Composite
62.4 / 100 percentile
Screener / 535042
C
Shepherd of the Valley Rehabilitation and Wellness
snfWY
60 Magnolia St, Casper, WY 82604 · CCN 535042 · chain COUVE FINANCIAL SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
192
Model
v1.2
Reads as: riskier than 62.4% 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 signals9Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies39Licensure0Ownership25Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.9 | 88.6 | 0.30 | 0.2308 | 20.98 | in index |
| staffing risk | 93.9 | 93.9 | 0.25 | 0.1923 | 18.06 | in index |
| chow risk | 48.7 | 46.8 | 0.15 | 0.1154 | 5.62 | in index |
| billing conduct | 20.1 | 25.1 | 0.30 | 0.2308 | 4.64 | in index |
| financial risk | 16.2 | 24.4 | 0.30 | 0.2308 | 3.74 | 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
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +31.3 vs natl | WINTERHOLLER DAVID | 11 facilities |
| connection | Owner fleet risk far above national | +31.3 vs natl | SIMMONS BENJAMIN | 11 facilities |
| connection | Owner fleet risk far above national | +22.8 vs natl | CONNELL ERIC | 11 facilities |
| connection | Owner fleet risk far above national | +20.3 vs natl | MORRISSEY ROBERT | 13 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 8 facilities | NORTH BIG HORN HOSPITAL DISTRICT | 8 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | CONNELL ERIC | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | SIMMONS BENJAMIN | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | WINTERHOLLER DAVID | 11 facilities |
| connection | Owner fleet enforcement cluster | 62% fined | MORRISSEY ROBERT | 13 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 | 25.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 68.6 | D | v0.6 | default · in composite | |
| financial risk | 24.4 | 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 | 0.0 | — | 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 | 88.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.3 | 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 | 65.3 | 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 | 36.0 | 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 | 30.4 | 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 | 88.6 | 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 | 88.6 | 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 | 93.9 | 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 | 93.9 | 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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 0.83 | -1.76 | |
| 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 | 0.88 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.71 | +0.39 | |
| Facility size (log beds) | 5.26 | -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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.71 | -0.96 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Fine amount, 12m (log) | 10.19 | -0.57 | |
| Occupancy | 0.88 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.37 | +0.36 | |
| Current owner tenure (years) | 0.83 | -0.29 |
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 | WY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.37 | 3.23 | 3.28 | 2.90–3.77 |
| RN | 0.45 | 0.56 | 0.39 | 0.25–0.58 |
| Weekend total | 1.97 | 3.13 | 3.11 | — |
| Weekday total | 2.52 | 3.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 168.6 | 2.37 | 0.45 | 0.19 | 1.73 | 1.97 | 0.0% |
| 2025Q3 | 92 | 162.8 | 2.35 | 0.45 | 0.26 | 1.64 | 2.02 | 0.0% |
| 2025Q2 | 91 | 156.8 | 2.43 | 0.50 | 0.25 | 1.68 | 2.17 | 0.0% |
| 2025Q1 | 90 | 160.2 | 2.18 | 0.44 | 0.26 | 1.47 | 1.93 | 0.0% |
| 2024Q4 | 92 | 156.5 | 2.27 | 0.42 | 0.28 | 1.57 | 2.03 | 0.0% |
| 2024Q3 | 92 | 154.1 | 2.21 | 0.41 | 0.24 | 1.57 | 2.09 | 0.0% |
| 2024Q2 | 91 | 149.0 | 2.19 | 0.35 | 0.30 | 1.53 | 2.00 | 0.0% |
| 2024Q1 | 91 | 148.5 | 2.30 | 0.44 | 0.27 | 1.59 | 2.12 | 0.0% |
| 2023Q4 | 92 | 169.2 | 2.12 | 0.42 | 0.29 | 1.40 | 1.91 | 0.0% |
| 2023Q3 | 92 | 156.6 | 2.02 | 0.38 | 0.33 | 1.31 | 2.09 | 0.0% |
| 2023Q2 | 91 | 171.1 | 2.18 | 0.37 | 0.37 | 1.44 | 1.95 | 0.0% |
| 2023Q1 | 90 | 167.5 | 2.14 | 0.46 | 0.30 | 1.37 | 1.88 | 0.0% |
| 2022Q4 | 92 | 144.5 | 2.13 | 0.50 | 0.32 | 1.31 | 1.83 | 0.0% |
| 2022Q3 | 92 | 149.4 | 2.25 | 0.48 | 0.40 | 1.38 | 1.99 | 0.0% |
| 2022Q2 | 91 | 141.8 | 2.36 | 0.36 | 0.49 | 1.51 | 1.96 | 0.0% |
| 2022Q1 | 90 | 140.2 | 2.24 | 0.39 | 0.39 | 1.46 | 1.98 | 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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-13 | Fine | $26,685 | CMS provider data |
| 2025-05-22 | Fine | $12,438 | CMS provider data |
| 2025-03-20 | Fine | $15,857 | CMS provider data |
| 2024-08-15 | Fine | $7,718 | CMS provider data |
| 2024-03-22 | Fine | $34,333 | CMS provider data |
Total fines on record: $97,031
Deficiencies
39D × 21E × 11G × 6K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-13 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-04-03 |
| 2026-03-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2026-02-16 |
| 2026-03-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-03 |
| 2026-01-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-16 |
| 2025-05-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-05-16 |
| 2025-03-20 | 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. | G | 2025-04-04 |
| 2025-03-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-04-04 |
| 2025-03-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-04-04 |
| 2024-10-31 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-12-06 |
| 2024-10-31 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-12-06 |
| 2024-10-31 | 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 | 2024-12-06 |
| 2024-10-31 | 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 | 2024-12-06 |
| 2024-10-31 | 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 | 2024-12-06 |
| 2024-10-31 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-12-06 |
| 2024-10-31 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-06 |
| 2024-09-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-09-06 |
| 2024-09-10 | 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 | 2024-10-11 |
| 2024-08-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-13 |
| 2024-03-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-26 |
| 2024-02-01 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-01-23 |
| 2023-11-09 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-08 |
| 2023-08-10 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-09-04 |
| 2023-08-10 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-04 |
| 2023-08-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-04 |
| 2023-08-10 | Health · complaint | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-09-04 |
| 2023-08-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-04 |
| 2023-08-10 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-04 |
| 2023-08-10 | 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. | D | 2023-09-04 |
| 2023-08-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-04 |
| 2023-08-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-04 |
| 2023-08-10 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-09-04 |
| 2022-08-31 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2022-10-07 |
| 2022-08-31 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2022-10-07 |
| 2022-08-31 | 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 | 2022-10-07 |
| 2022-08-31 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-10-07 |
| 2022-08-31 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-10-07 |
| 2022-08-31 | 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 | 2022-10-07 |
| 2022-08-31 | Health | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2022-10-07 |
| 2022-08-31 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-10-07 |
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
25| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CONNELL, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| LAWRENCE, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| MILLER, JESSICA | ADP OF THE SNF | — | 2025-09-30 | current | pecos_ownership |
| MORRISON, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| SHEPHERD OF THE VALLEY SNF REALTY LLC | ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| SIMMONS, BENJAMIN | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-30 | current | pecos_ownership |
| SPIELMAN, SHIMON | ADP OF THE SNF | — | 2025-09-30 | current | pecos_ownership |
| WINTERHOLLER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | current | pecos_ownership |
| YENOWITZ, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-10-14 | current | pecos_ownership |
| NORTH BIG HORN HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN SIMMONS | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| DAVID WINTERHOLLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| ERIC CONNELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| ERIC LAWRENCE | ADP OF THE SNF | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| JESSICA MILLER | ADP OF THE SNF | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| ROBERT MORRISON | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-30 | ended 2026-05-18 | pecos_ownership |
| SHIMON SPIELMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-30 | 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 |
|---|---|---|---|---|
| 2025-09-30 | — | NORTH BIG HORN HOSPITAL DISTRICT | SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | chow |
Comparable trades — WY snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-30 | Thermopolis Rehabilitation and Wellness | — | — | — | 60 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Shepherd of the Valley Rehabilitation and Wellnessthis facility | — | — | — | 192 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Sage View Care Center | — | — | — | 82 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Granite Rehabilitation and Wellness | — | — | — | 146 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Wind River Rehabilitation and Wellness | — | — | — | 81 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-01 | Summit Ridge Skilled Nursing & Rehabilitation | — | — | — | 60 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-10-01 | Big Horn Rehabilitation and Care Center | — | — | — | 128 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-10-01 | Polaris Rehabilitation and Care Center | — | — | — | 105 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-01-01 | Heritage Home | — | — | — | 50 | SUBLETTE COUNTY HOSPITAL DISTRICT |
| 2023-08-31 | Rawlins Rehabilitation and Wellness | — | — | — | 62 | RAWLINS SNF OPERATIONS, LLC |
| 2020-01-01 | Worland Health and Rehabilitation | — | — | — | 87 | SNH WY TENANT LLC |
| 2020-01-01 | Laramie Health and Rehabilitation | — | — | — | 105 | SNH WY TENANT 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 56025 | acs median gross | 0 | $814 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | fmr | 0 | $767 | 2025-10-01 | HUD_USER_FMR |
| county 56025 | acs median gross | 1 | $750 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | fmr | 1 | $852 | 2025-10-01 | HUD_USER_FMR |
| county 56025 | acs median gross | 2 | $974 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | fmr | 2 | $1,082 | 2025-10-01 | HUD_USER_FMR |
| county 56025 | acs median gross | 3 | $1,325 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | fmr | 3 | $1,505 | 2025-10-01 | HUD_USER_FMR |
| county 56025 | acs median gross | 4 | $1,466 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | fmr | 4 | $1,815 | 2025-10-01 | HUD_USER_FMR |
| county 56025 | acs median gross | 5 | $1,786 | 2024-12-31 | CENSUS_ACS5 |
| county 56025 | acs median gross | $1,016 | 2024-12-31 | CENSUS_ACS5 | |
| county 56025 | acs recent mover gross | $1,127 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 82604 | acs median gross | 1 | $814 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82604 | acs median gross | 2 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82604 | acs median gross | 3 | $1,280 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82604 | acs median gross | 4 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82604 | acs median gross | 5 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82604 | acs median gross | $1,160 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 82604 | acs recent mover gross | $1,433 | 2024-12-31 | CENSUS_ACS5 | |
| zip 82604 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 110 | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 90 | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | safmr | 1 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 110 | 2 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 90 | 2 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | safmr | 2 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 110 | 3 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 90 | 3 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | safmr | 3 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 110 | 4 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | payment standard 90 | 4 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82604 | safmr | 4 | $2,130 | 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.