Screener / 265676

ST ELIZABETH CARE CENTER

snfMO

649 SOUTH WALNUT, SAINT ELIZABETH, MO 65075 · CCN 265676 · chain RELIANT CARE MANAGEMENT COMPANY LLC

Composite

98.8 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 98.8% 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 signals5 Components15 CHOW radar1 Distress radar1 Staffing16 Penalties1 Deficiencies42 Licensure0 Ownership7 Related party5 Transactions0 Comps12 Market rent27

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
financial risk	85.0	71.8	0.30	0.3000	25.50	in index
staffing risk	99.7	99.7	0.25	0.2500	24.93	in index
regulatory risk	74.1	70.1	0.30	0.3000	22.23	in index
chow risk	41.5	39.8	0.15	0.1500	6.23	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	+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	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

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	54.6	C	v0.6	default · in composite
financial risk	71.8	D	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	4.1	—	v0.1	default · in composite	R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk	70.1	D	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	99.7	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	58.3	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	38.3	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	72.1	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	70.5	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	69.9	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	69.9	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	99.7	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	99.7	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)

4.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

85.3

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Occupancy	0.94	-0.69
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
Total nurse staffing (HPRD)	1.30	+0.35
Chain size (log)	3.43	+0.33
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

53.5

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
Total nurse staffing (HPRD)	1.30	+0.81
Chain size (log)	3.43	-0.80
Occupancy	0.94	-0.79
For-profit ownership	1.00	-0.69
No PBJ staffing report	0.00	+0.39
Fine amount, 12m (log)	0.00	+0.18
Staffing trend, last 4 quarters	0.36	+0.14

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	1.30	2.41	3.28	2.90–3.77
RN	0.29	0.25	0.39	0.25–0.58
Weekend total	1.53	2.24	3.11	—
Weekday total	1.20	2.49	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	59.0	1.30	0.29	0.46	0.55	1.53	0.0%
2025Q3	92	58.9	0.73	0.17	0.24	0.32	0.70	0.0%
2025Q2	91	57.1	0.94	0.23	0.21	0.50	0.86	0.0%
2025Q1	90	54.1	0.96	0.26	0.26	0.45	0.84	0.0%
2024Q4	92	57.4	0.93	0.18	0.23	0.53	0.86	0.0%
2024Q3	92	58.0	1.13	0.26	0.20	0.66	0.99	0.0%
2024Q2	91	57.5	1.05	0.27	0.04	0.74	1.08	0.0%
2024Q1	91	58.1	0.93	0.33	0.15	0.45	1.01	0.0%
2023Q4	92	52.5	1.38	0.25	0.49	0.63	1.04	0.0%
2023Q3	92	46.5	2.45	0.38	0.30	1.78	2.20	0.0%
2023Q2	91	48.4	2.13	0.29	0.06	1.78	2.09	0.0%
2023Q1	90	53.8	1.96	0.35	0.11	1.50	1.90	0.0%
2022Q4	92	56.0	1.44	0.23	0.24	0.97	1.32	0.0%
2022Q3	92	56.3	1.71	0.33	0.13	1.26	1.62	0.0%
2022Q2	91	53.1	1.88	0.36	0.21	1.31	1.77	0.0%
2022Q1	90	56.3	1.61	0.29	0.34	0.98	1.61	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
2023-08-10	Fine	$37,733	CMS provider data

Total fines on record: $37,733

Deficiencies

C × 5D × 8E × 26F × 2G × 1

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-02-06	Health	F0576	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	2025-03-14
2025-02-06	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	2025-03-14
2025-02-06	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	E	2025-03-14
2025-02-06	Health	F0700	Try 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.	E	2025-03-14
2025-02-06	Health	F0880	Provide and implement an infection prevention and control program.	E	2025-03-14
2025-02-06	Health	F0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	E	2025-03-14
2024-11-07	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	2024-12-01
2024-11-07	Health · complaint	F0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	2024-12-01
2023-10-20	Health	F0568	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	2023-12-01
2023-10-20	Health	F0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	E	2023-12-01
2023-10-20	Health	F0583	Keep residents' personal and medical records private and confidential.	E	2023-12-01
2023-10-20	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	2023-12-01
2023-10-20	Health	F0585	Honor 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.	C	2023-12-01
2023-10-20	Health	F0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E	2023-12-01
2023-10-20	Health	F0625	Notify 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.	E	2023-12-01
2023-10-20	Health	F0641	Ensure each resident receives an accurate assessment.	E	2023-12-01
2023-10-20	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	2023-12-01
2023-10-20	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	E	2023-12-01
2023-10-20	Health	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.	E	2023-12-02
2023-10-20	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.	D	2023-12-02
2023-10-20	Health	F0761	Ensure 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.	E	2023-12-01
2023-10-20	Health	F0880	Provide and implement an infection prevention and control program.	F	2023-12-02
2023-10-20	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	2023-12-01
2023-10-20	Health	F0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	E	2023-12-01
2023-08-10	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	2023-09-20
2023-08-10	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.	D	2023-09-20
2023-08-10	Health · complaint	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	D	2023-09-20
2022-10-21	Health	F0567	Honor the resident's right to manage his or her financial affairs.	E	2022-12-01
2022-10-21	Health	F0570	Assure the security of all personal funds of residents deposited with the facility.	C	2022-11-08
2022-10-21	Health	F0575	Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.	C	2022-12-01
2022-10-21	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	2022-12-01
2022-10-21	Health	F0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	2022-12-01
2022-10-21	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	2022-12-01
2022-10-21	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	E	2022-12-01
2022-10-21	Health	F0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	D	2022-12-01
2022-10-21	Health	F0732	Post nurse staffing information every day.	C	2022-12-01
2022-10-21	Health	F0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	E	2022-12-01
2022-10-21	Health	F0761	Ensure 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.	E	2022-12-01
2022-10-21	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2022-12-01
2022-10-21	Health	F0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	C	2022-12-01
2022-10-21	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	2022-12-01
2022-10-21	Health	F0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	2022-12-01

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
RICHARD J DESTEFANE REVOCABLE LIVING TRUST	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2018-03-01	current	pecos_ownership
DESTEFANE, RICHARD	CORPORATE DIRECTOR	—	2010-10-01	current	pecos_ownership
KAUS, BRANDY	W-2 MANAGING EMPLOYEE	—	2018-08-03	current	pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2013-04-02	current	pecos_ownership
BKY PRP OF ST E	Corporation, partnership or other organization has financial interest in provider	100%	2020-01-01	ended 2020-12-31	hcris_a_8_1
BRANDY KAUS	W-2 MANAGING EMPLOYEE	100%	2018-08-03	ended 2026-05-18	pecos_ownership
RICHARD DESTEFANE	CORPORATE DIRECTOR	100%	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	$460,767	—	$237,022	$186,077	—	4	—
2023-12-31	$513,344	—	$251,696	$201,777	—	4	—
2022-12-31	$549,386	—	$255,970	$213,848	—	5	—
2021-12-31	$485,344	—	$275,109	$171,021	—	4	—
2020-12-31	$558,115	$152,107	—	$147,435	—	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 29131	acs median gross	0	$660	2024-12-31	CENSUS_ACS5
county 29131	fmr	0	$667	2025-10-01	HUD_USER_FMR
county 29131	acs median gross	1	$441	2024-12-31	CENSUS_ACS5
county 29131	fmr	1	$819	2025-10-01	HUD_USER_FMR
county 29131	acs median gross	2	$773	2024-12-31	CENSUS_ACS5
county 29131	fmr	2	$898	2025-10-01	HUD_USER_FMR
county 29131	acs median gross	3	$1,024	2024-12-31	CENSUS_ACS5
county 29131	fmr	3	$1,088	2025-10-01	HUD_USER_FMR
county 29131	acs median gross	4	$788	2024-12-31	CENSUS_ACS5
county 29131	fmr	4	$1,416	2025-10-01	HUD_USER_FMR
county 29131	acs median gross		$763	2024-12-31	CENSUS_ACS5
county 29131	acs recent mover gross		$1,006	2024-12-31	CENSUS_ACS5
zip 65075	payment standard 110	0	$748	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 90	0	$612	2025-10-01	HUD_USER_SAFMR
zip 65075	safmr	0	$680	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 110	1	$880	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 90	1	$720	2025-10-01	HUD_USER_SAFMR
zip 65075	safmr	1	$800	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 110	2	$1,001	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 90	2	$819	2025-10-01	HUD_USER_SAFMR
zip 65075	safmr	2	$910	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 110	3	$1,276	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 90	3	$1,044	2025-10-01	HUD_USER_SAFMR
zip 65075	safmr	3	$1,160	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 110	4	$1,540	2025-10-01	HUD_USER_SAFMR
zip 65075	payment standard 90	4	$1,260	2025-10-01	HUD_USER_SAFMR
zip 65075	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.