Screener / 165376

Aspire of Pleasant Valley

snfIA

17990 Spencer Road, Pleasant Valley, IA 52767 · CCN 165376 · chain BEACON HEALTH MANAGEMENT LLC

Composite

62.0 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 62.0% 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 ML signals4 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties0 Deficiencies35 Licensure0 Ownership15 Related party6 Transactions1 Comps12 Market rent28

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
financial risk	90.5	78.1	0.30	0.2308	20.88	in index
staffing risk	67.7	67.7	0.25	0.1923	13.02	in index
regulatory risk	54.6	44.3	0.30	0.2308	12.60	in index
chow risk	55.8	54.0	0.15	0.1154	6.44	in index
billing conduct	0.0	0.0	0.30	0.2308	0.00	in index

weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

Kind	Finding	Signal	Subject	First seen
connection	Owner fleet risk far above national	+30.6 vs natl	FLANAGAN MICHAEL	19 facilities
connection	Owner spans multiple chains	5 chains	FLANAGAN MICHAEL	17 facilities
connection	Owner spans multiple chains	4 chains	MATHEW STANLEY	12 facilities
connection	Owner fleet enforcement cluster	47% fined	FLANAGAN MICHAEL	19 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

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	83.0	F	v0.6	default · in composite
financial risk	78.1	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	0.1	—	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	44.3	B	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	67.7	D	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	82.8	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	62.8	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	62.6	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	79.3	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	44.2	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	44.2	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	67.7	D	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	67.7	D	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

30.7

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)	5.21	-1.34
For-profit ownership	1.00	+0.69
No PBJ staffing report	0.00	+0.42
Occupancy	0.62	+0.22
Ownership changes, last 5 years	0.00	+0.20
Chain size (log)	2.83	+0.20
Deficiencies, last 12 months	2.00	-0.12

p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

57.2

100 = most likely to lose certification

Holdout AUC

0.971

top decile caught 95% of actual exits

Driver	Value	Pull on odds
Deficiencies, last 12 months	2.00	+1.06
For-profit ownership	1.00	-0.69
Occupancy	0.62	+0.53
Chain size (log)	2.83	-0.45
Staffing trend, last 4 quarters	0.96	+0.42
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Current owner tenure (years)	5.21	-0.22

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	IA median	National median	National p25–p75
Total nurse	3.02	3.15	3.28	2.90–3.77
RN	0.67	0.46	0.39	0.25–0.58
Weekend total	2.84	2.96	3.11	—
Weekday total	3.09	3.20	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	27.4	3.02	0.67	0.23	2.12	2.84	3.0%
2025Q3	92	29.2	2.80	0.71	0.20	1.89	2.40	1.2%
2025Q2	91	31.3	2.95	0.51	0.32	2.13	2.78	0.4%
2025Q1	90	35.8	2.30	0.35	0.41	1.54	2.03	2.6%
2024Q4	92	37.9	2.06	0.14	0.44	1.48	1.81	0.0%
2024Q3	92	37.0	1.99	0.13	0.43	1.43	1.73	0.0%
2024Q2	91	33.9	1.85	0.22	0.34	1.29	1.67	0.0%
2024Q1	91	27.8	2.26	0.56	0.28	1.42	2.02	0.7%
2023Q4	92	26.1	2.11	0.44	0.41	1.27	1.84	4.2%
2023Q3	92	25.4	2.53	0.41	0.58	1.53	2.09	0.8%
2023Q2	91	23.4	2.69	0.59	0.50	1.60	2.12	4.5%
2023Q1	90	22.5	2.79	0.86	0.35	1.58	2.34	14.7%
2022Q4	92	22.8	3.06	0.49	0.80	1.77	2.76	37.2%
2022Q3	92	24.6	2.96	0.24	0.84	1.88	2.83	31.4%
2022Q2	91	24.4	2.87	0.36	0.63	1.88	2.81	60.1%
2022Q1	90	26.8	2.81	0.35	0.53	1.93	2.81	70.0%

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

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 × 21E × 10F × 3G × 1

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-11-18	Health · complaint	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	2025-12-10
2025-10-21	Health · complaint	F0880	Provide and implement an infection prevention and control program.	D	2025-12-10
2025-05-14	Health · complaint	F0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E	2025-06-03
2025-02-11	Health · complaint	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	2025-03-13
2024-10-24	Health · complaint	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	2024-11-15
2024-09-09	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	2024-09-27
2024-09-09	Health · complaint	F0610	Respond appropriately to all alleged violations.	D	2024-09-27
2024-09-09	Health · complaint	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	D	2024-09-27
2024-09-09	Health · complaint	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2024-09-27
2024-09-09	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2024-09-27
2024-09-09	Health · complaint	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	2024-09-27
2024-09-09	Health	F0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	2024-09-27
2024-09-09	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2024-09-27
2024-09-09	Health	F0710	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.	D	2024-09-27
2024-09-09	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.	F	2024-09-27
2024-09-09	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.	E	2024-09-27
2024-09-09	Health · complaint	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	2024-09-27
2024-09-09	Health	F0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	E	2024-09-27
2024-09-09	Health · complaint	F0809	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	D	2024-09-27
2024-09-09	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2024-09-27
2024-09-09	Health	F0865	Have a plan that describes the process for conducting QAPI and QAA activities.	F	2024-09-27
2024-09-09	Health · complaint	F0880	Provide and implement an infection prevention and control program.	E	2024-09-27
2024-09-09	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	2024-09-27
2023-11-21	Health · complaint	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2023-12-20
2023-11-21	Health · complaint	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2023-12-20
2023-11-21	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	2023-12-20
2023-11-21	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2023-12-20
2023-11-21	Health	F0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	2023-12-20
2023-11-21	Health	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	2023-12-20
2023-11-21	Health	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	2023-12-20
2023-11-21	Health	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	2023-12-20
2023-11-21	Health · complaint	F0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D	2023-12-20
2023-11-21	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2023-12-20
2023-11-21	Health · complaint	F0880	Provide and implement an infection prevention and control program.	E	2023-12-20
2023-11-21	Health · complaint	F0882	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	F	2023-12-20

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
BLACK HAWK HEALTHCARE, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2021-05-14	current	pecos_ownership
EVEREST MANAGEMENT SOLUTIONS LLC	ADP OF THE SNF	—	2025-10-31	current	pecos_ownership
EVEREST MANAGEMENT SOLUTIONS LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2025-11-01	current	pecos_ownership
FLANAGAN, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	—	2024-11-04	current	pecos_ownership
HAWKEYE INVESTORS, LLC	ADP OF THE SNF	—	2021-05-14	current	pecos_ownership
MATHEW, STANLEY	ADP OF THE SNF	—	2024-11-04	current	pecos_ownership
NCI HAWKEYE HOLDINGS, LLC	ADP OF THE SNF	—	2021-05-14	current	pecos_ownership
RIVERVIEW PROPERTY HOLDINGS, LLC	ADP OF THE SNF	—	2021-05-14	current	pecos_ownership
VONDAL, BROOKE	ADP OF THE SNF	—	2023-12-09	current	pecos_ownership
WERTHEIM, BRUCE	INDIRECT OWNERSHIP INTEREST	—	2021-05-14	current	pecos_ownership
BEACON HEALTH MANAGEMENT LLC	OPERATIONAL/MANAGERIAL CONTROL	100%	2021-05-14	ended 2026-05-18	pecos_ownership
BRUCE WERTHEIM	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	2021-05-14	ended 2026-05-18	pecos_ownership
17990 SPENCER ROAD REALTY LLC	Corporation, partnership or other organization has financial interest in provider	—	2020-01-01	ended 2020-12-31	hcris_a_8_1
17990 SPENCER ROAD REALTY LLC	Corporation, partnership or other organization has financial interest in provider	—	2021-01-01	ended 2021-05-13	hcris_a_8_1
JENNA SCHOFIELD	W-2 MANAGING EMPLOYEE	—	2021-05-14	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$127,407	—	—	—	—	1	—
2023-12-31	$393,757	—	$4,610	—	$277,110	3	—
2022-12-31	$400,371	—	$5,170	—	$268,434	3	—
2021-12-31	$80,873	—	$3,260	—	—	2	—
2021-05-13	$106,765	—	—	—	$2,418	2	propco
2020-12-31	$244,834	—	—	—	$6,654	2	propco

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

Transactions

Close date	Price	Buyer	Seller	Evidence
2021-05-14	—	RIVERVIEW SNF OPERATOR LLC	RIVERVIEW MANOR HEALTHCARE LLC	chow

Comparable trades — IA snf

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

Geo	Kind	BR	Amount	As of	Source
county 19163	acs median gross	0	$863	2024-12-31	CENSUS_ACS5
county 19163	fmr	0	$817	2025-10-01	HUD_USER_FMR
county 19163	acs median gross	1	$819	2024-12-31	CENSUS_ACS5
county 19163	fmr	1	$928	2025-10-01	HUD_USER_FMR
county 19163	acs median gross	2	$1,031	2024-12-31	CENSUS_ACS5
county 19163	fmr	2	$1,143	2025-10-01	HUD_USER_FMR
county 19163	acs median gross	3	$1,347	2024-12-31	CENSUS_ACS5
county 19163	fmr	3	$1,498	2025-10-01	HUD_USER_FMR
county 19163	acs median gross	4	$1,685	2024-12-31	CENSUS_ACS5
county 19163	fmr	4	$1,819	2025-10-01	HUD_USER_FMR
county 19163	acs median gross	5	$1,250	2024-12-31	CENSUS_ACS5
county 19163	acs median gross		$1,005	2024-12-31	CENSUS_ACS5
county 19163	acs recent mover gross		$1,181	2024-12-31	CENSUS_ACS5
zip 52767	payment standard 110	0	$1,056	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 90	0	$864	2025-10-01	HUD_USER_SAFMR
zip 52767	safmr	0	$960	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 110	1	$1,188	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 90	1	$972	2025-10-01	HUD_USER_SAFMR
zip 52767	safmr	1	$1,080	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 110	2	$1,463	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 90	2	$1,197	2025-10-01	HUD_USER_SAFMR
zip 52767	safmr	2	$1,330	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 110	3	$1,925	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 90	3	$1,575	2025-10-01	HUD_USER_SAFMR
zip 52767	safmr	3	$1,750	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 110	4	$2,332	2025-10-01	HUD_USER_SAFMR
zip 52767	payment standard 90	4	$1,908	2025-10-01	HUD_USER_SAFMR
zip 52767	safmr	4	$2,120	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.