901 9TH STREET NORTH, VIRGINIA, MN 55792 · CCN 245458 · chain ESSENTIA HEALTH
Composite
2.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
40
Model
v1.2
Reads as: riskier than 2.4% 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
MN median
National median
National p25–p75
Total nurse
4.13
3.49
3.28
2.90–3.77
RN
1.39
0.65
0.39
0.25–0.58
Weekend total
3.81
3.32
3.11
—
Weekday total
4.26
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
19.1
4.13
1.39
0.48
2.27
3.81
0.0%
2025Q3
92
20.2
5.09
1.25
0.62
3.22
4.76
0.0%
2025Q2
91
21.5
3.80
0.76
0.52
2.53
3.75
0.0%
2025Q1
90
21.3
3.78
0.88
0.28
2.61
3.81
0.0%
2024Q4
92
24.3
3.34
0.75
0.37
2.23
3.34
6.2%
2024Q3
92
21.8
3.85
0.77
0.59
2.50
3.55
20.3%
2024Q2
91
20.7
2.63
0.00
0.79
1.84
2.37
9.4%
2024Q1
91
22.1
2.37
0.00
0.79
1.58
2.30
0.0%
2023Q4
92
23.5
2.49
0.00
0.73
1.77
2.37
0.0%
2023Q3
92
25.2
3.43
0.78
0.59
2.05
2.97
0.0%
2023Q2
91
27.4
2.94
0.52
0.43
1.99
2.94
0.0%
2023Q1
90
29.3
3.35
0.75
0.35
2.25
3.19
0.0%
2022Q4
92
34.1
2.38
0.21
0.38
1.79
2.24
14.2%
2022Q3
92
33.8
2.54
0.36
0.34
1.83
2.47
14.0%
2022Q2
91
30.4
3.50
1.03
0.53
1.94
3.20
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
9
D × 7E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-26
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-04-16
2026-03-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-16
2026-03-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-16
2025-01-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-29
2024-02-28
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-03-18
2024-02-28
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-03-18
2024-02-28
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-03-18
2024-02-28
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-03-18
2024-02-28
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
2024-03-18
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
44
Owner
Role
Pct
From
Status
Source
ARONSON NORR, NANCY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BACHAND, ADAM
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BALDWIN, JAN
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
current
pecos_ownership
BEARD, BRADLEY
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
BERGSTROM, AMY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BOREN, KEVIN
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
BORTNEM, MARK
CORPORATE OFFICER
—
2025-09-29
current
pecos_ownership
DUININCK, TROY
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
ESSENTIA HEALTH
INDIRECT OWNERSHIP INTEREST
—
2012-08-28
current
pecos_ownership
ESSENTIA HEALTH
ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
JAMAR, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
LOBAN, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
MEYER, DEBORAH
ADP OF THE SNF
—
2023-09-09
current
pecos_ownership
OMAN, MICHELLE
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
RAWAY, BEVERLY
MANAGING CONTROL - GOVERNING BODY
—
2018-10-01
current
pecos_ownership
SERTICH, ANTHONY
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
SKORUPA, KRISTA
CORPORATE OFFICER
—
2024-05-06
current
pecos_ownership
SMDC MEDICAL CENTER
DIRECT OWNERSHIP INTEREST
—
2012-07-01
current
pecos_ownership
ST MARYS DULUTH CLINIC HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
2012-08-28
current
pecos_ownership
ST MARYS DULUTH CLINIC HEALTH SYSTEM
ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
URBANSKI, REBECCA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
WATTERS, MICHAEL
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
WEBER, JEANNE
MANAGING CONTROL - GOVERNING BODY
—
2019-02-15
current
pecos_ownership
YUNG, ANTHONY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
SMDC MEDICAL CENTER
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-08-28
ended 2026-05-18
pecos_ownership
ADAM BACHAND
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
AMY BERGSTROM
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
ANTHONY SERTICH
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
ANTHONY YUNG
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
BEVERLY RAWAY
MANAGING CONTROL - GOVERNING BODY
—
2018-10-01
ended 2026-05-18
pecos_ownership
BRADLEY BEARD
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
DEBORAH MEYER
ADP OF THE SNF
—
2023-09-09
ended 2026-05-18
pecos_ownership
GEORGE LOBAN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
JAN BALDWIN
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
ended 2026-05-18
pecos_ownership
JEANNE WEBER
MANAGING CONTROL - GOVERNING BODY
—
2019-02-15
ended 2026-05-18
pecos_ownership
KEVIN BOREN
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
KRISTA SKORUPA
CORPORATE OFFICER
—
2024-05-06
ended 2026-05-18
pecos_ownership
MARK BORTNEM
CORPORATE OFFICER
—
2025-09-29
ended 2026-05-18
pecos_ownership
MICHAEL WATTERS
CORPORATE OFFICER
—
2023-07-01
ended 2026-05-18
pecos_ownership
MICHELLE OMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
NANCY ARONSON NORR
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
REBECCA URBANSKI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
THOMAS JAMAR
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
TROY DUININCK
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
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
35
Geo
Kind
BR
Amount
As of
Source
county 27137
acs median gross
0
$728
2024-12-31
CENSUS_ACS5
county 27137
fmr
0
$849
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
1
$803
2024-12-31
CENSUS_ACS5
county 27137
fmr
1
$978
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
2
$1,096
2024-12-31
CENSUS_ACS5
county 27137
fmr
2
$1,232
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
3
$1,306
2024-12-31
CENSUS_ACS5
county 27137
fmr
3
$1,689
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
4
$2,052
2024-12-31
CENSUS_ACS5
county 27137
fmr
4
$2,067
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 27137
acs median gross
$1,013
2024-12-31
CENSUS_ACS5
county 27137
acs recent mover gross
$1,111
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
0
$525
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
1
$721
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
3
$944
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
4
$1,155
2024-12-31
CENSUS_ACS5
zcta 55792
acs median gross
$799
2024-12-31
CENSUS_ACS5
zcta 55792
acs recent mover gross
$731
2024-12-31
CENSUS_ACS5
zip 55792
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 55792
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 110
1
$946
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 90
1
$774
2025-10-01
HUD_USER_SAFMR
zip 55792
safmr
1
$860
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 55792
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 55792
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 55792
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 55792
safmr
4
$1,810
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.