | 2.37 | 0.14 | 0.55 | 1.67 | 2.24 | 11.2% |
| 2022Q1 | 90 | 154.8 | 2.26 | 0.11 | 0.56 | 1.59 | 2.24 | 11.3% |
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 |
|---|---|---|---|
| 2024-06-18 | Fine | $234,836 | CMS provider data |
| 2024-06-18 | Payment Denial | — | CMS provider data |
Total fines on record: $234,836
Deficiencies
84C × 1D × 41E × 34G × 4J × 3K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-10-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2025-08-08 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-09-10 |
| 2025-08-08 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-09-10 |
| 2025-08-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-10 |
| 2025-08-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-10 |
| 2025-08-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-09-10 |
| 2025-08-08 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-10 |
| 2025-08-08 | 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 | 2025-09-10 |
| 2025-08-08 | 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. | E | 2025-09-10 |
| 2025-08-08 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-09-10 |
| 2025-03-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-21 |
| 2025-03-26 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-04-21 |
| 2025-03-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-30 |
| 2024-10-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-09-17 |
| 2024-10-15 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-11-21 |
| 2024-08-27 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-01 |
| 2024-08-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-10-09 |
| 2024-08-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-11-21 |
| 2024-08-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2024-09-01 |
| 2024-08-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-09-01 |
| 2024-08-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-01 |
| 2024-08-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-01 |
| 2024-07-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2024-11-21 |
| 2024-07-12 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-08-12 |
| 2024-07-12 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-01 |
| 2024-06-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-01 |
| 2024-06-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-10-09 |
| 2024-06-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-11-21 |
| 2024-06-18 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2024-09-01 |
| 2024-06-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-09-01 |
| 2024-06-18 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-08-12 |
| 2024-06-18 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-01 |
| 2024-06-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-09-01 |
| 2024-02-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-09 |
| 2024-02-13 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-03-18 |
| 2024-02-13 | 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 | 2024-03-18 |
| 2024-02-13 | 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 | 2024-03-18 |
| 2024-02-13 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-03-18 |
| 2024-02-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-03-18 |
| 2024-02-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-03-18 |
| 2024-02-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-03-18 |
| 2024-02-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-18 |
| 2024-02-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-23 |
| 2024-02-13 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-23 |
| 2024-02-13 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-03-18 |
| 2024-02-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-18 |
| 2024-02-13 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-03-18 |
| 2024-02-13 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-03-18 |
| 2024-02-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-18 |
| 2024-02-13 | 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. | E | 2024-03-18 |
| 2024-02-13 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-03-18 |
| 2024-02-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-03-18 |
| 2024-02-13 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2024-03-18 |
| 2023-08-25 | 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 | 2023-09-25 |
| 2023-08-25 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-25 |
| 2023-08-25 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2023-09-25 |
| 2023-08-25 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-25 |
| 2023-08-25 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2023-09-25 |
| 2023-07-13 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-13 |
| 2023-07-13 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-09-25 |
| 2023-07-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-25 |
| 2023-07-13 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2023-09-25 |
| 2023-07-13 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-25 |
| 2023-07-13 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2023-09-25 |
| 2021-03-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-04-16 |
| 2021-03-11 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2021-04-16 |
| 2021-03-11 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2021-04-16 |
| 2021-03-11 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2021-04-16 |
| 2021-03-11 | 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 | 2021-04-16 |
| 2021-03-11 | 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. | D | 2021-04-16 |
| 2021-03-11 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2021-04-16 |
| 2021-03-11 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2021-04-16 |
| 2021-03-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-04-16 |
| 2021-03-11 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-04-16 |
| 2021-03-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2021-04-16 |
| 2021-03-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-04-16 |
| 2021-03-11 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2021-04-16 |
| 2021-03-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-04-16 |
| 2021-03-11 | 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. | E | 2021-04-16 |
| 2021-03-11 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2021-04-16 |
| 2021-03-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-04-16 |
| 2021-03-11 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2021-04-16 |
| 2021-03-11 | Health | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E | 2021-04-16 |
| 2021-03-11 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2021-04-16 |
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
37| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WILDFLOWER HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-07-30 | current | pecos_ownership |
| 9350 GREEN PARK ROAD MO LLC | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| 9350 GREEN PARK ROAD MO LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| AMIN, IQBAL | ADP OF THE SNF | — | 2024-07-30 | current | pecos_ownership |
| BLOOMING WILLOW PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| BROOK PARTNERS LLC | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| BROOK PARTNERS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| DAVIDOVICH, NIV | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| DERHOBEN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| GARETZ, DAVID | INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| HAGINS, ELIZABETH | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| KAPLAN, MORDECHAI | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| KNOBEL REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| KNOBEL REALTY TRUST | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| LINZ TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| LINZ TRUST | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| LUTZ, HAROLD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-30 | current | pecos_ownership |
| MINDLE, ADAM | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| PAS B SOL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| REMBRANDT REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| REMBRANDT REALTY TRUST | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| SESAME REALTY TRUST | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| SESAME REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-30 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| ZIMMERMAN, CAROLINE | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-30 | current | pecos_ownership |
| LASALLE HOLDING LLC | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| DAVID GARETZ | INDIRECT OWNERSHIP INTEREST | 2% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| ADAM MINDLE | 5% OR GREATER MORTGAGE INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| CAROLINE ZIMMERMAN | 5% OR GREATER MORTGAGE INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH HAGINS | 5% OR GREATER MORTGAGE INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| JENNIFER STERNSHEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| MORDECHAI KAPLAN | 5% OR GREATER MORTGAGE INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| NIV DAVIDOVICH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| HAROLD LUTZ | ADP OF THE SNF | — | 2024-07-30 | ended 2026-05-18 | pecos_ownership |
| IQBAL AMIN | ADP OF THE SNF | — | 2024-07-30 | 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 |
|---|---|---|---|---|
| 2024-07-30 | — | BLOOMING OAKS WELLNESS & REHABILITATION LLC | GREEN PARK LEASING CO 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63123 | acs median gross | 0 | $981 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63123 | acs median gross | 1 | $863 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63123 | acs median gross | 2 | $1,127 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63123 | acs median gross | 3 | $1,201 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63123 | acs median gross | 4 | $787 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63123 | acs median gross | $1,006 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63123 | acs recent mover gross | $1,082 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63123 | payment standard 110 | 0 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 90 | 0 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | safmr | 0 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 110 | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 90 | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | safmr | 1 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 110 | 2 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 90 | 2 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | safmr | 2 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 110 | 3 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 90 | 3 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | safmr | 3 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63123 | safmr | 4 | $1,830 | 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.