Composite
79.0 / 100 percentile
Screener / 265258
C
BELLEVIEW VALLEY NURSING HOME
snfMOSFF: SFF
23144 HIGHWAY 32, BELLEVIEW, MO 63623 · CCN 265258 · chain KRISLEY PROPERTIES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
109
Model
v1.2
Reads as: riskier than 79.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies73Licensure0Ownership36Related party5Transactions1Comps12Market rent29
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.3 | 98.7 | 0.30 | 0.2308 | 22.92 | in index |
| staffing risk | 99.0 | 99.0 | 0.25 | 0.1923 | 19.04 | in index |
| financial risk | 66.4 | 56.7 | 0.30 | 0.2308 | 15.32 | in index |
| chow risk | 23.5 | 22.7 | 0.15 | 0.1154 | 2.71 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | 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 | 20.3 | A | v0.6 | default · in composite | |
| financial risk | 56.7 | 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 | 0.2 | — | 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 | 98.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.1 | 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 | 35.1 | 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 | 57.4 | 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 | 59.4 | 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 | 98.7 | 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 | 98.7 | 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 | 99.0 | 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 | 99.0 | 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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
35.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 6.49 | -1.22 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.28 | +0.34 | |
| Total nurse staffing (HPRD) | 1.77 | +0.25 | |
| Occupancy | 0.78 | -0.24 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.87 | -0.62 | |
| Total nurse staffing (HPRD) | 1.77 | +0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Contract staffing share | 0.28 | +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
16| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.77 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.05 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.89 | 2.24 | 3.11 | — |
| Weekday total | 1.72 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 85.0 | 1.77 | 0.05 | 0.58 | 1.13 | 1.89 | 28.3% |
| 2025Q3 | 92 | 90.0 | 1.85 | 0.15 | 0.49 | 1.21 | 2.00 | 31.6% |
| 2025Q2 | 91 | 89.6 | 1.67 | 0.11 | 0.47 | 1.09 | 1.75 | 23.5% |
| 2025Q1 | 90 | 85.6 | 1.67 | 0.11 | 0.46 | 1.10 | 1.46 | 0.5% |
| 2024Q4 | 92 | 80.0 | 2.00 | 0.12 | 0.58 | 1.30 | 1.86 | 7.2% |
| 2024Q3 | 92 | 86.9 | 2.02 | 0.20 | 0.47 | 1.35 | 1.77 | 7.8% |
| 2024Q2 | 91 | 93.9 | 1.72 | 0.15 | 0.38 | 1.20 | 1.50 | 7.4% |
| 2024Q1 | 91 | 94.1 | 1.42 | 0.01 | 0.37 | 1.04 | 1.30 | 4.8% |
| 2023Q4 | 92 | 90.7 | 1.44 | 0.00 | 0.37 | 1.07 | 1.35 | 5.7% |
| 2023Q3 | 92 | 91.7 | 1.70 | 0.02 | 0.38 | 1.30 | 1.61 | 0.0% |
| 2023Q2 | 91 | 87.6 | 1.72 | 0.04 | 0.39 | 1.29 | 1.55 | 0.4% |
| 2023Q1 | 90 | 96.7 | 1.55 | 0.01 | 0.38 | 1.17 | 1.43 | 3.5% |
| 2022Q4 | 92 | 99.9 | 1.47 | 0.04 | 0.33 | 1.09 | 1.37 | 25.1% |
| 2022Q3 | 92 | 103.2 | 1.43 | 0.05 | 0.36 | 1.03 | 1.24 | 23.5% |
| 2022Q2 | 91 | 103.2 | 1.36 | 0.09 | 0.33 | 0.94 | 1.37 | 26.5% |
| 2022Q1 | 90 | 99.2 | 1.63 | 0.14 | 0.37 | 1.13 | 1.59 | 28.6% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-10-21 | Fine | $52,790 | CMS provider data |
| 2025-04-17 | Payment Denial | — | CMS provider data |
| 2024-04-16 | Fine | $150,504 | CMS provider data |
| 2024-04-16 | Payment Denial | — | CMS provider data |
| 2023-11-09 | Fine | $56,151 | CMS provider data |
| 2023-11-09 | Payment Denial | — | CMS provider data |
Total fines on record: $259,445
Deficiencies
73D × 28E × 19F × 18G × 2J × 5K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-08 | 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 | 2026-01-19 |
| 2025-12-08 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2026-01-19 |
| 2025-12-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-01-19 |
| 2025-12-08 | 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 | 2026-01-19 |
| 2025-12-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-01-19 |
| 2025-12-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-19 |
| 2025-12-08 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2026-01-19 |
| 2025-12-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-01-19 |
| 2025-10-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-11-11 |
| 2025-04-17 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-05-23 |
| 2025-04-17 | 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 | 2025-05-23 |
| 2025-04-17 | 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 | 2025-05-23 |
| 2025-04-17 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2025-05-23 |
| 2025-04-17 | Health | F0637 | Assess the resident when there is a significant change in condition | E | 2025-05-23 |
| 2025-04-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-23 |
| 2025-04-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-23 |
| 2025-04-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-23 |
| 2025-04-17 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-23 |
| 2025-04-17 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-05-23 |
| 2025-04-17 | 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. | F | 2025-05-23 |
| 2025-04-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-23 |
| 2025-04-17 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-05-23 |
| 2025-04-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-05-23 |
| 2025-04-17 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-05-23 |
| 2024-10-31 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-11-15 |
| 2024-10-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-15 |
| 2024-09-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-10-15 |
| 2024-09-10 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | 2024-09-26 |
| 2024-07-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-10-15 |
| 2024-07-18 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2024-08-22 |
| 2024-07-18 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-08-22 |
| 2024-04-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-05-31 |
| 2024-04-16 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-31 |
| 2024-04-16 | 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 | 2024-05-31 |
| 2024-04-16 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-05-31 |
| 2024-04-16 | 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 | 2024-07-10 |
| 2024-04-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-31 |
| 2024-04-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-31 |
| 2024-04-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2024-09-26 |
| 2024-04-16 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-07-10 |
| 2024-04-16 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-05-31 |
| 2024-04-16 | 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 | 2024-05-31 |
| 2024-04-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-09-26 |
| 2024-04-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-31 |
| 2024-04-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-05-31 |
| 2024-04-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-05-31 |
| 2024-04-16 | 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 | 2024-05-31 |
| 2024-04-16 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2024-07-10 |
| 2024-04-16 | 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 | 2024-05-31 |
| 2024-04-16 | 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 | 2024-09-26 |
| 2024-04-16 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-05-31 |
| 2024-04-16 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | J | 2024-05-31 |
| 2024-04-16 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-07-10 |
| 2024-04-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2024-09-26 |
| 2024-04-16 | 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 | 2024-10-15 |
| 2024-04-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-31 |
| 2024-04-16 | 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 | 2024-07-10 |
| 2024-04-16 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2024-05-31 |
| 2024-04-16 | Health | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | F | 2024-05-31 |
| 2024-04-16 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-05-31 |
| 2024-04-16 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-05-31 |
| 2024-04-16 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-05-31 |
| 2024-04-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-31 |
| 2024-04-16 | 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 | 2024-05-31 |
| 2024-04-16 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-07-10 |
| 2024-04-16 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-05-31 |
| 2024-04-16 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2024-05-31 |
| 2024-04-16 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-05-31 |
| 2024-04-16 | 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. | F | 2024-05-31 |
| 2024-04-16 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-05-31 |
| 2023-11-09 | 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. | F | 2023-12-20 |
| 2023-11-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | K | 2023-12-20 |
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
36| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COULTER, TERRENCE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2020-02-01 | current | pecos_ownership |
| KRISLEY PROPERTIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2020-02-01 | current | pecos_ownership |
| MJZ INVESTMENT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2020-02-01 | current | pecos_ownership |
| SILVER MAPLE PROPERTIES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2020-02-01 | current | pecos_ownership |
| AHRENS, MITCHELL | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| AHRENS, TRACIE | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| AMY FORD - TURNER | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| BELLEVIEW INVESTMENT GROUP LLC | ADP OF THE SNF | — | 2020-01-30 | current | pecos_ownership |
| BELLEVIEW INVESTMENT GROUP LLC | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| BELLEVIEW RE GROUP LLC | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| BERGEN, BRENT | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| BIGHAM, BROOKE | CORPORATE OFFICER | — | 2020-02-01 | current | pecos_ownership |
| BRENT BERGEN TRUST | ADP OF THE SNF | — | 2020-01-31 | current | pecos_ownership |
| COULTER, TERRENCE | 5% OR GREATER SECURITY INTEREST | — | 2020-01-30 | current | pecos_ownership |
| FORD TURNER, AMY | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| HUFFMAN, RHONDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-17 | current | pecos_ownership |
| HUFFMAN, RHONDA | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| KRISLEY PROPERTIES LLC | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| KRISLEY PROPERTIES LLC | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| MITCHELL AHRENS | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| MJZ INVESTMENT LLC | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| MJZ INVESTMENT LLC | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| NORTH STAR EQUITY GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 | current | pecos_ownership |
| SILVER MAPLE PROPERTIES LLC | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| SILVER MAPLE PROPERTIES LLC | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| TERRANCE COULTER | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| TRACIE AHRENS | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| TRINITY TURNER | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| TURNER, TRINITY | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| WILLIZA PROPERTIES | 5% OR GREATER SECURITY INTEREST | — | 2020-01-31 | current | pecos_ownership |
| TERRENCE COULTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| TERRENCE COULTER | 5% OR GREATER SECURITY INTEREST | 23% | 2020-01-30 | ended 2026-05-18 | pecos_ownership |
| BRENT BERGEN | 5% OR GREATER SECURITY INTEREST | 15% | 2020-01-31 | ended 2026-05-18 | pecos_ownership |
| BROOKE BIGHAM | CORPORATE OFFICER | — | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| RHONDA HUFFMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-17 | ended 2026-05-18 | pecos_ownership |
| RHONDA HUFFMAN | ADP OF THE SNF | — | 2025-04-14 | 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 |
|---|---|---|---|---|
| 2020-02-01 | — | BELLEVIEW INVESTMENT GROUP LLC | BELLEVIEW VALLEY SKILLED NURSING CARE, 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
29| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29093 | acs median gross | 0 | $669 | 2024-12-31 | CENSUS_ACS5 |
| county 29093 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29093 | acs median gross | 1 | $571 | 2024-12-31 | CENSUS_ACS5 |
| county 29093 | fmr | 1 | $810 | 2025-10-01 | HUD_USER_FMR |
| county 29093 | acs median gross | 2 | $682 | 2024-12-31 | CENSUS_ACS5 |
| county 29093 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29093 | acs median gross | 3 | $746 | 2024-12-31 | CENSUS_ACS5 |
| county 29093 | fmr | 3 | $1,084 | 2025-10-01 | HUD_USER_FMR |
| county 29093 | acs median gross | 4 | $949 | 2024-12-31 | CENSUS_ACS5 |
| county 29093 | fmr | 4 | $1,371 | 2025-10-01 | HUD_USER_FMR |
| county 29093 | acs median gross | $664 | 2024-12-31 | CENSUS_ACS5 | |
| county 29093 | acs recent mover gross | $595 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63623 | acs median gross | 3 | $771 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63623 | acs median gross | $809 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63623 | payment standard 110 | 0 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 90 | 0 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | safmr | 0 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 110 | 2 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 90 | 2 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | safmr | 2 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 110 | 4 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | payment standard 90 | 4 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63623 | safmr | 4 | $1,470 | 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.