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 2026-08-05 20:14 UTC
Screener / 165324
D

Accura Healthcare of Pleasantville, LLC

snfIA
909 North State Street, Pleasantville, IA 50225 · CCN 165324 · chain AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC
Composite
87.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
46
Model
v1.2
Reads as: riskier than 87.3% 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 model4ML signals2Components15CHOW radar1Distress radar1Staffing16Penalties1Deficiencies62Licensure0Ownership14Related party5Transactions0Comps12Market rent32

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk87.484.70.300.300026.22in index
staffing risk85.585.50.250.250021.38in index
chow risk75.756.60.150.150011.36in index
financial risk19.426.60.300.30005.82in 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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.7 vs natlMILLER DANIEL14 facilities
connectionOwner spans multiple chains9 chainsMILLER DANIEL12 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

15
Score typeScoreGradeModelStatusRegistry model notes
chow risk55.0Cv0.1-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 risk58.2Cv0.6default · in composite
financial risk26.6Bv0.5default · in compositeR18.
p adverse action 12m0.1—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 12m3.9—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 risk84.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk85.5Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk80.0Fv0.1supersededPre-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 risk60.0Cv0.2supersededPre-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 risk49.2Cv0.3supersededPre-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 risk30.9Bv0.4supersededPre-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 risk84.6Fv0.1supersededPre-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 risk84.6Fv0.2supersededPre-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 risk85.5Fv0.1supersededPre-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 risk85.5Fv0.2supersededPre-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)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Occupancy0.90-0.59
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.43+0.33
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months1.00-0.15
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Chain size (log)3.43-0.80
For-profit ownership1.00-0.69
Occupancy0.90-0.65
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.67+0.23
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse2.673.153.282.90–3.77
RN0.220.460.390.25–0.58
Weekend total2.512.963.11—
Weekday total2.743.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49241.52.670.220.531.932.511.7%
2025Q39242.02.790.300.432.062.7811.0%
2025Q29143.12.670.320.322.042.5019.2%
2025Q19042.92.470.210.381.882.375.5%
2024Q49242.72.490.260.471.762.447.5%
2024Q39243.42.650.210.481.962.380.0%
2024Q29141.42.780.200.731.852.580.1%
2024Q19132.43.300.160.672.463.390.6%
2023Q49245.32.400.280.231.892.3712.4%
2023Q39246.02.350.360.161.832.210.0%
2023Q29144.12.660.320.292.052.426.2%
2023Q19046.52.330.210.341.772.1717.3%
2022Q49244.22.370.290.261.822.1230.2%
2022Q39248.82.370.100.381.882.1137.5%
2022Q29143.32.600.120.541.952.2137.8%
2022Q19042.52.710.260.541.922.3228.1%
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

1
DateTypeFineSource
2024-09-30Fine$28,724CMS provider data
Total fines on record: $28,724

Deficiencies

62
D × 37E × 16F × 5G × 2J × 1K × 1
deficiencies by survey year
271423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-30Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-05-07
2025-05-08HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-05-30
2025-05-08HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-05-30
2025-05-08Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-05-30
2025-05-08Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-05-30
2025-05-08Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-05-30
2025-05-08Health · complaintF0610Respond appropriately to all alleged violations.D2025-05-30
2025-05-08HealthF0641Ensure each resident receives an accurate assessment.D2025-05-30
2025-05-08HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-30
2025-05-08HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-05-30
2025-05-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-30
2025-05-08HealthF0688Provide 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.E2025-05-30
2025-05-08Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-05-30
2025-05-08Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-05-30
2025-05-08HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2025-05-30
2025-05-08HealthF0880Provide and implement an infection prevention and control program.D2025-05-30
2025-05-08HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2025-05-30
2024-09-30Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-10-21
2024-09-30Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-10-21
2024-09-30Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-21
2024-09-30Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-10-21
2024-09-30Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-10-21
2024-09-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-21
2024-09-30Health · complaintF0688Provide 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.D2024-10-21
2024-09-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.F2024-10-21
2024-09-30Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.G2024-10-21
2024-09-30Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2024-10-21
2024-09-30Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-10-21
2024-09-30Health · complaintF0880Provide and implement an infection prevention and control program.K2024-10-21
2024-06-24Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-06-25
2024-06-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-25
2024-06-24HealthF0584Honor 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.E2024-06-25
2024-06-24HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-06-25
2024-06-24HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-06-25
2024-06-24Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-06-25
2024-06-24Health · complaintF0679Provide activities to meet all resident's needs.E2024-06-25
2024-06-24HealthF0680Ensure the activities program is directed by a qualified professional.F2024-06-25
2024-06-24HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-06-25
2024-06-24HealthF0803Ensure 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.E2024-06-25
2024-06-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-06-25
2024-06-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-06-25
2024-02-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-03-06
2024-02-26Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-03-06
2024-02-26Health · complaintF0880Provide and implement an infection prevention and control program.F2024-03-06
2023-08-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-08-02
2023-06-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-06-02
2023-06-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-08-02
2023-03-30HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-04-20
2023-03-30HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-04-20
2023-03-30HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-04-20
2023-03-30HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-04-20
2023-03-30HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-04-20
2023-03-30HealthF0610Respond appropriately to all alleged violations.D2023-04-20
2023-03-30HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-04-20
2023-03-30HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-04-20
2023-03-30HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-04-20
2023-03-30HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2023-04-20
2023-03-30HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2023-04-20
2023-03-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-04-20
2023-03-30HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-04-20
2023-03-30HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-04-20
2023-03-30HealthF0923Have enough outside ventilation via a window or mechanical ventilation, or both.E2023-04-20
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

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

14
OwnerRolePctFromStatusSource
LENEAVE, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2016-01-01currentpecos_ownership
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2003-01-01currentpecos_ownership
FERGUSON, RACHELW-2 MANAGING EMPLOYEE—2024-01-01currentpecos_ownership
LENEAVE, TEDCORPORATE OFFICER—2016-01-01currentpecos_ownership
MILLER, DANIELW-2 MANAGING EMPLOYEE—2024-04-01currentpecos_ownership
TOTI, LISACORPORATE DIRECTOR—2020-01-01currentpecos_ownership
ACCURA HEALTHCARE5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2016-01-01ended 2026-05-18pecos_ownership
AMERICAN HEALTHCARE ASSOCIATES INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%1998-12-07ended 2026-05-18pecos_ownership
TED LENEAVECORPORATE OFFICER70%2016-01-01ended 2026-05-18pecos_ownership
THOMAS LENEAVECORPORATE OFFICER30%2016-01-01ended 2026-05-18pecos_ownership
ACCURA HEALTHCARECorporation, partnership or other organization has financial interest in provider—2020-01-01ended 2020-12-31hcris_a_8_1
DANIEL MILLERW-2 MANAGING EMPLOYEE—2024-04-01ended 2026-05-18pecos_ownership
LISA TOTIW-2 MANAGING EMPLOYEE—2020-01-01ended 2026-05-18pecos_ownership
RACHEL FERGUSONW-2 MANAGING EMPLOYEE—2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA 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
GeoKindBRAmountAs ofSource
county 19125acs median gross0$6052024-12-31CENSUS_ACS5
county 19125fmr0$7012025-10-01HUD_USER_FMR
county 19125acs median gross1$8012024-12-31CENSUS_ACS5
county 19125fmr1$8082025-10-01HUD_USER_FMR
county 19125acs median gross2$9572024-12-31CENSUS_ACS5
county 19125fmr2$1,0162025-10-01HUD_USER_FMR
county 19125acs median gross3$9822024-12-31CENSUS_ACS5
county 19125fmr3$1,2182025-10-01HUD_USER_FMR
county 19125acs median gross4$8922024-12-31CENSUS_ACS5
county 19125fmr4$1,3562025-10-01HUD_USER_FMR
county 19125acs median gross$8842024-12-31CENSUS_ACS5
county 19125acs recent mover gross$1,0702024-12-31CENSUS_ACS5
zcta 50225acs median gross1$6532024-12-31CENSUS_ACS5
zcta 50225acs median gross2$8072024-12-31CENSUS_ACS5
zcta 50225acs median gross3$9942024-12-31CENSUS_ACS5
zcta 50225acs median gross$8402024-12-31CENSUS_ACS5
zcta 50225acs recent mover gross$1,4222024-12-31CENSUS_ACS5
zip 50225payment standard 1100$7482025-10-01HUD_USER_SAFMR
zip 50225payment standard 900$6122025-10-01HUD_USER_SAFMR
zip 50225safmr0$6802025-10-01HUD_USER_SAFMR
zip 50225payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 50225payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 50225safmr1$7702025-10-01HUD_USER_SAFMR
zip 50225payment standard 1102$1,0562025-10-01HUD_USER_SAFMR
zip 50225payment standard 902$8642025-10-01HUD_USER_SAFMR
zip 50225safmr2$9602025-10-01HUD_USER_SAFMR
zip 50225payment standard 1103$1,3202025-10-01HUD_USER_SAFMR
zip 50225payment standard 903$1,0802025-10-01HUD_USER_SAFMR
zip 50225safmr3$1,2002025-10-01HUD_USER_SAFMR
zip 50225payment standard 1104$1,4192025-10-01HUD_USER_SAFMR
zip 50225payment standard 904$1,1612025-10-01HUD_USER_SAFMR
zip 50225safmr4$1,2902025-10-01HUD_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 · Accura Healthcare of Pleasantville, LLC (165324) · generated 2026-08-05 · 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