Composite
95.1 / 100 percentile
Screener / 265672
F
MAGNOLIA WELLNESS CENTER
snfMO
3421 GASCONADE, SAINT LOUIS, MO 63118 · CCN 265672 · chain DERHOBEN TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 95.1% 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 signals23Components16CHOW radar1Distress radar1Staffing13Penalties7Deficiencies81Licensure0Ownership29Related party7Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.8 | 92.9 | 0.30 | 0.2308 | 21.88 | in index |
| financial risk | 94.1 | 83.2 | 0.30 | 0.2308 | 21.72 | in index |
| staffing risk | 94.9 | 94.9 | 0.25 | 0.1923 | 18.25 | in index |
| chow risk | 52.8 | 58.2 | 0.15 | 0.1154 | 6.09 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.2308 | 3.53 | 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
23| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +45.3 vs natl | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | WILDFLOWER HEALTHCARE LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | PAS B SOL TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +39.5 vs natl | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.5 vs natl | ZIMMERMAN CAROLINE | 35 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner fleet risk far above national | +30.0 vs natl | KAPLAN MORDECHAI | 38 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 9 chains | KAPLAN MORDECHAI | 37 facilities |
| connection | Owner spans multiple chains | 8 chains | DAVIDOVICH NIV | 19 facilities |
| connection | Owner spans multiple chains | 6 chains | ZIMMERMAN CAROLINE | 33 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | PAS B SOL TRUST | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | WILDFLOWER HEALTHCARE LLC | 5 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 | 20.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.9 | A | 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 | 92.5 | F | v0.6 | default · in composite | |
| financial risk | 83.2 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 92.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 94.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.6 | D | 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 | 46.6 | C | 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 | 69.2 | 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 | 82.5 | 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 | 92.8 | 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 | 92.8 | 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 | 94.9 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 94.9 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.08 | -1.64 | |
| 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) | 2.30 | +0.15 | |
| High-severity deficiencies, 12m | 3.00 | +0.14 | |
| Occupancy | 0.73 | -0.10 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.43 | -0.51 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.30 | +0.38 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.08 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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
13| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.30 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.14 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.09 | 2.24 | 3.11 | — |
| Weekday total | 2.39 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 87.8 | 2.30 | 0.14 | 0.64 | 1.52 | 2.09 | 0.0% |
| 2025Q3 | 92 | 88.1 | 2.23 | 0.13 | 0.58 | 1.52 | 2.09 | 0.0% |
| 2025Q2 | 91 | 88.3 | 2.22 | 0.10 | 0.59 | 1.54 | 1.93 | 2.3% |
| 2025Q1 | 90 | 81.5 | 1.96 | 0.11 | 0.48 | 1.36 | 1.75 | 5.1% |
| 2024Q4 | 92 | 74.1 | 2.33 | 0.08 | 0.63 | 1.62 | 2.06 | 0.1% |
| 2024Q3 | 92 | 72.5 | 2.19 | 0.14 | 0.59 | 1.46 | 1.93 | 0.0% |
| 2024Q1 | 91 | 73.0 | 2.16 | 0.34 | 0.52 | 1.31 | 1.77 | 79.3% |
| 2023Q4 | 92 | 69.2 | 2.21 | 0.18 | 0.59 | 1.45 | 1.89 | 81.5% |
| 2023Q3 | 92 | 67.7 | 2.27 | 0.28 | 0.60 | 1.39 | 1.94 | 76.5% |
| 2023Q2 | 91 | 68.6 | 2.29 | 0.15 | 0.73 | 1.41 | 2.00 | 80.8% |
| 2023Q1 | 90 | 56.9 | 1.37 | 0.05 | 0.36 | 0.96 | 1.23 | 61.1% |
| 2022Q4 | 92 | 39.3 | 2.41 | 0.05 | 0.66 | 1.71 | 2.15 | 62.2% |
| 2022Q3 | 92 | 36.7 | 2.59 | 0.22 | 0.58 | 1.79 | 2.34 | 59.6% |
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
7fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-12 | Payment Denial | — | CMS provider data |
| 2025-10-24 | Fine | $12,438 | CMS provider data |
| 2025-03-04 | Fine | $40,717 | CMS provider data |
| 2025-03-04 | Payment Denial | — | CMS provider data |
| 2024-05-02 | Fine | $139,002 | CMS provider data |
| 2024-05-02 | Payment Denial | — | CMS provider data |
| 2024-02-15 | Fine | $17,091 | CMS provider data |
Total fines on record: $209,248
Deficiencies
81B × 2C × 4D × 34E × 27F × 7G × 5J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-10 |
| 2026-04-09 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-03-17 |
| 2026-04-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-10 |
| 2026-04-09 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-04-10 |
| 2025-12-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-10 |
| 2025-12-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-10 |
| 2025-12-12 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2026-04-10 |
| 2025-12-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-13 |
| 2025-10-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | — |
| 2025-08-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | — |
| 2025-06-25 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-23 |
| 2025-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-03 |
| 2025-05-02 | Health · complaint | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | 2025-05-03 |
| 2025-03-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-22 |
| 2025-03-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-03 |
| 2025-03-26 | Health · complaint | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-05-03 |
| 2025-03-26 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-04-22 |
| 2025-03-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-02 |
| 2025-03-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-03-05 |
| 2025-03-04 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-03-05 |
| 2024-07-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-29 |
| 2024-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-06-15 |
| 2024-02-15 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-03-29 |
| 2024-02-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-03-29 |
| 2024-02-15 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-03-29 |
| 2024-02-15 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-29 |
| 2024-02-15 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | C | 2024-03-29 |
| 2024-02-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-03-29 |
| 2024-02-15 | 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. | D | 2024-03-29 |
| 2024-02-15 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-29 |
| 2024-02-15 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-03-29 |
| 2024-02-15 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-29 |
| 2024-02-15 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2024-03-29 |
| 2024-02-15 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-03-29 |
| 2024-02-15 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2024-03-29 |
| 2021-12-08 | Health | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | E | 2022-01-22 |
| 2021-12-08 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2022-01-22 |
| 2021-12-08 | 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 | 2022-01-22 |
| 2021-12-08 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-04-30 |
| 2021-12-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-01-22 |
| 2021-12-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-04-30 |
| 2021-12-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-04-30 |
| 2021-12-08 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2022-01-22 |
| 2021-12-08 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2022-01-22 |
| 2021-12-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-01-22 |
| 2021-12-08 | Health | F0687 | Provide appropriate foot care. | D | 2022-01-22 |
| 2021-12-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-01-22 |
| 2021-12-08 | 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. | E | 2022-01-22 |
| 2021-12-08 | 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 | 2022-04-30 |
| 2021-12-08 | Health | F0732 | Post nurse staffing information every day. | C | 2022-01-22 |
| 2021-12-08 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-01-22 |
| 2021-12-08 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-04-30 |
| 2021-12-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2022-01-22 |
| 2021-12-08 | 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. | E | 2022-04-30 |
| 2021-12-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-01-22 |
| 2021-12-08 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2022-01-22 |
| 2021-12-08 | 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. | F | 2022-01-22 |
| 2021-12-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-01-22 |
| 2021-12-08 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2022-01-22 |
| 2021-12-08 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-01-22 |
| 2021-12-08 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2022-01-22 |
| 2021-12-08 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2022-04-30 |
| 2021-12-08 | 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 | 2022-04-30 |
| 2021-12-08 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2022-04-30 |
| 2019-09-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | 2019-10-18 |
| 2019-09-06 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2019-10-18 |
| 2019-09-06 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2019-10-18 |
| 2019-09-06 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2019-10-18 |
| 2019-09-06 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2019-10-18 |
| 2019-09-06 | 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 | 2019-10-18 |
| 2019-09-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2019-10-18 |
| 2019-09-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-10-18 |
| 2019-09-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-10-30 |
| 2019-09-06 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2019-10-18 |
| 2019-09-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-10-18 |
| 2019-09-06 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2019-10-18 |
| 2019-09-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-10-18 |
| 2019-09-06 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2019-10-18 |
| 2019-09-06 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2019-10-18 |
| 2019-09-06 | 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 | 2019-10-18 |
| 2019-09-06 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-10-18 |
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
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
29| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WILDFLOWER HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-07-01 | current | pecos_ownership |
| AFT INC. | Individual has financial interest in both related organization and provider | 50% | 2023-07-01 | current | hcris_a_8_1 |
| AFT INC. | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| 321 GASCONADE STREET MO LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-07-01 | current | pecos_ownership |
| BLOOMING WILLOW PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-01 | current | pecos_ownership |
| DAVIDOVICH, NIV | TRUSTEE OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| DERHOBEN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-01 | current | pecos_ownership |
| GARETZ, DAVID | CORPORATE OFFICER | — | 2024-07-01 | current | pecos_ownership |
| HAGINS, ELIZABETH | TRUSTEE OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| KAPLAN, MORDECHAI | TRUSTEE OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| MINDLE, ADAM | TRUSTEE OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| PAS B SOL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-01 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | TRUSTEE OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| THORDSEN, DENISE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | current | pecos_ownership |
| WILDFLOWER HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-25 | current | pecos_ownership |
| ZIMMERMAN, CAROLINE | TRUSTEE OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| AFT INC. | Individual has financial interest in both related organization and provider | 50% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| AFT INC. | Individual has financial interest in both related organization and provider | 50% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| AFT INC. | Individual has financial interest in both related organization and provider | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MOSHA KAPLAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 3% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| ESTHER KAPLAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 1% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| ADAM MINDLE | TRUSTEE OF THE SNF | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| CAROLINE ZIMMERMAN | TRUSTEE OF THE SNF | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| DAVID GARETZ | CORPORATE OFFICER | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| DENISE THORDSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH HAGINS | TRUSTEE OF THE SNF | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER STERNSHEIN | TRUSTEE OF THE SNF | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| MORDECHAI KAPLAN | TRUSTEE OF THE SNF | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| NIV DAVIDOVICH | TRUSTEE OF THE SNF | — | 2024-05-01 | 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 |
|---|---|---|---|---|
| 2024-07-01 | — | SAGE NURSING & REHAB LLC | DUTCHTOWN CARE CENTER INC | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29510 | acs median gross | 0 | $894 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 1 | $880 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 2 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 3 | $1,218 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 4 | $1,255 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29510 | acs median gross | 5 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| county 29510 | acs median gross | $997 | 2024-12-31 | CENSUS_ACS5 | |
| county 29510 | acs recent mover gross | $1,173 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63118 | acs median gross | 0 | $533 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63118 | acs median gross | 1 | $792 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63118 | acs median gross | 2 | $1,092 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63118 | acs median gross | 3 | $1,378 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63118 | acs median gross | 5 | $722 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63118 | acs median gross | $972 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63118 | acs recent mover gross | $1,207 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63118 | payment standard 110 | 0 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 90 | 0 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | safmr | 0 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 110 | 3 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 90 | 3 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | safmr | 3 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63118 | safmr | 4 | $1,730 | 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.