CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 23:50 UTC
Screener / 235143
A

Corewell Health Greenville Hospital Rehabilitation

snfMI
615 South Bower Street, Greenville, MI 48838 · CCN 235143 · chain COREWELL HEALTH
Composite
19.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
39
Model
v1.2
Reads as: riskier than 19.7% 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.

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct93.563.50.300.300028.05in index
chow risk25.225.00.150.15003.78in index
staffing risk14.614.70.250.25003.65in index
regulatory risk1.51.00.300.30000.45in 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

10
Score typeScoreGradeModelStatusRegistry model notes
billing conduct63.5Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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.
p adverse action 12m0.6v0.1default · in compositeR23/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 12m0.3v0.1default · in compositeR22/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 risk1.0Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk14.7Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk1.0Av0.1supersededPre-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 risk1.0Av0.2supersededPre-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 risk14.7Av0.1supersededPre-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 risk14.7Av0.2supersededPre-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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
47.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Occupancy0.93-0.68
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.11-0.21
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
76.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months0.00+1.43
Occupancy0.93-0.78
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.11-0.38
Chain size (log)2.56-0.29
Fine amount, 12m (log)0.00+0.18
Facility size (log beds)3.69+0.14
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 HPRDThis facilityMI medianNational medianNational p25–p75
Total nurse4.113.523.282.90–3.77
RN0.920.470.390.25–0.58
Weekend total3.943.323.11
Weekday total4.173.613.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49236.44.110.920.352.843.940.0%
2025Q39234.54.270.770.552.954.130.0%
2025Q29136.04.200.700.572.934.010.0%
2025Q19034.54.240.840.492.904.000.0%
2024Q49234.34.230.890.452.894.170.0%
2024Q39233.84.210.920.432.874.070.0%
2024Q29134.54.460.880.463.124.260.0%
2024Q19136.34.220.930.322.984.040.0%
2023Q49235.54.100.950.302.864.060.0%
2023Q39231.74.220.920.502.804.160.0%
2023Q29130.84.400.950.492.954.310.0%
2023Q19029.94.540.990.473.084.480.0%
2022Q49230.04.440.970.473.004.370.0%
2022Q39228.84.501.120.492.894.250.0%
2022Q29128.94.601.050.493.064.470.0%
2022Q19028.84.941.120.483.344.750.0%
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

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

4
E × 3F × 1
deficiencies by survey year
21232425
SurveyTypeTagDeficiencyScopeCorrected
2025-04-17HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-05-16
2025-04-17HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-05-16
2023-04-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.F2023-05-26
2023-04-07HealthF0761Ensure 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.E2023-05-26
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

39
OwnerRolePctFromStatusSource
BEG, SIMINCORPORATE DIRECTOR2020-08-18currentpecos_ownership
BOETTCHER, IRISADP OF THE SNF2025-01-01currentpecos_ownership
BRAGG, TALAWNDACORPORATE DIRECTOR2022-01-01currentpecos_ownership
BUCKLEY, JOHNCORPORATE DIRECTOR2020-08-18currentpecos_ownership
COREWELL HEALTHADP OF THE SNF2013-04-29currentpecos_ownership
COX, MATTHEWCORPORATE OFFICER2022-02-01currentpecos_ownership
DOORNBOS, MARYCORPORATE DIRECTOR2020-08-18currentpecos_ownership
FERRELL-ROBINSON, LYNNETTECORPORATE DIRECTOR2020-08-18currentpecos_ownership
FREESE DECKER, CHRISTINAADP OF THE SNF2025-05-06currentpecos_ownership
FREESE DECKER, CHRISTINACORPORATE OFFICER2022-02-01currentpecos_ownership
HOFMAN, RONALDCORPORATE DIRECTOR2020-08-18currentpecos_ownership
MARLOW, TAMILAADP OF THE SNF2020-09-01currentpecos_ownership
PAKKALA, KARENCORPORATE OFFICER2023-09-08currentpecos_ownership
PARKER, SHELLYADP OF THE SNF2004-03-14currentpecos_ownership
PINK, BILLCORPORATE DIRECTOR2020-08-18currentpecos_ownership
PORT, CHRISTOPHERCORPORATE DIRECTOR2020-08-18currentpecos_ownership
TORRES, JOHANNIECORPORATE DIRECTOR2020-08-18currentpecos_ownership
WAALKES, ANNICACORPORATE DIRECTOR2020-08-18currentpecos_ownership
WATSON, SAMCORPORATE DIRECTOR2020-08-18currentpecos_ownership
WILSON, MARKCORPORATE DIRECTOR2020-08-18currentpecos_ownership
KAREN PAKKALACORPORATE OFFICER100%2023-09-08ended 2026-05-18pecos_ownership
ANNICA WAALKESCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
BILL PINKCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
CHRISTINA FREESE DECKERCORPORATE OFFICER0%2022-02-01ended 2026-05-18pecos_ownership
CHRISTOPHER PORTCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
JOHANNIE TORRESCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
JOHN BUCKLEYCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
LYNNETTE FERRELL-ROBINSONCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
MARK WILSONCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
MARY DOORNBOSCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
MATTHEW COXCORPORATE OFFICER0%2022-02-01ended 2026-05-18pecos_ownership
RONALD HOFMANCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
SAM WATSONCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
SIMIN BEGCORPORATE DIRECTOR0%2020-08-18ended 2026-05-18pecos_ownership
TALAWNDA BRAGGCORPORATE DIRECTOR0%2022-01-01ended 2026-05-18pecos_ownership
CHRISTINA FREESE DECKERADP OF THE SNF2025-05-06ended 2026-05-18pecos_ownership
IRIS BOETTCHERADP OF THE SNF2025-01-01ended 2026-05-18pecos_ownership
SHELLY PARKERADP OF THE SNF2004-03-14ended 2026-05-18pecos_ownership
TAMILA MARLOWADP OF THE SNF2020-09-01ended 2026-05-18pecos_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.

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids120OPTALIS GRAND RAPIDS OPCO 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

32
GeoKindBRAmountAs ofSource
county 26117acs median gross0$7542024-12-31CENSUS_ACS5
county 26117fmr0$8292025-10-01HUD_USER_FMR
county 26117acs median gross1$7072024-12-31CENSUS_ACS5
county 26117fmr1$1,0162025-10-01HUD_USER_FMR
county 26117acs median gross2$8752024-12-31CENSUS_ACS5
county 26117fmr2$1,2032025-10-01HUD_USER_FMR
county 26117acs median gross3$1,0292024-12-31CENSUS_ACS5
county 26117fmr3$1,4732025-10-01HUD_USER_FMR
county 26117acs median gross4$1,1762024-12-31CENSUS_ACS5
county 26117fmr4$1,5932025-10-01HUD_USER_FMR
county 26117acs median gross$8692024-12-31CENSUS_ACS5
county 26117acs recent mover gross$9872024-12-31CENSUS_ACS5
zcta 48838acs median gross1$8382024-12-31CENSUS_ACS5
zcta 48838acs median gross2$9252024-12-31CENSUS_ACS5
zcta 48838acs median gross3$1,0542024-12-31CENSUS_ACS5
zcta 48838acs median gross$9072024-12-31CENSUS_ACS5
zcta 48838acs recent mover gross$1,5642024-12-31CENSUS_ACS5
zip 48838payment standard 1100$1,1552025-10-01HUD_USER_SAFMR
zip 48838payment standard 900$9452025-10-01HUD_USER_SAFMR
zip 48838safmr0$1,0502025-10-01HUD_USER_SAFMR
zip 48838payment standard 1101$1,1992025-10-01HUD_USER_SAFMR
zip 48838payment standard 901$9812025-10-01HUD_USER_SAFMR
zip 48838safmr1$1,0902025-10-01HUD_USER_SAFMR
zip 48838payment standard 1102$1,4302025-10-01HUD_USER_SAFMR
zip 48838payment standard 902$1,1702025-10-01HUD_USER_SAFMR
zip 48838safmr2$1,3002025-10-01HUD_USER_SAFMR
zip 48838payment standard 1103$1,8702025-10-01HUD_USER_SAFMR
zip 48838payment standard 903$1,5302025-10-01HUD_USER_SAFMR
zip 48838safmr3$1,7002025-10-01HUD_USER_SAFMR
zip 48838payment standard 1104$2,0462025-10-01HUD_USER_SAFMR
zip 48838payment standard 904$1,6742025-10-01HUD_USER_SAFMR
zip 48838safmr4$1,8602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.