Composite
59.2 / 100 percentile
Screener / 265253
B
TRUMAN HEALTHCARE & REHABILITATION CENTER
snfMO
206 WEST FIRST STREET, LAMAR, MO 64759 · CCN 265253 · chain SOVEREIGN HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
109
Model
v1.2
Reads as: riskier than 59.2% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies46Licensure0Ownership34Related party5Transactions0Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 95.8 | 95.8 | 0.25 | 0.1923 | 18.42 | in index |
| financial risk | 52.9 | 47.3 | 0.30 | 0.2308 | 12.21 | in index |
| regulatory risk | 51.0 | 40.3 | 0.30 | 0.2308 | 11.77 | in index |
| billing conduct | 26.5 | 29.9 | 0.30 | 0.2308 | 6.12 | in index |
| chow risk | 27.6 | 26.6 | 0.15 | 0.1154 | 3.18 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 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 | 29.9 | B | 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 | 28.1 | B | v0.6 | default · in composite | |
| financial risk | 47.3 | C | 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 | 3.9 | — | 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 | 40.3 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.8 | C | 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 | 38.8 | B | 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 | 46.4 | C | 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 | 52.0 | C | 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 | 40.2 | B | 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 | 40.2 | B | 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 | 95.8 | 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 | 95.8 | 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)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.64 | +0.37 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.25 | +0.16 |
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.64 | -0.91 | |
| Occupancy | 0.93 | -0.75 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| Total nurse staffing (HPRD) | 2.25 | +0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +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 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.25 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.90 | 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 | 101.1 | 2.25 | 0.48 | 0.37 | 1.40 | 1.90 | 0.0% |
| 2025Q3 | 92 | 101.0 | 2.46 | 0.64 | 0.34 | 1.48 | 2.06 | 0.0% |
| 2025Q2 | 91 | 99.4 | 2.48 | 0.59 | 0.45 | 1.44 | 2.06 | 0.0% |
| 2025Q1 | 90 | 100.6 | 2.49 | 0.53 | 0.48 | 1.48 | 2.12 | 0.0% |
| 2024Q4 | 92 | 100.9 | 2.45 | 0.50 | 0.45 | 1.50 | 2.04 | 0.0% |
| 2024Q3 | 92 | 95.1 | 2.41 | 0.53 | 0.43 | 1.45 | 2.02 | 0.0% |
| 2024Q2 | 91 | 90.5 | 2.58 | 0.58 | 0.53 | 1.47 | 2.20 | 0.0% |
| 2024Q1 | 91 | 89.1 | 2.52 | 0.52 | 0.48 | 1.51 | 2.25 | 0.0% |
| 2023Q4 | 92 | 89.8 | 2.37 | 0.51 | 0.52 | 1.33 | 2.21 | 0.0% |
| 2023Q3 | 92 | 92.1 | 1.95 | 0.39 | 0.52 | 1.04 | 1.83 | 0.0% |
| 2023Q2 | 91 | 91.3 | 1.99 | 0.41 | 0.41 | 1.17 | 1.82 | 0.0% |
| 2023Q1 | 90 | 90.0 | 2.08 | 0.41 | 0.42 | 1.25 | 1.76 | 0.0% |
| 2022Q4 | 92 | 93.5 | 1.96 | 0.42 | 0.32 | 1.22 | 1.73 | 0.0% |
| 2022Q3 | 92 | 94.1 | 2.07 | 0.29 | 0.35 | 1.43 | 1.87 | 0.0% |
| 2022Q2 | 91 | 96.1 | 2.02 | 0.30 | 0.33 | 1.39 | 1.79 | 0.0% |
| 2022Q1 | 90 | 99.9 | 1.90 | 0.26 | 0.24 | 1.40 | 1.75 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
46D × 33E × 9F × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2026-04-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | — |
| 2026-04-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2026-04-17 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | — |
| 2025-12-19 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-01-25 |
| 2025-06-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-07-10 |
| 2025-06-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-10 |
| 2025-06-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-10 |
| 2025-06-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-10 |
| 2025-04-15 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-07-10 |
| 2025-04-15 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-30 |
| 2025-04-15 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-05-30 |
| 2025-04-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-30 |
| 2025-04-15 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-10 |
| 2025-04-15 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-10 |
| 2025-04-15 | 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 | 2025-07-10 |
| 2025-04-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-30 |
| 2025-04-15 | 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 | 2025-05-30 |
| 2025-04-15 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-10 |
| 2025-04-15 | 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 | 2025-05-30 |
| 2025-04-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-05-30 |
| 2025-04-15 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-30 |
| 2025-04-15 | 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 | 2025-05-30 |
| 2025-04-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-05-30 |
| 2025-04-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-30 |
| 2025-04-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-30 |
| 2023-08-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-08 |
| 2023-07-14 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-08-27 |
| 2023-07-14 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-08-27 |
| 2023-07-14 | 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 | 2023-08-27 |
| 2023-07-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-27 |
| 2023-07-14 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-08-27 |
| 2023-07-14 | 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 | 2023-08-27 |
| 2023-07-14 | 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. | D | 2023-08-27 |
| 2023-07-14 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-08-27 |
| 2023-07-14 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-08-27 |
| 2019-11-22 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2020-01-06 |
| 2019-11-22 | 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 | 2020-01-06 |
| 2019-11-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2020-01-06 |
| 2019-11-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-01-06 |
| 2019-11-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-01-06 |
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
34| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CEO FINANCIAL SERVICES INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| CEO FINANCIAL SERVICES INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| LAMAR RE LLC | Other (financial or non-financial) | 100% | 2024-01-01 | current | hcris_a_8_1 |
| LAMAR RE LLC | Other (financial or non-financial) | 100% | 2023-01-01 | current | hcris_a_8_1 |
| THE LAMAR EXEMPT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-04-23 | current | pecos_ownership |
| AGH1 LLC | ADP OF THE SNF | — | 2025-03-25 | current | pecos_ownership |
| AGH1 LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-02 | current | pecos_ownership |
| BEAIRD, TODD | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| BEDELL, BRYAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-05-12 | current | pecos_ownership |
| BEDELL, DONALD | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-04-23 | current | pecos_ownership |
| BEDELL, DONALD | CORPORATE DIRECTOR | — | 2004-06-11 | current | pecos_ownership |
| BEDELL, PAMELA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-11 | current | pecos_ownership |
| DCB REAL ESTATE PARTNERSHIP LP | ADP OF THE SNF | — | 2012-10-31 | current | pecos_ownership |
| FG LLC | ADP OF THE SNF | — | 2016-12-02 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2021-08-16 | current | pecos_ownership |
| JOUSTRA, CLARENCE | ADP OF THE SNF | — | 1992-01-01 | current | pecos_ownership |
| LAMAR RE LLC | ADP OF THE SNF | — | 2012-10-31 | current | pecos_ownership |
| MID STATES INC | ADP OF THE SNF | — | 2022-06-01 | current | pecos_ownership |
| SELVEY, LISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-01 | current | pecos_ownership |
| SOVEREIGN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-23 | current | pecos_ownership |
| SOVEREIGN HEALTHCARE GROUP LLC | ADP OF THE SNF | — | 2025-04-06 | current | pecos_ownership |
| VAN DE VEN LLC | ADP OF THE SNF | — | 2000-01-01 | current | pecos_ownership |
| CEO FINANCIAL SERVICES INC | Other (financial or non-financial) | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CEO FINANCIAL SERVICES INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CEO FINANCIAL SERVICES INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| DONALD BEDELL | CORPORATE OFFICER | 100% | 2004-04-23 | ended 2026-05-18 | pecos_ownership |
| LAMAR RE LLC | Other (financial or non-financial) | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| LAMAR RE LLC | Other (financial or non-financial) | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| LAMAR RE LLC | Other (financial or non-financial) | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MID STATES INC | Other (financial or non-financial) | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CLARENCE JOUSTRA | ADP OF THE SNF | — | 1992-01-01 | ended 2026-05-18 | pecos_ownership |
| DONALD BEDELL | CORPORATE DIRECTOR | — | 2004-06-11 | ended 2026-05-18 | pecos_ownership |
| LISA SELVEY | ADP OF THE SNF | — | 2022-06-01 | ended 2026-05-18 | pecos_ownership |
| TODD BEAIRD | ADP OF THE SNF | — | 2022-01-01 | 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
0No 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 — 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 29011 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29011 | acs median gross | 1 | $539 | 2024-12-31 | CENSUS_ACS5 |
| county 29011 | fmr | 1 | $734 | 2025-10-01 | HUD_USER_FMR |
| county 29011 | acs median gross | 2 | $717 | 2024-12-31 | CENSUS_ACS5 |
| county 29011 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29011 | acs median gross | 3 | $929 | 2024-12-31 | CENSUS_ACS5 |
| county 29011 | fmr | 3 | $1,235 | 2025-10-01 | HUD_USER_FMR |
| county 29011 | acs median gross | 4 | $860 | 2024-12-31 | CENSUS_ACS5 |
| county 29011 | fmr | 4 | $1,273 | 2025-10-01 | HUD_USER_FMR |
| county 29011 | acs median gross | $805 | 2024-12-31 | CENSUS_ACS5 | |
| county 29011 | acs recent mover gross | $633 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64759 | acs median gross | 1 | $552 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64759 | acs median gross | 2 | $722 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64759 | acs median gross | 3 | $957 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64759 | acs median gross | $818 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64759 | acs recent mover gross | $585 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64759 | payment standard 110 | 0 | $748 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 90 | 0 | $612 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | safmr | 0 | $680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 110 | 2 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 90 | 2 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | safmr | 2 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 110 | 3 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 90 | 3 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | safmr | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 110 | 4 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | payment standard 90 | 4 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64759 | safmr | 4 | $1,310 | 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.