Composite
70.3 / 100 percentile
Screener / 265236
C
AVENIR AT MARK TWAIN
snfMO
11988 MARK TWAIN LANE, BRIDGETON, MO 63044 · CCN 265236 · chain KRPSS PARTNERS
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 70.3% 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 model5Components16CHOW radar1Distress radar1Staffing15Penalties10Deficiencies62Licensure0Ownership18Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.7 | 92.8 | 0.30 | 0.2308 | 21.85 | in index |
| staffing risk | 80.8 | 80.8 | 0.25 | 0.1923 | 15.54 | in index |
| chow risk | 86.3 | 67.2 | 0.15 | 0.1154 | 9.96 | in index |
| financial risk | 38.1 | 38.4 | 0.30 | 0.2308 | 8.79 | 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
16| 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 | 53.7 | C | 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 | 80.7 | F | v0.6 | default · in composite | |
| financial risk | 38.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 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 | 92.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.7 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 59.7 | 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 | 27.9 | B | 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 | 43.7 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 92.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 92.8 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 80.8 | 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 | 80.8 | 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
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 0.82 | -1.76 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 29.00 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.26 | +0.30 | |
| Occupancy | 0.63 | +0.19 |
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
0.0
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 | 29.00 | -3.95 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.63 | +0.48 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Current owner tenure (years) | 0.82 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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
15| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.79 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 2.54 | 2.24 | 3.11 | — |
| Weekday total | 2.89 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.0 | 2.79 | 0.28 | 0.47 | 2.03 | 2.54 | 25.8% |
| 2025Q3 | 92 | 69.8 | 3.02 | 0.43 | 0.45 | 2.14 | 2.59 | 18.1% |
| 2025Q2 | 91 | 67.2 | 2.94 | 0.31 | 0.64 | 1.99 | 2.50 | 23.0% |
| 2025Q1 | 90 | 69.1 | 2.93 | 0.50 | 0.57 | 1.86 | 2.50 | 1.8% |
| 2024Q4 | 92 | 72.9 | 3.17 | 0.43 | 0.48 | 2.26 | 2.72 | 0.0% |
| 2024Q3 | 92 | 79.4 | 2.45 | 0.34 | 0.35 | 1.77 | 2.24 | 0.0% |
| 2024Q2 | 91 | 77.5 | 2.84 | 0.20 | 0.65 | 1.99 | 2.50 | 4.9% |
| 2024Q1 | 91 | 75.1 | 2.49 | 0.09 | 0.65 | 1.75 | 2.00 | 0.0% |
| 2023Q4 | 92 | 71.8 | 2.44 | 0.18 | 0.69 | 1.58 | 2.21 | 0.0% |
| 2023Q3 | 92 | 73.4 | 2.32 | 0.23 | 0.67 | 1.42 | 1.93 | 0.0% |
| 2023Q1 | 90 | 61.6 | 2.28 | 0.24 | 0.61 | 1.43 | 1.97 | 2.0% |
| 2022Q4 | 92 | 63.8 | 2.50 | 0.21 | 0.57 | 1.71 | 2.40 | 0.9% |
| 2022Q3 | 92 | 63.4 | 2.70 | 0.32 | 0.57 | 1.81 | 2.64 | 1.5% |
| 2022Q2 | 91 | 64.7 | 2.88 | 0.45 | 0.52 | 1.91 | 2.72 | 4.8% |
| 2022Q1 | 90 | 61.7 | 2.65 | 0.21 | 0.63 | 1.81 | 2.64 | 29.6% |
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
10fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-21 | Fine | $134,043 | CMS provider data |
| 2025-01-21 | Payment Denial | — | CMS provider data |
| 2024-01-19 | Fine | $26,687 | CMS provider data |
| 2024-01-19 | Payment Denial | — | CMS provider data |
| 2023-09-25 | Fine | $4,587 | CMS provider data |
| 2023-09-18 | Fine | $4,587 | CMS provider data |
| 2023-09-11 | Fine | $4,587 | CMS provider data |
| 2023-09-05 | Fine | $4,587 | CMS provider data |
| 2023-08-28 | Fine | $4,587 | CMS provider data |
| 2023-08-07 | Fine | $11,645 | CMS provider data |
Total fines on record: $195,310
Deficiencies
62B × 2C × 1D × 29E × 28J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-19 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-01-15 |
| 2025-12-19 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-15 |
| 2025-12-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-15 |
| 2025-10-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-14 |
| 2025-08-20 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-10-03 |
| 2025-08-20 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-10-03 |
| 2025-08-20 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-10-03 |
| 2025-08-20 | 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 | 2025-10-03 |
| 2025-08-20 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-10-03 |
| 2025-08-20 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | 2025-10-03 |
| 2025-08-20 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-10-03 |
| 2025-08-20 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-10-03 |
| 2025-08-20 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-03 |
| 2025-08-20 | Health | F0687 | Provide appropriate foot care. | D | 2025-10-03 |
| 2025-08-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-03 |
| 2025-08-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-10-03 |
| 2025-08-20 | 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 | 2025-10-03 |
| 2025-08-20 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-10-03 |
| 2025-08-20 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-10-03 |
| 2025-08-20 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-10-03 |
| 2025-08-20 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-11-19 |
| 2025-08-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-10-03 |
| 2025-08-20 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-10-03 |
| 2025-08-20 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-10-03 |
| 2025-08-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-10-03 |
| 2025-08-20 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-03 |
| 2025-08-20 | 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. | D | 2025-10-03 |
| 2025-08-20 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2025-10-03 |
| 2025-08-20 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-10-03 |
| 2025-01-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-19 |
| 2025-01-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-11 |
| 2025-01-21 | Health · complaint | 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. | J | 2025-01-17 |
| 2024-09-25 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-25 |
| 2024-04-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-26 |
| 2024-04-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-26 |
| 2024-01-19 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-01-19 |
| 2024-01-19 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2024-01-19 |
| 2024-01-19 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-02-09 |
| 2024-01-19 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-02-06 |
| 2024-01-19 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-02-12 |
| 2024-01-19 | 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 | 2024-02-09 |
| 2024-01-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-01-19 |
| 2024-01-19 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-02-06 |
| 2024-01-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-01-30 |
| 2024-01-19 | Health | F0732 | Post nurse staffing information every day. | C | 2024-01-19 |
| 2024-01-19 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-07 |
| 2024-01-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-09 |
| 2023-09-07 | Health · complaint | 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. | D | 2023-09-07 |
| 2019-11-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2019-12-20 |
| 2019-11-08 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2019-12-20 |
| 2019-11-08 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2019-12-20 |
| 2019-11-08 | 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. | B | 2019-12-20 |
| 2019-11-08 | 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. | E | 2019-12-20 |
| 2019-11-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2019-12-20 |
| 2019-11-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-12-20 |
| 2019-11-08 | 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 | 2019-12-20 |
| 2019-11-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-12-20 |
| 2019-11-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2019-12-20 |
| 2019-11-08 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2019-12-20 |
| 2019-11-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2019-12-20 |
| 2019-11-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-12-20 |
| 2019-11-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-12-20 |
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
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
18| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GC OF MARK TWAIN LLC | Individual has financial interest in both related organization and provider | 50% | 2024-01-01 | current | hcris_a_8_1 |
| BICKNELL, JACQUELINE | ADP OF THE SNF | — | 2025-10-06 | current | pecos_ownership |
| DELTA EDGE STRATEGIC ADVISORS | INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 | current | pecos_ownership |
| FELHEIM, YITCHOK | INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 | current | pecos_ownership |
| HHHH VENTURES LLC | ADP OF THE SNF | — | 2025-10-01 | current | pecos_ownership |
| JACOBOVITCH, YOSSI | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 | current | pecos_ownership |
| KRPSS PARTNERS | ADP OF THE SNF | — | 2025-10-01 | current | pecos_ownership |
| LAPCIUC, AVRAHAM | MANAGING CONTROL - GOVERNING BODY | — | 2025-10-01 | current | pecos_ownership |
| MARK TWAIN HOLDCO LLC | DIRECT OWNERSHIP INTEREST | — | 2025-10-01 | current | pecos_ownership |
| NBH1 MTPROPCO LLC | ADP OF THE SNF | — | 2025-10-01 | current | pecos_ownership |
| SAN, MANUEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 | current | pecos_ownership |
| STERLING, CORY | ADP OF THE SNF | — | 2025-10-06 | current | pecos_ownership |
| YITCHOK FELHEIM | INDIRECT OWNERSHIP INTEREST | 29% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| YOSSI JACOBOVITCH | INDIRECT OWNERSHIP INTEREST | 26% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| AVRAHAM LAPCIUC | INDIRECT OWNERSHIP INTEREST | 17% | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| CORY STERLING | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-06 | ended 2026-05-18 | pecos_ownership |
| JACQUELINE BICKNELL | ADP OF THE SNF | — | 2025-10-06 | ended 2026-05-18 | pecos_ownership |
| MANUEL SAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-10-01 | — | NBH1 MTOPCO LLC | BEL OAK OF MARK TWAIN LLC | chow |
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 TWAINthis facility | — | — | — | 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 29189 | acs median gross | 0 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 1 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 2 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 3 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 4 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 29189 | acs median gross | 5 | $1,850 | 2024-12-31 | CENSUS_ACS5 |
| county 29189 | acs median gross | $1,209 | 2024-12-31 | CENSUS_ACS5 | |
| county 29189 | acs recent mover gross | $1,369 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63044 | acs median gross | 1 | $667 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63044 | acs median gross | 2 | $1,151 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63044 | acs median gross | 3 | $1,186 | 2024-12-31 | CENSUS_ACS5 |
| zcta 63044 | acs median gross | $1,145 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 63044 | acs recent mover gross | $1,431 | 2024-12-31 | CENSUS_ACS5 | |
| zip 63044 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 110 | 4 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | payment standard 90 | 4 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 63044 | safmr | 4 | $1,710 | 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.