Reads as: riskier than 4.7% 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.
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 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
MN median
National median
National p25–p75
Total nurse
3.50
3.49
3.28
2.90–3.77
RN
0.44
0.65
0.39
0.25–0.58
Weekend total
3.17
3.32
3.11
—
Weekday total
3.62
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
72.4
3.50
0.44
0.72
2.33
3.17
0.0%
2025Q3
92
72.8
3.43
0.44
0.60
2.39
3.17
0.0%
2025Q2
91
71.0
3.45
0.55
0.63
2.28
3.16
0.0%
2025Q1
90
69.5
3.18
0.52
0.55
2.11
3.00
0.0%
2024Q4
92
68.6
3.01
0.50
0.53
1.99
2.77
0.0%
2024Q3
92
67.2
3.55
0.57
0.66
2.31
3.10
3.9%
2024Q2
91
68.4
3.68
0.52
0.72
2.44
3.27
13.2%
2024Q1
91
66.4
3.68
0.66
0.71
2.30
3.26
17.0%
2023Q4
92
69.5
4.10
0.71
0.66
2.73
3.62
20.3%
2023Q3
92
67.9
4.04
0.76
0.73
2.55
3.63
13.0%
2023Q2
91
61.5
4.10
0.83
0.81
2.45
3.66
9.7%
2023Q1
90
60.5
4.08
0.86
0.88
2.34
3.68
15.7%
2022Q4
92
56.4
3.71
0.48
1.06
2.17
3.50
19.9%
2022Q3
92
50.4
3.84
0.54
1.13
2.17
3.48
9.5%
2022Q2
91
47.3
3.67
0.63
0.99
2.06
3.42
15.5%
2022Q1
90
46.9
3.29
0.67
0.76
1.85
3.10
16.7%
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
15
B × 1D × 11F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-08-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-08-13
2024-05-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-12
2023-11-01
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-12-01
2023-11-01
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
2023-12-01
2023-01-19
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2023-03-02
2023-01-19
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-03-02
2023-01-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-03-02
2023-01-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-03-02
2023-01-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-02
2023-01-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-02
2023-01-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-02
2023-01-19
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.
D
2023-03-02
2023-01-19
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2023-03-02
2023-01-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-03-02
2023-01-19
Health
F0881
Implement a program that monitors antibiotic use.
D
2023-03-02
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
25
Owner
Role
Pct
From
Status
Source
BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
BERGIEN, TRICIA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
CARLEY, GERALD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
FRIE, ADAM
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
HOLTHAUS, NICOLE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
KNUDSON, KYLE
CORPORATE DIRECTOR
—
2024-10-24
current
pecos_ownership
MAJOR, ANNE
ADP OF THE SNF
—
2025-12-08
current
pecos_ownership
MAJOR, ANNE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-29
current
pecos_ownership
PETERSON, ANNELIESE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RYMANOWSKI, KEVIN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
SCHEIERL, LEROY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
STANG, MERILEE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
WATKINS, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
ADAM FRIE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ANNELIESE PETERSON
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
DOUGLAS WATKINS
OPERATIONAL/MANAGERIAL CONTROL
0%
2025-04-01
ended 2026-05-18
pecos_ownership
GERALD CARLEY
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
KEVIN RYMANOWSKI
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
KYLE KNUDSON
CORPORATE DIRECTOR
0%
2024-10-24
ended 2026-05-18
pecos_ownership
LEROY SCHEIERL
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
MERILEE STANG
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
NICOLE HOLTHAUS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
TRICIA BERGIEN
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ANNE MAJOR
ADP OF THE SNF
—
2025-12-08
ended 2026-05-18
pecos_ownership
ANNE MAJOR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-29
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$777,360
—
—
$31,543
$60,353
1
—
2024-06-30
$313,763
—
—
$8,407
$23,083
1
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 27145
acs median gross
0
$760
2024-12-31
CENSUS_ACS5
county 27145
fmr
0
$874
2025-10-01
HUD_USER_FMR
county 27145
acs median gross
1
$872
2024-12-31
CENSUS_ACS5
county 27145
fmr
1
$919
2025-10-01
HUD_USER_FMR
county 27145
acs median gross
2
$1,151
2024-12-31
CENSUS_ACS5
county 27145
fmr
2
$1,206
2025-10-01
HUD_USER_FMR
county 27145
acs median gross
3
$1,448
2024-12-31
CENSUS_ACS5
county 27145
fmr
3
$1,604
2025-10-01
HUD_USER_FMR
county 27145
acs median gross
4
$1,589
2024-12-31
CENSUS_ACS5
county 27145
fmr
4
$1,873
2025-10-01
HUD_USER_FMR
county 27145
acs median gross
5
$1,020
2024-12-31
CENSUS_ACS5
county 27145
acs median gross
$1,068
2024-12-31
CENSUS_ACS5
county 27145
acs recent mover gross
$1,023
2024-12-31
CENSUS_ACS5
zcta 56320
acs median gross
1
$909
2024-12-31
CENSUS_ACS5
zcta 56320
acs median gross
2
$1,653
2024-12-31
CENSUS_ACS5
zcta 56320
acs median gross
3
$1,434
2024-12-31
CENSUS_ACS5
zcta 56320
acs median gross
4
$2,115
2024-12-31
CENSUS_ACS5
zcta 56320
acs median gross
$1,390
2024-12-31
CENSUS_ACS5
zip 56320
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 56320
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 56320
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 56320
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 110
3
$1,991
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 90
3
$1,629
2025-10-01
HUD_USER_SAFMR
zip 56320
safmr
3
$1,810
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 110
4
$2,321
2025-10-01
HUD_USER_SAFMR
zip 56320
payment standard 90
4
$1,899
2025-10-01
HUD_USER_SAFMR
zip 56320
safmr
4
$2,110
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.