Screener / 265836

NODAWAY HEALTHCARE

snfMO

22371 STATE HIGHWAY 46, MARYVILLE, MO 64468 · CCN 265836 · chain DKDP MISSOURI LLC

Composite

64.0 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 64.0% 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 model5 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties0 Deficiencies41 Licensure0 Ownership13 Related party4 Transactions1 Comps12 Market rent36

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
staffing risk	97.8	97.8	0.25	0.1923	18.81	in index
financial risk	80.7	67.6	0.30	0.2308	18.62	in index
regulatory risk	39.1	28.2	0.30	0.2308	9.02	in index
chow risk	62.0	61.1	0.15	0.1154	7.15	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.

Component scores and registry models

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	97.1	F	v0.6	default · in composite
financial risk	67.6	D	v0.5	default · in composite	R18.
p adverse action 12m	0.0	—	v0.1	default · in composite	R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m	0.1	—	v0.1	default · in composite	R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk	28.2	B	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	97.8	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	95.1	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	75.1	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	54.4	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	71.0	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	28.0	B	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	28.0	B	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	97.8	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	97.8	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)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

25.3

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Never sold on record	0.00	-1.62
Current owner tenure (years)	3.66	-1.49
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	0.56	+0.38
Contract staffing share	0.26	+0.30
Deficiencies, last 12 months	17.00	+0.24

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

20.0

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	17.00	-1.72
Occupancy	0.56	+0.77
For-profit ownership	1.00	-0.69
Total nurse staffing (HPRD)	2.02	+0.50
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Chain size (log)	2.48	-0.24
Current owner tenure (years)	3.66	-0.24

Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

2025Q4 HPRD	This facility	MO median	National median	National p25–p75
Total nurse	2.02	2.41	3.28	2.90–3.77
RN	0.31	0.25	0.39	0.25–0.58
Weekend total	2.08	2.24	3.11	—
Weekday total	2.00	2.49	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	33.9	2.02	0.31	0.62	1.09	2.08	25.9%
2025Q3	92	35.3	2.25	0.50	0.73	1.01	2.11	25.1%
2025Q2	91	37.8	1.55	0.32	0.54	0.68	1.38	32.4%
2025Q1	90	37.1	1.67	0.24	0.51	0.93	1.54	25.6%
2024Q4	92	40.5	1.99	0.27	0.58	1.14	2.02	29.6%
2024Q3	92	37.1	2.48	0.50	0.39	1.58	2.31	10.7%
2024Q2	91	34.2	2.71	0.40	0.47	1.84	2.50	0.1%
2024Q1	91	32.5	3.18	0.33	0.84	2.01	3.05	0.2%
2023Q4	92	32.9	2.59	0.33	0.59	1.67	2.52	0.4%
2023Q3	92	30.1	2.80	0.30	0.66	1.84	2.79	5.5%
2023Q2	91	33.0	2.86	0.34	0.71	1.81	2.69	17.6%
2023Q1	90	29.1	2.68	0.44	0.66	1.58	2.62	7.5%
2022Q4	92	26.0	2.82	0.34	0.64	1.84	2.72	9.6%
2022Q3	92	26.3	2.41	0.32	0.60	1.49	2.15	6.0%
2022Q2	91	29.0	2.17	0.35	0.60	1.21	1.98	7.0%
2022Q1	90	29.4	1.90	0.50	0.42	0.98	1.73	0.1%

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

No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

D × 16E × 19F × 6

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-04-21	Health · complaint	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	—
2025-08-07	Health	F0552	Ensure that residents are fully informed and understand their health status, care and treatments.	E	2025-09-17
2025-08-07	Health	F0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	2025-09-17
2025-08-07	Health	F0574	The resident has the right to receive notices in a format and a language he or she understands.	E	2025-09-17
2025-08-07	Health	F0583	Keep residents' personal and medical records private and confidential.	E	2025-09-17
2025-08-07	Health	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	2025-09-17
2025-08-07	Health	F0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	2025-09-17
2025-08-07	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	2025-09-17
2025-08-07	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	2025-09-17
2025-08-07	Health	F0685	Assist a resident in gaining access to vision and hearing services.	D	2025-09-17
2025-08-07	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2025-09-17
2025-08-07	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	E	2025-09-17
2025-08-07	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	2025-09-17
2025-08-07	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	2025-09-17
2025-08-07	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2025-09-17
2025-08-07	Health	F0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	E	2025-09-17
2025-08-07	Health	F0880	Provide and implement an infection prevention and control program.	F	2025-09-17
2024-11-12	Health · complaint	F0697	Provide safe, appropriate pain management for a resident who requires such services.	D	2024-12-06
2024-10-10	Health	F0880	Provide and implement an infection prevention and control program.	D	2024-11-16
2024-08-21	Health · complaint	F0569	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.	E	2024-09-03
2022-03-21	Health	F0568	Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.	E	2022-07-07
2022-03-21	Health	F0570	Assure the security of all personal funds of residents deposited with the facility.	E	2022-06-20
2022-03-21	Health	F0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	2022-06-20
2022-03-21	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	2022-06-20
2022-03-21	Health	F0641	Ensure each resident receives an accurate assessment.	D	2022-06-20
2022-03-21	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	2022-06-20
2022-03-21	Health	F0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D	2022-06-20
2022-03-21	Health	F0679	Provide activities to meet all resident's needs.	E	2022-06-20
2022-03-21	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2022-06-20
2022-03-21	Health	F0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	2022-06-20
2022-03-21	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	2022-06-20
2022-03-21	Health	F0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	E	2022-06-20
2022-03-21	Health	F0757	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	2022-06-20
2022-03-21	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	2022-06-20
2022-03-21	Health	F0800	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.	F	2022-06-20
2022-03-21	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2022-06-20
2022-03-21	Health	F0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	2022-06-20
2022-03-21	Health	F0881	Implement a program that monitors antibiotic use.	F	2022-06-20
2022-03-21	Health	F0886	Perform COVID19 testing on residents and staff.	D	2022-07-07
2022-03-21	Health	F0888	Ensure staff are vaccinated for COVID-19	D	2022-06-20
2022-03-21	Health	F0924	Put firmly secured handrails on each side of hallways.	D	2022-06-20

scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

Owner	Role	Pct	From	Status	Source
GATEWAY MO2 LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2022-12-01	current	pecos_ownership
BERGER, ELIOT	CORPORATE DIRECTOR	—	2022-12-01	current	pecos_ownership
BLUE SKY BASIN LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2022-12-01	current	pecos_ownership
DKDP MISSOURI LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2022-12-01	current	pecos_ownership
DKYH MISSOURI LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2022-12-01	current	pecos_ownership
KLEINER, DOVID	GENERAL PARTNERSHIP INTEREST	—	2022-12-01	current	pecos_ownership
PERLOW, BERNARD	CORPORATE DIRECTOR	—	2022-12-01	current	pecos_ownership
SLOANS LAKE TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2022-12-01	current	pecos_ownership
WYMORE, ADRIANE	W-2 MANAGING EMPLOYEE	—	2022-12-01	current	pecos_ownership
DOVID KLEINER	GENERAL PARTNERSHIP INTEREST	11%	2022-12-01	ended 2026-05-18	pecos_ownership
ADRIANE WYMORE	W-2 MANAGING EMPLOYEE	—	2022-12-01	ended 2026-05-18	pecos_ownership
BERNARD PERLOW	CORPORATE DIRECTOR	—	2022-12-01	ended 2026-05-18	pecos_ownership
ELIOT BERGER	CORPORATE DIRECTOR	—	2022-12-01	ended 2026-05-18	pecos_ownership

PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2023-12-31	$186,648	—	—	—	—	7	—
2022-11-30	$216,188	—	—	$80,627	—	2	—
2021-12-31	$293,264	—	—	$139,508	—	2	—
2020-12-31	$317,698	—	—	$162,959	—	2	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2022-12-01	—	NODAWAY HEALTHCARE LLC	TIFFANY CARE CENTERS INC	chow

Comparable trades — MO snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2025-10-01	AVENIR AT MAPLE GROVE	—	—	—	90	NBH2 MGOPCO LLC
2025-10-01	AVENIR AT MARK TWAIN	—	—	—	120	NBH1 MTOPCO LLC
2025-10-01	ARBOR HILLS CARE & REHAB CENTER	—	—	—	150	ARBOR HILLS HEALTHCARE, LLC
2025-10-01	ASCEND AT AURORA	—	—	—	125	NBH3 SFOPCO LLC
2025-09-01	HUBBLE CREEK	—	—	—	105	HUBBLE CREEK LLC
2025-08-01	HIDDEN LAKE HEALTH CARE CENTER	—	—	—	67	HIDDEN LAKE HEALTH CARE CENTER, LLC
2025-05-01	PINE GROVE MANOR	—	—	—	77	PINE GROVE MANOR LLC
2025-05-01	MONARCH SPRINGS WELLNESS & REHABILITATION	—	—	—	119	MONARCH SPRINGS WELLNESS & REHABILITATION LLC
2025-05-01	ASPIRE SENIOR LIVING NEW FLORENCE	—	—	—	87	ASPIRE SENIOR LIVING NEW FLORENCE LLC
2025-04-01	SOUTH COUNTY HEALTH CARE CENTER	—	—	—	153	SOUTH COUNTY HEALTH CARE CENTER, L.L.C.
2025-02-01	ARBOR VIEW NURSING AND REHABILITATION	—	—	—	150	FORREST OPCO LLC
2025-02-01	AMBERWOOD ESTATES NURSING AND REHABILITATION	—	—	—	115	ISLAND HC OPERATIONS LLC

Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

Geo	Kind	BR	Amount	As of	Source
county 29147	acs median gross	0	$636	2024-12-31	CENSUS_ACS5
county 29147	fmr	0	$714	2025-10-01	HUD_USER_FMR
county 29147	acs median gross	1	$592	2024-12-31	CENSUS_ACS5
county 29147	fmr	1	$718	2025-10-01	HUD_USER_FMR
county 29147	acs median gross	2	$789	2024-12-31	CENSUS_ACS5
county 29147	fmr	2	$906	2025-10-01	HUD_USER_FMR
county 29147	acs median gross	3	$933	2024-12-31	CENSUS_ACS5
county 29147	fmr	3	$1,160	2025-10-01	HUD_USER_FMR
county 29147	acs median gross	4	$1,506	2024-12-31	CENSUS_ACS5
county 29147	fmr	4	$1,520	2025-10-01	HUD_USER_FMR
county 29147	acs median gross	5	$1,658	2024-12-31	CENSUS_ACS5
county 29147	acs median gross		$786	2024-12-31	CENSUS_ACS5
county 29147	acs recent mover gross		$895	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	0	$631	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	1	$633	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	2	$791	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	3	$951	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	4	$1,552	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross	5	$1,789	2024-12-31	CENSUS_ACS5
zcta 64468	acs median gross		$802	2024-12-31	CENSUS_ACS5
zcta 64468	acs recent mover gross		$909	2024-12-31	CENSUS_ACS5
zip 64468	payment standard 110	0	$792	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 90	0	$648	2025-10-01	HUD_USER_SAFMR
zip 64468	safmr	0	$720	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 110	1	$792	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 90	1	$648	2025-10-01	HUD_USER_SAFMR
zip 64468	safmr	1	$720	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 110	2	$1,001	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 90	2	$819	2025-10-01	HUD_USER_SAFMR
zip 64468	safmr	2	$910	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 110	3	$1,287	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 90	3	$1,053	2025-10-01	HUD_USER_SAFMR
zip 64468	safmr	3	$1,170	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 110	4	$1,683	2025-10-01	HUD_USER_SAFMR
zip 64468	payment standard 90	4	$1,377	2025-10-01	HUD_USER_SAFMR
zip 64468	safmr	4	$1,530	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.