Composite
98.8 / 100 percentile
Screener / 165355
F
Harvest Acres Nursing and Rehab
snfIA
204 North Keokuk Washington Road, Keota, IA 52248 · CCN 165355 · chain SAMARA FAMILY HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
35
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 model4ML signals19Components15CHOW radar1Distress radar1Staffing16Penalties1Deficiencies46Licensure0Ownership23Related party3Transactions1Comps12Market rent30
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.0 | 94.5 | 0.30 | 0.3000 | 28.80 | in index |
| financial risk | 87.4 | 74.4 | 0.30 | 0.3000 | 26.22 | in index |
| staffing risk | 64.6 | 64.6 | 0.25 | 0.2500 | 16.15 | in index |
| chow risk | 51.3 | 49.4 | 0.15 | 0.1500 | 7.70 | 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
19| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +47.8 vs natl | IOWA 5784 LLC | 5 facilities |
| connection | Owner fleet risk far above national | +47.2 vs natl | CARESAGE ADMINISTRATIVE CONSULTING LLC | 5 facilities |
| connection | Owner fleet risk far above national | +47.2 vs natl | AMARANTHINE HOLDINGS LLC | 5 facilities |
| connection | Owner fleet risk far above national | +47.2 vs natl | JSJ 2020 FAMILY TR | 5 facilities |
| connection | Owner fleet risk far above national | +42.1 vs natl | CEDAR VIEW TR | 6 facilities |
| connection | Owner fleet risk far above national | +41.9 vs natl | SAMARA FAM TR | 6 facilities |
| connection | Owner fleet risk far above national | +40.3 vs natl | CEDAR VIEW HOLDINGS LLC | 9 facilities |
| connection | Owner fleet risk far above national | +31.7 vs natl | JSJ PROPERTY LLC | 7 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | GAMZEH DAVID | 15 facilities |
| connection | Owner fleet risk far above national | +20.7 vs natl | MILLER DANIEL | 14 facilities |
| connection | Owner spans multiple chains | 9 chains | MILLER DANIEL | 12 facilities |
| connection | Owner spans multiple chains | 6 chains | SUMMATION FINANCIAL SERVICES LLC | 48 facilities |
| connection | Owner spans multiple chains | 5 chains | CLINICAL CONSULTING SERVICES LLC | 42 facilities |
| connection | Owner spans multiple chains | 5 chains | SEBBAG GABRIEL | 32 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | CEDAR VIEW HOLDINGS LLC | 9 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | JSJ 2020 FAMILY TR | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | AMARANTHINE HOLDINGS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | CARESAGE ADMINISTRATIVE CONSULTING LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | IOWA 5784 LLC | 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
15| 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 | 73.8 | D | v0.6 | default · in composite | |
| financial risk | 74.4 | 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 | 94.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.6 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.7 | F | 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 | 68.7 | D | 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 | 74.7 | 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 | 72.8 | 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 | 94.5 | 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 | 94.5 | 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 | 64.6 | C | 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 | 64.6 | C | 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
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.57 | -1.69 | |
| 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 | -0.39 | |
| Facility size (log beds) | 3.58 | +0.11 | |
| Contract staffing share | 0.00 | -0.09 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.35 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.57 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| 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 | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.42 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.96 | 2.96 | 3.11 | — |
| Weekday total | 3.10 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 29.1 | 3.06 | 0.42 | 0.62 | 2.02 | 2.96 | 0.2% |
| 2025Q3 | 92 | 27.5 | 2.86 | 0.47 | 0.60 | 1.79 | 2.59 | 1.3% |
| 2025Q2 | 91 | 22.8 | 3.11 | 0.35 | 0.83 | 1.93 | 3.14 | 0.8% |
| 2025Q1 | 90 | 24.5 | 2.89 | 0.34 | 0.69 | 1.85 | 3.04 | 2.7% |
| 2024Q4 | 92 | 26.0 | 2.70 | 0.55 | 0.43 | 1.71 | 2.85 | 1.9% |
| 2024Q3 | 92 | 26.2 | 2.68 | 0.55 | 0.41 | 1.73 | 2.72 | 1.1% |
| 2024Q2 | 91 | 24.1 | 2.91 | 0.42 | 0.65 | 1.84 | 3.13 | 1.7% |
| 2024Q1 | 91 | 25.9 | 2.55 | 0.48 | 0.38 | 1.68 | 2.62 | 1.9% |
| 2023Q4 | 92 | 28.1 | 2.67 | 0.60 | 0.27 | 1.79 | 2.67 | 9.6% |
| 2023Q3 | 92 | 25.8 | 3.50 | 0.50 | 0.52 | 2.49 | 3.37 | 22.0% |
| 2023Q2 | 91 | 29.6 | 2.49 | 0.50 | 0.23 | 1.75 | 2.25 | 8.1% |
| 2023Q1 | 90 | 28.4 | 2.22 | 0.54 | 0.19 | 1.49 | 2.05 | 10.9% |
| 2022Q4 | 92 | 28.2 | 2.38 | 0.77 | 0.05 | 1.56 | 2.25 | 33.0% |
| 2022Q3 | 92 | 28.7 | 2.75 | 0.68 | 0.21 | 1.86 | 2.94 | 13.8% |
| 2022Q2 | 91 | 29.3 | 3.06 | 0.27 | 0.60 | 2.20 | 3.34 | 5.4% |
| 2022Q1 | 90 | 30.0 | 3.17 | 0.04 | 0.81 | 2.33 | 3.31 | 0.5% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-11-07 | Fine | $136,500 | CMS provider data |
Total fines on record: $136,500
Deficiencies
46D × 31E × 9G × 1H × 1J × 1K × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-01-02 |
| 2025-12-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2026-01-02 |
| 2025-12-11 | 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 | 2026-01-02 |
| 2025-12-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-02 |
| 2025-12-11 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-01-02 |
| 2025-12-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-02 |
| 2024-11-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-12-19 |
| 2024-11-19 | 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 | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-12-19 |
| 2024-11-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | K | 2024-12-19 |
| 2024-11-19 | 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 | 2024-12-19 |
| 2024-11-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-12-19 |
| 2024-11-19 | Health · complaint | 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 | 2024-12-19 |
| 2024-11-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-12-19 |
| 2024-11-19 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2024-12-19 |
| 2024-11-19 | 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 | 2024-12-19 |
| 2024-11-19 | 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. | D | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-12-19 |
| 2024-11-19 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-12-19 |
| 2024-11-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-12-19 |
| 2024-11-19 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-12-19 |
| 2024-11-19 | 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 | 2024-12-19 |
| 2024-11-19 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2024-12-19 |
| 2024-11-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | G | 2024-12-19 |
| 2024-11-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-19 |
| 2024-11-19 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-12-19 |
| 2024-11-19 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2024-11-19 |
| 2024-11-19 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-19 |
| 2024-11-19 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2024-11-19 |
| 2024-01-23 | 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 | 2024-02-16 |
| 2024-01-23 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-02-16 |
| 2024-01-23 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-02-16 |
| 2024-01-23 | 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 | 2024-02-16 |
| 2024-01-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-16 |
| 2024-01-23 | 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 | 2024-02-16 |
| 2024-01-23 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2024-02-16 |
| 2024-01-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-16 |
| 2024-01-23 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-02-16 |
| 2024-01-23 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2024-02-16 |
| 2023-06-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-14 |
| 2023-06-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-14 |
| 2023-06-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-14 |
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
23| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 204 N KEOKUK WASHINGTON ROAD PROPCO LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| AMARANTHINE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| CARESAGE ADMINISTRATIVE CONSULTING, LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| CASE, JANELLE | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| CEDAR VIEW HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| CEDAR VIEW TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| GAMZEH, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| GREATOREX, TINA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| IOWA 5784 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| IOWA 5784 LLC | ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| JSJ 2020 FAMILY TR | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| JSJ PROPERTY LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| MILLER, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| SAMARA FAM TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| SAMARA FAMILY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| SCHIOWITZ, MARC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| SEBBAG, GABRIEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-01-01 | current | pecos_ownership |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| GABRIEL SEBBAG | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 52% | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| SAMARA FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL MILLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| JANELLE CASE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | 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 |
|---|---|---|---|---|
| 2025-01-01 | — | HARVEST ACRES NURSING AND REHAB, LLC | OPCO KEOTA IA LLC | chow |
Comparable trades — IA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO GRUNDY CENTER IA LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19107 | fmr | 0 | $682 | 2025-10-01 | HUD_USER_FMR |
| county 19107 | acs median gross | 1 | $627 | 2024-12-31 | CENSUS_ACS5 |
| county 19107 | fmr | 1 | $764 | 2025-10-01 | HUD_USER_FMR |
| county 19107 | acs median gross | 2 | $826 | 2024-12-31 | CENSUS_ACS5 |
| county 19107 | fmr | 2 | $919 | 2025-10-01 | HUD_USER_FMR |
| county 19107 | acs median gross | 3 | $915 | 2024-12-31 | CENSUS_ACS5 |
| county 19107 | fmr | 3 | $1,178 | 2025-10-01 | HUD_USER_FMR |
| county 19107 | acs median gross | 4 | $940 | 2024-12-31 | CENSUS_ACS5 |
| county 19107 | fmr | 4 | $1,227 | 2025-10-01 | HUD_USER_FMR |
| county 19107 | acs median gross | $828 | 2024-12-31 | CENSUS_ACS5 | |
| county 19107 | acs recent mover gross | $842 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52248 | acs median gross | 2 | $792 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52248 | acs median gross | 3 | $783 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52248 | acs median gross | $787 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52248 | acs recent mover gross | $838 | 2024-12-31 | CENSUS_ACS5 | |
| zip 52248 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 110 | 2 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 90 | 2 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | safmr | 2 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 110 | 3 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 90 | 3 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | safmr | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 110 | 4 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | payment standard 90 | 4 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52248 | safmr | 4 | $1,220 | 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.