Composite
93.4 / 100 percentile
Screener / 265398
D
WELLSVILLE HEALTH CARE CENTER
snfMO
250 E LOCUST, WELLSVILLE, MO 63384 · CCN 265398 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
112
Model
v1.2
Reads as: riskier than 93.4% 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 signals11Components16CHOW radar1Distress radar1Staffing14Penalties2Deficiencies47Licensure0Ownership24Related party7Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.3 | 95.1 | 0.30 | 0.2308 | 22.92 | in index |
| staffing risk | 99.7 | 99.7 | 0.25 | 0.1923 | 19.17 | in index |
| regulatory risk | 77.0 | 73.4 | 0.30 | 0.2308 | 17.77 | in index |
| chow risk | 62.1 | 61.2 | 0.15 | 0.1154 | 7.17 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +34.8 vs natl | RELIANT CARE GROUP OF WEBSTER INC | 6 facilities |
| connection | Owner fleet risk far above national | +22.6 vs natl | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | RELIANT CARE GROUP OF WEBSTER INC | 6 facilities |
| connection | Owner fleet enforcement cluster | 61% fined | RELIANT CARE GROUP LLC | 18 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet enforcement cluster | 55% fined | RCG INC | 20 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | ARSHAD ABDULLAH | 24 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | TLG II LLP | 17 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 | 10.0 | 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 | 97.5 | F | v0.6 | default · in composite | |
| financial risk | 95.1 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 73.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.5 | 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 | 71.5 | 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 | 75.4 | 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 | 93.6 | 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 | 73.3 | D | 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 | 73.3 | D | 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 | 99.7 | 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 | 99.7 | 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
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.95 | -1.66 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.28 | +0.35 | |
| Chain size (log) | 3.43 | +0.33 | |
| Occupancy | 0.61 | +0.26 |
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.0
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 | |
| Total nurse staffing (HPRD) | 1.28 | +0.81 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.61 | +0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.95 | -0.27 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
14| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.28 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.14 | 2.24 | 3.11 | — |
| Weekday total | 1.34 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 68.0 | 1.28 | 0.30 | 0.34 | 0.65 | 1.14 | 0.0% |
| 2025Q3 | 92 | 64.1 | 1.14 | 0.15 | 0.35 | 0.64 | 0.95 | 0.0% |
| 2025Q2 | 91 | 64.9 | 1.19 | 0.20 | 0.40 | 0.58 | 1.01 | 0.0% |
| 2025Q1 | 90 | 51.6 | 1.53 | 0.30 | 0.39 | 0.84 | 1.43 | 0.0% |
| 2024Q4 | 92 | 47.5 | 1.26 | 0.20 | 0.21 | 0.86 | 1.09 | 0.0% |
| 2024Q2 | 91 | 42.5 | 2.25 | 0.34 | 0.28 | 1.63 | 1.74 | 0.0% |
| 2024Q1 | 91 | 35.9 | 2.44 | 0.47 | 0.44 | 1.53 | 2.09 | 0.0% |
| 2023Q4 | 92 | 36.2 | 2.13 | 0.20 | 0.37 | 1.56 | 2.08 | 0.0% |
| 2023Q3 | 92 | 37.3 | 3.61 | 0.30 | 0.28 | 3.03 | 3.52 | 0.0% |
| 2023Q1 | 90 | 42.7 | 1.62 | 0.25 | 0.34 | 1.03 | 1.51 | 14.1% |
| 2022Q4 | 92 | 44.5 | 1.63 | 0.23 | 0.38 | 1.01 | 1.54 | 10.2% |
| 2022Q3 | 92 | 44.6 | 1.72 | 0.22 | 0.42 | 1.08 | 1.57 | 0.6% |
| 2022Q2 | 91 | 47.7 | 2.08 | 0.27 | 0.40 | 1.41 | 1.64 | 3.9% |
| 2022Q1 | 90 | 51.2 | 1.61 | 0.25 | 0.07 | 1.29 | 1.35 | 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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-24 | Fine | $20,280 | CMS provider data |
| 2025-05-08 | Payment Denial | — | CMS provider data |
Total fines on record: $20,280
Deficiencies
47C × 2D × 10E × 24F × 10G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-18 | 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. | D | 2025-11-24 |
| 2025-07-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-08-04 |
| 2025-05-08 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-06-22 |
| 2025-05-08 | 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. | E | 2025-06-22 |
| 2025-05-08 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2025-06-22 |
| 2025-05-08 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-06-22 |
| 2025-05-08 | 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. | E | 2025-06-22 |
| 2025-05-08 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-06-22 |
| 2025-05-08 | Health | 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 | 2025-06-22 |
| 2025-05-08 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2025-06-22 |
| 2025-05-08 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-06-22 |
| 2025-05-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-22 |
| 2025-05-08 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-07-25 |
| 2025-05-08 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-06-22 |
| 2025-03-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-13 |
| 2025-03-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-13 |
| 2024-11-06 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-10-18 |
| 2024-09-25 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-10-28 |
| 2024-04-04 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-05-20 |
| 2024-04-04 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2024-05-20 |
| 2024-04-04 | 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. | E | 2024-05-20 |
| 2024-04-04 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-20 |
| 2024-04-04 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-05-20 |
| 2024-04-04 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-05-20 |
| 2024-04-04 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-05-20 |
| 2024-04-04 | Health | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | D | 2024-05-20 |
| 2024-04-04 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-05-20 |
| 2024-04-04 | 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. | F | 2024-05-20 |
| 2024-04-04 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-05-20 |
| 2024-04-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-20 |
| 2024-04-04 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-05-20 |
| 2024-04-04 | Health | F0838 | Conduct 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. | E | 2024-05-20 |
| 2024-04-04 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-20 |
| 2024-04-04 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-05-20 |
| 2024-04-04 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-05-20 |
| 2024-04-04 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-05-20 |
| 2023-03-29 | 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. | E | 2023-05-13 |
| 2023-03-29 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2023-04-21 |
| 2023-03-29 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-04-22 |
| 2023-03-29 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-05-02 |
| 2023-03-29 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2023-04-26 |
| 2023-03-29 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-04-20 |
| 2023-03-29 | 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 | 2023-04-22 |
| 2023-03-29 | Health | 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. | E | 2023-04-20 |
| 2023-03-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-20 |
| 2023-03-29 | Health | F0838 | Conduct 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. | C | 2023-04-21 |
| 2023-03-29 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-04-25 |
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
24| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WELLSVILLE ASSOCIATES L.L.C. | Corporation, partnership or other organization has financial interest in provider | 99% | 2024-01-01 | current | hcris_a_8_1 |
| ARSHAD, ABDULLAH | ADP OF THE SNF | — | 2025-01-02 | current | pecos_ownership |
| DESTEFANE, RICHARD | CORPORATE OFFICER | — | 2024-08-15 | current | pecos_ownership |
| HARRIS, KIMBERLY | ADP OF THE SNF | — | 2024-10-09 | current | pecos_ownership |
| RCG INC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| RELIANT CARE GROUP LLC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| RELIANT CARE GROUP OF WEBSTER INC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2024-08-16 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | TRUSTEE OF THE SNF | — | 2024-08-15 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | ADP OF THE SNF | — | 2025-01-20 | current | pecos_ownership |
| TLG II LLP | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| WELLSVILLE ASSOCIATES LLC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERGO MIDWEST | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | ended 2023-03-31 | hcris_a_8_1 |
| RELIANT CARE GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-08-15 | ended 2026-05-18 | pecos_ownership |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | ended 2023-03-31 | hcris_a_8_1 |
| ABDULLAH ARSHAD | ADP OF THE SNF | — | 2025-01-02 | ended 2026-05-18 | pecos_ownership |
| KIMBERLY HARRIS | ADP OF THE SNF | — | 2024-10-09 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | CORPORATE OFFICER | — | 2024-08-15 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-08-16 | — | WELLSVILLE HEALTH CARE CENTER, L.L.C. | ANEW HEALTHCARE OPERATIONS - WELLSVILLE, 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29139 | acs median gross | 0 | $675 | 2024-12-31 | CENSUS_ACS5 |
| county 29139 | fmr | 0 | $672 | 2025-10-01 | HUD_USER_FMR |
| county 29139 | acs median gross | 1 | $450 | 2024-12-31 | CENSUS_ACS5 |
| county 29139 | fmr | 1 | $677 | 2025-10-01 | HUD_USER_FMR |
| county 29139 | acs median gross | 2 | $761 | 2024-12-31 | CENSUS_ACS5 |
| county 29139 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29139 | acs median gross | 3 | $967 | 2024-12-31 | CENSUS_ACS5 |
| county 29139 | fmr | 3 | $1,226 | 2025-10-01 | HUD_USER_FMR |
| county 29139 | acs median gross | 4 | $1,011 | 2024-12-31 | CENSUS_ACS5 |
| county 29139 | fmr | 4 | $1,336 | 2025-10-01 | HUD_USER_FMR |
| county 29139 | acs median gross | $788 | 2024-12-31 | CENSUS_ACS5 | |
| county 29139 | acs recent mover gross | $645 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63384 | acs median gross | 1 | $592 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63384 | acs median gross | 3 | $926 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63384 | acs median gross | $756 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63384 | acs recent mover gross | $1,542 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63384 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 110 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 90 | 2 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | safmr | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 110 | 3 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 90 | 3 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | safmr | 3 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 110 | 4 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | payment standard 90 | 4 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63384 | safmr | 4 | $1,320 | 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.