Reads as: riskier than 25.3% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
56% fined
BRUHN JENNIFER
9 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
MN median
National median
National p25–p75
Total nurse
3.77
3.49
3.28
2.90–3.77
RN
0.61
0.65
0.39
0.25–0.58
Weekend total
3.54
3.32
3.11
—
Weekday total
3.86
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
75.9
3.77
0.61
0.74
2.42
3.54
4.5%
2025Q3
92
74.4
3.95
0.71
0.73
2.51
3.62
11.0%
2025Q2
91
76.5
3.76
0.73
0.59
2.44
3.49
15.6%
2025Q1
90
77.5
3.63
0.64
0.65
2.35
3.44
13.3%
2024Q4
92
73.5
3.81
0.69
0.74
2.38
3.49
21.7%
2024Q3
92
75.8
3.70
0.69
0.66
2.35
3.48
17.8%
2024Q2
91
75.8
3.68
0.55
0.80
2.33
3.44
22.1%
2024Q1
91
73.3
3.66
0.55
0.87
2.23
3.40
25.4%
2023Q4
92
70.4
3.80
0.58
0.95
2.27
3.45
26.2%
2023Q3
92
73.5
3.73
0.56
0.92
2.25
3.33
29.7%
2023Q2
91
72.6
3.75
0.56
0.99
2.19
3.29
30.4%
2023Q1
90
75.5
3.52
0.80
0.78
1.94
3.16
18.0%
2022Q4
92
75.6
3.53
0.82
0.72
1.99
3.12
19.9%
2022Q3
92
78.3
3.56
0.74
0.71
2.11
3.11
22.8%
2022Q2
91
79.9
3.46
0.65
0.82
1.99
3.07
22.4%
2022Q1
90
77.2
3.83
0.69
0.81
2.33
3.39
21.0%
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.
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-28
2025-12-11
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-12-23
2025-07-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-09-17
2025-07-24
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2025-09-17
2025-07-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-17
2025-07-24
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-09-17
2025-07-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-09-17
2025-07-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-17
2025-07-24
Health
F0732
Post nurse staffing information every day.
C
2025-09-17
2025-07-24
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2025-09-17
2025-07-24
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-09-17
2025-07-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-17
2025-07-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2024-10-24
Health · complaint
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
2024-11-26
2024-10-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-26
2024-10-24
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2024-10-17
2024-10-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-11-26
2024-09-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-01
2024-07-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-20
2024-07-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-07-22
2024-06-28
Health · complaint
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
2024-07-30
2024-06-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-24
2024-06-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-07-24
2024-06-06
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-07-24
2024-06-06
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-07-24
2024-06-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-24
2024-06-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-24
2024-06-06
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-07-24
2024-06-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-24
2024-06-06
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-07-24
2023-08-03
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2023-09-19
2023-08-03
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-09-19
2023-08-03
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F
2023-09-19
2023-08-03
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-09-19
2023-08-03
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2023-09-19
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
29
Owner
Role
Pct
From
Status
Source
BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
2010-11-01
current
pecos_ownership
BERGIEN, TRICIA
CORPORATE OFFICER
—
2017-02-21
current
pecos_ownership
BRUHN, JENNIFER
CORPORATE DIRECTOR
—
2019-11-25
current
pecos_ownership
BURETTA, PATRICIA
CORPORATE DIRECTOR
—
2024-04-23
current
pecos_ownership
CARLEY, GERALD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-18
current
pecos_ownership
DRAEGER, ANNE
CORPORATE DIRECTOR
—
2021-06-08
current
pecos_ownership
FRUEHBRODT, JUDY
CONTRACTED MANAGING EMPLOYEE
—
2024-01-01
current
pecos_ownership
KERN, LISA
CONTRACTED MANAGING EMPLOYEE
—
2019-11-14
current
pecos_ownership
KOTTKE, MATTHEW
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
MILLER, SANDRA
CORPORATE DIRECTOR
—
2017-01-10
current
pecos_ownership
OBERG, JAMES
CORPORATE DIRECTOR
—
2018-08-01
current
pecos_ownership
RETHEMEIER, JULIE
CORPORATE DIRECTOR
—
2023-07-27
current
pecos_ownership
RYMANOWSKI, KEVIN
CORPORATE OFFICER
—
2009-06-11
current
pecos_ownership
SLIETER, RICHARD
CORPORATE DIRECTOR
—
2018-08-01
current
pecos_ownership
WOLF, CHRIS
CORPORATE DIRECTOR
—
2024-01-24
current
pecos_ownership
ANNE DRAEGER
CORPORATE DIRECTOR
0%
2021-06-08
ended 2026-05-18
pecos_ownership
CHRIS WOLF
CORPORATE DIRECTOR
0%
2024-01-24
ended 2026-05-18
pecos_ownership
GERALD CARLEY
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-12-18
ended 2026-05-18
pecos_ownership
JAMES OBERG
CORPORATE DIRECTOR
0%
2018-08-01
ended 2026-05-18
pecos_ownership
JENNIFER BRUHN
CORPORATE DIRECTOR
0%
2019-11-25
ended 2026-05-18
pecos_ownership
JUDY FRUEHBRODT
CONTRACTED MANAGING EMPLOYEE
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JULIE RETHEMEIER
CORPORATE DIRECTOR
0%
2023-07-27
ended 2026-05-18
pecos_ownership
KEVIN RYMANOWSKI
CORPORATE DIRECTOR
0%
2009-06-11
ended 2026-05-18
pecos_ownership
LISA KERN
CONTRACTED MANAGING EMPLOYEE
0%
2019-11-14
ended 2026-05-18
pecos_ownership
MATTHEW KOTTKE
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
PATRICIA BURETTA
CORPORATE DIRECTOR
0%
2024-04-23
ended 2026-05-18
pecos_ownership
RICHARD SLIETER
CORPORATE DIRECTOR
0%
2018-08-01
ended 2026-05-18
pecos_ownership
SANDRA MILLER
CORPORATE DIRECTOR
0%
2017-01-10
ended 2026-05-18
pecos_ownership
TRICIA BERGIEN
CORPORATE OFFICER
0%
2017-02-21
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
2025-06-30
$908,921
—
—
$68,224
$61,473
1
—
2024-06-30
$836,048
—
—
$62,168
$59,467
1
—
2023-06-30
$773,213
—
—
$52,530
$63,283
1
—
2022-06-30
$802,287
—
—
$57,033
$71,581
1
—
2021-06-30
$829,451
—
—
$64,305
$70,843
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
35
Geo
Kind
BR
Amount
As of
Source
county 27147
acs median gross
0
$1,174
2024-12-31
CENSUS_ACS5
county 27147
fmr
0
$787
2025-10-01
HUD_USER_FMR
county 27147
acs median gross
1
$764
2024-12-31
CENSUS_ACS5
county 27147
fmr
1
$870
2025-10-01
HUD_USER_FMR
county 27147
acs median gross
2
$1,118
2024-12-31
CENSUS_ACS5
county 27147
fmr
2
$1,142
2025-10-01
HUD_USER_FMR
county 27147
acs median gross
3
$1,479
2024-12-31
CENSUS_ACS5
county 27147
fmr
3
$1,549
2025-10-01
HUD_USER_FMR
county 27147
acs median gross
4
$1,383
2024-12-31
CENSUS_ACS5
county 27147
fmr
4
$1,816
2025-10-01
HUD_USER_FMR
county 27147
acs median gross
5
$2,174
2024-12-31
CENSUS_ACS5
county 27147
acs median gross
$1,061
2024-12-31
CENSUS_ACS5
county 27147
acs recent mover gross
$1,240
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
0
$1,197
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
1
$770
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
2
$1,128
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
3
$1,532
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
4
$1,379
2024-12-31
CENSUS_ACS5
zcta 55060
acs median gross
$1,069
2024-12-31
CENSUS_ACS5
zcta 55060
acs recent mover gross
$1,450
2024-12-31
CENSUS_ACS5
zip 55060
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 55060
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 110
1
$968
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 90
1
$792
2025-10-01
HUD_USER_SAFMR
zip 55060
safmr
1
$880
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 110
2
$1,265
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 90
2
$1,035
2025-10-01
HUD_USER_SAFMR
zip 55060
safmr
2
$1,150
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 110
3
$1,716
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 90
3
$1,404
2025-10-01
HUD_USER_SAFMR
zip 55060
safmr
3
$1,560
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 55060
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 55060
safmr
4
$1,830
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.