CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:48 UTC
Screener / 275056
C

ELKHORN HEALTHCARE AND REHABILITATION

snfMT
474 HWY 282, CLANCY, MT 59634 · CCN 275056 · chain EDURO HEALTHCARE LLC
Composite
66.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 66.0% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk97.297.20.250.192318.69in index
billing conduct62.244.40.300.230814.35in index
regulatory risk46.135.00.300.230810.64in index
financial risk36.637.60.300.23088.45in index
chow risk19.619.00.150.11542.26in 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

16
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains47 chainsFORVIS MAZARS LLP251 facilities
connectionOwner fleet risk far above national+28.1 vs natlEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet risk far above national+23.6 vs natlMONROE DUSTIN9 facilities
connectionOwner fleet risk far above national+23.4 vs natlTHOMPSON CHRISTOPHER11 facilities
connectionOwner fleet risk far above national+21.6 vs natlECAPITAL HEALTHCARE CORP26 facilities
connectionOwner fleet risk far above national+20.2 vs natlBEWSEY MICHAEL31 facilities
connectionOwner spans multiple chains18 chainsCTR PARTNERSHIP LP99 facilities
connectionOwner spans multiple chains15 chainsCARETRUST REIT INC96 facilities
connectionOwner spans multiple chains11 chainsCARETRUST GP LLC89 facilities
connectionOwner spans multiple chains6 chainsBEWSEY MICHAEL29 facilities
connectionOwner spans multiple chains6 chainsECAPITAL HEALTHCARE CORP24 facilities
connectionOwner fleet enforcement cluster62% finedECAPITAL HEALTHCARE CORP26 facilities
connectionOwner fleet enforcement cluster56% finedMONROE DUSTIN9 facilities
connectionOwner fleet enforcement cluster50% finedEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet enforcement cluster48% finedBEWSEY MICHAEL31 facilities
connectionOwner fleet enforcement cluster46% finedTHOMPSON CHRISTOPHER11 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 typeScoreGradeModelStatusRegistry model notes
billing conduct44.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk13.0Av0.6default · in composite
financial risk37.6Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/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 12m0.1v0.1default · in compositeR22/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 risk35.0Bv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.2Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk44.6Bv0.1supersededPre-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 risk24.6Av0.2supersededPre-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 risk53.6Cv0.3supersededPre-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 risk41.2Bv0.4supersededPre-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 risk34.9Bv0.1supersededPre-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 risk34.9Bv0.2supersededPre-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 risk97.2Fv0.1supersededPre-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 risk97.2Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)5.82-1.28
For-profit ownership1.00+0.69
Occupancy0.91-0.62
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months16.00+0.22
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)2.09+0.19
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months16.00-1.54
Occupancy0.91-0.69
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)2.09+0.47
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Current owner tenure (years)5.82-0.21
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityMT medianNational medianNational p25–p75
Total nurse2.093.253.282.90–3.77
RN0.360.620.390.25–0.58
Weekend total2.063.123.11
Weekday total2.103.343.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49263.92.090.360.291.432.066.0%
2025Q39264.72.130.350.311.482.037.8%
2025Q29164.81.680.250.321.111.7614.0%
2025Q19067.61.890.210.351.331.9938.6%
2024Q49264.31.920.150.351.411.8846.5%
2024Q39266.31.980.140.511.331.8837.0%
2024Q29164.72.130.170.531.431.7723.4%
2024Q19166.02.150.190.511.452.0528.3%
2023Q49264.22.070.150.551.361.8223.9%
2023Q39265.22.030.220.461.351.8415.2%
2023Q29165.12.140.220.381.541.889.6%
2023Q19062.61.970.090.481.401.9420.1%
2022Q49261.22.210.120.571.522.0731.1%
2022Q39265.61.960.210.431.331.8922.9%
2022Q29163.61.950.280.411.262.0011.8%
2022Q19063.51.960.190.451.321.9312.9%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

26
D × 15E × 7F × 4
deficiencies by survey year
16823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-10HealthF0584Honor 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.E2026-03-10
2026-02-10HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-03-10
2026-02-10HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-03-10
2026-02-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-03-10
2026-02-10HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E2026-03-10
2026-02-10HealthF0685Assist a resident in gaining access to vision and hearing services.D2026-03-10
2026-02-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-10
2026-02-10HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-03-10
2026-02-10HealthF0759Ensure medication error rates are not 5 percent or greater.E2026-03-10
2026-02-10HealthF0761Ensure 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.F2026-03-10
2026-02-10HealthF0791Provide or obtain dental services for each resident.D2026-03-10
2026-02-10HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2026-03-10
2026-02-10HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2026-03-10
2026-02-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2026-03-10
2026-02-10HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2026-03-10
2026-02-10HealthF0880Provide and implement an infection prevention and control program.F2026-03-10
2024-12-19HealthF0584Honor 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.D2025-01-10
2024-12-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-10
2024-12-19HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-01-10
2024-12-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-01-10
2024-12-19HealthF0880Provide and implement an infection prevention and control program.E2025-01-10
2023-12-19HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-01-10
2023-12-19HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-01-10
2023-12-19HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E2024-01-10
2023-12-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-01-10
2023-12-19HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-01-10
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

0
No 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

29
OwnerRolePctFromStatusSource
ALLRED JACKSON, P.C.ADP OF THE SNF2025-10-08currentpecos_ownership
ALLRED JACKSON, P.C.OPERATIONAL/MANAGERIAL CONTROL2022-08-01currentpecos_ownership
BEWSEY ENTERPRISES LLCINDIRECT OWNERSHIP INTEREST2020-09-01currentpecos_ownership
BEWSEY, MICHAELCORPORATE DIRECTOR2020-09-01currentpecos_ownership
BUTLER, SCOTTADP OF THE SNF2023-02-27currentpecos_ownership
CARETRUST GP LLCADP OF THE SNF2020-09-01currentpecos_ownership
CARETRUST REIT INCADP OF THE SNF2020-09-01currentpecos_ownership
CTR PARTNERSHIP LPADP OF THE SNF2025-10-08currentpecos_ownership
DODGE, JENIFERADP OF THE SNF2023-09-22currentpecos_ownership
ECAPITAL HEALTHCARE CORPADP OF THE SNF2025-10-08currentpecos_ownership
ECAPITAL HEALTHCARE CORP5% OR GREATER SECURITY INTEREST2020-09-01currentpecos_ownership
EDURO HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL2020-09-01currentpecos_ownership
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROL2020-09-01currentpecos_ownership
HORN, JACOBOPERATIONAL/MANAGERIAL CONTROL2022-01-31currentpecos_ownership
KIRKPATRICK, KARENADP OF THE SNF2023-09-18currentpecos_ownership
MARSH, JAMESOPERATIONAL/MANAGERIAL CONTROL2020-09-01currentpecos_ownership
MCGAHA, BRENDAOPERATIONAL/MANAGERIAL CONTROL2020-09-01currentpecos_ownership
MOFFITT, KATHLEENADP OF THE SNF2020-09-01currentpecos_ownership
MONROE, DUSTINCORPORATE OFFICER2020-09-01currentpecos_ownership
THOMPSON, CHRISTOPHERADP OF THE SNF2020-09-01currentpecos_ownership
WILLIAMS, HEIDIADP OF THE SNF2020-09-01currentpecos_ownership
WSRP, LLCADP OF THE SNF2025-10-08currentpecos_ownership
WSRP, LLCOPERATIONAL/MANAGERIAL CONTROL2020-09-01currentpecos_ownership
EDURO HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL100%2020-07-07ended 2026-05-18pecos_ownership
ELKHORN REALTY COMPANYIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-09-30hcris_a_8_1
MICHAEL BEWSEY5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-07-07ended 2026-05-18pecos_ownership
BRENDA MCGAHAW-2 MANAGING EMPLOYEE2022-05-03ended 2026-05-18pecos_ownership
DUSTIN MONROECORPORATE OFFICER2023-06-01ended 2026-05-18pecos_ownership
JENIFER DODGEW-2 MANAGING EMPLOYEE2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2020-10-01CLANCY NURSING AND REHAB CENTER LLCELKHORN HEALTH CARE INCchow

Comparable trades — MT snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-03-01NORTHERN MONTANA CARE CENTER135NORTHERN MONTANA CARE CENTER INC
2023-10-01RIVER RIDGE REHABILITATION AND NURSING LLC129RIVER RIDGE REHABILITATION AND NURSING LLC
2023-08-31ASPEN MEADOWS HEALTH AND REHABILITATION CENTER90ASPEN MEADOWS SNF OPERATIONS, LLC
2023-08-31LIVINGSTON HEALTH & REHABILITATION CENTER115LIVINGSTON SNF OPERATIONS LLC
2023-08-31POLSON HEALTH & REHABILITATION CENTER70POLSON SNF OPERATIONS LLC
2023-08-31MISSOULA HEALTH & REHABILITATION CENTER53MISSOULA SNF OPERATIONS LLC
2023-08-31LAUREL HEALTH & REHABILITATION CENTER79LAUREL SNF OPERATIONS LLC
2023-08-31HOT SPRINGS HEALTH & REHABILITATION CENTER40HOT SPRINGS SNF OPERATIONS LLC
2023-07-01KALISPELL REHABILITATION AND NURSING LLC140KALISPELL REHABILITATION AND NURSING LLC
2023-07-01NORTHERN PINES REHABILITATION AND NURSING41NORTHERN PINES REHABILITATION AND NURSING
2023-07-01BILLINGS REHABILITATION AND NURSING LLC100BILLINGS REHABILITATION AND NURSING LLC
2023-07-01VALLE VISTA REHABILITATION AND NURSING LLC101VALLE VISTA REHABILITATION AND NURSING 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

27
GeoKindBRAmountAs ofSource
county 30043fmr0$9682025-10-01HUD_USER_FMR
county 30043acs median gross1$4062024-12-31CENSUS_ACS5
county 30043fmr1$1,0702025-10-01HUD_USER_FMR
county 30043acs median gross2$8872024-12-31CENSUS_ACS5
county 30043fmr2$1,4042025-10-01HUD_USER_FMR
county 30043acs median gross3$1,1912024-12-31CENSUS_ACS5
county 30043fmr3$1,9462025-10-01HUD_USER_FMR
county 30043acs median gross4$9852024-12-31CENSUS_ACS5
county 30043fmr4$1,9542025-10-01HUD_USER_FMR
county 30043acs median gross$9252024-12-31CENSUS_ACS5
zcta 59634acs median gross1$7752024-12-31CENSUS_ACS5
zcta 59634acs median gross$9942024-12-31CENSUS_ACS5
zip 59634payment standard 1100$1,3312025-10-01HUD_USER_SAFMR
zip 59634payment standard 900$1,0892025-10-01HUD_USER_SAFMR
zip 59634safmr0$1,2102025-10-01HUD_USER_SAFMR
zip 59634payment standard 1101$1,4632025-10-01HUD_USER_SAFMR
zip 59634payment standard 901$1,1972025-10-01HUD_USER_SAFMR
zip 59634safmr1$1,3302025-10-01HUD_USER_SAFMR
zip 59634payment standard 1102$1,9252025-10-01HUD_USER_SAFMR
zip 59634payment standard 902$1,5752025-10-01HUD_USER_SAFMR
zip 59634safmr2$1,7502025-10-01HUD_USER_SAFMR
zip 59634payment standard 1103$2,6732025-10-01HUD_USER_SAFMR
zip 59634payment standard 903$2,1872025-10-01HUD_USER_SAFMR
zip 59634safmr3$2,4302025-10-01HUD_USER_SAFMR
zip 59634payment standard 1104$2,7722025-10-01HUD_USER_SAFMR
zip 59634payment standard 904$2,2682025-10-01HUD_USER_SAFMR
zip 59634safmr4$2,5202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.