Composite
96.9 / 100 percentile
Screener / 265539
F
AEGIS HEALTH AND REHABILITATION
snfMO
1441 CHARIC DRIVE, WILDWOOD, MO 63021 · CCN 265539 · chain VHS MO OPCO HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 96.9% 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 signals5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies68Licensure0Ownership13Related party5Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.8 | 95.4 | 0.30 | 0.2308 | 22.34 | in index |
| financial risk | 96.6 | 87.3 | 0.30 | 0.2308 | 22.29 | in index |
| staffing risk | 94.7 | 94.7 | 0.25 | 0.1923 | 18.21 | in index |
| chow risk | 60.5 | 59.1 | 0.15 | 0.1154 | 6.98 | in index |
| billing conduct | 19.3 | 24.1 | 0.30 | 0.2308 | 4.45 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +39.7 vs natl | MAYLACK ELIZABETH | 6 facilities |
| connection | Owner fleet risk far above national | +39.0 vs natl | VHS MO OPCO HOLDINGS LLC | 9 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | MILLER WILLIAM | 18 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | MAYLACK ELIZABETH | 6 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | VHS MO OPCO HOLDINGS LLC | 9 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 | 24.1 | A | 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 | 93.2 | F | v0.6 | default · in composite | |
| financial risk | 87.3 | F | 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 | 0.0 | — | 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 | 95.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 94.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.7 | 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 | 66.7 | 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 | 75.1 | 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 | 85.7 | F | 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 | 95.4 | 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 | 95.4 | 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 | 94.7 | 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 | 94.7 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.16 | -1.54 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.95 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 1.00 | -0.15 | |
| Total nurse staffing (HPRD) | 2.31 | +0.15 |
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
41.8
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 | 1.00 | +1.24 | |
| Occupancy | 0.95 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.31 | +0.38 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.16 | -0.25 | |
| Chain size (log) | 2.48 | -0.24 |
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 | 2.31 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.19 | 2.24 | 3.11 | — |
| Weekday total | 2.35 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 62.4 | 2.31 | 0.19 | 0.67 | 1.45 | 2.19 | 0.0% |
| 2025Q3 | 92 | 60.9 | 2.09 | 0.23 | 0.70 | 1.16 | 2.11 | 0.0% |
| 2025Q2 | 91 | 59.7 | 2.13 | 0.25 | 0.63 | 1.25 | 2.35 | 0.0% |
| 2025Q1 | 90 | 56.1 | 1.99 | 0.18 | 0.64 | 1.17 | 2.13 | 0.0% |
| 2024Q4 | 92 | 51.6 | 2.08 | 0.14 | 0.66 | 1.29 | 2.17 | 0.0% |
| 2024Q3 | 92 | 48.6 | 2.13 | 0.15 | 0.62 | 1.36 | 2.29 | 0.0% |
| 2024Q2 | 91 | 42.0 | 2.38 | 0.12 | 0.63 | 1.64 | 2.74 | 0.0% |
| 2024Q1 | 91 | 37.9 | 2.24 | 0.06 | 0.82 | 1.35 | 2.46 | 0.8% |
| 2023Q4 | 92 | 44.5 | 2.00 | 0.08 | 0.93 | 0.99 | 1.68 | 4.2% |
| 2023Q3 | 92 | 38.3 | 2.96 | 0.21 | 1.07 | 1.68 | 2.52 | 0.4% |
| 2023Q2 | 91 | 42.8 | 1.85 | 0.33 | 0.67 | 0.85 | 1.52 | 0.7% |
| 2023Q1 | 90 | 47.5 | 2.09 | 0.16 | 0.81 | 1.11 | 1.81 | 0.0% |
| 2022Q4 | 92 | 41.6 | 2.90 | 0.33 | 1.04 | 1.53 | 2.64 | 0.0% |
| 2022Q3 | 92 | 39.5 | 2.75 | 0.21 | 0.88 | 1.67 | 2.70 | 0.0% |
| 2022Q2 | 91 | 41.5 | 2.20 | 0.17 | 0.75 | 1.28 | 2.36 | 0.0% |
| 2022Q1 | 90 | 31.5 | 3.26 | 0.22 | 1.10 | 1.94 | 3.41 | 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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-09 | Payment Denial | — | CMS provider data |
| 2023-12-11 | Fine | $275,739 | CMS provider data |
| 2023-12-11 | Payment Denial | — | CMS provider data |
Total fines on record: $275,739
Deficiencies
68C × 2D × 26E × 31F × 4G × 1H × 1J × 1K × 1L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-18 |
| 2025-05-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-25 |
| 2025-05-30 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-06-25 |
| 2025-05-30 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2025-06-25 |
| 2025-05-30 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2025-06-25 |
| 2025-05-30 | 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 | 2025-07-17 |
| 2025-05-30 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-25 |
| 2025-05-30 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-06-25 |
| 2024-05-21 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-06-06 |
| 2024-04-09 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-05-09 |
| 2024-04-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-09 |
| 2024-04-09 | 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 | 2024-05-09 |
| 2024-04-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-06-06 |
| 2024-04-09 | 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 | 2024-05-09 |
| 2024-04-09 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-05-09 |
| 2024-04-09 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-05-09 |
| 2024-04-09 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-05-09 |
| 2024-04-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-06-25 |
| 2024-04-09 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-06-06 |
| 2024-04-09 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-05-09 |
| 2024-04-09 | 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 | 2024-06-06 |
| 2024-04-09 | Health | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2024-05-09 |
| 2024-04-09 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-05-09 |
| 2024-04-09 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-05-09 |
| 2024-04-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-06-06 |
| 2024-04-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-09 |
| 2024-04-09 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-05-09 |
| 2023-12-11 | 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 | 2024-01-12 |
| 2023-12-11 | 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 | 2024-01-29 |
| 2023-12-11 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-29 |
| 2023-12-11 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-01-12 |
| 2023-12-11 | 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. | L | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-01-12 |
| 2023-12-11 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-01-12 |
| 2023-06-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-18 |
| 2023-06-08 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-07-18 |
| 2022-08-05 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2022-09-12 |
| 2022-08-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2022-09-12 |
| 2022-08-05 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2022-09-12 |
| 2022-08-05 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2022-09-12 |
| 2022-08-05 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2022-09-12 |
| 2022-08-05 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-09-12 |
| 2022-08-05 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2022-09-12 |
| 2022-08-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-09-12 |
| 2022-08-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-09-12 |
| 2022-08-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-09-12 |
| 2022-08-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | 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 | 2022-09-12 |
| 2022-08-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-09-12 |
| 2022-08-05 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2022-09-12 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHARIC DR CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| CHARIC DR CONSULTING LLC | ADP OF THE SNF | — | 2025-03-14 | current | pecos_ownership |
| MAYLACK, ELIZABETH | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| MAYLACK, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 | current | pecos_ownership |
| MILLER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| RESCH, JACOB | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| RESCH, JACOB | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 | current | pecos_ownership |
| VHS MO OPCO HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | — | 2023-06-01 | current | pecos_ownership |
| WILLIAM MILLER | INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH MAYLACK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH MAYLACK | ADP OF THE SNF | — | 2025-04-07 | ended 2026-05-18 | pecos_ownership |
| JACOB RESCH | ADP OF THE SNF | — | 2025-04-07 | ended 2026-05-18 | pecos_ownership |
| JACOB RESCH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-02 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-06-01 | — | CHARIC DR HEALTHCARE LLC | SRZ OP BALLWIN 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
34| 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 63021 | acs median gross | 1 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63021 | acs median gross | 2 | $1,377 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63021 | acs median gross | 3 | $1,729 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63021 | acs median gross | 4 | $1,988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63021 | acs median gross | $1,423 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63021 | acs recent mover gross | $1,436 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63021 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 110 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 90 | 2 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | safmr | 2 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 110 | 4 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | payment standard 90 | 4 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63021 | safmr | 4 | $2,140 | 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.