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 22:28 UTC
Screener / 245433
C

Sylvan Court

snfMN
112 ST OLAF AVENUE SOUTH, CANBY, MN 56220 · CCN 245433 · chain SANFORD
Composite
63.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
53
Model
v1.2
Reads as: riskier than 63.2% 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

3
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk85.685.60.250.357130.57in index
chow risk84.945.00.150.214318.19in index
regulatory risk10.66.80.300.42864.54in 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.

ML signals — parallel engine

1
KindFindingSignalSubjectFirst seen
connectionOwner fleet enforcement cluster52% finedCAIN JAMES21 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.

Component scores and registry models

9
Score typeScoreGradeModelStatusRegistry model notes
chow risk45.0Cv0.1-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 12m0.4v0.1default · 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 12m1.1v0.1default · 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 risk6.8Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk85.6Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk6.7Av0.1supersededPre-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 risk6.7Av0.2supersededPre-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 risk85.6Fv0.1supersededPre-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 risk85.6Fv0.2supersededPre-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)
1.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
60.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Chain size (log)4.87+0.63
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.79-0.28
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months1.00-0.15
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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.87-1.63
For-profit ownership0.00+1.62
Deficiencies, last 12 months1.00+1.24
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.67+0.23
Occupancy0.79-0.19
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
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 facilityMN medianNational medianNational p25–p75
Total nurse2.673.493.282.90–3.77
RN0.480.650.390.25–0.58
Weekend total2.733.323.11
Weekday total2.653.593.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49242.12.670.480.601.592.732.9%
2025Q39242.52.830.440.701.692.772.5%
2025Q29141.02.620.570.661.392.486.6%
2025Q19041.92.420.540.541.332.334.6%
2024Q49241.92.580.580.561.442.507.3%
2024Q39242.92.590.560.541.492.424.6%
2024Q29142.62.510.550.551.412.232.0%
2024Q19140.72.400.680.551.172.203.7%
2023Q49242.62.280.660.511.102.026.5%
2023Q39239.72.760.630.651.482.526.2%
2023Q29137.23.000.540.851.622.807.3%
2023Q19037.62.950.500.771.682.945.3%
2022Q49240.52.810.580.631.602.803.0%
2022Q39241.72.890.510.691.692.791.3%
2022Q29141.92.870.570.851.442.733.5%
2022Q19041.73.090.501.041.542.888.6%
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

6
D × 5F × 1
deficiencies by survey year
32242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-25HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-10
2025-02-13HealthF0641Ensure each resident receives an accurate assessment.D2025-03-14
2025-02-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-03-14
2024-05-01HealthF0758Implement 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.D2024-06-12
2024-02-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-03-18
2024-02-14Health · complaintF0610Respond appropriately to all alleged violations.D2024-03-18
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

32
OwnerRolePctFromStatusSource
SANFORD5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2010-07-20currentpecos_ownership
SANFORD HEALTH5% OR GREATER DIRECT OWNERSHIP INTEREST100%2007-04-18currentpecos_ownership
CAIN, JAMESCORPORATE DIRECTOR2015-11-19currentpecos_ownership
DULSKI, KARINW-2 MANAGING EMPLOYEE2012-11-19currentpecos_ownership
ENGBRECHT, WESLEYCORPORATE DIRECTOR2021-01-01currentpecos_ownership
GASSEN, WILLIAMCORPORATE DIRECTOR2020-11-24currentpecos_ownership
GULSVIG, NEILCORPORATE DIRECTOR2019-03-28currentpecos_ownership
JACOBS, DONALDCORPORATE DIRECTOR2015-11-19currentpecos_ownership
LUNDEEN, MARKCORPORATE DIRECTOR2015-11-19currentpecos_ownership
MARLETTE, WILLIAMCORPORATE OFFICER2023-06-16currentpecos_ownership
MOLBERT, LAURISCORPORATE DIRECTOR2021-01-01currentpecos_ownership
MORRISON, TONYCORPORATE DIRECTOR1991-02-01currentpecos_ownership
MUNSON, JOLYNW-2 MANAGING EMPLOYEE2013-02-25currentpecos_ownership
NORTH, ANDREWCORPORATE DIRECTOR2017-01-01currentpecos_ownership
SWENSON, STEPHANIEW-2 MANAGING EMPLOYEE2019-11-01currentpecos_ownership
TEIKEN, BRENTCORPORATE DIRECTOR2015-11-19currentpecos_ownership
VENTLING-HERRMANN, MARNIECORPORATE DIRECTOR2022-01-01currentpecos_ownership
WILLIAM MARLETTEW-2 MANAGING EMPLOYEE0%2023-06-16ended 2026-05-18pecos_ownership
ANDREW NORTHCORPORATE DIRECTOR2017-01-01ended 2026-05-18pecos_ownership
BRENT TEIKENCORPORATE DIRECTOR2015-11-19ended 2026-05-18pecos_ownership
DONALD JACOBSCORPORATE DIRECTOR2015-11-19ended 2026-05-18pecos_ownership
JAMES CAINCORPORATE DIRECTOR2015-11-19ended 2026-05-18pecos_ownership
JOLYN MUNSONW-2 MANAGING EMPLOYEE2013-02-25ended 2026-05-18pecos_ownership
KARIN DULSKIW-2 MANAGING EMPLOYEE2012-11-19ended 2026-05-18pecos_ownership
LAURIS MOLBERTCORPORATE DIRECTOR2021-01-01ended 2026-05-18pecos_ownership
MARK LUNDEENCORPORATE DIRECTOR2015-11-19ended 2026-05-18pecos_ownership
MARNIE VENTLING-HERRMANNCORPORATE DIRECTOR2022-01-01ended 2026-05-18pecos_ownership
NEIL GULSVIGCORPORATE DIRECTOR2019-03-28ended 2026-05-18pecos_ownership
STEPHANIE SWENSONW-2 MANAGING EMPLOYEE2019-11-01ended 2026-05-18pecos_ownership
TONY MORRISONW-2 MANAGING EMPLOYEE1991-02-01ended 2026-05-18pecos_ownership
WESLEY ENGBRECHTCORPORATE DIRECTOR2021-01-01ended 2026-05-18pecos_ownership
WILLIAM GASSENCORPORATE DIRECTOR2020-11-24ended 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 — MN snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-07-22CURA OF ONAMIA57CURA OF ONAMIA LLC
2024-12-01SHAKOPEE FRIENDSHIP MANOR60SHAKOPEE CARE LLC
2024-12-01EDENBROOK ROCHESTER WEST48EDENBROOK ROCHESTER WEST LLC
2024-10-29Cura of Sauk Centre60CURA OF SAUK CENTRE LLC
2024-10-15Heartwood54CROSBY SENIOR SERVICES CARE CENTER
2024-02-13Cura of Monticello67CURA OF MONTICELLO LLC
2023-12-31MAPLEWOOD REHABILITATION CENTER115MAPLEWOOD REHABILITATION CENTER LLC
2023-12-31SLEEPY EYE REHABILITATI CENTER61SLEEPY EYE REHABILITATION CENTER LLC
2023-12-15ST BENEDICTS CARE CENTER75ECUMEN SBC ST CLOUD PROPERTIES LLC
2023-12-01Frazee Care Center42LEGACY SENIOR SERVICES
2023-06-05CURA OF LE SUEUR50CURA OF LE SUEUR LLC
2023-05-01LAKEHOUSE HEALTHCARE & REHABILITATION CENTER260LAKE HARRIET OPERATOR 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

33
GeoKindBRAmountAs ofSource
county 27173fmr0$6712025-10-01HUD_USER_FMR
county 27173acs median gross1$5552024-12-31CENSUS_ACS5
county 27173fmr1$7532025-10-01HUD_USER_FMR
county 27173acs median gross2$6992024-12-31CENSUS_ACS5
county 27173fmr2$9732025-10-01HUD_USER_FMR
county 27173acs median gross3$9102024-12-31CENSUS_ACS5
county 27173fmr3$1,1692025-10-01HUD_USER_FMR
county 27173acs median gross4$9502024-12-31CENSUS_ACS5
county 27173fmr4$1,3122025-10-01HUD_USER_FMR
county 27173acs median gross5$1,0632024-12-31CENSUS_ACS5
county 27173acs median gross$6782024-12-31CENSUS_ACS5
county 27173acs recent mover gross$7832024-12-31CENSUS_ACS5
zcta 56220acs median gross1$4422024-12-31CENSUS_ACS5
zcta 56220acs median gross2$6062024-12-31CENSUS_ACS5
zcta 56220acs median gross3$6162024-12-31CENSUS_ACS5
zcta 56220acs median gross5$6192024-12-31CENSUS_ACS5
zcta 56220acs median gross$6042024-12-31CENSUS_ACS5
zcta 56220acs recent mover gross$5702024-12-31CENSUS_ACS5
zip 56220payment standard 1100$7372025-10-01HUD_USER_SAFMR
zip 56220payment standard 900$6032025-10-01HUD_USER_SAFMR
zip 56220safmr0$6702025-10-01HUD_USER_SAFMR
zip 56220payment standard 1101$8362025-10-01HUD_USER_SAFMR
zip 56220payment standard 901$6842025-10-01HUD_USER_SAFMR
zip 56220safmr1$7602025-10-01HUD_USER_SAFMR
zip 56220payment standard 1102$1,0672025-10-01HUD_USER_SAFMR
zip 56220payment standard 902$8732025-10-01HUD_USER_SAFMR
zip 56220safmr2$9702025-10-01HUD_USER_SAFMR
zip 56220payment standard 1103$1,3092025-10-01HUD_USER_SAFMR
zip 56220payment standard 903$1,0712025-10-01HUD_USER_SAFMR
zip 56220safmr3$1,1902025-10-01HUD_USER_SAFMR
zip 56220payment standard 1104$1,5622025-10-01HUD_USER_SAFMR
zip 56220payment standard 904$1,2782025-10-01HUD_USER_SAFMR
zip 56220safmr4$1,4202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.