Screener / 265423

WESTVIEW NURSING HOME

snfMO

301 WEST DUNLOP STREET, CENTER, MO 63436 · CCN 265423 · chain RELIANT CARE MANAGEMENT COMPANY LLC

Composite

95.8 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 95.8% 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 model4 ML signals8 Components15 CHOW radar1 Distress radar1 Staffing16 Penalties1 Deficiencies53 Licensure0 Ownership17 Related party5 Transactions0 Comps12 Market rent29

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
regulatory risk	84.8	81.9	0.30	0.3000	25.44	in index
staffing risk	99.4	99.4	0.25	0.2500	24.85	in index
financial risk	54.1	48.2	0.30	0.3000	16.23	in index
chow risk	39.9	38.2	0.15	0.1500	5.99	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	+34.8 vs natl	RELIANT CARE GROUP OF WEBSTER INC	6 facilities
connection	Owner fleet risk far above national	+22.6 vs natl	RICHARD J DESTEFANE REVOCABLE LIVING TRUST	23 facilities
connection	Owner fleet risk far above national	+20.4 vs natl	RELIANT CARE MANAGEMENT COMPANY LLC	32 facilities
connection	Owner fleet enforcement cluster	67% fined	RELIANT CARE GROUP OF WEBSTER INC	6 facilities
connection	Owner fleet enforcement cluster	59% fined	DESTEFANE RICHARD	32 facilities
connection	Owner fleet enforcement cluster	59% fined	RELIANT CARE MANAGEMENT COMPANY LLC	32 facilities
connection	Owner fleet enforcement cluster	56% fined	RICHARD J DESTEFANE REVOCABLE LIVING TRUST	23 facilities
connection	Owner fleet enforcement cluster	54% fined	ARSHAD ABDULLAH	24 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
chow risk	25.0	B	v0.1-pos	default · in composite	Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk	51.4	C	v0.6	default · in composite
financial risk	48.2	C	v0.5	default · in composite	R18.
p adverse action 12m	0.1	—	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	3.5	—	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	81.9	F	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	99.4	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	59.4	C	v0.1	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	39.4	B	v0.2	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	60.1	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	50.1	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	81.8	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	81.8	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	99.4	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	99.4	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)

3.5%

model v0.1 · computed 2026-07-29

Percentile among SNFs

80.9

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Occupancy	0.97	-0.80
For-profit ownership	1.00	+0.69
Never sold on record	1.00	+0.62
Current owner tenure (years)	25.00	+0.57
No PBJ staffing report	0.00	+0.42
Chain size (log)	3.43	+0.33
Total nurse staffing (HPRD)	1.59	+0.29
Ownership changes, last 5 years	0.00	+0.20

p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

52.1

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	0.00	+1.43
Occupancy	0.97	-0.95
Chain size (log)	3.43	-0.80
For-profit ownership	1.00	-0.69
Total nurse staffing (HPRD)	1.59	+0.68
No PBJ staffing report	0.00	+0.39
Staffing trend, last 4 quarters	0.70	+0.30
Fine amount, 12m (log)	0.00	+0.18

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	1.59	2.41	3.28	2.90–3.77
RN	0.11	0.25	0.39	0.25–0.58
Weekend total	1.48	2.24	3.11	—
Weekday total	1.63	2.49	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	58.5	1.59	0.11	0.53	0.94	1.48	0.0%
2025Q3	92	57.4	1.50	0.26	0.54	0.70	1.45	0.0%
2025Q2	91	57.7	1.03	0.14	0.47	0.43	1.06	0.0%
2025Q1	90	58.5	1.68	0.20	0.56	0.92	1.52	0.0%
2024Q4	92	56.8	0.89	0.05	0.23	0.60	0.75	3.6%
2024Q3	92	56.4	0.82	0.12	0.15	0.54	0.72	2.9%
2024Q2	91	57.3	1.08	0.19	0.41	0.48	1.01	12.1%
2024Q1	91	57.3	1.14	0.18	0.36	0.59	1.10	9.9%
2023Q4	92	52.2	1.11	0.25	0.35	0.51	1.14	17.3%
2023Q3	92	53.0	1.14	0.26	0.30	0.58	1.01	0.0%
2023Q2	91	55.7	0.58	0.18	0.21	0.20	0.57	0.0%
2023Q1	90	53.1	0.69	0.17	0.21	0.31	0.48	0.0%
2022Q4	92	52.4	0.55	0.16	0.17	0.22	0.42	0.0%
2022Q3	92	45.9	1.29	0.18	0.29	0.81	0.87	0.0%
2022Q2	91	51.9	1.26	0.19	0.36	0.72	0.97	0.0%
2022Q1	90	54.2	1.42	0.16	0.36	0.89	0.97	0.0%

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

Date	Type	Fine	Source
2025-05-21	Fine	$42,680	CMS provider data

Total fines on record: $42,680

Deficiencies

C × 2D × 12E × 26F × 5G × 4H × 2K × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-07-17	Health · complaint	F0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	H	2025-08-06
2025-07-17	Health · complaint	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	G	2025-08-06
2025-05-21	Health	F0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	H	2025-08-06
2025-05-21	Health	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	2025-07-11
2025-05-21	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	2025-07-11
2025-05-21	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	G	2025-08-06
2025-05-21	Health	F0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.	E	2025-07-11
2025-05-21	Health	F0679	Provide activities to meet all resident's needs.	E	2025-07-11
2025-05-21	Health	F0692	Provide enough food/fluids to maintain a resident's health.	D	2025-07-11
2025-05-21	Health	F0698	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	2025-07-11
2025-05-21	Health	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	2025-07-11
2025-05-21	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2025-07-11
2025-05-21	Health	F0880	Provide and implement an infection prevention and control program.	E	2025-07-11
2025-05-21	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	2025-07-11
2025-03-10	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2025-04-15
2024-03-26	Health · complaint	F0558	Reasonably accommodate the needs and preferences of each resident.	D	2024-05-01
2024-03-26	Health · complaint	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.	G	2024-05-01
2024-03-26	Health · complaint	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	2024-05-01
2023-08-28	Health · complaint	F0558	Reasonably accommodate the needs and preferences of each resident.	D	2023-10-11
2023-08-28	Health	F0567	Honor the resident's right to manage his or her financial affairs.	E	2023-10-11
2023-08-28	Health · complaint	F0568	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	2023-11-09
2023-08-28	Health	F0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	E	2023-10-11
2023-08-28	Health · complaint	F0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C	2023-10-11
2023-08-28	Health · complaint	F0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	2023-10-11
2023-08-28	Health · complaint	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	2023-10-11
2023-08-28	Health · complaint	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	E	2023-10-11
2023-08-28	Health · complaint	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	2023-10-11
2023-08-28	Health · complaint	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	2023-10-11
2023-08-28	Health · complaint	F0728	Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.	D	2023-10-11
2023-08-28	Health	F0803	Ensure 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.	E	2023-10-11
2023-08-28	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2023-10-11
2023-08-28	Health · complaint	F0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	2023-10-11
2023-08-28	Health · complaint	F0880	Provide and implement an infection prevention and control program.	E	2023-10-11
2023-08-28	Health	F0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	2023-10-11
2023-06-04	Health · complaint	F0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	E	2023-07-17
2023-06-01	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	K	2023-07-17
2023-06-01	Health · complaint	F0610	Respond appropriately to all alleged violations.	K	2023-07-17
2023-06-01	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2023-07-17
2019-12-17	Health	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	2020-01-31
2019-12-17	Health	F0558	Reasonably accommodate the needs and preferences of each resident.	E	2020-01-31
2019-12-17	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	2020-01-31
2019-12-17	Health	F0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D	2020-01-31
2019-12-17	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	2020-01-31
2019-12-17	Health	F0692	Provide enough food/fluids to maintain a resident's health.	G	2020-01-31
2019-12-17	Health	F0697	Provide safe, appropriate pain management for a resident who requires such services.	E	2020-01-31
2019-12-17	Health	F0732	Post nurse staffing information every day.	C	2020-01-31
2019-12-17	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	2020-01-31
2019-12-17	Health	F0803	Ensure 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.	F	2020-01-31
2019-12-17	Health	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	2020-01-31
2019-12-17	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2020-01-31
2019-12-17	Health	F0880	Provide and implement an infection prevention and control program.	E	2020-01-31
2019-12-17	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	2020-01-31
2019-12-17	Health	F0920	Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.	E	2020-01-31

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
BKY PROPERTIES INC.	Corporation, partnership or other organization has financial interest in provider	100%	2023-01-01	current	hcris_a_8_1
BKY PROPERTIES INC.	Corporation, partnership or other organization has financial interest in provider	100%	2024-01-01	current	hcris_a_8_1
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2018-03-01	current	pecos_ownership
ARSHAD, ABDULLAH	ADP OF THE SNF	—	2024-09-15	current	pecos_ownership
DESTEFANE, RICHARD	CORPORATE OFFICER	—	2018-03-01	current	pecos_ownership
DESTEFANE, RICHARD	OPERATIONAL/MANAGERIAL CONTROL	—	2010-10-01	current	pecos_ownership
GRIGGS, ORLIVIAE	ADP OF THE SNF	—	2023-12-16	current	pecos_ownership
RELIANT CARE GROUP OF WEBSTER INC	ADP OF THE SNF	—	2010-10-01	current	pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2010-10-01	current	pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC	ADP OF THE SNF	—	2025-04-14	current	pecos_ownership
BKY PROPERTIES	Corporation, partnership or other organization has financial interest in provider	100%	2020-01-01	ended 2020-12-31	hcris_a_8_1
BKY PROPERTIES INC.	Corporation, partnership or other organization has financial interest in provider	100%	2021-01-01	ended 2021-12-31	hcris_a_8_1
BKY PROPERTIES INC.	Corporation, partnership or other organization has financial interest in provider	100%	2022-01-01	ended 2022-12-31	hcris_a_8_1
RICHARD DESTEFANE	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	2018-03-01	ended 2026-05-18	pecos_ownership
ABDULLAH ARSHAD	ADP OF THE SNF	—	2024-09-15	ended 2026-05-18	pecos_ownership
ORLIVIAE GRIGGS	ADP OF THE SNF	—	2023-12-16	ended 2026-05-18	pecos_ownership
RICHARD DESTEFANE	OPERATIONAL/MANAGERIAL CONTROL	—	2010-10-01	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$513,567	$91,008	$234,892	$123,098	—	6	propco
2023-12-31	$703,564	$181,666	$231,679	$199,557	—	6	propco
2022-12-31	$732,608	$217,420	$235,928	$158,757	—	6	propco
2021-12-31	$654,389	$171,619	$274,016	$139,186	—	5	propco
2020-12-31	$601,468	$183,847	—	$138,558	—	4	propco

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

Transactions

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 — 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 29173	fmr	0	$660	2025-10-01	HUD_USER_FMR
county 29173	acs median gross	1	$380	2024-12-31	CENSUS_ACS5
county 29173	fmr	1	$677	2025-10-01	HUD_USER_FMR
county 29173	acs median gross	2	$749	2024-12-31	CENSUS_ACS5
county 29173	fmr	2	$888	2025-10-01	HUD_USER_FMR
county 29173	acs median gross	3	$954	2024-12-31	CENSUS_ACS5
county 29173	fmr	3	$1,128	2025-10-01	HUD_USER_FMR
county 29173	fmr	4	$1,490	2025-10-01	HUD_USER_FMR
county 29173	acs median gross		$749	2024-12-31	CENSUS_ACS5
county 29173	acs recent mover gross		$375	2024-12-31	CENSUS_ACS5
zcta 63436	acs median gross	1	$307	2024-12-31	CENSUS_ACS5
zcta 63436	acs median gross	2	$99	2024-12-31	CENSUS_ACS5
zcta 63436	acs median gross	3	$582	2024-12-31	CENSUS_ACS5
zcta 63436	acs median gross		$321	2024-12-31	CENSUS_ACS5
zip 63436	payment standard 110	0	$737	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 90	0	$603	2025-10-01	HUD_USER_SAFMR
zip 63436	safmr	0	$670	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 110	1	$759	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 90	1	$621	2025-10-01	HUD_USER_SAFMR
zip 63436	safmr	1	$690	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 110	2	$990	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 90	2	$810	2025-10-01	HUD_USER_SAFMR
zip 63436	safmr	2	$900	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 110	3	$1,243	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 90	3	$1,017	2025-10-01	HUD_USER_SAFMR
zip 63436	safmr	3	$1,130	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 110	4	$1,540	2025-10-01	HUD_USER_SAFMR
zip 63436	payment standard 90	4	$1,260	2025-10-01	HUD_USER_SAFMR
zip 63436	safmr	4	$1,400	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.