1755 N. Barker Rd., Brookfield, WI 53045 · CCN 525519 · chain SMS 2021 TRUST
Composite
46.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 46.3% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+26.3 vs natl
HELLMAN YOSEF
20 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
DES CAPITAL LLC
25 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
JRK INVESTMENTS LLC
25 facilities
connection
Owner spans multiple chains
5 chains
HELLMAN YOSEF
19 facilities
connection
Owner fleet enforcement cluster
45% fined
HELLMAN YOSEF
20 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
15
2025Q4 HPRD
This facility
WI median
National median
National p25–p75
Total nurse
3.74
3.60
3.28
2.90–3.77
RN
0.30
0.64
0.39
0.25–0.58
Weekend total
3.68
3.49
3.11
—
Weekday total
3.76
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.4
3.74
0.30
0.87
2.56
3.68
13.2%
2025Q3
92
64.6
3.71
0.26
1.04
2.41
3.65
10.8%
2025Q2
91
64.2
3.76
0.42
0.97
2.37
3.70
12.1%
2025Q1
90
68.7
3.54
0.33
0.97
2.24
3.31
14.4%
2024Q4
92
68.3
3.51
0.34
0.96
2.21
3.31
8.3%
2024Q3
92
65.7
3.67
0.33
1.01
2.33
3.37
6.3%
2024Q2
91
64.1
3.80
0.35
0.98
2.47
3.52
7.4%
2024Q1
91
62.0
3.90
0.36
1.02
2.52
3.72
5.9%
2023Q4
92
65.2
3.80
0.32
1.01
2.47
3.60
8.1%
2023Q3
92
62.2
3.74
0.30
1.06
2.38
3.56
6.0%
2023Q2
91
64.5
3.79
0.27
1.05
2.47
3.50
2.7%
2023Q1
90
64.0
3.66
0.22
1.08
2.36
3.44
9.8%
2022Q3
92
68.5
3.41
0.21
0.96
2.25
3.28
9.2%
2022Q2
91
65.0
3.60
0.24
1.05
2.31
3.51
16.0%
2022Q1
90
64.9
3.63
0.23
1.02
2.38
3.43
16.7%
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-12-22
2025-06-25
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-07-15
2025-06-25
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
2025-07-15
2025-06-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-06-26
2025-06-25
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-07-21
2025-06-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-15
2025-06-25
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-07-15
2025-06-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-07-15
2025-06-25
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-15
2025-06-25
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-07-15
2025-06-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-15
2025-06-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-07-15
2025-01-16
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-02-12
2025-01-16
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
2025-02-12
2025-01-16
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-02-12
2024-04-11
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-04-23
2024-04-11
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-04-23
2024-03-20
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-04-12
2024-03-20
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-04-23
2024-03-20
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-04-23
2024-03-20
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-04-05
2024-03-20
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-12
2024-03-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-12
2024-03-20
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
2024-04-19
2023-01-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-01-27
2023-01-05
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-02-03
2023-01-05
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.
G
2023-02-03
2023-01-05
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-01-27
2023-01-05
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
2023-01-27
2023-01-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-02-03
2023-01-05
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
2023-02-03
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
24
Owner
Role
Pct
From
Status
Source
PC CARE AGE OPCO HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-05-28
current
pecos_ownership
CARE AGE OF BROOKFIELD PROPCO LLC
ADP OF THE SNF
—
2025-05-29
current
pecos_ownership
CULP, KAREN
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
DES CAPITAL LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
GREEN, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-28
current
pecos_ownership
HELLMAN, YOSEF
MANAGING CONTROL - GOVERNING BODY
—
2025-05-28
current
pecos_ownership
JRK INVESTMENTS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-28
current
pecos_ownership
KLUGMAN, JACOB
INDIRECT OWNERSHIP INTEREST
—
2025-05-28
current
pecos_ownership
PC CARE AGE PROPCO HOLDCO LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
PC CARE AGE TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-28
current
pecos_ownership
PEACE CAPITAL HOLDINGS II LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
RAMNANAN, KESHNI
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
SCHAEFER-TROWER, TOMINA
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
SMS 2021 TRUST
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
STEIN, SHALOM
INDIRECT OWNERSHIP INTEREST
—
2025-05-28
current
pecos_ownership
STERNBUCH, DANIEL
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
DANIEL STERNBUCH
INDIRECT OWNERSHIP INTEREST
5%
2025-05-28
ended 2026-05-18
pecos_ownership
JACOB KLUGMAN
INDIRECT OWNERSHIP INTEREST
5%
2025-05-28
ended 2026-05-18
pecos_ownership
SHALOM STEIN
INDIRECT OWNERSHIP INTEREST
4%
2025-05-28
ended 2026-05-18
pecos_ownership
JENNIFER GREEN
ADP OF THE SNF
—
2025-05-28
ended 2026-05-18
pecos_ownership
KAREN CULP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-28
ended 2026-05-18
pecos_ownership
KESHNI RAMNANAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-28
ended 2026-05-18
pecos_ownership
TOMINA SCHAEFER-TROWER
ADP OF THE SNF
—
2025-05-28
ended 2026-05-18
pecos_ownership
YOSEF HELLMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-05-28
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$717,285
—
—
—
—
0
—
2023-12-31
$665,602
—
—
—
—
0
—
2022-12-31
$628,533
—
—
—
—
0
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 55133
acs median gross
0
$1,158
2024-12-31
CENSUS_ACS5
county 55133
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55133
acs median gross
1
$1,208
2024-12-31
CENSUS_ACS5
county 55133
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55133
acs median gross
2
$1,390
2024-12-31
CENSUS_ACS5
county 55133
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55133
acs median gross
3
$1,630
2024-12-31
CENSUS_ACS5
county 55133
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55133
acs median gross
4
$1,666
2024-12-31
CENSUS_ACS5
county 55133
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55133
acs median gross
5
$1,771
2024-12-31
CENSUS_ACS5
county 55133
acs median gross
$1,356
2024-12-31
CENSUS_ACS5
county 55133
acs recent mover gross
$1,636
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
0
$1,951
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
1
$1,800
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
2
$2,043
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
3
$2,208
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
4
$2,395
2024-12-31
CENSUS_ACS5
zcta 53045
acs median gross
$2,015
2024-12-31
CENSUS_ACS5
zcta 53045
acs recent mover gross
$2,201
2024-12-31
CENSUS_ACS5
zip 53045
payment standard 110
0
$1,694
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 90
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 53045
safmr
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 110
1
$1,848
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 90
1
$1,512
2025-10-01
HUD_USER_SAFMR
zip 53045
safmr
1
$1,680
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 110
2
$2,211
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 90
2
$1,809
2025-10-01
HUD_USER_SAFMR
zip 53045
safmr
2
$2,010
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 110
3
$2,728
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 90
3
$2,232
2025-10-01
HUD_USER_SAFMR
zip 53045
safmr
3
$2,480
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 110
4
$2,948
2025-10-01
HUD_USER_SAFMR
zip 53045
payment standard 90
4
$2,412
2025-10-01
HUD_USER_SAFMR
zip 53045
safmr
4
$2,680
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.