CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 06:41 UTC
Screener / 261702
C

RESIDENTIAL HOSPICE OF MISSOURI, LLC

hospiceMO
7611 STATE LINE ROAD, STE 326, KANSAS CITY, MO 64114 · CCN 261702 · chain GRAHAM HOLDINGS COMPANY
Composite
77.7 / 100 percentile
Peer group
hospice n = 6,737
Evidence depth
deep
Certified beds
—
Model
v1.2
Reads as: riskier than 77.7% of the 6,737 facilities in the hospice 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 model6ML signals2Components8Quality measures89Penalties0Deficiencies0Licensure0Ownership21Related party2Transactions0Market rent22

Composite explanation

6
ComponentPercentileRawWeightWeight shareContributionCounts
quality risk78.472.40.300.222217.42in index
billing conduct74.757.10.300.222216.60in index
financial risk68.956.30.300.222215.31in index
chow risk53.214.20.150.11115.91in index
regulatory risk6.220.00.300.22221.38in index
ownership opacity94.148.7excluded
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

2
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains8 chainsBLACKROCK INC 303 facilities
connectionOwner spans multiple chains8 chainsVANGUARD GROUP INC 324 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

8
Score typeScoreGradeModelStatusRegistry model notes
billing conduct57.1Cv0.1-hcidefault · in compositeHospice Care Index sub-indicators from CMS Care Compare, claims-derived and independent of the Provider of Services file. Scored as conduct rather than quality because the indicators are live-discharge timing, level-of-care mix, visit gaps and long-stay share.
chow risk14.2Av0.1-posdefault · in compositeChange-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.
financial risk62.3Cv0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
financial risk45.7Cv0.5default · in compositeR18.
ownership opacity46.4Cv0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
quality risk72.4Dv0.1default · in composite
regulatory risk20.0Av0.6-posdefault · in compositeR31. Extends v0.5-pos to hospices (provider type 12): same fields, same weights, no expression change. Hospice regulatory coverage before this was 148 of 6,535 scored hospices, all from the TX HCSSA state model. SNF/NF (type 20) deliberately excluded: the deficiency-based v0.3 already covers 14,315 of 14,720 and is richer evidence than a POS compliance flag.
financial risk38.0Bv0.4supersededPre-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.
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.

Quality measures

89
MeasureValueStarsPeriodSource
Average Daily Census8.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient enrolled in Medicare Advantage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Assisted Living Facility23.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Home28.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospice Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospital Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Nursing Facility48.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in All other locations0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Skilled Nursing Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
The hospice team did |not| provide the right amount of emotional and spiritual supportNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nanNot Applicable—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team provided the right amount of emotional and spiritual supportNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nan91.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Treatment Preferences98.9—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan91.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Beliefs & Values Addressed (if desired by the patient)100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan91.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Screening98.9—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan38.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Assessment100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan91.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Screening100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan55.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Treatment100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan19.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Patient Treated with an Opioid Who Are Given a Bowel RegimenNot Available—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan91.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Composite Process Measure98.9—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of LifeNot Available—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of LifeNot Available—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Care Index Overall Score7.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)2742.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)0.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)52.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)29.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)41.4—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)35.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)11.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)9.1—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)68.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)11.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)0.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)3.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1(% live discharges)11.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)18.2—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)91.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2(% live discharges)11.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)9.1—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)98.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)69.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)7681.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)4.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)2732.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)15.6—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)80.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)42735.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)8.3—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)54.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)35.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)94.3—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)56.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with CancerNot Available—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Circulatory/heart disease26.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with DementiaNot Available—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Other Conditions25.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Respiratory diseaseNot Available—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Stroke16.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care and other levels of careNot Available—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care onlyNot Available—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Caregivers rated the hospice agency a 6 or lowerNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 7 or 8Not Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 9 or 10Not Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
NO, they would probably not or definitely not recommend the hospiceNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would probably recommend the hospiceNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would definitely recommend the hospiceNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never treated the patient with respectNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually treated the patient with respectNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always treated the patient with respectNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Family caregiver survey ratingNot Applicable—04/01/2023-03/31/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient sometimes or never got the help they needed for pain and symptomsNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient usually got the help they needed for pain and symptomsNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient always got the help they needed for pain and symptomsNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never communicated wellNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually communicated wellNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always communicated wellNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never provided timely helpNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually provided timely helpNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always provided timely helpNot Available—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
CMS Care Compare measure values as published; a null value with a footnote means CMS suppressed or could not compute it.

Penalties

0
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

0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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

0
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

21
OwnerRolePctFromStatusSource
CONTINUA HOLDCO, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-07-15currentpecos_ownership
GRAHAM HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST60%2022-07-15currentpecos_ownership
GRAHAM HOLDINGS COMPANY5% OR GREATER INDIRECT OWNERSHIP INTEREST60%2022-07-15currentpecos_ownership
RESIDENTIAL KANSAS HOLDCO, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST60%2022-07-15currentpecos_ownership
IAC INVESTMENTS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2022-05-02currentpecos_ownership
2TERA INVESTMENTS LIMITED PARTNERSHIP5% OR GREATER INDIRECT OWNERSHIP INTEREST34%2022-05-02currentpecos_ownership
DOMINIC FRANK TUTERA 2016 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2022-05-02currentpecos_ownership
HANNAH MARIE TUTERA 2016 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2022-05-02currentpecos_ownership
JOSEPH CHARLES TUTERA JR 2016 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2022-05-02currentpecos_ownership
LAURA CIRESE TUTERA 2016 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2022-05-02currentpecos_ownership
BLACKROCK INC5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2025-03-31currentpecos_ownership
RANDALL BLOOM5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2022-05-02currentpecos_ownership
VANGUARD GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2023-08-31currentpecos_ownership
CAMERON SMITHCONTRACTED MANAGING EMPLOYEE—2023-08-01currentpecos_ownership
DEEDREA GREINCORPORATE OFFICER—2025-12-01currentpecos_ownership
GRAHAM HEALTH SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROL—2023-01-01currentpecos_ownership
JASON PIERCEOPERATIONAL/MANAGERIAL CONTROL—2025-10-09currentpecos_ownership
JOSEPH TUTERACORPORATE DIRECTOR—2022-05-02currentpecos_ownership
KAREN SLOAFOPERATIONAL/MANAGERIAL CONTROL—2025-10-09currentpecos_ownership
LEEANN LANGOPERATIONAL/MANAGERIAL CONTROL—2025-10-09currentpecos_ownership
PATRICIA HUDSONW-2 MANAGING EMPLOYEE—2023-01-01currentpecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Market rent context

22
GeoKindBRAmountAs ofSource
zcta 64114acs median gross0$1,0292024-12-31CENSUS_ACS5
zcta 64114acs median gross1$1,1282024-12-31CENSUS_ACS5
zcta 64114acs median gross2$1,4372024-12-31CENSUS_ACS5
zcta 64114acs median gross3$1,6912024-12-31CENSUS_ACS5
zcta 64114acs median gross4$2,0802024-12-31CENSUS_ACS5
zcta 64114acs median gross$1,3642024-12-31CENSUS_ACS5
zcta 64114acs recent mover gross$1,5222024-12-31CENSUS_ACS5
zip 64114payment standard 1100$1,4082025-10-01HUD_USER_SAFMR
zip 64114payment standard 900$1,1522025-10-01HUD_USER_SAFMR
zip 64114safmr0$1,2802025-10-01HUD_USER_SAFMR
zip 64114payment standard 1101$1,5402025-10-01HUD_USER_SAFMR
zip 64114payment standard 901$1,2602025-10-01HUD_USER_SAFMR
zip 64114safmr1$1,4002025-10-01HUD_USER_SAFMR
zip 64114payment standard 1102$1,7492025-10-01HUD_USER_SAFMR
zip 64114payment standard 902$1,4312025-10-01HUD_USER_SAFMR
zip 64114safmr2$1,5902025-10-01HUD_USER_SAFMR
zip 64114payment standard 1103$2,2772025-10-01HUD_USER_SAFMR
zip 64114payment standard 903$1,8632025-10-01HUD_USER_SAFMR
zip 64114safmr3$2,0702025-10-01HUD_USER_SAFMR
zip 64114payment standard 1104$2,7062025-10-01HUD_USER_SAFMR
zip 64114payment standard 904$2,2142025-10-01HUD_USER_SAFMR
zip 64114safmr4$2,4602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · RESIDENTIAL HOSPICE OF MISSOURI, LLC (261702) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency