Composite
96.7 / 100 percentile
Screener / 265339
F
ALPINE BREEZE HEALTH AND WELLNESS
snfMO
6124 RAYTOWN ROAD, RAYTOWN, MO 64133 · CCN 265339 · chain VHS MO OPCO HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
154
Model
v1.2
Reads as: riskier than 96.7% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies55Licensure0Ownership16Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 89.6 | 77.0 | 0.30 | 0.2308 | 20.68 | in index |
| regulatory risk | 82.2 | 79.1 | 0.30 | 0.2308 | 18.97 | in index |
| staffing risk | 98.6 | 98.6 | 0.25 | 0.1923 | 18.96 | in index |
| billing conduct | 54.7 | 41.4 | 0.30 | 0.2308 | 12.62 | in index |
| chow risk | 23.9 | 30.6 | 0.15 | 0.1154 | 2.76 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +32.6 vs natl | TADAKAMALLA SRINATH | 10 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | MILLER WILLIAM | 18 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.1 | 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 | 38.1 | B | v0.6 | default · in composite | |
| financial risk | 77.0 | D | 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 | 0.0 | — | 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 | 79.1 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 49.7 | 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 | 29.7 | 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 | 66.0 | D | 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 | 77.1 | D | 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 | 79.1 | D | 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 | 79.1 | D | 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 | 98.6 | 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 | 98.6 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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) | 3.16 | -1.54 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.94 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.87 | +0.23 | |
| 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)
0.0%
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.94 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| Total nurse staffing (HPRD) | 1.87 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -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 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.87 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.71 | 2.24 | 3.11 | — |
| Weekday total | 1.94 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 145.5 | 1.87 | 0.18 | 0.36 | 1.33 | 1.71 | 0.0% |
| 2025Q3 | 92 | 140.1 | 1.82 | 0.17 | 0.35 | 1.30 | 1.57 | 0.0% |
| 2025Q2 | 91 | 138.4 | 1.97 | 0.20 | 0.36 | 1.41 | 1.62 | 0.0% |
| 2025Q1 | 90 | 118.8 | 1.88 | 0.21 | 0.37 | 1.30 | 1.63 | 0.0% |
| 2024Q4 | 92 | 111.2 | 2.06 | 0.22 | 0.41 | 1.43 | 1.83 | 0.0% |
| 2024Q3 | 92 | 114.1 | 1.85 | 0.23 | 0.39 | 1.24 | 1.65 | 0.0% |
| 2024Q2 | 91 | 113.5 | 1.94 | 0.24 | 0.38 | 1.31 | 1.73 | 0.0% |
| 2024Q1 | 91 | 93.3 | 2.26 | 0.30 | 0.44 | 1.52 | 2.16 | 0.0% |
| 2023Q4 | 92 | 89.7 | 2.35 | 0.23 | 0.54 | 1.57 | 2.32 | 0.0% |
| 2023Q3 | 92 | 96.9 | 2.31 | 0.20 | 0.45 | 1.66 | 2.00 | 0.0% |
| 2023Q2 | 91 | 110.8 | 2.56 | 0.18 | 0.51 | 1.88 | 2.44 | 0.0% |
| 2023Q1 | 90 | 110.6 | 2.00 | 0.11 | 0.46 | 1.43 | 1.90 | 0.1% |
| 2022Q4 | 92 | 111.3 | 1.82 | 0.19 | 0.34 | 1.29 | 1.85 | 0.0% |
| 2022Q3 | 92 | 111.9 | 2.30 | 0.44 | 0.30 | 1.56 | 2.24 | 2.7% |
| 2022Q2 | 91 | 112.9 | 1.69 | 0.23 | 0.32 | 1.14 | 1.58 | 0.0% |
| 2022Q1 | 90 | 107.4 | 1.92 | 0.21 | 0.39 | 1.31 | 1.71 | 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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-23 | Fine | $10,550 | CMS provider data |
| 2025-01-30 | Fine | $9,198 | CMS provider data |
Total fines on record: $19,748
Deficiencies
55B × 1D × 28E × 20F × 3G × 2L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2025-08-20 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-24 |
| 2025-08-20 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-09-24 |
| 2025-08-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-24 |
| 2025-08-20 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-09-24 |
| 2025-08-20 | 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 | 2025-09-24 |
| 2025-08-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-24 |
| 2025-08-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-24 |
| 2025-08-20 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-09-24 |
| 2025-08-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-09-24 |
| 2025-08-20 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2025-09-24 |
| 2025-04-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-18 |
| 2025-01-30 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | 2025-01-28 |
| 2025-01-24 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-01-13 |
| 2024-10-09 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-11-05 |
| 2024-10-09 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-11-05 |
| 2023-10-23 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-07 |
| 2023-10-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-07 |
| 2023-10-23 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-12-07 |
| 2023-10-23 | 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 | 2023-12-07 |
| 2023-10-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-07 |
| 2023-10-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-07 |
| 2023-10-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-07 |
| 2023-10-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-07 |
| 2023-10-23 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-12-07 |
| 2023-10-23 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-12-07 |
| 2023-10-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-12-07 |
| 2023-10-23 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-12-07 |
| 2023-10-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-07 |
| 2023-10-23 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2023-12-07 |
| 2023-10-23 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-12-07 |
| 2023-10-23 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-12-07 |
| 2023-10-23 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-12-07 |
| 2023-10-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-07 |
| 2023-10-23 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-12-07 |
| 2023-10-23 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2023-12-07 |
| 2023-10-23 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-12-07 |
| 2023-07-06 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-07-28 |
| 2023-06-12 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-07-06 |
| 2023-06-12 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | 2023-07-06 |
| 2023-06-12 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | E | 2023-07-06 |
| 2022-05-26 | 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. | E | 2022-07-07 |
| 2022-05-26 | 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 | 2022-07-07 |
| 2022-05-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-07-07 |
| 2022-05-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-07-07 |
| 2022-05-26 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-07-07 |
| 2022-05-26 | 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 | 2022-07-07 |
| 2022-05-26 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-07-07 |
| 2022-05-26 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2022-07-07 |
| 2022-05-26 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2022-07-07 |
| 2022-05-26 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-07-07 |
| 2022-05-26 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-07-07 |
| 2022-05-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-07-07 |
| 2022-05-26 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2022-06-10 |
| 2022-05-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2022-07-07 |
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
0No 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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DAVIS, MICAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-12 | current | pecos_ownership |
| DAVIS, MICAH | ADP OF THE SNF | — | 2025-04-04 | current | pecos_ownership |
| MILLER, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| RAYTOWN ROAD CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| RAYTOWN ROAD CONSULTING LLC | ADP OF THE SNF | — | 2025-03-17 | current | pecos_ownership |
| TADAKAMALLA, SRINATH | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| TADAKAMALLA, SRINATH | ADP OF THE SNF | — | 2025-04-04 | current | pecos_ownership |
| VERTICAL HEALTH SERVICES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| VHS HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| VHS MO OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| VHS ULTIMATE PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM MILLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| MICAH DAVIS | ADP OF THE SNF | — | 2025-04-04 | ended 2026-05-18 | pecos_ownership |
| MICAH DAVIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-12 | ended 2026-05-18 | pecos_ownership |
| SRINATH TADAKAMALLA | ADP OF THE SNF | — | 2025-04-04 | ended 2026-05-18 | pecos_ownership |
| SRINATH TADAKAMALLA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-06-01 | — | RAYTOWN ROAD HEALTHCARE LLC | SRZ OP AUTUMN LLC | chow |
Comparable trades — MO snf
12| 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29095 | acs median gross | 0 | $938 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 0 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 1 | $1,024 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 1 | $1,197 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 2 | $1,179 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 2 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 3 | $1,422 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 3 | $1,769 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 4 | $1,731 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | fmr | 4 | $2,103 | 2025-10-01 | HUD_USER_FMR |
| county 29095 | acs median gross | 5 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| county 29095 | acs median gross | $1,197 | 2024-12-31 | CENSUS_ACS5 | |
| county 29095 | acs recent mover gross | $1,373 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64133 | acs median gross | 0 | $1,144 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | 1 | $1,017 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | 2 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | 3 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | 4 | $2,056 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | 5 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64133 | acs median gross | $1,217 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64133 | acs recent mover gross | $1,449 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64133 | payment standard 110 | 0 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 90 | 0 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | safmr | 0 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 110 | 1 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 90 | 1 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | safmr | 1 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 110 | 2 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 90 | 2 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | safmr | 2 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 110 | 3 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 90 | 3 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | safmr | 3 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 110 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | payment standard 90 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64133 | safmr | 4 | $1,980 | 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.