CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-06 12:19 UTC
Screener / 535024
F

Casper Mountain Rehabilitation and Care Center

snfWYSFF: SFF Candidate
4305 S Poplar, Casper, WY 82601 · CCN 535024
Composite
97.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 97.6% 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 signals8Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies53Licensure0Ownership18Related party5Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct99.781.50.300.230823.01in index
regulatory risk87.284.50.300.230820.12in index
staffing risk96.096.00.250.192318.46in index
financial risk48.644.70.300.230811.22in index
chow risk25.026.60.150.11542.88in 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

8
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+31.3 vs natlSIMMONS BENJAMIN11 facilities
connectionOwner fleet risk far above national+31.3 vs natlWINTERHOLLER DAVID11 facilities
connectionOwner fleet risk far above national+22.8 vs natlCONNELL ERIC11 facilities
connectionOwner fleet risk far above national+20.3 vs natlMORRISSEY ROBERT13 facilities
connectionOwner fleet enforcement cluster73% finedWINTERHOLLER DAVID11 facilities
connectionOwner fleet enforcement cluster73% finedCONNELL ERIC11 facilities
connectionOwner fleet enforcement cluster73% finedSIMMONS BENJAMIN11 facilities
connectionOwner fleet enforcement cluster62% finedMORRISSEY ROBERT13 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 typeScoreGradeModelStatusRegistry model notes
billing conduct81.5Fv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.7Av0.1-posdefault · in compositeChange-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 risk28.6Bv0.6default · in composite
financial risk44.7Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk84.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk96.0Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk65.6Dv0.1supersededPre-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 risk45.6Cv0.2supersededPre-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 risk43.4Bv0.3supersededPre-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 risk50.0Cv0.4supersededPre-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 risk84.5Fv0.1supersededPre-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 risk84.5Fv0.2supersededPre-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 risk96.0Fv0.1supersededPre-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 risk96.0Fv0.2supersededPre-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
33.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)7.16-1.15
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Deficiencies, last 12 months22.00+0.36
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)2.23+0.16
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months22.00-2.65
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.05-0.63
Total nurse staffing (HPRD)2.23+0.42
No PBJ staffing report0.00+0.39
Occupancy0.66+0.37
Never sold on record0.00-0.28
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

15
2025Q4 HPRDThis facilityWY medianNational medianNational p25–p75
Total nurse2.233.233.282.90–3.77
RN0.510.560.390.25–0.58
Weekend total2.033.133.11—
Weekday total2.303.273.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49279.42.230.510.191.532.030.0%
2025Q39283.72.310.480.411.422.000.0%
2025Q29184.72.210.450.301.462.000.0%
2025Q19090.22.160.440.231.492.020.1%
2024Q49284.42.470.670.221.582.220.1%
2024Q39276.82.650.640.261.742.430.0%
2024Q29173.72.770.700.371.702.380.0%
2024Q19172.42.770.660.421.692.430.0%
2023Q49272.72.830.750.341.742.580.0%
2023Q29193.62.710.720.381.612.370.0%
2023Q19096.22.710.570.381.772.530.0%
2022Q49295.32.400.420.431.562.140.0%
2022Q39293.63.030.540.651.842.720.0%
2022Q29194.63.340.470.612.263.000.0%
2022Q19089.03.190.520.462.212.980.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

2
DateTypeFineSource
2025-08-27Fine$62,647CMS provider data
2025-04-18Payment Denial—CMS provider data
Total fines on record: $62,647

Deficiencies

53
B × 1C × 1D × 33E × 12F × 4G × 2
deficiencies by survey year
281423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-23Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2026-05-22
2026-04-23Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-05-22
2026-04-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-05-22
2026-04-23Health · complaintF0880Provide and implement an infection prevention and control program.D2026-05-18
2025-12-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-26
2025-08-27Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2025-10-05
2025-08-27Health · complaintF0578Honor 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.D2025-10-03
2025-08-27Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B2025-10-10
2025-08-27Health · complaintF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-10-10
2025-08-27Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2025-10-03
2025-08-27HealthF0637Assess the resident when there is a significant change in conditionD2025-10-15
2025-08-27Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-10-03
2025-08-27Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-10-03
2025-08-27HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-10-10
2025-08-27HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-10-16
2025-08-27Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-10-17
2025-08-27HealthF0761Ensure 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.D2025-10-10
2025-08-27HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2025-10-16
2025-08-27Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-10-03
2025-08-27Health · complaintF0880Provide and implement an infection prevention and control program.F2025-10-10
2025-08-27Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-10-17
2025-08-27Health · complaintF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E2025-10-16
2025-05-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-06-30
2025-05-16Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-06-30
2025-05-16Health · complaintF0880Provide and implement an infection prevention and control program.D2025-06-30
2025-04-18Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-07-29
2025-03-06Health · complaintF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D2025-04-11
2025-03-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-04-11
2025-03-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-11
2025-03-06Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-04-11
2025-01-15Health · complaintF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D2025-02-21
2025-01-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-11
2024-06-13Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2024-07-08
2024-06-13HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-07-08
2024-06-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-07-08
2024-06-13HealthF0732Post nurse staffing information every day.C2024-07-08
2024-06-13HealthF0761Ensure 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.D2024-07-08
2024-06-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-07-08
2024-06-13Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F2024-07-08
2024-06-13HealthF0880Provide and implement an infection prevention and control program.E2024-07-08
2024-06-13HealthF0908Keep all essential equipment working safely.F2024-07-08
2024-05-02Health · complaintF0839Employ staff that are licensed, certified, or registered in accordance with state laws.E2024-05-22
2024-03-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-05-03
2024-03-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-05-03
2023-08-03Health · complaintF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D2023-08-23
2023-08-03Health · complaintF0610Respond appropriately to all alleged violations.D2023-08-23
2023-06-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-06-26
2023-03-23HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2023-03-23
2023-03-23HealthF0625Notify 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.E2023-03-23
2023-03-23HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-03-23
2023-03-23HealthF0758Implement 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.E2023-03-23
2023-03-23HealthF0761Ensure 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.D2023-03-23
2023-03-23HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E2023-03-23
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

0
No 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

18
OwnerRolePctFromStatusSource
CASPER PROPCO HOLDINGS LLCIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
CASPER PROPCO HOLDINGS LLCIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
CASPER OPCO LLCADP OF THE SNF—2025-10-01currentpecos_ownership
CASPER PROPCO LLCOPERATIONAL/MANAGERIAL CONTROL—2025-10-01currentpecos_ownership
CONNELL, ERICCORPORATE OFFICER—2023-01-01currentpecos_ownership
CONNELL, ERICADP OF THE SNF—2025-10-01currentpecos_ownership
DONER, BRIANOPERATIONAL/MANAGERIAL CONTROL—2025-10-01currentpecos_ownership
KATZ, AHRONADP OF THE SNF—2025-10-01currentpecos_ownership
MORRISON, ROBERTOPERATIONAL/MANAGERIAL CONTROL—2025-10-01currentpecos_ownership
SIMMONS, BENJAMINMANAGING CONTROL - GOVERNING BODY—2025-10-01currentpecos_ownership
STANCO, TINAADP OF THE SNF—2025-10-01currentpecos_ownership
WINTERHOLLER, DAVIDOPERATIONAL/MANAGERIAL CONTROL—2025-10-01currentpecos_ownership
AHRON KATZOPERATIONAL/MANAGERIAL CONTROL100%2019-06-01ended 2026-05-18pecos_ownership
CASPER PROPCO HOLDINGS LLCIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
CASPER PROPCO LLCCorporation, partnership or other organization has financial interest in provider100%2020-01-01ended 2020-12-31hcris_a_8_1
CASPER PROPCO HOLDINGS LLCIndividual has financial interest in both related organization and provider95%2021-01-01ended 2021-12-31hcris_a_8_1
CASPER PROPERTY HOLDINGS LLCIndividual has financial interest in both related organization and provider40%2021-01-01ended 2021-12-31hcris_a_8_1
BRIAN DONERADP OF THE SNF—2024-05-17ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-06-01—CASPER OPCO LLCSSC CASPER OPERATING COMPANY LLCchow

Comparable trades — WY snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-30Thermopolis Rehabilitation and Wellness———60NORTH BIG HORN HOSPITAL DISTRICT
2025-09-30Shepherd of the Valley Rehabilitation and Wellness———192NORTH BIG HORN HOSPITAL DISTRICT
2025-09-30Sage View Care Center———82NORTH BIG HORN HOSPITAL DISTRICT
2025-09-30Granite Rehabilitation and Wellness———146NORTH BIG HORN HOSPITAL DISTRICT
2025-09-30Wind River Rehabilitation and Wellness———81NORTH BIG HORN HOSPITAL DISTRICT
2025-09-01Summit Ridge Skilled Nursing & Rehabilitation———60NORTH BIG HORN HOSPITAL DISTRICT
2024-10-01Big Horn Rehabilitation and Care Center———128NORTH BIG HORN HOSPITAL DISTRICT
2024-10-01Polaris Rehabilitation and Care Center———105NORTH BIG HORN HOSPITAL DISTRICT
2024-01-01Heritage Home———50SUBLETTE COUNTY HOSPITAL DISTRICT
2023-08-31Rawlins Rehabilitation and Wellness———62RAWLINS SNF OPERATIONS, LLC
2020-01-01Worland Health and Rehabilitation———87SNH WY TENANT LLC
2020-01-01Laramie Health and Rehabilitation———105SNH WY TENANT LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 56025acs median gross0$8142024-12-31CENSUS_ACS5
county 56025fmr0$7672025-10-01HUD_USER_FMR
county 56025acs median gross1$7502024-12-31CENSUS_ACS5
county 56025fmr1$8522025-10-01HUD_USER_FMR
county 56025acs median gross2$9742024-12-31CENSUS_ACS5
county 56025fmr2$1,0822025-10-01HUD_USER_FMR
county 56025acs median gross3$1,3252024-12-31CENSUS_ACS5
county 56025fmr3$1,5052025-10-01HUD_USER_FMR
county 56025acs median gross4$1,4662024-12-31CENSUS_ACS5
county 56025fmr4$1,8152025-10-01HUD_USER_FMR
county 56025acs median gross5$1,7862024-12-31CENSUS_ACS5
county 56025acs median gross$1,0162024-12-31CENSUS_ACS5
county 56025acs recent mover gross$1,1272024-12-31CENSUS_ACS5
zcta 82601acs median gross0$6672024-12-31CENSUS_ACS5
zcta 82601acs median gross1$6972024-12-31CENSUS_ACS5
zcta 82601acs median gross2$8672024-12-31CENSUS_ACS5
zcta 82601acs median gross3$1,2472024-12-31CENSUS_ACS5
zcta 82601acs median gross4$1,2862024-12-31CENSUS_ACS5
zcta 82601acs median gross$8352024-12-31CENSUS_ACS5
zcta 82601acs recent mover gross$8842024-12-31CENSUS_ACS5
zip 82601payment standard 1100$7592025-10-01HUD_USER_SAFMR
zip 82601payment standard 900$6212025-10-01HUD_USER_SAFMR
zip 82601safmr0$6902025-10-01HUD_USER_SAFMR
zip 82601payment standard 1101$8692025-10-01HUD_USER_SAFMR
zip 82601payment standard 901$7112025-10-01HUD_USER_SAFMR
zip 82601safmr1$7902025-10-01HUD_USER_SAFMR
zip 82601payment standard 1102$1,0672025-10-01HUD_USER_SAFMR
zip 82601payment standard 902$8732025-10-01HUD_USER_SAFMR
zip 82601safmr2$9702025-10-01HUD_USER_SAFMR
zip 82601payment standard 1103$1,4852025-10-01HUD_USER_SAFMR
zip 82601payment standard 903$1,2152025-10-01HUD_USER_SAFMR
zip 82601safmr3$1,3502025-10-01HUD_USER_SAFMR
zip 82601payment standard 1104$1,7932025-10-01HUD_USER_SAFMR
zip 82601payment standard 904$1,4672025-10-01HUD_USER_SAFMR
zip 82601safmr4$1,6302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Casper Mountain Rehabilitation and Care Center (535024) · generated 2026-08-06 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency