35755 DETROIT ROAD, AVON, OH 44011 · CCN 366342 · chain SAINT THERESE
Composite
20.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 20.6% 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.
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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
EREN ITRI
8 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
OH median
National median
National p25–p75
Total nurse
4.30
3.24
3.28
2.90–3.77
RN
0.82
0.38
0.39
0.25–0.58
Weekend total
4.41
3.11
3.11
—
Weekday total
4.25
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.3
4.30
0.82
1.19
2.29
4.41
0.0%
2025Q3
92
42.1
4.29
0.80
1.24
2.25
4.20
0.0%
2025Q2
91
43.5
4.20
0.78
1.33
2.09
4.33
0.0%
2025Q1
90
48.3
3.90
0.68
1.21
2.02
3.92
0.0%
2024Q4
92
47.3
4.91
0.70
1.54
2.67
4.78
0.0%
2024Q3
92
45.4
5.52
0.74
1.58
3.19
5.16
0.0%
2024Q2
91
43.9
5.63
0.69
1.79
3.14
5.17
0.0%
2024Q1
91
47.4
4.93
0.80
1.39
2.74
4.67
0.0%
2023Q4
92
43.8
5.46
0.82
1.61
3.03
5.17
0.0%
2023Q3
92
43.0
5.48
0.67
1.75
3.07
5.18
0.3%
2023Q2
91
45.9
5.17
0.62
1.62
2.94
4.71
0.0%
2023Q1
90
44.7
4.88
0.66
1.53
2.69
4.58
0.0%
2022Q4
92
39.6
5.24
0.99
1.37
2.88
5.19
0.4%
2022Q3
92
43.4
4.28
1.01
1.25
2.02
4.04
0.2%
2022Q2
91
44.7
3.65
0.85
1.06
1.74
3.51
4.7%
2022Q1
90
43.3
4.54
0.81
1.39
2.35
4.45
26.6%
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
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
10
D × 9E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-10-14
2025-08-28
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-14
2025-08-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-10-14
2022-06-23
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2022-07-15
2022-06-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-07-15
2019-05-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-06-27
2019-05-30
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2019-06-27
2019-05-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-06-27
2019-05-30
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2019-06-27
2019-05-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-06-27
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
40
Owner
Role
Pct
From
Status
Source
SAINT THERESE COMMUNITIES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-12-01
current
pecos_ownership
ABBOTT, CRAIG
CORPORATE OFFICER
—
2024-12-01
current
pecos_ownership
ATRIUM CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
ATRIUM CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2023-12-01
current
hcris_a_8_1
EREN, ITRI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
GILLESPIE, JOSEPH
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
HELLER, DAVID
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
HERB, MARY
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
HOFFMANN, DAVID
CORPORATE OFFICER
—
2024-12-01
current
pecos_ownership
HORSTMANN, STEVEN
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
KRENN, DAVID
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
MCCLUSKEY, PATRICIA
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
MCCROSSAN, JANE
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
MEADS, STEVEN
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
PARMAR, MONA
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
SAINT THERESE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
SAINT THERESE MANAGEMENT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
SHELANGOSKI, CAL
CORPORATE OFFICER
—
2024-12-01
current
pecos_ownership
SHELANGOSKI, CAL
ADP OF THE SNF
—
2024-12-30
current
pecos_ownership
TAFFE, PATRICK
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
WORNSON, KATHRYN
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
CAL SHELANGOSKI
CORPORATE OFFICER
0%
2024-12-01
ended 2026-05-18
pecos_ownership
ATRIUM CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
ATRIUM CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
ATRIUM CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CAL SHELANGOSKI
ADP OF THE SNF
—
2024-12-30
ended 2026-05-18
pecos_ownership
CRAIG ABBOTT
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID HELLER
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID HOFFMANN
CORPORATE OFFICER
—
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID KRENN
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
ITRI EREN
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
JANE MCCROSSAN
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
JOSEPH GILLESPIE
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
KATHRYN WORNSON
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
MARY HERB
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
MONA PARMAR
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
PATRICIA MCCLUSKEY
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
PATRICK TAFFE
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
STEVEN HORSTMANN
CORPORATE DIRECTOR
—
2024-12-01
ended 2026-05-18
pecos_ownership
STEVEN MEADS
CORPORATE DIRECTOR
—
2024-12-01
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-11-30
$3,622,627
—
$904,649
—
—
2
propco
2023-12-31
$2,949,888
—
$804,353
—
—
2
propco
2022-12-31
$2,566,704
—
$697,246
—
—
2
propco
2021-12-31
$2,107,097
—
$751,699
—
—
2
propco
2020-12-31
$1,988,846
—
$362,061
—
—
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
Geo
Kind
BR
Amount
As of
Source
county 39093
acs median gross
0
$599
2024-12-31
CENSUS_ACS5
county 39093
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
1
$734
2024-12-31
CENSUS_ACS5
county 39093
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 39093
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
county 39093
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
4
$1,175
2024-12-31
CENSUS_ACS5
county 39093
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
5
$1,391
2024-12-31
CENSUS_ACS5
county 39093
acs median gross
$966
2024-12-31
CENSUS_ACS5
county 39093
acs recent mover gross
$1,070
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
1
$1,702
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
2
$1,933
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
3
$2,113
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
$1,796
2024-12-31
CENSUS_ACS5
zip 44011
payment standard 110
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
0
$1,170
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
0
$1,300
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
1
$1,617
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
1
$1,323
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
1
$1,470
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
2
$1,958
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
2
$1,602
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
2
$1,780
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
3
$2,519
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
3
$2,061
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
3
$2,290
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
4
$2,695
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
4
$2,205
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
4
$2,450
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.