CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 16:29 UTC
Screener / 525565
C

Geneva Lake Manor

snfWI
211 S CURTIS ST, LAKE GENEVA, WI 53147 · CCN 525565 · chain CARRIAGE HEALTHCARE COMPANIES INC
Composite
64.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 64.1% 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.
Score model5ML signals15Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies73Licensure0Ownership27Related party5Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.994.30.300.230822.13in index
billing conduct59.043.10.300.230813.62in index
financial risk33.635.90.300.23087.75in index
staffing risk27.027.10.250.19235.19in index
chow risk42.941.10.150.11544.95in 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

15
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+24.2 vs natlLACKE CARRIG KAREN5 facilities
connectionOwner spans multiple chains11 chainsTWOMAGNETS LLC45 facilities
connectionOwner fleet enforcement cluster80% finedLACKE CARRIG KAREN5 facilities
connectionOwner fleet enforcement cluster67% finedDUPONT LORI6 facilities
connectionOwner fleet enforcement cluster60% finedOAK MEDICAL SC5 facilities
connectionOwner fleet enforcement cluster57% finedSHERMAN STEPHANIE7 facilities
connectionOwner fleet enforcement cluster57% finedGEHLER MIRIAM7 facilities
connectionOwner fleet enforcement cluster57% finedKERWIN ANDREW7 facilities
connectionOwner fleet enforcement cluster57% finedKUMAR RAJEEV SHIVA7 facilities
connectionOwner fleet enforcement cluster57% finedLYNN NICHOLAS7 facilities
connectionOwner fleet enforcement cluster57% finedREHAB SOLUTIONS GROUP LLC7 facilities
connectionOwner fleet enforcement cluster50% finedPARTNERS IN WEALTH MANAGEMENT INC6 facilities
connectionOwner fleet enforcement cluster50% finedPINION LLC6 facilities
connectionOwner fleet enforcement cluster50% finedHBT IT LLC6 facilities
connectionOwner fleet enforcement cluster50% finedJT AND ASSOCIATES LLC6 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

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct43.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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.
chow risk57.2Cv0.6default · in composite
financial risk35.9Bv0.5default · in compositeR18.
p adverse action 12m0.3—v0.1default · 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 12m1.1—v0.1default · 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 risk94.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk27.1Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk85.1Fv0.1supersededPre-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.
financial risk65.1Dv0.2supersededPre-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.
financial risk41.5Bv0.3supersededPre-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.
financial risk41.3Bv0.4supersededPre-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.
regulatory risk94.3Fv0.1supersededPre-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 risk94.3Fv0.2supersededPre-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 risk27.1Bv0.1supersededPre-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 risk27.1Bv0.2supersededPre-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
61.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Contract staffing share0.36+0.47
No PBJ staffing report0.00+0.42
Occupancy0.79-0.26
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)3.72-0.14
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
69.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
No PBJ staffing report0.00+0.39
Contract staffing share0.36+0.31
Chain size (log)2.48-0.24
Deficiencies, last 12 months9.00-0.24
Total nurse staffing (HPRD)3.72-0.21
Fine amount, 12m (log)0.00+0.18
Occupancy0.79-0.17
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 facilityWI medianNational medianNational p25–p75
Total nurse3.723.603.282.90–3.77
RN0.200.640.390.25–0.58
Weekend total3.593.493.11—
Weekday total3.783.653.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49247.33.720.200.982.543.5936.4%
2025Q39246.44.060.200.942.923.9731.5%
2025Q29144.43.380.340.842.193.3420.6%
2025Q19051.33.300.350.792.163.2129.9%
2024Q49249.13.630.300.852.483.5144.6%
2024Q39249.93.680.500.612.563.4935.9%
2024Q29151.83.380.600.592.193.0837.8%
2024Q19149.93.450.510.762.183.1142.6%
2023Q49248.73.340.470.682.193.0239.5%
2023Q39249.52.930.500.422.022.6219.0%
2023Q29148.03.200.460.552.202.9517.7%
2023Q19049.22.920.420.492.012.767.8%
2022Q49248.92.730.470.471.792.615.1%
2022Q39250.83.120.720.561.842.949.7%
2022Q29151.23.240.680.492.073.1321.7%
2022Q19049.83.430.500.812.123.3519.4%
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.

Penalties

2
fines by year
$113.9k$57k2425
DateTypeFineSource
2025-03-17Fine$113,919CMS provider data
2024-11-12Fine$16,801CMS provider data
Total fines on record: $130,720

Deficiencies

73
C × 1D × 48E × 12F × 7G × 2H × 1J × 2
deficiencies by survey year
291522232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-10Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-01-10
2025-12-10Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2026-01-10
2025-12-10Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2026-01-10
2025-12-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-01-10
2025-12-10Health · complaintF0760Ensure that residents are free from significant medication errors.D2026-01-10
2025-12-10Health · complaintF0880Provide and implement an infection prevention and control program.D2026-01-10
2025-11-06Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-12-01
2025-11-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-12-01
2025-11-06Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2025-12-01
2025-03-17HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2025-04-11
2025-03-17HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2025-04-11
2025-03-17HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2025-04-11
2025-03-17HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2025-04-11
2025-03-17HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2025-04-11
2025-03-17HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-04-11
2025-03-17HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2025-04-11
2025-03-17HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H2025-04-11
2025-03-17HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-11
2025-03-17HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-11
2025-03-17HealthF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.G2025-04-11
2025-03-17HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-04-11
2025-03-17HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-04-11
2025-03-17HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-04-11
2025-03-17HealthF0732Post nurse staffing information every day.C2025-04-11
2025-03-17HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2025-04-11
2025-03-17HealthF0760Ensure that residents are free from significant medication errors.D2025-04-11
2025-03-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-04-11
2025-03-17HealthF0880Provide and implement an infection prevention and control program.F2025-04-11
2025-03-17HealthF0881Implement a program that monitors antibiotic use.F2025-04-11
2024-11-12Health · complaintF0551Give the resident's representative the ability to exercise the resident's rights.D2024-12-06
2024-11-12Health · complaintF0585Honor 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.E2024-12-06
2024-11-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-12-06
2024-11-12Health · complaintF0610Respond appropriately to all alleged violations.D2024-12-06
2024-11-12Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-12-06
2024-11-12Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2024-12-06
2024-11-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2024-12-06
2024-11-12Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2024-12-06
2024-11-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-12-06
2024-11-12Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-12-06
2024-01-16HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-02-14
2024-01-16Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-02-14
2024-01-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-02-14
2024-01-16Health · complaintF0610Respond appropriately to all alleged violations.D2024-02-14
2024-01-16HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-02-14
2024-01-16HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-02-14
2024-01-16HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-02-14
2024-01-16HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2024-02-14
2024-01-16HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-14
2024-01-16HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-02-14
2024-01-16HealthF0687Provide appropriate foot care.D2024-02-14
2024-01-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-02-14
2024-01-16HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-02-14
2024-01-16HealthF0700Try 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.E2024-02-14
2024-01-16HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-02-14
2024-01-16HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-02-14
2024-01-16HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-02-14
2024-01-16HealthF0761Ensure 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.E2024-02-14
2024-01-16HealthF0880Provide and implement an infection prevention and control program.F2024-02-14
2022-09-12HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2022-09-29
2022-09-12HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2022-09-29
2022-09-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-09-29
2022-09-12HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-09-29
2022-09-12HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-09-29
2022-09-12HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-09-29
2022-09-12HealthF0730Observe each nurse aide's job performance and give regular training.F2022-09-29
2022-09-12HealthF0742Provide 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.D2022-09-29
2022-09-12HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2022-09-29
2022-09-12HealthF0758Implement 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.D2022-09-29
2022-09-12HealthF0760Ensure that residents are free from significant medication errors.D2022-10-03
2022-09-12HealthF0886Perform COVID19 testing on residents and staff.D2022-09-29
2022-09-12HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E2022-09-29
2022-09-12HealthF0908Keep all essential equipment working safely.F2022-09-29
2022-09-12HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F2022-09-29
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

27
OwnerRolePctFromStatusSource
BEZOTTE, JENNIFERADP OF THE SNF—2025-06-09currentpecos_ownership
CARRIAGE HEALTHCARE COMPANIES INCADP OF THE SNF—2025-10-06currentpecos_ownership
CARRIAGE HEALTHCARE COMPANIES INCOPERATIONAL/MANAGERIAL CONTROL—2001-02-15currentpecos_ownership
DUPONT, LORICORPORATE DIRECTOR—2015-01-01currentpecos_ownership
GEHLER, MIRIAMCORPORATE DIRECTOR—2015-01-01currentpecos_ownership
GERLACH, KERICORPORATE DIRECTOR—2019-01-01currentpecos_ownership
HBT IT LLCADP OF THE SNF—2024-07-01currentpecos_ownership
JT AND ASSOCIATES LLCADP OF THE SNF—2010-01-01currentpecos_ownership
KERWIN, ANDREWCORPORATE DIRECTOR—2016-01-01currentpecos_ownership
KUMAR, RAJEEV SHIVACORPORATE DIRECTOR—2012-04-24currentpecos_ownership
LACKE (CARRIG), KARENCORPORATE DIRECTOR—2016-01-01currentpecos_ownership
LYNN, NICHOLASCORPORATE DIRECTOR—2011-03-14currentpecos_ownership
OAK MEDICAL SCADP OF THE SNF—2022-10-10currentpecos_ownership
PARTNERS IN WEALTH MANAGEMENT, INCADP OF THE SNF—2024-01-01currentpecos_ownership
PINION, LLCADP OF THE SNF—1995-01-01currentpecos_ownership
REHAB SOLUTIONS GROUP, LLCADP OF THE SNF—2024-01-01currentpecos_ownership
SHERMAN, STEPHANIEOPERATIONAL/MANAGERIAL CONTROL—2012-08-12currentpecos_ownership
TWOMAGNETS LLCADP OF THE SNF—2022-01-01currentpecos_ownership
KAREN LACKE (CARRIG)CORPORATE DIRECTOR0%2016-01-01ended 2026-05-18pecos_ownership
KERI GERLACHCORPORATE DIRECTOR0%2019-01-01ended 2026-05-18pecos_ownership
NICHOLAS LYNNCORPORATE DIRECTOR0%2011-03-14ended 2026-05-18pecos_ownership
RAJEEV KUMARCORPORATE DIRECTOR0%2012-04-24ended 2026-05-18pecos_ownership
ANDREW KERWINCORPORATE DIRECTOR—2016-01-01ended 2026-05-18pecos_ownership
JENNIFER BEZOTTEOPERATIONAL/MANAGERIAL CONTROL—2025-06-09ended 2026-05-18pecos_ownership
LORI DUPONTCORPORATE DIRECTOR—2015-01-01ended 2026-05-18pecos_ownership
MIRIAM GEHLERCORPORATE DIRECTOR—2015-01-01ended 2026-05-18pecos_ownership
STEPHANIE SHERMANOPERATIONAL/MANAGERIAL CONTROL—2012-08-12ended 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 — WI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-05-28Complete Care at Hales Corners———62HALES CORNERS CARE AND REHAB CENTER LLC
2025-05-28Complete Care at Care Age———110CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC
2025-04-24Edenbrook Sheboygan———121SHEBOYGAN SNF OPERATIONS, LLC
2025-02-28Complete Care at Jefferson Meadows LLC———102ST CLARE CARE AND REHAB CENTER LLC
2025-02-28Complete Care at Christian Home LLC———50CHRISTIAN HOME CARE AND REHAB CENTER LLC
2025-02-01COLONIAL HEALTH SERVICES———70NSH COLBY LLC
2024-12-14CAREVIEW HEALTH AND REHAB OF MINOCQUA———72CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC
2024-11-01Wood Aven Health and Rehabilitation———82RIVER HAWK HEALTHCARE LLC
2024-07-01Samaritan Nursing and Rehab———131SAMARITAN NURSING AND REHAB LLC
2024-05-01DOVE HEALTHCARE - SPOONER———50SPOONER REHABILITATION AND NURSING CENTER LLC
2024-04-16MIDDLE RIVER HEALTH AND REHABILITATION CENTER———86MIDDLE RIVER REHABILITATION LLC
2024-01-25Serenity Spring Senior Living at Scandia Village———50SISTER BAY SNF OPCO, 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

35
GeoKindBRAmountAs ofSource
county 55127acs median gross0$1,0312024-12-31CENSUS_ACS5
county 55127fmr0$8312025-10-01HUD_USER_FMR
county 55127acs median gross1$8422024-12-31CENSUS_ACS5
county 55127fmr1$9192025-10-01HUD_USER_FMR
county 55127acs median gross2$1,1662024-12-31CENSUS_ACS5
county 55127fmr2$1,2062025-10-01HUD_USER_FMR
county 55127acs median gross3$1,3382024-12-31CENSUS_ACS5
county 55127fmr3$1,5172025-10-01HUD_USER_FMR
county 55127acs median gross4$1,6932024-12-31CENSUS_ACS5
county 55127fmr4$1,9562025-10-01HUD_USER_FMR
county 55127acs median gross5$1,4352024-12-31CENSUS_ACS5
county 55127acs median gross$1,1502024-12-31CENSUS_ACS5
county 55127acs recent mover gross$1,2242024-12-31CENSUS_ACS5
zcta 53147acs median gross0$1,5062024-12-31CENSUS_ACS5
zcta 53147acs median gross1$8102024-12-31CENSUS_ACS5
zcta 53147acs median gross2$1,4392024-12-31CENSUS_ACS5
zcta 53147acs median gross3$1,8232024-12-31CENSUS_ACS5
zcta 53147acs median gross4$1,5542024-12-31CENSUS_ACS5
zcta 53147acs median gross$1,4052024-12-31CENSUS_ACS5
zcta 53147acs recent mover gross$1,2632024-12-31CENSUS_ACS5
zip 53147payment standard 1100$1,0012025-10-01HUD_USER_SAFMR
zip 53147payment standard 900$8192025-10-01HUD_USER_SAFMR
zip 53147safmr0$9102025-10-01HUD_USER_SAFMR
zip 53147payment standard 1101$1,1112025-10-01HUD_USER_SAFMR
zip 53147payment standard 901$9092025-10-01HUD_USER_SAFMR
zip 53147safmr1$1,0102025-10-01HUD_USER_SAFMR
zip 53147payment standard 1102$1,4522025-10-01HUD_USER_SAFMR
zip 53147payment standard 902$1,1882025-10-01HUD_USER_SAFMR
zip 53147safmr2$1,3202025-10-01HUD_USER_SAFMR
zip 53147payment standard 1103$1,8262025-10-01HUD_USER_SAFMR
zip 53147payment standard 903$1,4942025-10-01HUD_USER_SAFMR
zip 53147safmr3$1,6602025-10-01HUD_USER_SAFMR
zip 53147payment standard 1104$2,3542025-10-01HUD_USER_SAFMR
zip 53147payment standard 904$1,9262025-10-01HUD_USER_SAFMR
zip 53147safmr4$2,1402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Geneva Lake Manor (525565) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency