CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,950 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-07 18:21 UTC
Screener / 165615
D

Pioneer Valley Living And Rehab

snfIA
400 Sergeant Square Drive, Sergeant Bluff, IA 51054 · CCN 165615
Composite
91.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 91.8% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies63Licensure0Ownership26Related party5Transactions0Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct90.460.20.300.230820.86in index
financial risk63.054.30.300.230814.54in index
regulatory risk62.454.10.300.230814.40in index
staffing risk73.073.00.250.192314.04in index
chow risk37.636.00.150.11544.34in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct60.2Cv0.1-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 risk47.1Cv0.6default · in composite
financial risk54.3Cv0.5default · in compositeR18.
p adverse action 12m0.3—v0.1default · 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 12m3.9—v0.1default · 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 risk54.1Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk73.0Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk73.9Dv0.1supersededPre-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 risk53.9Cv0.2supersededPre-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 risk54.8Cv0.3supersededPre-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 risk57.6Cv0.4supersededPre-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 risk54.0Cv0.1supersededPre-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 risk54.0Cv0.2supersededPre-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 risk73.0Dv0.1supersededPre-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 risk73.0Dv0.2supersededPre-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)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Ownership changes, last 5 years0.00+0.20
Occupancy0.66+0.11
Contract staffing share0.01-0.08
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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
70.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Occupancy0.66+0.38
Deficiencies, last 12 months6.00+0.32
Fine amount, 12m (log)0.00+0.18
Staffing trend, last 4 quarters-0.30-0.17
Never sold on record1.00+0.12
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 facilityIA medianNational medianNational p25–p75
Total nurse2.943.153.282.90–3.77
RN0.400.460.390.25–0.58
Weekend total2.662.963.11—
Weekday total3.043.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49243.52.940.400.312.222.660.9%
2025Q39244.43.200.410.342.452.950.1%
2025Q29145.33.080.290.432.372.770.4%
2025Q19050.62.680.220.511.952.440.3%
2024Q49242.53.230.340.682.223.041.3%
2024Q39236.43.680.370.742.573.341.4%
2024Q29124.85.550.521.263.774.821.1%
2024Q19124.95.290.451.293.555.230.0%
2023Q49246.03.030.320.502.212.830.1%
2023Q39255.52.660.400.411.852.420.5%
2023Q29157.02.250.350.301.591.990.0%
2023Q19049.32.360.380.451.542.220.1%
2022Q49245.32.610.440.561.612.370.0%
2022Q39244.22.510.430.701.382.290.2%
2022Q29136.13.130.430.871.832.750.0%
2022Q19039.02.610.190.981.432.360.0%
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

2
fines by year
$29.6k$14.8k232425
DateTypeFineSource
2025-02-06Payment Denial—CMS provider data
2023-07-13Fine$29,572CMS provider data
Total fines on record: $29,572

Deficiencies

63
D × 37E × 13F × 8G × 3J × 2
deficiencies by survey year
341723242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-03HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2026-03-20
2026-03-03HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-03-20
2026-03-03HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-03-20
2026-03-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-20
2026-03-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-03-20
2026-03-03HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-03-20
2025-04-03Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-05-22
2025-04-03Health · complaintF0637Assess the resident when there is a significant change in conditionD2025-05-22
2025-04-03Health · complaintF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2025-05-22
2025-04-03Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-05-22
2025-04-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-05-22
2025-04-03Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-05-22
2025-04-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-05-22
2025-04-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-22
2025-04-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-22
2025-04-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-22
2025-04-03Health · complaintF0758Implement 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.D2025-05-22
2025-04-03Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2025-05-22
2025-04-03Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-22
2025-02-06Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-05-22
2025-02-06HealthF0625Notify 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.E2025-03-06
2025-02-06HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2025-05-22
2025-02-06HealthF0637Assess the resident when there is a significant change in conditionD2025-05-22
2025-02-06HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.D2025-05-22
2025-02-06HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E2025-05-22
2025-02-06HealthF0641Ensure each resident receives an accurate assessment.D2025-03-06
2025-02-06HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-03-06
2025-02-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-03-06
2025-02-06HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-05-22
2025-02-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-05-22
2025-02-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-22
2025-02-06HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-05-22
2025-02-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-05-22
2025-02-06HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-03-06
2025-02-06HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-03-06
2025-02-06HealthF0758Implement 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.D2025-05-22
2025-02-06HealthF0760Ensure that residents are free from significant medication errors.G2025-02-20
2025-02-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-06
2025-02-06HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2025-05-22
2025-02-06HealthF0880Provide and implement an infection prevention and control program.D2025-05-22
2024-02-15HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E2024-03-15
2024-02-15HealthF0637Assess the resident when there is a significant change in conditionE2024-03-15
2024-02-15HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.E2024-03-15
2024-02-15HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E2024-03-15
2024-02-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-03-15
2024-02-15HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-03-15
2024-02-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-03-15
2024-02-15Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2024-03-15
2024-02-15HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F2024-03-15
2024-02-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-03-15
2024-02-15HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2024-03-15
2024-02-15HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2024-03-15
2024-02-15HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2024-03-15
2024-02-15HealthF0880Provide and implement an infection prevention and control program.F2024-03-15
2024-02-15HealthF0895Have a Compliance and Ethics Program.F2024-03-15
2023-07-13Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2023-08-18
2023-07-13Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-08-18
2023-07-13Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-08-18
2023-07-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-08-18
2023-07-13Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2023-08-18
2023-07-13Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-08-18
2023-07-13Health · complaintF0761Ensure 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.D2023-08-18
2023-07-13Health · complaintF0880Provide and implement an infection prevention and control program.E2023-08-18
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

26
OwnerRolePctFromStatusSource
AMICK, STEPHANIEADP OF THE SNF—2016-06-01currentpecos_ownership
AMICK, STEPHANIEDIRECT OWNERSHIP INTEREST—2018-01-01currentpecos_ownership
AMICK, STEPHANIEOPERATIONAL/MANAGERIAL CONTROL—2024-05-22currentpecos_ownership
DEWITT, JOSEPHDIRECT OWNERSHIP INTEREST—2018-01-01currentpecos_ownership
DEWITT, JOSEPHOPERATIONAL/MANAGERIAL CONTROL—2022-01-01currentpecos_ownership
DEWITT, JOSEPHADP OF THE SNF—2016-01-01currentpecos_ownership
DEWITT, JOSEPHLIMITED PARTNERSHIP INTEREST—2011-03-01currentpecos_ownership
HENGGELER, PATRICKDIRECT OWNERSHIP INTEREST—2018-01-01currentpecos_ownership
HENGGELER, PATRICKOPERATIONAL/MANAGERIAL CONTROL—2016-01-01currentpecos_ownership
HENGGELER, PATRICKLIMITED PARTNERSHIP INTEREST—2009-09-25currentpecos_ownership
JP SENIOR MANAGEMENT LLCADP OF THE SNF—2025-05-27currentpecos_ownership
JP SENIOR MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2016-03-01currentpecos_ownership
LOSEE, JASONADP OF THE SNF—2024-01-01currentpecos_ownership
NIELSEN, TIMOPERATIONAL/MANAGERIAL CONTROL—2021-04-05currentpecos_ownership
PATRICK HENGGELERDIRECT OWNERSHIP INTEREST90%2018-01-01ended 2026-05-18pecos_ownership
PATRICK HENGGELERLIMITED PARTNERSHIP INTEREST90%2009-09-25ended 2026-05-18pecos_ownership
JOSEPH DEWITTLIMITED PARTNERSHIP INTEREST5%2011-03-01ended 2026-05-18pecos_ownership
JOSEPH DEWITTDIRECT OWNERSHIP INTEREST5%2018-01-01ended 2026-05-18pecos_ownership
STEPHANIE AMICKDIRECT OWNERSHIP INTEREST5%2018-01-01ended 2026-05-18pecos_ownership
JASON LOSEEADP OF THE SNF—2024-01-01ended 2026-05-18pecos_ownership
JOSEPH DEWITTADP OF THE SNF—2016-01-01ended 2026-05-18pecos_ownership
JOSEPH DEWITTOPERATIONAL/MANAGERIAL CONTROL—2022-01-01ended 2026-05-18pecos_ownership
PATRICK HENGGELEROPERATIONAL/MANAGERIAL CONTROL—2016-01-01ended 2026-05-18pecos_ownership
STEPHANIE AMICKADP OF THE SNF—2016-06-01ended 2026-05-18pecos_ownership
STEPHANIE AMICKOPERATIONAL/MANAGERIAL CONTROL—2024-05-22ended 2026-05-18pecos_ownership
TIM NIELSENOPERATIONAL/MANAGERIAL CONTROL—2021-04-05ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA 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

33
GeoKindBRAmountAs ofSource
county 19193acs median gross0$7582024-12-31CENSUS_ACS5
county 19193fmr0$7962025-10-01HUD_USER_FMR
county 19193acs median gross1$8172024-12-31CENSUS_ACS5
county 19193fmr1$9252025-10-01HUD_USER_FMR
county 19193acs median gross2$1,0052024-12-31CENSUS_ACS5
county 19193fmr2$1,1542025-10-01HUD_USER_FMR
county 19193acs median gross3$1,1372024-12-31CENSUS_ACS5
county 19193fmr3$1,3862025-10-01HUD_USER_FMR
county 19193acs median gross4$1,3172024-12-31CENSUS_ACS5
county 19193fmr4$1,5282025-10-01HUD_USER_FMR
county 19193acs median gross5$1,2172024-12-31CENSUS_ACS5
county 19193acs median gross$9812024-12-31CENSUS_ACS5
county 19193acs recent mover gross$1,2152024-12-31CENSUS_ACS5
zcta 51054acs median gross1$1,5052024-12-31CENSUS_ACS5
zcta 51054acs median gross2$1,0182024-12-31CENSUS_ACS5
zcta 51054acs median gross3$1,0862024-12-31CENSUS_ACS5
zcta 51054acs median gross$1,1562024-12-31CENSUS_ACS5
zcta 51054acs recent mover gross$1,5272024-12-31CENSUS_ACS5
zip 51054payment standard 1100$1,1332025-10-01HUD_USER_SAFMR
zip 51054payment standard 900$9272025-10-01HUD_USER_SAFMR
zip 51054safmr0$1,0302025-10-01HUD_USER_SAFMR
zip 51054payment standard 1101$1,3092025-10-01HUD_USER_SAFMR
zip 51054payment standard 901$1,0712025-10-01HUD_USER_SAFMR
zip 51054safmr1$1,1902025-10-01HUD_USER_SAFMR
zip 51054payment standard 1102$1,6392025-10-01HUD_USER_SAFMR
zip 51054payment standard 902$1,3412025-10-01HUD_USER_SAFMR
zip 51054safmr2$1,4902025-10-01HUD_USER_SAFMR
zip 51054payment standard 1103$1,9692025-10-01HUD_USER_SAFMR
zip 51054payment standard 903$1,6112025-10-01HUD_USER_SAFMR
zip 51054safmr3$1,7902025-10-01HUD_USER_SAFMR
zip 51054payment standard 1104$2,1672025-10-01HUD_USER_SAFMR
zip 51054payment standard 904$1,7732025-10-01HUD_USER_SAFMR
zip 51054safmr4$1,9702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Pioneer Valley Living And Rehab (165615) · generated 2026-08-07 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency