Reads as: riskier than 80.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
WI median
National median
National p25–p75
Total nurse
3.05
3.60
3.28
2.90–3.77
RN
0.81
0.64
0.39
0.25–0.58
Weekend total
3.01
3.49
3.11
—
Weekday total
3.06
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.6
3.05
0.81
0.28
1.97
3.01
5.7%
2025Q3
92
36.2
3.26
1.03
0.18
2.04
3.28
6.2%
2025Q2
91
36.6
3.60
1.06
0.28
2.26
3.48
4.7%
2025Q1
90
36.7
3.26
0.93
0.18
2.15
3.25
3.1%
2024Q4
92
34.9
3.96
1.50
0.18
2.28
3.80
10.9%
2024Q3
92
34.1
3.72
1.09
0.31
2.31
3.57
15.5%
2024Q2
91
37.5
3.42
0.93
0.35
2.13
3.31
16.2%
2024Q1
91
36.0
3.81
1.21
0.30
2.31
3.67
11.9%
2023Q4
92
34.4
3.51
0.98
0.26
2.27
3.45
0.0%
2023Q3
92
36.3
3.51
1.19
0.28
2.04
3.45
17.4%
2023Q2
91
33.1
4.08
1.32
0.25
2.52
3.96
26.0%
2023Q1
90
34.4
3.88
1.36
0.23
2.28
3.64
33.5%
2022Q4
92
32.4
4.02
1.43
0.51
2.08
3.36
34.9%
2022Q3
92
32.5
3.36
1.46
0.10
1.81
3.13
33.3%
2022Q2
91
39.9
2.75
0.81
0.21
1.73
2.71
0.0%
2022Q1
90
36.6
3.44
1.03
0.37
2.04
3.33
2.3%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
9
D × 8E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-25
2025-09-24
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-09-25
2025-09-03
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-09-19
2024-12-05
Health
F0687
Provide appropriate foot care.
D
2024-12-26
2024-12-05
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-12-26
2024-12-05
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-12-26
2023-10-05
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-10-19
2023-10-05
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-10-19
2023-10-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-10-19
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
30
Owner
Role
Pct
From
Status
Source
BARTELS, DARA
CORPORATE DIRECTOR
—
2021-12-02
current
pecos_ownership
BUSS, ROBERT
CORPORATE DIRECTOR
—
2018-02-01
current
pecos_ownership
GATZKE PLAMANN, ANGELA
CORPORATE DIRECTOR
—
2019-02-01
current
pecos_ownership
HOFFMAN, ANN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
KATTENBRAKER, DANIEL
CORPORATE DIRECTOR
—
2010-02-01
current
pecos_ownership
KOVACH, CASSONDRA
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
LESKI, ARIANNE
W-2 MANAGING EMPLOYEE
—
2023-01-01
current
pecos_ownership
LINSMEYER, SANDY
CORPORATE DIRECTOR
—
2004-12-01
current
pecos_ownership
LOGING, DENNIS
CORPORATE DIRECTOR
—
2016-03-01
current
pecos_ownership
MILLER, EDWARD
CORPORATE DIRECTOR
—
—
current
pecos_ownership
MURPHY, LORI
CORPORATE DIRECTOR
—
2019-02-01
current
pecos_ownership
OKEEFE, JAMES
CORPORATE OFFICER
—
2005-12-01
current
pecos_ownership
OKEEFE, JAMES
W-2 MANAGING EMPLOYEE
—
2008-06-09
current
pecos_ownership
SCOTT, RANDY
CORPORATE DIRECTOR
—
2013-05-01
current
pecos_ownership
WILLER, LARRY
CORPORATE DIRECTOR
—
2007-05-01
current
pecos_ownership
JAMES OKEEFE
CORPORATE OFFICER
100%
2005-12-01
ended 2026-05-18
pecos_ownership
ARIANNE LESKI
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
DARA BARTELS
CORPORATE DIRECTOR
0%
2021-12-02
ended 2026-05-18
pecos_ownership
ANGELA GATZKE PLAMANN
CORPORATE DIRECTOR
—
2019-02-01
ended 2026-05-18
pecos_ownership
ANN HOFFMAN
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
CASSONDRA KOVACH
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
DANIEL KATTENBRAKER
CORPORATE DIRECTOR
—
2010-02-01
ended 2026-05-18
pecos_ownership
DENNIS LOGING
CORPORATE DIRECTOR
—
2016-03-01
ended 2026-05-18
pecos_ownership
EDWARD MILLER
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
JAMES OKEEFE
W-2 MANAGING EMPLOYEE
—
2008-06-09
ended 2026-05-18
pecos_ownership
LARRY WILLER
CORPORATE DIRECTOR
—
2007-05-01
ended 2026-05-18
pecos_ownership
LORI MURPHY
CORPORATE DIRECTOR
—
2019-02-01
ended 2026-05-18
pecos_ownership
RANDY SCOTT
CORPORATE DIRECTOR
—
2013-05-01
ended 2026-05-18
pecos_ownership
ROBERT BUSS
CORPORATE DIRECTOR
—
2018-02-01
ended 2026-05-18
pecos_ownership
SANDY LINSMEYER
CORPORATE DIRECTOR
—
2004-12-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34
Geo
Kind
BR
Amount
As of
Source
county 55057
acs median gross
0
$539
2024-12-31
CENSUS_ACS5
county 55057
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 55057
acs median gross
1
$585
2024-12-31
CENSUS_ACS5
county 55057
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 55057
acs median gross
2
$888
2024-12-31
CENSUS_ACS5
county 55057
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 55057
acs median gross
3
$967
2024-12-31
CENSUS_ACS5
county 55057
fmr
3
$1,195
2025-10-01
HUD_USER_FMR
county 55057
acs median gross
4
$1,000
2024-12-31
CENSUS_ACS5
county 55057
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 55057
acs median gross
5
$1,320
2024-12-31
CENSUS_ACS5
county 55057
acs median gross
$879
2024-12-31
CENSUS_ACS5
county 55057
acs recent mover gross
$998
2024-12-31
CENSUS_ACS5
zcta 53948
acs median gross
1
$648
2024-12-31
CENSUS_ACS5
zcta 53948
acs median gross
2
$909
2024-12-31
CENSUS_ACS5
zcta 53948
acs median gross
3
$1,050
2024-12-31
CENSUS_ACS5
zcta 53948
acs median gross
4
$950
2024-12-31
CENSUS_ACS5
zcta 53948
acs median gross
$889
2024-12-31
CENSUS_ACS5
zcta 53948
acs recent mover gross
$1,314
2024-12-31
CENSUS_ACS5
zip 53948
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 53948
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 53948
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 53948
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 110
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 90
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 53948
safmr
3
$1,200
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 110
4
$1,419
2025-10-01
HUD_USER_SAFMR
zip 53948
payment standard 90
4
$1,161
2025-10-01
HUD_USER_SAFMR
zip 53948
safmr
4
$1,290
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.