Composite
89.8 / 100 percentile
Screener / 265595
D
BLUE SPRINGS WELLNESS & REHABILITATION
snfMO
930 NE DUNCAN ROAD, BLUE SPRINGS, MO 64014 · CCN 265595 · chain DERHOBEN TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 89.8% 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 model5ML signals25Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies66Licensure0Ownership31Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 90.6 | 78.3 | 0.30 | 0.2308 | 20.91 | in index |
| regulatory risk | 84.4 | 81.4 | 0.30 | 0.2308 | 19.48 | in index |
| staffing risk | 99.5 | 99.5 | 0.25 | 0.1923 | 19.13 | in index |
| chow risk | 60.6 | 59.2 | 0.15 | 0.1154 | 6.99 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +45.3 vs natl | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | WILDFLOWER HEALTHCARE LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet risk far above national | +45.3 vs natl | PAS B SOL TRUST | 5 facilities |
| connection | Owner fleet risk far above national | +43.6 vs natl | LINZ TRUST | 9 facilities |
| connection | Owner fleet risk far above national | +39.5 vs natl | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.5 vs natl | ZIMMERMAN CAROLINE | 35 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner fleet risk far above national | +30.0 vs natl | KAPLAN MORDECHAI | 38 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 9 chains | KAPLAN MORDECHAI | 37 facilities |
| connection | Owner spans multiple chains | 8 chains | DAVIDOVICH NIV | 19 facilities |
| connection | Owner spans multiple chains | 6 chains | ZIMMERMAN CAROLINE | 33 facilities |
| connection | Owner spans multiple chains | 4 chains | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | DAVIDOVICH NIV | 20 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | LINZ TRUST | 9 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BLOOMING WILLOW PARTNERS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DERHOBEN TRUST | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | PAS B SOL TRUST | 5 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 | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| 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 | 93.4 | F | v0.6 | default · in composite | |
| financial risk | 78.3 | 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 | 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 | 81.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.4 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 41.4 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 67.9 | 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 | 78.0 | 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 | 81.3 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 81.3 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 99.5 | 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 | 99.5 | 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 | |
|---|---|---|---|
| Current owner tenure (years) | 1.65 | -1.68 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.38 | |
| Total nurse staffing (HPRD) | 1.52 | +0.30 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
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 | 2.00 | +1.06 | |
| Total nurse staffing (HPRD) | 1.52 | +0.71 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.34 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.65 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 1.52 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.29 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.43 | 2.24 | 3.11 | — |
| Weekday total | 1.56 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 99.4 | 1.52 | 0.29 | 0.23 | 1.00 | 1.43 | 0.0% |
| 2025Q3 | 92 | 88.7 | 1.69 | 0.28 | 0.31 | 1.09 | 1.62 | 0.0% |
| 2025Q2 | 91 | 83.5 | 1.70 | 0.23 | 0.32 | 1.15 | 1.55 | 1.4% |
| 2025Q1 | 90 | 74.3 | 1.70 | 0.19 | 0.37 | 1.14 | 1.49 | 9.2% |
| 2024Q4 | 92 | 67.9 | 1.76 | 0.07 | 0.24 | 1.44 | 1.64 | 9.7% |
| 2024Q3 | 92 | 67.6 | 2.18 | 0.22 | 0.31 | 1.65 | 2.19 | 26.0% |
| 2024Q2 | 91 | 71.0 | 1.72 | 0.25 | 0.21 | 1.26 | 1.58 | 7.6% |
| 2024Q1 | 91 | 69.9 | 2.56 | 0.17 | 0.63 | 1.76 | 2.49 | 17.4% |
| 2023Q4 | 92 | 74.6 | 2.52 | 0.16 | 0.70 | 1.66 | 2.41 | 32.7% |
| 2023Q3 | 92 | 75.8 | 2.49 | 0.15 | 0.74 | 1.60 | 2.30 | 16.9% |
| 2023Q2 | 91 | 75.9 | 2.75 | 0.17 | 0.76 | 1.82 | 2.39 | 40.5% |
| 2023Q1 | 90 | 78.2 | 2.52 | 0.18 | 0.69 | 1.66 | 2.37 | 42.3% |
| 2022Q4 | 92 | 68.5 | 2.94 | 0.16 | 0.74 | 2.04 | 2.80 | 27.1% |
| 2022Q3 | 92 | 72.2 | 3.11 | 0.06 | 0.97 | 2.08 | 2.77 | 28.4% |
| 2022Q2 | 91 | 62.5 | 3.73 | 0.11 | 1.04 | 2.58 | 3.31 | 24.8% |
| 2022Q1 | 90 | 68.9 | 3.00 | 0.06 | 0.96 | 1.98 | 2.62 | 34.5% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-27 | Fine | $96,959 | CMS provider data |
| 2023-07-21 | Fine | $19,271 | CMS provider data |
Total fines on record: $116,230
Deficiencies
66D × 32E × 27F × 4G × 1J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2025-11-18 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | — |
| 2025-03-28 | 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. | D | 2025-05-12 |
| 2025-03-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-12 |
| 2025-03-28 | 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 | 2025-05-12 |
| 2025-03-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-12 |
| 2025-03-28 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-05-12 |
| 2025-03-28 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-05-12 |
| 2025-03-28 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-12 |
| 2025-03-28 | 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 | 2025-05-12 |
| 2025-03-28 | 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 | 2025-05-12 |
| 2025-03-28 | 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. | D | 2025-05-12 |
| 2025-03-28 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-05-12 |
| 2025-03-28 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-12 |
| 2024-12-02 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-01-15 |
| 2024-10-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-10-01 |
| 2024-04-22 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-06-07 |
| 2023-08-24 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | K | 2023-09-20 |
| 2023-08-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-09-20 |
| 2023-07-21 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | 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. | D | 2023-09-01 |
| 2023-07-21 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-09-01 |
| 2023-07-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-01 |
| 2023-07-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2023-07-21 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2023-09-01 |
| 2023-07-21 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-01 |
| 2023-07-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-01 |
| 2023-07-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-09-01 |
| 2023-07-21 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-09-01 |
| 2023-07-21 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-09-01 |
| 2023-07-21 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-09-01 |
| 2023-07-21 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2023-09-01 |
| 2023-07-21 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2023-09-01 |
| 2023-07-21 | 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 | 2023-09-01 |
| 2022-04-07 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2022-05-11 |
| 2022-04-07 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2022-05-11 |
| 2022-04-07 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2022-05-11 |
| 2022-04-07 | 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. | D | 2022-05-11 |
| 2022-04-07 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2022-05-11 |
| 2022-04-07 | 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 | 2022-05-11 |
| 2022-04-07 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-05-11 |
| 2022-04-07 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2022-05-11 |
| 2022-04-07 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2022-05-11 |
| 2022-04-07 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-05-11 |
| 2022-04-07 | 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 | 2022-05-11 |
| 2022-04-07 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-05-11 |
| 2022-04-07 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-05-11 |
| 2022-04-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-05-11 |
| 2022-04-07 | 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 | 2022-05-11 |
| 2022-04-07 | Health | F0732 | Post nurse staffing information every day. | E | 2022-05-11 |
| 2022-04-07 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-05-11 |
| 2022-04-07 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-05-11 |
| 2022-04-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-05-11 |
| 2022-04-07 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2022-05-11 |
| 2022-04-07 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2022-05-11 |
| 2022-04-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-05-11 |
| 2022-04-07 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2022-05-11 |
| 2022-04-07 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2022-05-11 |
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
31| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SHANGRI-LA LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2023-12-02 | current | hcris_a_8_1 |
| SHANGRI-LA LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| WILDFLOWER HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-12-02 | current | pecos_ownership |
| 930 NE DUNCAN ROAD MO, LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-02 | current | pecos_ownership |
| BLOOMING WILLOW PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-12-02 | current | pecos_ownership |
| BRASWELL, AMANDA | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| BROOK PARTNERS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-02 | current | pecos_ownership |
| CHUNG, RICHARD | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| DAVIDOVICH, NIV | TRUSTEE OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| DERHOBEN TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-12-02 | current | pecos_ownership |
| GARETZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 | current | pecos_ownership |
| HAGINS, ELIZABETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-02 | current | pecos_ownership |
| KAPLAN, MORDECHAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-02 | current | pecos_ownership |
| KNOBEL REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-02 | current | pecos_ownership |
| LINZ TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-02 | current | pecos_ownership |
| MINDLE, ADAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-02 | current | pecos_ownership |
| PAS B SOL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-12-02 | current | pecos_ownership |
| REMBRANDT REALTY TRUST | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| SESAME REALTY TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-02 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | TRUSTEE OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| WILLOWBROOK INVESTORS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-30 | current | pecos_ownership |
| ZIMMERMAN, CAROLINE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-02 | current | pecos_ownership |
| SHANGRI-LA LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SHANGRI-LA LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2020-03-23 | ended 2020-12-31 | hcris_a_8_1 |
| SHANGRI-LA LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| DAVID GARETZ | INDIRECT OWNERSHIP INTEREST | 2% | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| AMANDA BRASWELL | ADP OF THE SNF | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| JENNIFER STERNSHEIN | TRUSTEE OF THE SNF | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| NIV DAVIDOVICH | TRUSTEE OF THE SNF | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| RICHARD CHUNG | ADP OF THE SNF | — | 2024-12-02 | 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 |
|---|---|---|---|---|
| 2024-12-02 | — | BLUE SPRINGS WELLNESS & REHABILITATION LLC | SHANGRI LA HCO, 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
34| 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 64014 | acs median gross | 1 | $934 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 2 | $1,180 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 3 | $1,701 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | 4 | $2,224 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64014 | acs median gross | $1,402 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64014 | acs recent mover gross | $1,720 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64014 | payment standard 110 | 0 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 0 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 0 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 1 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 1 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 1 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 110 | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | payment standard 90 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64014 | safmr | 4 | $2,200 | 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.