Composite
65.0 / 100 percentile
Screener / 265823
C
CRESTWOOD HEALTH CARE CENTER, LLC
snfMO
11400 MEHL AVENUE, FLORISSANT, MO 63033 · CCN 265823 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 65.0% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies78Licensure0Ownership8Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.2 | 95.9 | 0.30 | 0.2308 | 22.43 | in index |
| staffing risk | 99.2 | 99.2 | 0.25 | 0.1923 | 19.08 | in index |
| financial risk | 26.4 | 31.5 | 0.30 | 0.2308 | 6.09 | in index |
| chow risk | 32.8 | 33.2 | 0.15 | 0.1154 | 3.78 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| 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 |
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 | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | 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 | 41.6 | B | v0.6 | default · in composite | |
| financial risk | 31.5 | B | 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 | 4.9 | — | 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 | 95.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.2 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 65.1 | D | 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 | 45.1 | C | 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 | 50.2 | C | 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 | 35.6 | B | 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 | 95.8 | 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 | 95.8 | 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 | 99.2 | 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 | 99.2 | 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)
4.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
88.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.65 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.43 | +0.33 | |
| Total nurse staffing (HPRD) | 1.66 | +0.28 | |
| 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)
0.0%
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 | |
|---|---|---|---|
| Chain size (log) | 3.43 | -0.80 | |
| Occupancy | 0.92 | -0.73 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 1.66 | +0.65 | |
| Fine amount, 12m (log) | 9.76 | -0.54 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.02 | -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
16| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.66 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.11 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.57 | 2.24 | 3.11 | — |
| Weekday total | 1.69 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 138.2 | 1.66 | 0.11 | 0.23 | 1.32 | 1.57 | 0.0% |
| 2025Q3 | 92 | 140.1 | 1.82 | 0.12 | 0.23 | 1.47 | 1.69 | 0.0% |
| 2025Q2 | 91 | 141.5 | 1.58 | 0.16 | 0.23 | 1.19 | 1.36 | 0.0% |
| 2025Q1 | 90 | 141.0 | 1.69 | 0.16 | 0.29 | 1.24 | 1.51 | 0.0% |
| 2024Q4 | 92 | 140.5 | 1.55 | 0.16 | 0.35 | 1.05 | 1.44 | 0.0% |
| 2024Q3 | 92 | 142.1 | 1.41 | 0.13 | 0.29 | 0.99 | 1.35 | 0.1% |
| 2024Q2 | 91 | 140.2 | 1.33 | 0.14 | 0.21 | 0.98 | 1.19 | 0.0% |
| 2024Q1 | 91 | 139.1 | 1.53 | 0.11 | 0.32 | 1.09 | 1.44 | 0.0% |
| 2023Q4 | 92 | 137.3 | 1.64 | 0.06 | 0.29 | 1.29 | 1.48 | 0.0% |
| 2023Q3 | 92 | 141.8 | 1.28 | 0.05 | 0.27 | 0.96 | 1.22 | 0.0% |
| 2023Q2 | 91 | 141.5 | 1.56 | 0.08 | 0.32 | 1.16 | 1.44 | 0.0% |
| 2023Q1 | 90 | 140.6 | 1.69 | 0.07 | 0.36 | 1.25 | 1.62 | 0.0% |
| 2022Q4 | 92 | 140.2 | 1.18 | 0.02 | 0.28 | 0.88 | 1.10 | 0.0% |
| 2022Q3 | 92 | 137.2 | 1.61 | 0.04 | 0.41 | 1.17 | 1.43 | 0.1% |
| 2022Q2 | 91 | 136.3 | 1.65 | 0.04 | 0.40 | 1.21 | 1.41 | 0.7% |
| 2022Q1 | 90 | 139.2 | 1.66 | 0.02 | 0.43 | 1.20 | 1.46 | 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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-18 | Fine | $17,345 | CMS provider data |
| 2023-12-08 | Fine | $129,243 | CMS provider data |
| 2023-12-08 | Payment Denial | — | CMS provider data |
Total fines on record: $146,588
Deficiencies
78D × 42E × 23F × 5G × 2J × 5K × 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. | K | 2025-10-13 |
| 2025-11-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-24 |
| 2025-09-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | — |
| 2025-07-31 | 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 | 2025-08-29 |
| 2025-07-31 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-29 |
| 2025-06-13 | 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 | 2025-08-29 |
| 2025-06-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-10 |
| 2025-06-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-10 |
| 2025-06-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-10 |
| 2025-06-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-29 |
| 2025-03-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-22 |
| 2025-03-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-21 |
| 2025-02-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-05 |
| 2025-01-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-01-02 |
| 2024-12-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-14 |
| 2024-11-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-28 |
| 2024-09-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-21 |
| 2024-06-21 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-08-09 |
| 2024-06-21 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2024-08-09 |
| 2024-06-21 | 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 | 2024-08-09 |
| 2024-06-21 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-08-09 |
| 2024-06-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-09 |
| 2024-06-21 | 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. | E | 2024-08-09 |
| 2024-06-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-09 |
| 2024-06-21 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-09 |
| 2024-05-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-23 |
| 2024-05-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-23 |
| 2024-03-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-23 |
| 2024-03-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-23 |
| 2024-03-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-22 |
| 2024-02-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-22 |
| 2024-02-06 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-03-22 |
| 2024-01-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-23 |
| 2023-12-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-23 |
| 2023-12-08 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-01-21 |
| 2023-12-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-23 |
| 2023-12-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-21 |
| 2023-12-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-22 |
| 2023-12-08 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2024-01-21 |
| 2023-12-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-03-22 |
| 2023-10-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-02 |
| 2021-07-21 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2021-09-04 |
| 2021-07-21 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2021-09-04 |
| 2021-07-21 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2021-09-04 |
| 2021-07-21 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2021-09-04 |
| 2021-07-21 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2021-09-04 |
| 2021-07-21 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2021-09-04 |
| 2021-07-21 | 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 | 2021-09-04 |
| 2021-07-21 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2021-09-04 |
| 2021-07-21 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2021-09-04 |
| 2021-07-21 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2021-09-04 |
| 2021-07-21 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2021-09-04 |
| 2021-07-21 | 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 | 2021-09-04 |
| 2021-07-21 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2021-09-04 |
| 2021-07-21 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-09-04 |
| 2021-07-21 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-09-04 |
| 2021-07-21 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2021-09-04 |
| 2021-07-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-09-04 |
| 2021-07-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-09-04 |
| 2021-07-21 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-09-04 |
| 2021-07-21 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2021-09-04 |
| 2021-07-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2021-09-04 |
| 2021-07-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2021-09-04 |
| 2021-07-21 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-09-04 |
| 2021-07-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-09-04 |
| 2021-07-21 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2021-09-04 |
| 2021-07-21 | Health | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | 2021-09-04 |
| 2021-07-21 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2021-09-04 |
| 2020-01-31 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2020-03-13 |
| 2020-01-31 | 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 | 2020-03-13 |
| 2020-01-31 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2020-03-13 |
| 2020-01-31 | 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 | 2020-03-13 |
| 2020-01-31 | 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 | 2020-03-13 |
| 2020-01-31 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2020-03-13 |
| 2020-01-31 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2020-03-13 |
| 2020-01-31 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2020-03-13 |
| 2020-01-31 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2020-03-13 |
| 2020-01-31 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2020-03-13 |
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
8| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CULP, CHAD | W-2 MANAGING EMPLOYEE | — | 2022-01-20 | current | pecos_ownership |
| DESTEFANE, RICHARD | CORPORATE OFFICER | — | 2008-01-01 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-02-14 | current | pecos_ownership |
| CHAD CULP | W-2 MANAGING EMPLOYEE | 100% | 2022-01-20 | ended 2026-05-18 | pecos_ownership |
| CRESTWOOD ASSOC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RELIANT CARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2008-02-14 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | CORPORATE OFFICER | 100% | 2008-01-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2008-02-14 | 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
0No 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
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 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63033 | acs median gross | 1 | $986 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63033 | acs median gross | 2 | $1,158 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63033 | acs median gross | 3 | $1,685 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63033 | acs median gross | 4 | $1,859 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63033 | acs median gross | $1,206 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63033 | acs recent mover gross | $1,211 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63033 | payment standard 110 | 0 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 90 | 0 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | safmr | 0 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 110 | 1 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 90 | 1 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | safmr | 1 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 110 | 2 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 90 | 2 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | safmr | 2 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 110 | 3 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 90 | 3 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | safmr | 3 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 110 | 4 | $2,046 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | payment standard 90 | 4 | $1,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63033 | safmr | 4 | $1,860 | 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.