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 08:35 UTC
Screener / 165616
C

The Bridges at Ankeny

snfIA
3510 Northwest Ablilene Road, Ankeny, IA 50023 · CCN 165616 · chain CAMPBELL STREET SERVICES LLC
Composite
80.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 80.2% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies39Licensure0Ownership29Related party1Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct84.555.80.300.230819.50in index
regulatory risk77.774.10.300.230817.93in index
staffing risk47.047.00.250.19239.04in index
financial risk35.036.70.300.23088.08in index
chow risk52.524.60.150.11546.06in 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

6
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+21.1 vs natlBIRCHWOOD HEALTHCARE PARTNERS LLC10 facilities
connectionOwner fleet risk far above national+20.7 vs natlMILLER DANIEL14 facilities
connectionOwner spans multiple chains9 chainsMILLER DANIEL12 facilities
connectionOwner fleet enforcement cluster60% finedPIERCE WILLIAM5 facilities
connectionOwner fleet enforcement cluster50% finedBIRCHWOOD HEALTHCARE PARTNERS LLC10 facilities
connectionOwner fleet enforcement cluster42% finedCAMPBELL STREET SERVICES LLC19 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 conduct55.8Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.6Bv0.1-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 risk23.6Av0.6default · in composite
financial risk36.7Bv0.5default · 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 12m0.0—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 risk74.1Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk47.0Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk86.2Fv0.1supersededPre-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 risk66.2Dv0.2supersededPre-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 risk47.2Cv0.3supersededPre-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 risk41.3Bv0.4supersededPre-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 risk74.0Dv0.1supersededPre-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 risk74.0Dv0.2supersededPre-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 risk47.0Cv0.1supersededPre-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 risk47.0Cv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
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)2.56-1.60
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.93-0.67
No PBJ staffing report0.00+0.42
Chain size (log)3.00+0.23
Contract staffing share0.00-0.09
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.93-0.76
For-profit ownership1.00-0.69
Chain size (log)3.00-0.54
Fine amount, 12m (log)9.55-0.52
Deficiencies, last 12 months5.00+0.50
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.56-0.26
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 nurse3.333.153.282.90–3.77
RN0.650.460.390.25–0.58
Weekend total3.142.963.11—
Weekday total3.413.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49292.93.330.650.642.053.140.3%
2025Q39292.53.190.510.682.003.060.5%
2025Q29189.93.360.540.752.073.230.3%
2025Q19088.13.360.650.632.083.270.2%
2024Q49290.43.230.740.561.933.040.0%
2024Q39290.43.300.780.621.903.220.0%
2024Q29193.43.370.700.731.943.310.0%
2024Q19194.23.540.790.662.103.310.0%
2023Q49295.83.620.830.572.223.610.3%
2023Q39291.33.920.920.642.363.750.1%
2023Q29184.44.000.950.662.393.940.0%
2023Q19080.83.760.960.662.143.610.0%
2022Q49269.63.850.960.662.223.630.1%
2022Q39264.53.771.040.592.143.490.0%
2022Q29158.24.031.190.502.343.760.7%
2022Q19061.73.861.030.622.203.690.8%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2026-03-17Fine$14,015CMS provider data
Total fines on record: $14,015

Deficiencies

39
B × 1D × 27E × 9G × 2
deficiencies by survey year
2010242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-17HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-04-11
2026-03-17HealthF0732Post nurse staffing information every day.D2026-04-11
2026-03-17Health · complaintF0760Ensure that residents are free from significant medication errors.G2026-02-06
2026-03-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-04-11
2026-03-17HealthF0880Provide and implement an infection prevention and control program.E2026-04-11
2025-05-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-06
2025-05-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-06-06
2025-05-15Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-06-06
2025-05-15Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-06-06
2025-05-15Health · complaintF0880Provide and implement an infection prevention and control program.E2025-06-06
2025-02-20Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-03-14
2025-02-20HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-03-14
2025-02-20Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-14
2025-02-20HealthF0688Provide 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.D2025-03-14
2025-02-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-03-14
2025-02-20Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-03-14
2025-02-20Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-03-14
2025-02-20Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-14
2025-02-20HealthF0880Provide and implement an infection prevention and control program.D2025-03-14
2024-09-19Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D—
2024-09-19Health · complaintF0584Honor 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.D2024-10-11
2024-09-19Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-11
2024-09-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-10-11
2024-09-19Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-10-11
2024-09-19Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-10-11
2024-09-19Health · complaintF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2024-10-11
2024-09-19Health · complaintF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.E—
2024-09-19Health · complaintF0880Provide and implement an infection prevention and control program.D—
2024-04-04HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2024-05-02
2024-04-04HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-05-02
2024-04-04Health · complaintF0641Ensure each resident receives an accurate assessment.B2024-05-02
2024-04-04HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-05-02
2024-04-04HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-05-02
2024-04-04HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-05-02
2024-04-04HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-05-02
2024-04-04HealthF0760Ensure that residents are free from significant medication errors.D2024-05-02
2024-04-04HealthF0880Provide and implement an infection prevention and control program.E2024-05-02
2024-02-01Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-02-23
2024-02-01Health · complaintF0880Provide and implement an infection prevention and control program.D2024-02-23
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

29
OwnerRolePctFromStatusSource
5V+ SENIORS HEALTHCARE FUND GP, LLCADP OF THE SNF—2024-01-01currentpecos_ownership
5V+ SENIORS HEALTHCARE FUND GP, LLCOPERATIONAL/MANAGERIAL CONTROL—2024-01-05currentpecos_ownership
5V+ SENIORS HEALTHCARE FUND GP, LLCINDIRECT OWNERSHIP INTEREST—2024-01-04currentpecos_ownership
5V+ SENIORS HEALTHCARE FUND, LPADP OF THE SNF—2024-01-04currentpecos_ownership
5V+ SENIORS HEALTHCARE FUND, LPOPERATIONAL/MANAGERIAL CONTROL—2024-01-05currentpecos_ownership
5V+ SENIORS HEALTHCARE GP MANAGER, LLCOPERATIONAL/MANAGERIAL CONTROL—2024-04-01currentpecos_ownership
5V+ SENIORS HEALTHCARE GP MANAGER, LLCADP OF THE SNF—2025-04-15currentpecos_ownership
BAKST, DAVIDINDIRECT OWNERSHIP INTEREST—2024-01-05currentpecos_ownership
BIRCHWOOD HEALTHCARE PARTNERS LLCINDIRECT OWNERSHIP INTEREST—2024-01-05currentpecos_ownership
BROWN, JEREMYOPERATIONAL/MANAGERIAL CONTROL—2024-01-05currentpecos_ownership
BROWN, STEVENADP OF THE SNF—2024-01-05currentpecos_ownership
CAMPBELL STREET SERVICES LLCADP OF THE SNF—2025-05-14currentpecos_ownership
CAMPBELL STREET SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2024-01-05currentpecos_ownership
DOLE, ISAACADP OF THE SNF—2024-01-05currentpecos_ownership
HOLDCO ANKENY, IA, LLCDIRECT OWNERSHIP INTEREST—2024-01-05currentpecos_ownership
INVESTCO ANKENY, IA, LLCINDIRECT OWNERSHIP INTEREST—2024-01-05currentpecos_ownership
MILLER, DANIELADP OF THE SNF—2024-04-01currentpecos_ownership
MOFFITT, MICHELLEADP OF THE SNF—2024-08-21currentpecos_ownership
OAKCO ANKENY, IA, LLCADP OF THE SNF—2025-03-28currentpecos_ownership
OAKCO ANKENY, IA, LLCOPERATIONAL/MANAGERIAL CONTROL—2024-01-05currentpecos_ownership
PIERCE, WILLIAMADP OF THE SNF—2024-08-01currentpecos_ownership
REALCO ANKENY, IA, LLC5% OR GREATER MORTGAGE INTEREST—2024-01-05currentpecos_ownership
ISAAC DOLEINDIRECT OWNERSHIP INTEREST50%2024-01-05ended 2026-05-18pecos_ownership
DAVID BAKST5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2024-01-05ended 2026-05-18pecos_ownership
JEREMY BROWN5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2024-01-05ended 2026-05-18pecos_ownership
STEVEN BROWNINDIRECT OWNERSHIP INTEREST6%2024-01-05ended 2026-05-18pecos_ownership
DANIEL MILLERADP OF THE SNF—2024-04-01ended 2026-05-18pecos_ownership
MICHELLE MOFFITTOPERATIONAL/MANAGERIAL CONTROL—2024-08-21ended 2026-05-18pecos_ownership
WILLIAM PIERCEOPERATIONAL/MANAGERIAL CONTROL—2024-08-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-01-05—OPCO ANKENY, IA, LLCHAWKEYE ESTATES LLCchow

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

35
GeoKindBRAmountAs ofSource
county 19153acs median gross0$9262024-12-31CENSUS_ACS5
county 19153fmr0$1,0632025-10-01HUD_USER_FMR
county 19153acs median gross1$9632024-12-31CENSUS_ACS5
county 19153fmr1$1,1092025-10-01HUD_USER_FMR
county 19153acs median gross2$1,1692024-12-31CENSUS_ACS5
county 19153fmr2$1,3182025-10-01HUD_USER_FMR
county 19153acs median gross3$1,4972024-12-31CENSUS_ACS5
county 19153fmr3$1,7942025-10-01HUD_USER_FMR
county 19153acs median gross4$1,6052024-12-31CENSUS_ACS5
county 19153fmr4$1,8412025-10-01HUD_USER_FMR
county 19153acs median gross5$1,8342024-12-31CENSUS_ACS5
county 19153acs median gross$1,1492024-12-31CENSUS_ACS5
county 19153acs recent mover gross$1,2352024-12-31CENSUS_ACS5
zcta 50023acs median gross0$8942024-12-31CENSUS_ACS5
zcta 50023acs median gross1$1,0402024-12-31CENSUS_ACS5
zcta 50023acs median gross2$1,3832024-12-31CENSUS_ACS5
zcta 50023acs median gross3$2,0202024-12-31CENSUS_ACS5
zcta 50023acs median gross4$2,7282024-12-31CENSUS_ACS5
zcta 50023acs median gross$1,2402024-12-31CENSUS_ACS5
zcta 50023acs recent mover gross$1,8122024-12-31CENSUS_ACS5
zip 50023payment standard 1100$1,2762025-10-01HUD_USER_SAFMR
zip 50023payment standard 900$1,0442025-10-01HUD_USER_SAFMR
zip 50023safmr0$1,1602025-10-01HUD_USER_SAFMR
zip 50023payment standard 1101$1,3312025-10-01HUD_USER_SAFMR
zip 50023payment standard 901$1,0892025-10-01HUD_USER_SAFMR
zip 50023safmr1$1,2102025-10-01HUD_USER_SAFMR
zip 50023payment standard 1102$1,5842025-10-01HUD_USER_SAFMR
zip 50023payment standard 902$1,2962025-10-01HUD_USER_SAFMR
zip 50023safmr2$1,4402025-10-01HUD_USER_SAFMR
zip 50023payment standard 1103$2,1562025-10-01HUD_USER_SAFMR
zip 50023payment standard 903$1,7642025-10-01HUD_USER_SAFMR
zip 50023safmr3$1,9602025-10-01HUD_USER_SAFMR
zip 50023payment standard 1104$2,2112025-10-01HUD_USER_SAFMR
zip 50023payment standard 904$1,8092025-10-01HUD_USER_SAFMR
zip 50023safmr4$2,0102025-10-01HUD_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 · The Bridges at Ankeny (165616) · 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