Composite
94.7 / 100 percentile
Screener / 265481
D
PIN OAKS LIVING CENTER
snfMO
1525 WEST MONROE, MEXICO, MO 65265 · CCN 265481 · chain LTC MANAGEMENT SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
124
Model
v1.2
Reads as: riskier than 94.7% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies63Licensure0Ownership15Related party5Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 92.6 | 80.9 | 0.30 | 0.2308 | 21.37 | in index |
| staffing risk | 98.5 | 98.5 | 0.25 | 0.1923 | 18.94 | in index |
| regulatory risk | 79.3 | 75.8 | 0.30 | 0.2308 | 18.30 | in index |
| billing conduct | 32.4 | 32.7 | 0.30 | 0.2308 | 7.48 | in index |
| chow risk | 42.6 | 40.8 | 0.15 | 0.1154 | 4.92 | 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
6| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.7 vs natl | LINCOLN JUDY | 55 facilities |
| connection | Owner fleet risk far above national | +28.6 vs natl | ERGO MIDWEST INC | 57 facilities |
| connection | Owner fleet risk far above national | +28.6 vs natl | SYSTEMS LEASING INC | 57 facilities |
| connection | Owner fleet risk far above national | +28.5 vs natl | LTC MANAGEMENT SERVICES LLC | 37 facilities |
| connection | Owner fleet risk far above national | +27.5 vs natl | LINCOLN JAMES | 56 facilities |
| connection | Owner spans multiple chains | 4 chains | ERGO MIDWEST INC | 38 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 | 32.6 | 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 | 56.6 | C | v0.6 | default · in composite | |
| financial risk | 80.9 | 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 | 0.3 | — | 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 | 75.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.2 | 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 | 41.2 | 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 | 67.0 | 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 | 80.8 | 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 | 75.7 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 75.7 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 98.5 | 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 | 98.5 | 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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
48.1
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) | 9.91 | -0.89 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.64 | +0.37 | |
| Total nurse staffing (HPRD) | 1.90 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| High-severity deficiencies, 12m | 4.00 | +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
0.0
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 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.19 | -0.57 | |
| Total nurse staffing (HPRD) | 1.90 | +0.55 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.66 | -0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 4.00 | -0.28 |
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 | 1.90 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.41 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.64 | 2.24 | 3.11 | — |
| Weekday total | 2.00 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.5 | 1.90 | 0.41 | 0.34 | 1.14 | 1.64 | 0.3% |
| 2025Q3 | 92 | 88.8 | 2.06 | 0.36 | 0.27 | 1.43 | 1.81 | 0.0% |
| 2025Q2 | 91 | 83.7 | 2.31 | 0.36 | 0.29 | 1.66 | 2.37 | 0.0% |
| 2025Q1 | 90 | 80.6 | 2.32 | 0.43 | 0.29 | 1.61 | 2.33 | 0.0% |
| 2024Q4 | 92 | 71.1 | 2.55 | 0.43 | 0.34 | 1.78 | 2.33 | 0.0% |
| 2024Q3 | 92 | 68.7 | 2.04 | 0.31 | 0.32 | 1.41 | 1.83 | 0.0% |
| 2024Q2 | 91 | 70.8 | 2.16 | 0.43 | 0.36 | 1.37 | 1.99 | 0.0% |
| 2024Q1 | 91 | 76.5 | 2.01 | 0.42 | 0.32 | 1.27 | 1.86 | 0.0% |
| 2023Q4 | 92 | 73.1 | 1.94 | 0.38 | 0.33 | 1.23 | 1.83 | 0.0% |
| 2023Q3 | 92 | 67.9 | 2.17 | 0.39 | 0.49 | 1.29 | 1.96 | 0.0% |
| 2023Q2 | 91 | 65.6 | 2.00 | 0.32 | 0.51 | 1.17 | 1.82 | 0.0% |
| 2023Q1 | 90 | 67.2 | 2.06 | 0.39 | 0.46 | 1.21 | 1.94 | 0.0% |
| 2022Q4 | 92 | 65.4 | 1.96 | 0.29 | 0.52 | 1.15 | 1.78 | 0.0% |
| 2022Q3 | 92 | 64.3 | 2.02 | 0.11 | 0.49 | 1.43 | 1.72 | 0.0% |
| 2022Q2 | 91 | 65.4 | 1.98 | 0.17 | 0.61 | 1.20 | 1.65 | 0.1% |
| 2022Q1 | 90 | 59.4 | 1.99 | 0.20 | 0.49 | 1.30 | 1.76 | 3.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-18 | Fine | $26,650 | CMS provider data |
| 2025-11-18 | Payment Denial | — | CMS provider data |
Total fines on record: $26,650
Deficiencies
63B × 4C × 3D × 28E × 21F × 1G × 6
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-02-10 |
| 2026-01-07 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2026-02-10 |
| 2026-01-07 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | 2026-01-28 |
| 2026-01-07 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2026-01-28 |
| 2025-11-18 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2026-03-17 |
| 2025-11-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-18 |
| 2025-11-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-03-17 |
| 2025-11-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | 2026-01-28 |
| 2025-11-18 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2026-01-28 |
| 2024-11-14 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-11-14 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-12-23 |
| 2024-11-14 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-23 |
| 2024-11-14 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-23 |
| 2024-11-14 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-11-14 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-12-23 |
| 2024-11-14 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-12-23 |
| 2024-11-14 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-23 |
| 2024-11-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-23 |
| 2024-11-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-11-14 | 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. | E | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-11-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-23 |
| 2024-11-14 | 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 | 2024-12-23 |
| 2024-10-01 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-10-10 |
| 2024-10-01 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-10-10 |
| 2023-11-08 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2023-11-24 |
| 2023-07-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-08-12 |
| 2023-07-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-12 |
| 2023-06-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-08-12 |
| 2023-06-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-12 |
| 2023-06-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-07-13 |
| 2023-06-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-07-13 |
| 2023-02-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-04-10 |
| 2023-02-23 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2023-04-10 |
| 2023-02-23 | 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 | 2023-04-10 |
| 2023-02-23 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-04-10 |
| 2023-02-23 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-04-10 |
| 2023-02-23 | 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. | B | 2023-04-10 |
| 2023-02-23 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-04-10 |
| 2023-02-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-04-10 |
| 2023-02-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-10 |
| 2023-02-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-04-10 |
| 2023-02-23 | 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 | 2023-04-10 |
| 2023-02-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-04-10 |
| 2023-02-23 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-04-10 |
| 2023-02-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-04-10 |
| 2023-02-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-04-10 |
| 2019-08-09 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2019-10-10 |
| 2019-08-09 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2019-10-10 |
| 2019-08-09 | 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 | 2019-10-10 |
| 2019-08-09 | 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. | B | 2019-10-10 |
| 2019-08-09 | 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 | 2019-10-10 |
| 2019-08-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-10-10 |
| 2019-08-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-10-10 |
| 2019-08-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-10-10 |
| 2019-08-09 | 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 | 2019-10-10 |
| 2019-08-09 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2019-10-10 |
| 2019-08-09 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2019-10-10 |
| 2019-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-10-10 |
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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| LINCOLN, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | current | pecos_ownership |
| LINCOLN, JUDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | current | pecos_ownership |
| LTC MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-09-01 | current | pecos_ownership |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERGO MIDWEST INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SYSTEMS LEASING INC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JAMES LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | ended 2026-05-18 | pecos_ownership |
| JUDY LINCOLN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-09-01 | 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 |
|---|---|---|---|---|
| 2016-09-01 | — | N & R OF MEXICO LLC | GGNSC MEXICO 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29007 | fmr | 0 | $660 | 2025-10-01 | HUD_USER_FMR |
| county 29007 | acs median gross | 1 | $560 | 2024-12-31 | CENSUS_ACS5 |
| county 29007 | fmr | 1 | $690 | 2025-10-01 | HUD_USER_FMR |
| county 29007 | acs median gross | 2 | $681 | 2024-12-31 | CENSUS_ACS5 |
| county 29007 | fmr | 2 | $888 | 2025-10-01 | HUD_USER_FMR |
| county 29007 | acs median gross | 3 | $868 | 2024-12-31 | CENSUS_ACS5 |
| county 29007 | fmr | 3 | $1,141 | 2025-10-01 | HUD_USER_FMR |
| county 29007 | acs median gross | 4 | $1,563 | 2024-12-31 | CENSUS_ACS5 |
| county 29007 | fmr | 4 | $1,239 | 2025-10-01 | HUD_USER_FMR |
| county 29007 | acs median gross | 5 | $849 | 2024-12-31 | CENSUS_ACS5 |
| county 29007 | acs median gross | $693 | 2024-12-31 | CENSUS_ACS5 | |
| county 29007 | acs recent mover gross | $848 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65265 | acs median gross | 1 | $588 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65265 | acs median gross | 2 | $680 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65265 | acs median gross | 3 | $874 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65265 | acs median gross | 4 | $1,826 | 2024-12-31 | CENSUS_ACS5 |
| zcta 65265 | acs median gross | $693 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 65265 | acs recent mover gross | $1,015 | 2024-12-31 | CENSUS_ACS5 | |
| zip 65265 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 110 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 90 | 2 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | safmr | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 110 | 3 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 90 | 3 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | safmr | 3 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 110 | 4 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | payment standard 90 | 4 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 65265 | safmr | 4 | $1,280 | 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.