200 FAIRMAN AVENUE, WATSEKA, IL 60970 · CCN 146049
Composite
1.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
35
Model
v1.2
Reads as: riskier than 1.3% 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.
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.
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 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
15
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
4.04
3.13
3.28
2.90–3.77
RN
0.90
0.49
0.39
0.25–0.58
Weekend total
3.88
2.93
3.11
—
Weekday total
4.11
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.4
4.04
0.90
0.38
2.77
3.88
24.0%
2025Q3
92
29.1
3.86
0.77
0.64
2.45
3.57
23.6%
2025Q2
91
25.0
3.67
0.51
0.64
2.52
3.36
12.7%
2024Q4
92
22.3
3.85
0.46
0.60
2.78
3.74
7.3%
2024Q3
92
25.1
0.40
0.06
0.02
0.32
0.79
75.5%
2024Q2
91
28.4
3.09
0.51
0.37
2.21
2.89
4.3%
2024Q1
91
29.0
3.59
0.67
0.35
2.57
3.37
3.8%
2023Q4
92
31.2
3.53
0.71
0.31
2.51
3.49
1.9%
2023Q3
92
27.0
4.30
1.03
0.34
2.93
4.23
3.4%
2023Q2
91
29.1
4.01
0.91
0.37
2.72
3.73
0.0%
2023Q1
90
28.2
3.85
0.89
0.40
2.57
3.73
0.0%
2022Q4
92
28.5
3.76
0.82
0.53
2.41
3.71
0.0%
2022Q3
92
29.8
3.67
0.65
0.64
2.39
3.58
0.0%
2022Q2
91
30.4
3.82
0.56
0.75
2.51
3.66
0.0%
2022Q1
90
28.5
3.46
0.57
0.75
2.14
3.46
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
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
26
C × 1D × 18E × 3F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-06-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-31
2024-06-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-31
2024-06-26
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
2024-07-31
2024-06-26
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.
D
2024-07-19
2024-06-26
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
2024-07-31
2024-06-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-31
2024-06-26
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-07-31
2024-06-26
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-07-31
2024-06-26
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2024-07-20
2024-04-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-05-22
2024-04-18
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-05-09
2023-10-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-25
2023-05-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-05-26
2023-05-04
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2023-05-26
2023-05-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-26
2022-04-22
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2022-05-16
2022-04-22
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2022-05-16
2022-04-22
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2022-05-16
2022-04-22
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-05-16
2022-04-22
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-05-16
2022-04-22
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.
D
2022-05-16
2022-04-22
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-05-16
2022-04-22
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-05-16
2022-04-22
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-05-16
2022-04-22
Health
F0732
Post nurse staffing information every day.
C
2022-05-16
2022-04-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-05-16
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
22
Owner
Role
Pct
From
Status
Source
DITTRICH, ROGER
CORPORATE DIRECTOR
—
2024-12-21
current
pecos_ownership
FOX, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-01
current
pecos_ownership
GRAVES, DENISE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-27
current
pecos_ownership
KNAPP, ADAM
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MIKUTA, SARA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
PENCE, RHONDA
CORPORATE DIRECTOR
—
2014-02-01
current
pecos_ownership
REYES, CRISANTO
CORPORATE DIRECTOR
—
2018-09-01
current
pecos_ownership
REYES, CRISANTO
ADP OF THE SNF
—
2025-02-12
current
pecos_ownership
TILSTRA, MICHAEL
CORPORATE OFFICER
—
2022-01-17
current
pecos_ownership
TINCHER, DANIEL
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
ZUMWALT, PHILIP
CORPORATE DIRECTOR
—
2022-07-26
current
pecos_ownership
ADAM KNAPP
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
CRISANTO REYES
CORPORATE DIRECTOR
—
2018-09-01
ended 2026-05-18
pecos_ownership
CRISANTO REYES
ADP OF THE SNF
—
2025-02-12
ended 2026-05-18
pecos_ownership
DANIEL TINCHER
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
DENISE GRAVES
ADP OF THE SNF
—
2025-03-27
ended 2026-05-18
pecos_ownership
MICHAEL TILSTRA
CORPORATE OFFICER
—
2022-01-17
ended 2026-05-18
pecos_ownership
MICHELLE FOX
ADP OF THE SNF
—
2018-09-01
ended 2026-05-18
pecos_ownership
PHILIP ZUMWALT
CORPORATE DIRECTOR
—
2022-07-26
ended 2026-05-18
pecos_ownership
RHONDA PENCE
CORPORATE DIRECTOR
—
2014-02-01
ended 2026-05-18
pecos_ownership
ROGER DITTRICH
CORPORATE DIRECTOR
—
2024-12-21
ended 2026-05-18
pecos_ownership
SARA MIKUTA
CORPORATE DIRECTOR
—
2024-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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.
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 17075
acs median gross
0
$629
2024-12-31
CENSUS_ACS5
county 17075
fmr
0
$694
2025-10-01
HUD_USER_FMR
county 17075
acs median gross
1
$495
2024-12-31
CENSUS_ACS5
county 17075
fmr
1
$698
2025-10-01
HUD_USER_FMR
county 17075
acs median gross
2
$793
2024-12-31
CENSUS_ACS5
county 17075
fmr
2
$916
2025-10-01
HUD_USER_FMR
county 17075
acs median gross
3
$873
2024-12-31
CENSUS_ACS5
county 17075
fmr
3
$1,136
2025-10-01
HUD_USER_FMR
county 17075
acs median gross
4
$1,299
2024-12-31
CENSUS_ACS5
county 17075
fmr
4
$1,492
2025-10-01
HUD_USER_FMR
county 17075
acs median gross
5
$814
2024-12-31
CENSUS_ACS5
county 17075
acs median gross
$799
2024-12-31
CENSUS_ACS5
county 17075
acs recent mover gross
$730
2024-12-31
CENSUS_ACS5
zcta 60970
acs median gross
1
$468
2024-12-31
CENSUS_ACS5
zcta 60970
acs median gross
2
$777
2024-12-31
CENSUS_ACS5
zcta 60970
acs median gross
3
$888
2024-12-31
CENSUS_ACS5
zcta 60970
acs median gross
$790
2024-12-31
CENSUS_ACS5
zip 60970
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 60970
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 60970
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 60970
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 110
3
$1,254
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 90
3
$1,026
2025-10-01
HUD_USER_SAFMR
zip 60970
safmr
3
$1,140
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 60970
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 60970
safmr
4
$1,490
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.