Composite
92.5 / 100 percentile
Screener / 26A293
D
CLARA MANOR NURSING HOME
snfMO
3621 WARWICK BOULEVARD, KANSAS CITY, MO 64111 · CCN 26A293
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
90
Model
v1.2
Reads as: riskier than 92.5% 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 model3Components9CHOW radar1Distress radar1Staffing10Penalties4Deficiencies89Licensure0Ownership0Related party0Transactions0Comps12Market rent36
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 99.9 | 99.9 | 0.25 | 0.3571 | 35.68 | in index |
| regulatory risk | 64.9 | 57.5 | 0.30 | 0.4286 | 27.81 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2143 | 5.40 | 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
9| 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. |
| 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 | 2.6 | — | 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 | 57.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 57.5 | C | 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 | 57.5 | C | 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 | 99.9 | 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 | 99.9 | 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)
2.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
74.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.98 | -0.83 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.02 | +0.40 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.6
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) | 0.00 | +1.20 | |
| Occupancy | 0.98 | -0.98 | |
| Total nurse staffing (HPRD) | 1.02 | +0.92 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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
10| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.02 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.08 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.09 | 2.24 | 3.11 | — |
| Weekday total | 0.99 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.4 | 1.02 | 0.08 | 0.36 | 0.58 | 1.09 | 0.0% |
| 2025Q3 | 92 | 88.1 | 0.99 | 0.07 | 0.34 | 0.57 | 1.08 | 0.0% |
| 2025Q2 | 91 | 85.7 | 1.04 | 0.04 | 0.35 | 0.64 | 1.04 | 0.0% |
| 2025Q1 | 90 | 87.7 | 1.01 | 0.03 | 0.34 | 0.63 | 1.09 | 0.0% |
| 2024Q4 | 92 | 86.6 | 1.13 | 0.04 | 0.36 | 0.73 | 1.12 | 0.0% |
| 2024Q3 | 92 | 87.4 | 1.09 | 0.04 | 0.32 | 0.72 | 1.06 | 0.0% |
| 2024Q2 | 91 | 86.3 | 1.07 | 0.08 | 0.32 | 0.67 | 0.92 | 0.0% |
| 2023Q4 | 92 | 86.3 | 1.13 | 0.12 | 0.35 | 0.66 | 0.95 | 0.0% |
| 2023Q3 | 92 | 82.6 | 1.11 | 0.14 | 0.38 | 0.60 | 0.93 | 0.0% |
| 2023Q2 | 91 | 83.9 | 0.99 | 0.15 | 0.34 | 0.51 | 0.93 | 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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-10-17 | Payment Denial | — | CMS provider data |
| 2025-06-27 | Payment Denial | — | CMS provider data |
| 2024-11-22 | Payment Denial | — | CMS provider data |
| 2024-07-31 | Payment Denial | — | CMS provider data |
Total fines on record: $0
Deficiencies
89D × 40E × 29F × 14G × 4J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-01-02 |
| 2025-11-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-02 |
| 2025-10-17 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-11-30 |
| 2025-10-17 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2025-11-30 |
| 2025-10-17 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-11-30 |
| 2025-10-17 | 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 | 2025-11-30 |
| 2025-10-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-30 |
| 2025-10-17 | 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 | 2025-11-30 |
| 2025-10-17 | 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 | 2025-11-30 |
| 2025-10-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-11-30 |
| 2025-10-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-11-30 |
| 2025-06-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-08-14 |
| 2025-02-26 | 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 | 2025-03-26 |
| 2025-01-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-02-22 |
| 2025-01-14 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-02-22 |
| 2025-01-14 | 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 | 2025-03-26 |
| 2025-01-14 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-02-22 |
| 2024-11-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-05 |
| 2024-11-22 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2025-02-22 |
| 2024-11-22 | 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 | 2025-01-05 |
| 2024-11-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-02-22 |
| 2024-11-22 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-01-05 |
| 2024-11-22 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-02-22 |
| 2024-11-22 | 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 | 2025-03-26 |
| 2024-11-22 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2025-03-26 |
| 2024-11-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-01-05 |
| 2024-11-22 | 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 | 2025-01-05 |
| 2024-11-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-02-22 |
| 2024-11-22 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | 2025-01-05 |
| 2024-11-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-05 |
| 2024-11-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-01-05 |
| 2024-11-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-02-22 |
| 2024-11-22 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-01-05 |
| 2024-11-22 | 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 | 2025-01-05 |
| 2024-11-22 | Health | F0732 | Post nurse staffing information every day. | E | 2025-01-05 |
| 2024-11-22 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2025-02-22 |
| 2024-11-22 | 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 | 2025-02-22 |
| 2024-11-22 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-01-05 |
| 2024-11-22 | 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. | F | 2025-01-05 |
| 2024-11-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-05 |
| 2024-11-22 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2025-01-05 |
| 2024-11-22 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2025-01-05 |
| 2024-11-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-05 |
| 2024-11-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-05 |
| 2024-11-22 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-01-05 |
| 2024-11-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-01-05 |
| 2024-11-22 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-01-05 |
| 2024-11-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-01-05 |
| 2024-11-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-01-05 |
| 2024-11-22 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-01-05 |
| 2024-11-22 | 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. | F | 2025-01-05 |
| 2024-07-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-09-26 |
| 2024-07-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-26 |
| 2024-07-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-26 |
| 2024-07-31 | Health · complaint | 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 | 2024-09-26 |
| 2024-02-15 | 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 | 2024-03-29 |
| 2024-02-15 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-03-29 |
| 2023-04-28 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2023-06-11 |
| 2023-04-28 | 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 | 2023-06-11 |
| 2023-04-28 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-06-11 |
| 2023-04-28 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-11 |
| 2023-04-28 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2023-06-11 |
| 2023-04-28 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2023-06-11 |
| 2023-04-28 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-06-11 |
| 2023-04-28 | 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 | 2023-06-11 |
| 2023-04-28 | 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 | 2023-06-11 |
| 2023-04-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-06-11 |
| 2023-04-28 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-06-11 |
| 2023-04-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-06-11 |
| 2023-04-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-06-11 |
| 2023-04-28 | Health | F0732 | Post nurse staffing information every day. | F | 2023-07-12 |
| 2023-04-28 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-07-12 |
| 2023-04-28 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-06-11 |
| 2023-04-28 | 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 | 2023-06-11 |
| 2023-04-28 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-06-11 |
| 2023-04-28 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2023-06-11 |
| 2023-04-28 | 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. | F | 2023-06-11 |
| 2023-04-28 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-06-11 |
| 2023-04-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-11 |
| 2023-04-28 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2023-06-11 |
| 2023-04-28 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2023-06-11 |
| 2023-04-28 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2023-07-12 |
| 2023-04-28 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2023-06-11 |
| 2023-04-28 | Health | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | 2023-06-11 |
| 2023-04-28 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2023-06-11 |
| 2023-04-28 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2023-06-11 |
| 2023-04-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-06-11 |
| 2023-04-28 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | E | 2023-06-11 |
| 2023-04-28 | 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. | F | 2023-06-11 |
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
0No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36| 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 64111 | acs median gross | 0 | $937 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | 1 | $1,052 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | 2 | $1,474 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | 3 | $1,873 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | 4 | $2,417 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | 5 | $1,433 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64111 | acs median gross | $1,258 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64111 | acs recent mover gross | $1,258 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64111 | payment standard 110 | 0 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 90 | 0 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | safmr | 0 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 110 | 1 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 90 | 1 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | safmr | 1 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 110 | 2 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 90 | 2 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | safmr | 2 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 110 | 4 | $2,695 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | payment standard 90 | 4 | $2,205 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64111 | safmr | 4 | $2,450 | 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.