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 14:06 UTC
Screener / 265852
C

ST JOSEPH CHATEAU

snfMO
811 NORTH 9TH STREET, SAINT JOSEPH, MO 64501 · CCN 265852 · chain VHS MO OPCO HOLDINGS LLC
Composite
68.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
69
Model
v1.2
Reads as: riskier than 68.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk98.698.60.250.192318.96in index
financial risk61.853.50.300.230814.26in index
regulatory risk46.135.00.300.230810.64in index
billing conduct27.630.50.300.23086.37in index
chow risk46.144.20.150.11545.32in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+39.0 vs natlVHS MO OPCO HOLDINGS LLC9 facilities
connectionOwner fleet risk far above national+25.0 vs natlMILLER WILLIAM18 facilities
connectionOwner fleet enforcement cluster44% finedVHS MO OPCO HOLDINGS LLC9 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 conduct30.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk63.5Cv0.6default · in composite
financial risk53.5Cv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · 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 12m0.0v0.1default · 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 risk35.0Bv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk98.6Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk78.5Dv0.1supersededPre-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 risk58.5Cv0.2supersededPre-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 risk63.7Cv0.3supersededPre-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 risk54.3Cv0.4supersededPre-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 risk34.9Bv0.1supersededPre-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 risk34.9Bv0.2supersededPre-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 risk98.6Fv0.1supersededPre-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 risk98.6Fv0.2supersededPre-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)3.16-1.54
Ownership changes, last 5 years1.00-0.87
Occupancy0.97-0.80
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)1.86+0.24
Chain size (log)2.48+0.13
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
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
Occupancy0.97-0.95
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)1.86+0.57
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)3.16-0.25
Chain size (log)2.48-0.24
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 facilityMO medianNational medianNational p25–p75
Total nurse1.862.413.282.90–3.77
RN0.250.250.390.25–0.58
Weekend total1.732.243.11
Weekday total1.912.493.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49267.21.860.250.311.291.730.1%
2025Q39267.01.800.260.291.251.630.0%
2025Q29167.01.820.270.301.251.660.0%
2025Q19066.11.720.230.301.191.610.0%
2024Q49267.41.710.200.271.241.640.0%
2024Q39266.11.640.220.251.171.530.0%
2024Q29163.91.600.150.321.141.550.0%
2024Q19162.81.650.150.421.081.460.0%
2023Q49261.41.910.180.481.261.680.0%
2023Q39260.91.780.230.301.241.540.0%
2023Q29160.51.790.320.261.221.550.0%
2023Q19058.61.970.310.301.361.790.0%
2022Q49258.51.800.300.281.221.690.0%
2022Q39260.31.470.230.320.921.221.9%
2022Q29161.51.530.180.480.871.300.0%
2022Q19060.11.560.230.480.851.330.0%
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

0
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

52
C × 1D × 15E × 33F × 3
deficiencies by survey year
261322232425
SurveyTypeTagDeficiencyScopeCorrected
2025-09-11Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-10-05
2025-09-11Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-10-05
2024-08-27Health · 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.E2024-09-17
2024-04-05HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-05-20
2024-04-05HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E2024-05-20
2024-04-05HealthF0584Honor 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.E2024-05-20
2024-04-05HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2024-05-20
2024-04-05HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-05-20
2024-04-05HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-05-20
2024-04-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-05-20
2024-04-05HealthF0692Provide enough food/fluids to maintain a resident's health.D2024-05-20
2024-04-05HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2024-05-20
2024-04-05HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2024-05-20
2024-04-05HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-05-20
2024-04-05HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2024-05-20
2024-04-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-05-20
2024-04-05HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE2024-05-20
2024-04-05HealthF0880Provide and implement an infection prevention and control program.E2024-05-20
2024-04-05HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-05-20
2023-12-19Health · complaintF0562Provide immediate access to any resident.F2024-02-07
2023-12-19Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2024-01-11
2023-12-19Health · complaintF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E2024-01-11
2023-12-19Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-01-11
2023-10-05Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-10-17
2023-10-05Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-10-17
2023-08-17Health · complaintF0880Provide and implement an infection prevention and control program.E2023-09-01
2022-04-29HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-06-28
2022-04-29HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2022-06-28
2022-04-29HealthF0570Assure the security of all personal funds of residents deposited with the facility.E2022-06-28
2022-04-29HealthF0572Give residents a notice of rights, rules, services and charges.D2022-06-28
2022-04-29HealthF0574The resident has the right to receive notices in a format and a language he or she understands.F2022-06-28
2022-04-29HealthF0584Honor 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.E2022-06-28
2022-04-29HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2022-06-28
2022-04-29HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2022-06-28
2022-04-29HealthF0610Respond appropriately to all alleged violations.D2022-06-28
2022-04-29HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2022-06-28
2022-04-29HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2022-06-28
2022-04-29HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2022-06-28
2022-04-29HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-06-28
2022-04-29HealthF0680Ensure the activities program is directed by a qualified professional.E2022-06-28
2022-04-29HealthF0688Provide 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.E2022-06-28
2022-04-29HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2022-06-28
2022-04-29HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2022-06-28
2022-04-29HealthF0732Post nurse staffing information every day.C2022-06-28
2022-04-29HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2022-06-28
2022-04-29HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2022-06-28
2022-04-29HealthF0759Ensure medication error rates are not 5 percent or greater.E2022-06-28
2022-04-29HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2022-06-28
2022-04-29HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2022-06-28
2022-04-29HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2022-06-28
2022-04-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-06-28
2022-04-29HealthF0880Provide and implement an infection prevention and control program.E2022-06-28
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

15
OwnerRolePctFromStatusSource
ABBAS, MARGHOOBOPERATIONAL/MANAGERIAL CONTROL2024-01-15currentpecos_ownership
ABBAS, MARGHOOBADP OF THE SNF2025-05-14currentpecos_ownership
CLARK, KRISTAOPERATIONAL/MANAGERIAL CONTROL2023-06-01currentpecos_ownership
DILWORTH, JAMESADP OF THE SNF2025-05-08currentpecos_ownership
DILWORTH, JAMESOPERATIONAL/MANAGERIAL CONTROL2024-09-09currentpecos_ownership
MILLER, WILLIAMOPERATIONAL/MANAGERIAL CONTROL2023-06-01currentpecos_ownership
NORTH 9TH STREET CONSULTING LLCADP OF THE SNF2025-05-14currentpecos_ownership
NORTH 9TH STREET CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL2023-06-01currentpecos_ownership
VHS MO OPCO HOLDINGS LLCDIRECT OWNERSHIP INTEREST2023-06-01currentpecos_ownership
WILLIAM MILLERINDIRECT OWNERSHIP INTEREST100%2023-06-01ended 2026-05-18pecos_ownership
JAMES DILWORTHADP OF THE SNF2025-05-08ended 2026-05-18pecos_ownership
JAMES DILWORTHOPERATIONAL/MANAGERIAL CONTROL2024-09-09ended 2026-05-18pecos_ownership
KRISTA CLARKOPERATIONAL/MANAGERIAL CONTROL2023-06-01ended 2026-05-18pecos_ownership
MARGHOOB ABBASADP OF THE SNF2025-05-14ended 2026-05-18pecos_ownership
MARGHOOB ABBASOPERATIONAL/MANAGERIAL CONTROL2024-01-15ended 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
2023-06-01NORTH 9TH STREET HEALTHCARE LLCSJ3 OP CHATEAU LLCchow

Comparable trades — MO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01AVENIR AT MAPLE GROVE90NBH2 MGOPCO LLC
2025-10-01AVENIR AT MARK TWAIN120NBH1 MTOPCO LLC
2025-10-01ARBOR HILLS CARE & REHAB CENTER150ARBOR HILLS HEALTHCARE, LLC
2025-10-01ASCEND AT AURORA125NBH3 SFOPCO LLC
2025-09-01HUBBLE CREEK105HUBBLE CREEK LLC
2025-08-01HIDDEN LAKE HEALTH CARE CENTER67HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01PINE GROVE MANOR77PINE GROVE MANOR LLC
2025-05-01MONARCH SPRINGS WELLNESS & REHABILITATION119MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01ASPIRE SENIOR LIVING NEW FLORENCE87ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01SOUTH COUNTY HEALTH CARE CENTER153SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01ARBOR VIEW NURSING AND REHABILITATION150FORREST OPCO LLC
2025-02-01AMBERWOOD ESTATES NURSING AND REHABILITATION115ISLAND 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

35
GeoKindBRAmountAs ofSource
county 29021acs median gross0$6722024-12-31CENSUS_ACS5
county 29021fmr0$7742025-10-01HUD_USER_FMR
county 29021acs median gross1$7032024-12-31CENSUS_ACS5
county 29021fmr1$8322025-10-01HUD_USER_FMR
county 29021acs median gross2$9152024-12-31CENSUS_ACS5
county 29021fmr2$1,0772025-10-01HUD_USER_FMR
county 29021acs median gross3$1,0622024-12-31CENSUS_ACS5
county 29021fmr3$1,3632025-10-01HUD_USER_FMR
county 29021acs median gross4$1,1302024-12-31CENSUS_ACS5
county 29021fmr4$1,5662025-10-01HUD_USER_FMR
county 29021acs median gross5$7442024-12-31CENSUS_ACS5
county 29021acs median gross$9022024-12-31CENSUS_ACS5
county 29021acs recent mover gross$9262024-12-31CENSUS_ACS5
zcta 64501acs median gross0$6682024-12-31CENSUS_ACS5
zcta 64501acs median gross1$7942024-12-31CENSUS_ACS5
zcta 64501acs median gross2$8532024-12-31CENSUS_ACS5
zcta 64501acs median gross3$1,1122024-12-31CENSUS_ACS5
zcta 64501acs median gross4$9462024-12-31CENSUS_ACS5
zcta 64501acs median gross$9122024-12-31CENSUS_ACS5
zcta 64501acs recent mover gross$8032024-12-31CENSUS_ACS5
zip 64501payment standard 1100$8142025-10-01HUD_USER_SAFMR
zip 64501payment standard 900$6662025-10-01HUD_USER_SAFMR
zip 64501safmr0$7402025-10-01HUD_USER_SAFMR
zip 64501payment standard 1101$8802025-10-01HUD_USER_SAFMR
zip 64501payment standard 901$7202025-10-01HUD_USER_SAFMR
zip 64501safmr1$8002025-10-01HUD_USER_SAFMR
zip 64501payment standard 1102$1,1332025-10-01HUD_USER_SAFMR
zip 64501payment standard 902$9272025-10-01HUD_USER_SAFMR
zip 64501safmr2$1,0302025-10-01HUD_USER_SAFMR
zip 64501payment standard 1103$1,4302025-10-01HUD_USER_SAFMR
zip 64501payment standard 903$1,1702025-10-01HUD_USER_SAFMR
zip 64501safmr3$1,3002025-10-01HUD_USER_SAFMR
zip 64501payment standard 1104$1,6502025-10-01HUD_USER_SAFMR
zip 64501payment standard 904$1,3502025-10-01HUD_USER_SAFMR
zip 64501safmr4$1,5002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.