Composite
88.4 / 100 percentile
Screener / 175454
D
CLEARWATER NURSING & REHABILITATION CENTER
snfKSSFF: SFF Candidate
620 E WOOD STREET, CLEARWATER, KS 67026 · CCN 175454 · chain CGHII INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
55
Model
v1.2
Reads as: riskier than 88.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals2Components16CHOW radar1Distress radar1Staffing15Penalties3Deficiencies77Licensure0Ownership17Related party6Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.8 | 96.7 | 0.30 | 0.2308 | 22.57 | in index |
| staffing risk | 89.6 | 89.6 | 0.25 | 0.1923 | 17.23 | in index |
| financial risk | 52.3 | 46.9 | 0.30 | 0.2308 | 12.07 | in index |
| chow risk | 72.0 | 53.1 | 0.15 | 0.1154 | 8.31 | in index |
| billing conduct | 23.2 | 27.8 | 0.30 | 0.2308 | 5.35 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | MCCUE TAMARA | 10 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | MCCUE TAMARA | 13 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 | 27.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 54.6 | C | 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 | 51.5 | C | v0.6 | default · in composite | |
| financial risk | 46.9 | 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 | 0.1 | — | 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 | 96.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 89.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.3 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 75.3 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 51.9 | 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 | 50.8 | 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 | 96.6 | 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 | 96.6 | 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 | 89.6 | 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 | 89.6 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
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) | 6.74 | -1.19 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.31 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.54 | +0.10 | |
| Fine amount, 12m (log) | 10.16 | +0.07 |
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) | 10.16 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.54 | +0.28 | |
| Occupancy | 0.81 | -0.24 | |
| Staffing trend, last 4 quarters | 0.48 | +0.20 | |
| Current owner tenure (years) | 6.74 | -0.19 |
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
15| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.54 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 2.26 | 2.87 | 3.11 | — |
| Weekday total | 2.65 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 44.3 | 2.54 | 0.12 | 0.56 | 1.86 | 2.26 | 4.6% |
| 2025Q3 | 92 | 43.8 | 2.46 | 0.12 | 0.56 | 1.78 | 2.19 | 1.0% |
| 2025Q2 | 91 | 43.1 | 2.73 | 0.15 | 0.65 | 1.93 | 2.32 | 0.9% |
| 2025Q1 | 90 | 42.5 | 2.35 | 0.10 | 0.56 | 1.69 | 2.06 | 0.6% |
| 2024Q4 | 92 | 41.6 | 2.07 | 0.15 | 0.47 | 1.44 | 1.95 | 0.1% |
| 2024Q3 | 92 | 43.4 | 2.04 | 0.17 | 0.45 | 1.42 | 1.82 | 4.8% |
| 2024Q2 | 91 | 43.4 | 1.84 | 0.12 | 0.36 | 1.36 | 1.68 | 3.3% |
| 2024Q1 | 91 | 44.2 | 1.92 | 0.11 | 0.31 | 1.51 | 1.52 | 2.2% |
| 2023Q4 | 92 | 41.9 | 1.88 | 0.14 | 0.38 | 1.36 | 1.88 | 30.5% |
| 2023Q3 | 92 | 44.8 | 1.67 | 0.17 | 0.38 | 1.13 | 1.59 | 28.1% |
| 2023Q2 | 91 | 45.0 | 1.88 | 0.14 | 0.41 | 1.33 | 1.60 | 45.6% |
| 2023Q1 | 90 | 44.3 | 1.80 | 0.18 | 0.26 | 1.37 | 1.72 | 45.3% |
| 2022Q3 | 92 | 44.9 | 2.31 | 0.26 | 0.22 | 1.83 | 2.00 | 34.5% |
| 2022Q2 | 91 | 43.4 | 2.09 | 0.27 | 0.29 | 1.52 | 2.25 | 33.0% |
| 2022Q1 | 90 | 46.8 | 1.76 | 0.19 | 0.30 | 1.27 | 1.77 | 30.8% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-17 | Fine | $25,825 | CMS provider data |
| 2025-01-14 | Fine | $18,213 | CMS provider data |
| 2024-06-03 | Fine | $170,765 | CMS provider data |
Total fines on record: $214,803
Deficiencies
77D × 39E × 11F × 16G × 4J × 3K × 1L × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-05-05 |
| 2026-03-23 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2026-05-05 |
| 2026-03-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-05-05 |
| 2025-09-17 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-10-13 |
| 2025-09-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-10-13 |
| 2025-09-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-10-13 |
| 2025-09-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-10-13 |
| 2025-01-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-12-18 |
| 2024-06-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-01 |
| 2024-06-03 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-01 |
| 2024-06-03 | 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. | F | 2024-07-01 |
| 2024-06-03 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | 2024-07-01 |
| 2024-06-03 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | L | 2024-07-01 |
| 2024-06-03 | Health | F0610 | Respond appropriately to all alleged violations. | L | 2024-07-01 |
| 2024-06-03 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-07-01 |
| 2024-06-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-07-01 |
| 2024-06-03 | 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 | 2024-07-01 |
| 2024-06-03 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-07-01 |
| 2024-06-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-01 |
| 2024-06-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-01 |
| 2024-06-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-07-01 |
| 2024-06-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-07-01 |
| 2024-06-03 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-07-01 |
| 2024-06-03 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-07-01 |
| 2024-06-03 | 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 | 2024-07-01 |
| 2024-06-03 | 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 | 2024-07-01 |
| 2024-06-03 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-07-01 |
| 2024-06-03 | 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 | 2024-07-01 |
| 2024-06-03 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-07-01 |
| 2024-06-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-01 |
| 2024-06-03 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-07-01 |
| 2024-06-03 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-07-01 |
| 2024-06-03 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-07-01 |
| 2024-06-03 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-07-01 |
| 2024-06-03 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-01 |
| 2023-06-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-04 |
| 2022-11-08 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2022-12-10 |
| 2022-11-08 | 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 | 2022-12-10 |
| 2022-11-08 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-12-10 |
| 2022-11-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-12-10 |
| 2022-11-08 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-12-10 |
| 2022-11-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-12-10 |
| 2022-11-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-12-10 |
| 2022-11-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-12-10 |
| 2022-11-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2022-12-10 |
| 2022-11-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-12-10 |
| 2022-11-08 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-12-10 |
| 2022-11-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-10 |
| 2021-04-05 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | G | 2021-05-10 |
| 2021-04-05 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2021-05-03 |
| 2021-04-05 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2021-05-03 |
| 2021-04-05 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2021-05-03 |
| 2021-04-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2021-05-03 |
| 2021-04-05 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-05-10 |
| 2021-04-05 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2021-05-10 |
| 2021-04-05 | 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 | 2021-05-10 |
| 2021-04-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-05-10 |
| 2021-04-05 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2021-05-10 |
| 2021-04-05 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2021-05-10 |
| 2021-04-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2021-05-10 |
| 2021-04-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-05-10 |
| 2021-04-05 | 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 | 2021-05-10 |
| 2021-04-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2021-05-10 |
| 2021-04-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-05-10 |
| 2021-04-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-05-10 |
| 2021-04-05 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | 2021-05-10 |
| 2021-04-05 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2021-05-10 |
| 2021-04-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-05-10 |
| 2021-04-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-05-10 |
| 2021-04-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2021-05-10 |
| 2021-04-05 | 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 | 2021-05-10 |
| 2021-04-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-05-10 |
| 2021-04-05 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2021-05-10 |
| 2021-04-05 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2021-05-10 |
| 2021-04-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-05-10 |
| 2021-04-05 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2021-05-10 |
| 2021-04-05 | 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 | 2021-05-10 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CLEARWATER SNF REALCO LLC | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| CORNERSTONE EMPLOYMENT SOLUTIONS INC | ADP OF THE SNF | — | 2019-11-01 | current | pecos_ownership |
| MCCUE, TAMARA | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| NEW PARADIGM SOLUTIONS INC | ADP OF THE SNF | — | 2019-11-01 | current | pecos_ownership |
| NOVOTNY, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-01 | current | pecos_ownership |
| NOVOTNY, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-01 | current | pecos_ownership |
| REDDIG, ASHLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-28 | current | pecos_ownership |
| CORNERSTONE GROUP HOLDINGS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| KS HOST PORTFOLIO OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE NOVOTNY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM NOVOTNY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| CGHII INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL GREENFIELD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| MIKE GENUTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| MGMG HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| ASHLEY REDDIG | ADP OF THE SNF | — | 2025-04-28 | ended 2026-05-18 | pecos_ownership |
| TAMARA MCCUE | ADP OF THE SNF | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-11-01 | — | CLEARWATER LIVING, LLC | PINNACLE HEALTH FACILITIES XXXII LP | chow |
Comparable trades — KS snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20173 | acs median gross | 0 | $793 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 0 | $782 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 1 | $807 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 1 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 2 | $1,007 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 2 | $1,099 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 3 | $1,258 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 3 | $1,444 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 4 | $1,539 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 5 | $1,589 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | acs median gross | $998 | 2024-12-31 | CENSUS_ACS5 | |
| county 20173 | acs recent mover gross | $1,074 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67026 | acs median gross | 1 | $510 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67026 | acs median gross | 2 | $907 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67026 | acs median gross | 3 | $1,315 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67026 | acs median gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| zip 67026 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 110 | 1 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 90 | 1 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | safmr | 1 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 110 | 2 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 90 | 2 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | safmr | 2 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 110 | 3 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 90 | 3 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | safmr | 3 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 110 | 4 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | payment standard 90 | 4 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67026 | safmr | 4 | $2,010 | 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.