Reads as: riskier than 30.8% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
6 chains
WIPFLI LLP
67 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
WI median
National median
National p25–p75
Total nurse
3.17
3.60
3.28
2.90–3.77
RN
0.68
0.64
0.39
0.25–0.58
Weekend total
3.00
3.49
3.11
—
Weekday total
3.23
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.5
3.17
0.68
0.80
1.69
3.00
12.7%
2025Q3
92
36.1
3.07
0.51
0.92
1.64
3.18
16.3%
2025Q2
91
30.8
3.85
0.55
0.82
2.48
3.87
13.3%
2025Q1
90
34.2
3.29
0.98
0.36
1.96
3.27
4.6%
2024Q4
92
39.7
3.60
0.99
0.27
2.34
3.50
2.8%
2024Q3
92
45.1
3.13
0.76
0.39
1.98
3.07
0.6%
2024Q2
91
43.7
3.22
0.58
0.59
2.05
3.16
1.5%
2024Q1
91
48.4
2.84
0.64
0.45
1.75
2.63
4.3%
2023Q4
92
47.7
3.04
0.79
0.57
1.69
2.81
10.1%
2023Q3
92
46.9
2.89
0.43
0.64
1.82
2.90
0.4%
2023Q2
91
44.2
3.02
0.40
0.83
1.79
2.92
0.0%
2023Q1
90
47.5
2.69
0.40
0.65
1.64
2.62
1.0%
2022Q4
92
43.7
2.81
0.35
0.71
1.75
2.82
5.2%
2022Q3
92
39.4
3.04
0.32
0.89
1.82
2.99
7.4%
2022Q2
91
42.9
3.20
0.35
0.86
1.99
3.02
11.6%
2022Q1
90
45.2
2.85
0.25
0.81
1.79
2.90
6.4%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-18
2025-12-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-12-16
2025-12-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-16
2025-05-21
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-06-21
2025-05-21
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-06-21
2025-05-21
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-06-21
2024-09-19
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-10-18
2024-09-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-10-18
2024-09-19
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-18
2024-08-05
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-09-04
2024-08-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-09-04
2024-05-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-06-07
2024-02-29
Health · complaint
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
2024-04-01
2024-02-29
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-04-01
2024-02-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-04-01
2024-02-29
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-04-01
2024-02-29
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-04-01
2024-02-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-04-01
2024-02-29
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
2024-04-01
2024-02-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-04-01
2024-02-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-01
2022-12-21
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-01-26
2022-12-21
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-01-26
2022-12-21
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
2023-01-26
2022-12-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-01-26
2022-12-21
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-01-26
2022-12-21
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
2023-01-26
2022-12-21
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2023-01-26
2022-12-21
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2023-01-26
2022-12-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-01-26
2022-12-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-01-26
2022-12-21
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2023-01-26
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
38
Owner
Role
Pct
From
Status
Source
NSHF OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-07-24
current
pecos_ownership
MILLS, DAVID
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2017-06-29
current
pecos_ownership
BAUMANN, TROY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
BAUMANN, TROY
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
BELONGIA, CHRISTINA
ADP OF THE SNF
—
2019-11-01
current
pecos_ownership
CHOHAN, MUNIBA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2024-12-31
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-22
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
GEE, DARREN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-30
current
pecos_ownership
GREER, LAUREN
ADP OF THE SNF
—
2023-11-29
current
pecos_ownership
HOEHN, JEFFREY
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
HOEHN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
MERCY PROPERTY HOLDINGS, LLC
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
NSH REHAB LLC
ADP OF THE SNF
—
2025-06-11
current
pecos_ownership
NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
NSHF WISCONSIN LLC
ADP OF THE SNF
—
2025-11-05
current
pecos_ownership
PATZER, COLLEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
current
pecos_ownership
PURTELL, BRIAN
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
RIVERA, EDWARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-04
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
JEFFREY HOEHN
CORPORATE DIRECTOR
50%
2017-06-29
ended 2026-05-18
pecos_ownership
TROY BAUMANN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2017-06-29
ended 2026-05-18
pecos_ownership
DAVID MILLS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2017-06-29
ended 2026-05-18
pecos_ownership
BRIAN PURTELL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
ended 2026-05-18
pecos_ownership
CHRISTINA BELONGIA
ADP OF THE SNF
—
2019-11-01
ended 2026-05-18
pecos_ownership
COLLEEN PATZER
ADP OF THE SNF
—
2023-02-14
ended 2026-05-18
pecos_ownership
DARREN GEE
ADP OF THE SNF
—
2021-11-30
ended 2026-05-18
pecos_ownership
EDWARD RIVERA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-04
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
ended 2026-05-18
pecos_ownership
LAUREN GREER
ADP OF THE SNF
—
2023-11-29
ended 2026-05-18
pecos_ownership
MUNIBA CHOHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
TROY BAUMANN
ADP OF THE SNF
—
2017-10-01
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
2024-12-31
$443,874
—
$443,874
—
—
1
—
2023-12-31
$382,916
—
—
—
—
1
—
2022-12-31
$364,820
—
—
—
—
1
—
2021-12-31
$216,551
—
—
—
—
1
—
2020-12-31
$221,602
—
—
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 55079
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 55079
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
1
$927
2024-12-31
CENSUS_ACS5
county 55079
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
2
$1,130
2024-12-31
CENSUS_ACS5
county 55079
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
3
$1,280
2024-12-31
CENSUS_ACS5
county 55079
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
4
$1,384
2024-12-31
CENSUS_ACS5
county 55079
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
5
$1,458
2024-12-31
CENSUS_ACS5
county 55079
acs median gross
$1,101
2024-12-31
CENSUS_ACS5
county 55079
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
0
$585
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
1
$733
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
2
$989
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
3
$1,148
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
4
$1,199
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
5
$1,349
2024-12-31
CENSUS_ACS5
zcta 53215
acs median gross
$977
2024-12-31
CENSUS_ACS5
zcta 53215
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zip 53215
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 53215
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 53215
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 53215
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 110
3
$1,551
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 90
3
$1,269
2025-10-01
HUD_USER_SAFMR
zip 53215
safmr
3
$1,410
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 110
4
$1,694
2025-10-01
HUD_USER_SAFMR
zip 53215
payment standard 90
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 53215
safmr
4
$1,540
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.