Composite
91.9 / 100 percentile
Screener / 265822
D
BRIDGEWOOD HEALTH CARE CENTER
snfMOSFF: SFF Candidate
11515 TROOST, KANSAS CITY, MO 64131 · CCN 265822 · chain RELIANT CARE MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
166
Model
v1.2
Reads as: riskier than 91.9% 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 model4ML signals7Components15CHOW radar1Distress radar1Staffing16Penalties15Deficiencies123Licensure0Ownership14Related party5Transactions0Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 100.0 | 99.9 | 0.30 | 0.3000 | 30.00 | in index |
| staffing risk | 99.3 | 99.3 | 0.25 | 0.2500 | 24.83 | in index |
| financial risk | 37.8 | 38.3 | 0.30 | 0.3000 | 11.34 | in index |
| chow risk | 14.2 | 13.9 | 0.15 | 0.1500 | 2.13 | 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
7| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.6 vs natl | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet risk far above national | +20.4 vs natl | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 61% fined | RELIANT CARE GROUP LLC | 18 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | DESTEFANE RICHARD | 32 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | RELIANT CARE MANAGEMENT COMPANY LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | RICHARD J DESTEFANE REVOCABLE LIVING TRUST | 23 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | ARSHAD ABDULLAH | 24 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
15| 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. |
| chow risk | 2.9 | A | v0.6 | default · in composite | |
| financial risk | 38.3 | 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 | 19.4 | — | 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 | 99.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 99.3 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 73.3 | 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 | 53.3 | 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 | 54.3 | 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 | 41.8 | 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 | 99.9 | 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 | 99.9 | 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 | 99.3 | 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 | 99.3 | 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)
19.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| High-severity deficiencies, 12m | 12.00 | +0.65 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.84 | -0.42 | |
| Chain size (log) | 3.43 | +0.33 |
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 | 27.00 | -3.58 | |
| High-severity deficiencies, 12m | 12.00 | -0.92 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 1.64 | +0.66 | |
| Fine amount, 12m (log) | 11.10 | -0.63 | |
| Penalties, last 12 months | 4.00 | -0.39 | |
| Occupancy | 0.84 | -0.39 |
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
16| 2025Q4 HPRD | This facility | MO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.64 | 2.41 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.25 | 0.39 | 0.25–0.58 |
| Weekend total | 1.48 | 2.24 | 3.11 | — |
| Weekday total | 1.70 | 2.49 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 139.8 | 1.64 | 0.09 | 0.40 | 1.15 | 1.48 | 0.0% |
| 2025Q3 | 92 | 152.3 | 1.60 | 0.04 | 0.41 | 1.16 | 1.49 | 0.0% |
| 2025Q2 | 91 | 154.2 | 1.74 | 0.04 | 0.44 | 1.26 | 1.56 | 0.0% |
| 2025Q1 | 90 | 155.5 | 2.05 | 0.06 | 0.41 | 1.58 | 1.93 | 0.0% |
| 2024Q4 | 92 | 157.2 | 1.30 | 0.06 | 0.39 | 0.85 | 1.05 | 0.0% |
| 2024Q3 | 92 | 162.9 | 1.78 | 0.06 | 0.51 | 1.21 | 1.58 | 9.9% |
| 2024Q2 | 91 | 162.1 | 1.22 | 0.05 | 0.34 | 0.83 | 1.01 | 0.0% |
| 2024Q1 | 91 | 161.1 | 0.82 | 0.07 | 0.23 | 0.52 | 0.75 | 0.0% |
| 2023Q4 | 92 | 161.0 | 0.48 | 0.06 | 0.22 | 0.20 | 0.50 | 0.0% |
| 2023Q3 | 92 | 152.9 | 0.74 | 0.14 | 0.28 | 0.33 | 0.76 | 0.0% |
| 2023Q2 | 91 | 147.0 | 0.77 | 0.20 | 0.24 | 0.33 | 0.77 | 0.0% |
| 2023Q1 | 90 | 150.5 | 0.53 | 0.12 | 0.16 | 0.25 | 0.53 | 0.0% |
| 2022Q4 | 92 | 157.8 | 0.52 | 0.13 | 0.18 | 0.20 | 0.49 | 0.0% |
| 2022Q3 | 92 | 162.8 | 0.62 | 0.13 | 0.23 | 0.26 | 0.58 | 0.0% |
| 2022Q2 | 91 | 160.5 | 0.77 | 0.16 | 0.30 | 0.30 | 0.69 | 0.0% |
| 2022Q1 | 90 | 159.6 | 0.95 | 0.17 | 0.35 | 0.44 | 0.84 | 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
15fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-08 | Fine | $14,505 | CMS provider data |
| 2025-12-22 | Fine | $14,505 | CMS provider data |
| 2025-11-20 | Fine | $24,362 | CMS provider data |
| 2025-07-31 | Fine | $12,627 | CMS provider data |
| 2025-04-28 | Fine | $14,768 | CMS provider data |
| 2025-04-28 | Payment Denial | — | CMS provider data |
| 2024-12-19 | Fine | $161,129 | CMS provider data |
| 2024-11-15 | Fine | $12,038 | CMS provider data |
| 2024-08-15 | Fine | $51,266 | CMS provider data |
| 2024-08-15 | Payment Denial | — | CMS provider data |
| 2024-07-31 | Fine | $14,050 | CMS provider data |
| 2024-05-30 | Fine | $54,406 | CMS provider data |
| 2024-05-03 | Fine | $16,801 | CMS provider data |
| 2023-11-16 | Fine | $192,133 | CMS provider data |
| 2023-11-16 | Payment Denial | — | CMS provider data |
Total fines on record: $582,590
Deficiencies
123C × 1D × 48E × 47F × 3G × 11H × 1J × 10K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2026-04-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | — |
| 2026-04-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | — |
| 2026-04-14 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | — |
| 2026-03-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2026-03-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | — |
| 2026-03-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2026-03-12 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | — |
| 2026-02-26 | Health · complaint | 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 | — |
| 2026-02-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | — |
| 2026-02-26 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | — |
| 2026-02-26 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | — |
| 2026-01-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2026-01-08 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | — |
| 2025-12-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2025-11-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-11-26 |
| 2025-11-25 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2025-11-26 |
| 2025-11-20 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-11-21 |
| 2025-08-29 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | 2025-10-13 |
| 2025-08-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2025-10-06 |
| 2025-08-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2025-08-22 | Health · complaint | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2025-10-06 |
| 2025-07-31 | Health · complaint | 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 | 2025-09-12 |
| 2025-07-31 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-09-25 |
| 2025-07-31 | Health · complaint | F0918 | Provide a bathroom in or located near each resident’s room. | E | 2025-09-12 |
| 2025-04-28 | Health · complaint | 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 | 2025-06-12 |
| 2025-04-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-12 |
| 2025-04-28 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2025-06-12 |
| 2025-04-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-12 |
| 2025-04-28 | 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 | 2025-06-12 |
| 2025-04-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-12 |
| 2025-04-28 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-06-12 |
| 2025-04-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-12 |
| 2025-04-28 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2025-06-12 |
| 2025-04-28 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-06-12 |
| 2025-04-28 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-06-12 |
| 2025-04-28 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-06-12 |
| 2025-04-28 | 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. | E | 2025-06-12 |
| 2025-04-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-12 |
| 2025-04-28 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-12 |
| 2025-04-28 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2025-06-12 |
| 2025-04-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-06-12 |
| 2025-04-28 | 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 | 2025-06-12 |
| 2025-04-28 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-06-12 |
| 2025-04-28 | 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 | 2025-06-12 |
| 2025-03-05 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-02-26 |
| 2025-03-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-03-10 |
| 2025-03-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-25 |
| 2025-01-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2025-03-10 |
| 2025-01-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-03-10 |
| 2025-01-31 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2025-03-10 |
| 2025-01-03 | 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 | 2025-02-14 |
| 2025-01-03 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-02-14 |
| 2024-12-19 | 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. | E | 2025-02-14 |
| 2024-12-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-03-10 |
| 2024-12-19 | 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. | E | 2025-02-02 |
| 2024-12-19 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2025-02-02 |
| 2024-12-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-02-02 |
| 2024-11-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-11-05 |
| 2024-10-04 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-10-04 |
| 2024-09-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-10-27 |
| 2024-09-12 | 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 | 2024-10-27 |
| 2024-09-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-27 |
| 2024-08-15 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-09-27 |
| 2024-08-15 | 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 | 2024-09-27 |
| 2024-08-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-04 |
| 2024-08-15 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2024-09-27 |
| 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 | 2024-07-22 |
| 2024-06-25 | Health · complaint | 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. | K | 2024-07-25 |
| 2024-06-25 | 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 | 2024-07-25 |
| 2024-05-30 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-06-30 |
| 2024-05-30 | Health · complaint | 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. | D | 2024-07-25 |
| 2024-05-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-04-26 |
| 2024-05-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-04-25 |
| 2024-02-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-02-05 |
| 2024-02-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-20 |
| 2024-02-09 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2024-03-29 |
| 2023-12-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-02-05 |
| 2023-12-21 | 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 | 2024-01-25 |
| 2023-12-21 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-01-25 |
| 2023-12-21 | Health · complaint | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2024-01-30 |
| 2023-12-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-20 |
| 2023-11-30 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-12-30 |
| 2023-11-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-02-05 |
| 2023-11-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-25 |
| 2023-11-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-02-05 |
| 2023-11-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | 2023-12-25 |
| 2023-11-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-25 |
| 2023-10-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-10-10 |
| 2023-10-18 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2023-10-13 |
| 2023-10-06 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-10-04 |
| 2023-08-30 | Health · complaint | 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 | 2023-09-30 |
| 2023-08-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-01 |
| 2023-05-07 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-06-21 |
| 2023-05-07 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-06-21 |
| 2023-05-07 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-06-21 |
| 2023-05-07 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2023-06-21 |
| 2023-05-07 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-06-21 |
| 2023-05-07 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-06-21 |
| 2023-05-07 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2023-06-21 |
| 2023-05-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-21 |
| 2023-05-07 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2023-06-21 |
| 2023-05-07 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-06-21 |
| 2023-05-07 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-06-21 |
| 2023-05-07 | Health | 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. | E | 2023-06-21 |
| 2023-05-07 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-06-21 |
| 2023-05-07 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-06-21 |
| 2023-05-07 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-06-21 |
| 2023-05-07 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-06-21 |
| 2023-05-07 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-06-21 |
| 2023-05-07 | 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 | 2023-06-21 |
| 2023-05-07 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2023-06-21 |
| 2023-05-07 | 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. | E | 2023-06-21 |
| 2021-05-27 | 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 | 2021-07-07 |
| 2021-05-27 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2021-07-07 |
| 2021-05-27 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-07-07 |
| 2021-05-27 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2021-07-07 |
| 2021-05-27 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2021-07-07 |
| 2021-05-27 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2021-07-07 |
| 2021-05-27 | 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 | 2021-07-07 |
| 2021-05-27 | Health | F0908 | Keep all essential equipment working safely. | E | 2021-07-07 |
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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARSHAD, ABDULLAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-15 | current | pecos_ownership |
| DESTEFANE, RICHARD | INDIRECT OWNERSHIP INTEREST | — | 2018-03-01 | current | pecos_ownership |
| DESTEFANE, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-11 | current | pecos_ownership |
| MOORE, RHONDA | ADP OF THE SNF | — | 2025-02-26 | current | pecos_ownership |
| RC TIER PROPERTIES, L.L.C. | DIRECT OWNERSHIP INTEREST | — | 2018-09-28 | current | pecos_ownership |
| RELIANT CARE GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2008-01-11 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| RELIANT CARE MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-11 | current | pecos_ownership |
| RICHARD J. DESTEFANE REVOCABLE LIVING TRUST | INDIRECT OWNERSHIP INTEREST | — | 2018-03-01 | current | pecos_ownership |
| BW ASSOC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RICHARD DESTEFANE | INDIRECT OWNERSHIP INTEREST | 100% | 2018-03-01 | ended 2026-05-18 | pecos_ownership |
| ABDULLAH ARSHAD | ADP OF THE SNF | — | 2024-09-15 | ended 2026-05-18 | pecos_ownership |
| RHONDA MOORE | ADP OF THE SNF | — | 2025-02-26 | ended 2026-05-18 | pecos_ownership |
| RICHARD DESTEFANE | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-11 | 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
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
35| 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 64131 | acs median gross | 0 | $937 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64131 | acs median gross | 1 | $1,014 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64131 | acs median gross | 2 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64131 | acs median gross | 3 | $1,399 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64131 | acs median gross | 4 | $1,557 | 2024-12-31 | CENSUS_ACS5 |
| zcta 64131 | acs median gross | $1,168 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 64131 | acs recent mover gross | $1,301 | 2024-12-31 | CENSUS_ACS5 | |
| zip 64131 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 110 | 1 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 90 | 1 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | safmr | 1 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 110 | 2 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 90 | 2 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | safmr | 2 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 110 | 3 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 90 | 3 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | safmr | 3 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 110 | 4 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | payment standard 90 | 4 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 64131 | safmr | 4 | $2,170 | 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.