Screener / 265275

BUTLER REHAB AND HEALTHCARE CENTER

snfMO

416 S HIGH STREET, BUTLER, MO 64730 · CCN 265275 · chain AMA HOLDINGS LLC

Composite

75.0 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 75.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Score model5 ML signals4 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties0 Deficiencies33 Licensure0 Ownership15 Related party2 Transactions1 Comps12 Market rent30

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
staffing risk	92.5	92.5	0.25	0.1923	17.79	in index
billing conduct	53.8	41.0	0.30	0.2308	12.42	in index
financial risk	51.1	46.2	0.30	0.2308	11.79	in index
regulatory risk	42.8	31.6	0.30	0.2308	9.88	in index
chow risk	54.4	58.7	0.15	0.1154	6.28	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

Kind	Finding	Signal	Subject	First seen
connection	Owner fleet risk far above national	+21.2 vs natl	WOLF JACQUES	13 facilities
connection	Owner fleet risk far above national	+21.1 vs natl	AMA HOLDINGS LLC	13 facilities
connection	Owner fleet risk far above national	+21.1 vs natl	DEF HOLDINGS LLC	13 facilities
connection	Owner fleet risk far above national	+21.1 vs natl	MARX ASHER	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

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	41.0	B	v0.1-pacpuf-snf	default · in composite	R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk	24.2	A	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	93.2	F	v0.6	default · in composite
financial risk	46.2	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	31.6	B	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	92.5	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	97.0	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	77.0	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	41.7	B	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	51.6	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	31.5	B	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	31.5	B	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	92.5	F	v0.1	superseded	Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk	92.5	F	v0.2	superseded	Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.

Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →

p(CHOW, 12m)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

17.6

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)	2.99	-1.55
Ownership changes, last 5 years	1.00	-0.87
For-profit ownership	1.00	+0.69
No PBJ staffing report	0.00	+0.42
Occupancy	0.57	+0.38
Chain size (log)	2.71	+0.17
Deficiencies, last 12 months	13.00	+0.14

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
Deficiencies, last 12 months	13.00	-0.98
Occupancy	0.57	+0.77
For-profit ownership	1.00	-0.69
No PBJ staffing report	0.00	+0.39
Chain size (log)	2.71	-0.37
Total nurse staffing (HPRD)	2.44	+0.32
Never sold on record	0.00	-0.28
Current owner tenure (years)	2.99	-0.25

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

2025Q4 HPRD	This facility	MO median	National median	National p25–p75
Total nurse	2.44	2.41	3.28	2.90–3.77
RN	0.24	0.25	0.39	0.25–0.58
Weekend total	2.27	2.24	3.11	—
Weekday total	2.51	2.49	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	55.5	2.44	0.24	0.57	1.64	2.27	1.1%
2025Q3	92	57.8	2.51	0.20	0.77	1.54	2.21	0.0%
2025Q2	91	59.9	2.80	0.16	0.82	1.82	2.44	9.1%
2025Q1	90	60.5	2.68	0.23	0.75	1.71	2.46	22.9%
2024Q4	92	59.3	2.82	0.39	0.69	1.73	2.62	26.4%
2024Q3	92	57.8	2.67	0.32	0.58	1.77	2.63	26.7%
2024Q2	91	56.5	2.69	0.34	0.65	1.70	2.60	16.4%
2024Q1	91	60.0	2.59	0.37	0.78	1.44	2.48	4.4%
2023Q4	92	55.8	2.47	0.23	0.75	1.49	2.04	2.3%
2023Q3	92	53.6	2.94	0.36	0.78	1.80	2.51	6.6%
2023Q2	91	53.8	2.99	0.43	0.73	1.83	2.76	17.8%
2023Q1	90	51.8	2.90	0.38	0.82	1.70	2.65	20.0%
2022Q4	92	54.6	2.61	0.18	0.82	1.60	2.57	30.4%
2022Q3	92	59.0	2.30	0.36	0.51	1.43	2.25	26.5%
2022Q2	91	60.1	2.09	0.34	0.52	1.23	2.01	28.5%
2022Q1	90	56.6	1.55	0.18	0.40	0.97	1.59	6.3%

HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

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

Deficiencies

D × 21E × 10F × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-02-27	Health	F0554	Allow residents to self-administer drugs if determined clinically appropriate.	D	2026-03-25
2026-02-27	Health	F0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	2026-03-25
2026-02-27	Health	F0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	2026-03-25
2026-02-27	Health	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	2026-03-25
2026-02-27	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2026-03-25
2026-02-27	Health	F0691	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.	D	2026-03-25
2026-02-27	Health	F0693	Ensure 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.	D	2026-03-25
2026-02-27	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2026-03-25
2026-02-27	Health	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	2026-03-25
2026-02-27	Health	F0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	2026-03-25
2026-02-27	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2026-03-25
2026-02-27	Health	F0880	Provide and implement an infection prevention and control program.	E	2026-03-25
2025-11-18	Health · complaint	F0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	2025-11-19
2025-04-29	Health · complaint	F0552	Ensure that residents are fully informed and understand their health status, care and treatments.	E	2025-04-21
2024-04-05	Health	F0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	D	2024-06-04
2024-04-05	Health	F0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	2024-06-04
2024-04-05	Health	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	2024-06-04
2024-04-05	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	2024-06-04
2024-04-05	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	2024-06-04
2024-04-05	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	2024-06-04
2024-04-05	Health	F0791	Provide or obtain dental services for each resident.	D	2024-06-04
2024-04-05	Health	F0880	Provide and implement an infection prevention and control program.	E	2024-06-04
2024-04-05	Health	F0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	2024-06-04
2022-08-05	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	2022-09-15
2022-08-05	Health	F0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	2022-09-15
2022-08-05	Health	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	2022-09-15
2022-08-05	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	2022-09-15
2022-08-05	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.	E	2022-09-15
2022-08-05	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2022-09-15
2022-08-05	Health	F0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	2022-09-15
2022-08-05	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.	E	2022-09-15
2022-08-05	Health	F0880	Provide and implement an infection prevention and control program.	E	2022-09-04
2022-08-05	Health	F0906	Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.	F	2022-09-15

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

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

Owner	Role	Pct	From	Status	Source
BUTLER HOLDCO LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2023-08-01	current	pecos_ownership
AMA HOLDINGS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
BUTLER MANAGER LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
BUTLER PARTNERS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
DEF HOLDINGS LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
EXCEL NTAD LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
LEFFERT, JOYCE	W-2 MANAGING EMPLOYEE	—	2023-08-28	current	pecos_ownership
MARX, ASHER	OPERATIONAL/MANAGERIAL CONTROL	—	2023-08-01	current	pecos_ownership
MO BUTLER LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
TREITEL, NASSAN	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2023-08-01	current	pecos_ownership
WOLF, JACQUES	CORPORATE DIRECTOR	—	2023-08-01	current	pecos_ownership
ASHER MARX	OPERATIONAL/MANAGERIAL CONTROL	43%	2023-08-01	ended 2026-05-18	pecos_ownership
JACQUES WOLF	CORPORATE DIRECTOR	43%	2023-08-01	ended 2026-05-18	pecos_ownership
NASSAN TREITEL	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	2023-08-01	ended 2026-05-18	pecos_ownership
JOYCE LEFFERT	W-2 MANAGING EMPLOYEE	—	2023-08-28	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$1,019,044	$713,565	—	—	$23,875	2	—
2023-12-31	$441,773	$214,925	—	—	$11,923	2	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2023-08-01	—	BUTLER OPERATOR LLC	BREEZY OPERATIONS LLC	chow

Comparable trades — MO snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2025-10-01	AVENIR AT MAPLE GROVE	—	—	—	90	NBH2 MGOPCO LLC
2025-10-01	AVENIR AT MARK TWAIN	—	—	—	120	NBH1 MTOPCO LLC
2025-10-01	ARBOR HILLS CARE & REHAB CENTER	—	—	—	150	ARBOR HILLS HEALTHCARE, LLC
2025-10-01	ASCEND AT AURORA	—	—	—	125	NBH3 SFOPCO LLC
2025-09-01	HUBBLE CREEK	—	—	—	105	HUBBLE CREEK LLC
2025-08-01	HIDDEN LAKE HEALTH CARE CENTER	—	—	—	67	HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01	PINE GROVE MANOR	—	—	—	77	PINE GROVE MANOR LLC
2025-05-01	MONARCH SPRINGS WELLNESS & REHABILITATION	—	—	—	119	MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01	ASPIRE SENIOR LIVING NEW FLORENCE	—	—	—	87	ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01	SOUTH COUNTY HEALTH CARE CENTER	—	—	—	153	SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01	ARBOR VIEW NURSING AND REHABILITATION	—	—	—	150	FORREST OPCO LLC
2025-02-01	AMBERWOOD ESTATES NURSING AND REHABILITATION	—	—	—	115	ISLAND HC OPERATIONS LLC

Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

Geo	Kind	BR	Amount	As of	Source
county 29013	fmr	0	$702	2025-10-01	HUD_USER_FMR
county 29013	acs median gross	1	$515	2024-12-31	CENSUS_ACS5
county 29013	fmr	1	$706	2025-10-01	HUD_USER_FMR
county 29013	acs median gross	2	$863	2024-12-31	CENSUS_ACS5
county 29013	fmr	2	$927	2025-10-01	HUD_USER_FMR
county 29013	acs median gross	3	$960	2024-12-31	CENSUS_ACS5
county 29013	fmr	3	$1,232	2025-10-01	HUD_USER_FMR
county 29013	acs median gross	4	$1,141	2024-12-31	CENSUS_ACS5
county 29013	fmr	4	$1,555	2025-10-01	HUD_USER_FMR
county 29013	acs median gross		$786	2024-12-31	CENSUS_ACS5
county 29013	acs recent mover gross		$549	2024-12-31	CENSUS_ACS5
zcta 64730	acs median gross	1	$526	2024-12-31	CENSUS_ACS5
zcta 64730	acs median gross	2	$914	2024-12-31	CENSUS_ACS5
zcta 64730	acs median gross	3	$984	2024-12-31	CENSUS_ACS5
zcta 64730	acs median gross		$894	2024-12-31	CENSUS_ACS5
zip 64730	payment standard 110	0	$737	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 90	0	$603	2025-10-01	HUD_USER_SAFMR
zip 64730	safmr	0	$670	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 110	1	$748	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 90	1	$612	2025-10-01	HUD_USER_SAFMR
zip 64730	safmr	1	$680	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 110	2	$979	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 90	2	$801	2025-10-01	HUD_USER_SAFMR
zip 64730	safmr	2	$890	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 110	3	$1,298	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 90	3	$1,062	2025-10-01	HUD_USER_SAFMR
zip 64730	safmr	3	$1,180	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 110	4	$1,639	2025-10-01	HUD_USER_SAFMR
zip 64730	payment standard 90	4	$1,341	2025-10-01	HUD_USER_SAFMR
zip 64730	safmr	4	$1,490	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.