CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 22:29 UTC
Screener / 235292
D

Medilodge of Sault Ste. Marie

snfMISFF: SFF Candidate
1011 Meridian Road, Sault Ste. Marie, MI 49783 · CCN 235292 · chain B&Y TRUST
Composite
89.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
106
Model
v1.2
Reads as: riskier than 89.4% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies72Licensure0Ownership17Related party5Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk94.993.00.300.230821.90in index
billing conduct62.544.50.300.230814.42in index
financial risk50.245.60.300.230811.58in index
staffing risk54.654.60.250.192310.50in index
chow risk67.648.80.150.11547.80in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct44.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk42.5Bv0.6default · in composite
financial risk45.6Cv0.5default · in compositeR18.
p adverse action 12m0.0—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 12m0.3—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 risk93.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk54.6Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk88.4Fv0.1supersededPre-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 risk68.4Dv0.2supersededPre-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 risk40.4Bv0.3supersededPre-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 risk51.3Cv0.4supersededPre-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 risk93.0Fv0.1supersededPre-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 risk93.0Fv0.2supersededPre-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 risk54.6Cv0.1supersededPre-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 risk54.6Cv0.2supersededPre-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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
47.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)8.49-1.02
For-profit ownership1.00+0.69
Deficiencies, last 12 months32.00+0.61
Chain size (log)4.37+0.53
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Occupancy0.75-0.15
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months32.00-4.51
Chain size (log)4.37-1.34
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
High-severity deficiencies, 12m3.00-0.20
Fine amount, 12m (log)0.00+0.18
Current owner tenure (years)8.49-0.16
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 facilityMI medianNational medianNational p25–p75
Total nurse3.223.523.282.90–3.77
RN0.430.470.390.25–0.58
Weekend total2.753.323.11—
Weekday total3.403.613.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49279.63.220.430.632.152.750.0%
2025Q39274.53.000.400.681.922.740.0%
2025Q29172.83.370.540.622.213.200.0%
2025Q19073.72.970.450.611.902.800.0%
2024Q49272.83.070.400.691.992.960.0%
2024Q39270.83.170.290.752.122.620.0%
2024Q29168.02.750.360.671.732.560.0%
2024Q19162.73.080.340.861.872.790.0%
2023Q49268.23.320.340.942.042.990.0%
2023Q39270.53.100.260.861.982.850.0%
2023Q29170.23.020.230.702.102.900.0%
2023Q19069.33.150.380.662.112.860.0%
2022Q49269.13.330.510.622.212.950.0%
2022Q39269.33.650.350.662.643.300.0%
2022Q29171.13.890.420.702.783.480.0%
2022Q19067.93.920.420.842.663.650.0%
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.

Penalties

4
DateTypeFineSource
2024-06-27Fine$29,627CMS provider data
2024-04-18Fine$20,183CMS provider data
2024-01-29Fine$15,593CMS provider data
2024-01-29Payment Denial—CMS provider data
Total fines on record: $65,403

Deficiencies

72
C × 2D × 35E × 16F × 11G × 5H × 1J × 2
deficiencies by survey year
301523242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-11HealthF0558Reasonably accommodate the needs and preferences of each resident.E2026-03-10
2026-02-11HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2026-03-10
2026-02-11HealthF0578Honor 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.D2026-03-10
2026-02-11HealthF0583Keep residents' personal and medical records private and confidential.D2026-03-10
2026-02-11Health · complaintF0584Honor 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.E2026-03-10
2026-02-11Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2026-03-10
2026-02-11Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2026-03-10
2026-02-11Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-03-10
2026-02-11Health · complaintF0610Respond appropriately to all alleged violations.D2026-03-10
2026-02-11HealthF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2026-03-10
2026-02-11Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-03-10
2026-02-11Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-10
2026-02-11HealthF0688Provide 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.D2026-03-10
2026-02-11Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-10
2026-02-11Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.H2026-03-10
2026-02-11HealthF0732Post nurse staffing information every day.F2026-03-10
2026-02-11HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2026-03-10
2026-02-11HealthF0761Ensure 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.E2026-03-10
2026-02-11HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2026-03-10
2026-02-11Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-03-10
2026-02-11Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2026-03-10
2026-02-11HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.E2026-03-10
2026-02-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-03-10
2026-02-11HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2026-03-10
2026-02-11HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2026-03-10
2026-02-11HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2026-03-10
2026-02-11HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2026-03-10
2026-02-11Health · complaintF0880Provide and implement an infection prevention and control program.F2026-03-10
2026-02-11Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2026-03-10
2026-02-04Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2026-03-05
2025-11-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-16
2025-11-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-12-16
2025-06-18Health · complaintF0584Honor 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.D2025-07-15
2025-06-18Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-07-15
2025-02-26Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2025-03-26
2025-02-26Health · complaintF0610Respond appropriately to all alleged violations.E2025-03-26
2025-01-09HealthF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.C2025-02-12
2025-01-09HealthF0584Honor 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.E2025-02-12
2025-01-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-12
2025-01-09Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-02-12
2025-01-09HealthF0688Provide 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.D2025-02-12
2025-01-09HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2025-02-12
2025-01-09HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-02-12
2025-01-09HealthF0732Post nurse staffing information every day.C2025-02-12
2025-01-09HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2025-02-12
2025-01-09HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-02-12
2025-01-09HealthF0761Ensure 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.E2025-02-12
2025-01-09HealthF0880Provide and implement an infection prevention and control program.D2025-02-12
2024-07-30Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-08-22
2024-07-30Health · complaintF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.F2024-08-22
2024-07-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-08-22
2024-07-30Health · complaintF0610Respond appropriately to all alleged violations.D2024-08-22
2024-07-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-08-22
2024-07-30Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2024-08-22
2024-06-27Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-07-30
2024-06-27Health · complaintF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2024-07-30
2024-04-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-05-14
2024-04-18Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-05-14
2024-04-18Health · complaintF0880Provide and implement an infection prevention and control program.E2024-05-14
2024-01-29HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-21
2024-01-29Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-02-21
2024-01-29HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-21
2024-01-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-02-21
2024-01-29HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-02-21
2024-01-29HealthF0692Provide enough food/fluids to maintain a resident's health.D2024-02-21
2024-01-29HealthF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2024-02-21
2024-01-29HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-02-21
2024-01-29HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-02-21
2024-01-29HealthF0880Provide and implement an infection prevention and control program.D2024-03-27
2024-01-29Health · complaintF0895Have a Compliance and Ethics Program.D2024-02-21
2024-01-29HealthF0923Have enough outside ventilation via a window or mechanical ventilation, or both.E2024-02-21
2023-10-10Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-10-16
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

17
OwnerRolePctFromStatusSource
EVEREST OPCO GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-02-01currentpecos_ownership
B&Y HEALTHCARE S CORP5% OR GREATER INDIRECT OWNERSHIP INTEREST—2018-02-01currentpecos_ownership
B&Y TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2018-02-01currentpecos_ownership
BLOSSOM HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2018-02-01currentpecos_ownership
CODY HEALTHCARE S CORP5% OR GREATER INDIRECT OWNERSHIP INTEREST—2018-02-01currentpecos_ownership
CRAIG FLASHNER 2007 TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2018-02-01currentpecos_ownership
FLASHNER, CRAIGCORPORATE DIRECTOR—2018-02-01currentpecos_ownership
KIRK, KRISTINEW-2 MANAGING EMPLOYEE—2018-02-01currentpecos_ownership
NORCROSS, ROBERTCONTRACTED MANAGING EMPLOYEE—2018-02-01currentpecos_ownership
PERLSTEIN, YITZCHOKCORPORATE DIRECTOR—2018-02-01currentpecos_ownership
PRESTIGE ADMINISTRATIVE SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROL—2018-02-01currentpecos_ownership
ROGERS, STACEYCONTRACTED MANAGING EMPLOYEE—2018-02-01currentpecos_ownership
CRAIG FLASHNERCORPORATE DIRECTOR—2018-02-01ended 2026-05-18pecos_ownership
KRISTINE KIRKW-2 MANAGING EMPLOYEE—2018-02-01ended 2026-05-18pecos_ownership
ROBERT NORCROSSCONTRACTED MANAGING EMPLOYEE—2018-02-01ended 2026-05-18pecos_ownership
STACEY ROGERSCONTRACTED MANAGING EMPLOYEE—2018-02-01ended 2026-05-18pecos_ownership
YITZCHOK PERLSTEINCORPORATE DIRECTOR—2018-02-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2018-02-01—SAULT STE MARIE OPCO LLCFMG MERIDIAN STREET MICHIGAN LLCchow

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC———100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland———138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon———107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing———182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard———69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia———107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids———100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer———87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center———133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake———128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place———101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids———120OPTALIS GRAND RAPIDS 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 26033acs median gross0$6062024-12-31CENSUS_ACS5
county 26033fmr0$7352025-10-01HUD_USER_FMR
county 26033acs median gross1$7212024-12-31CENSUS_ACS5
county 26033fmr1$8232025-10-01HUD_USER_FMR
county 26033acs median gross2$7542024-12-31CENSUS_ACS5
county 26033fmr2$1,0662025-10-01HUD_USER_FMR
county 26033acs median gross3$8672024-12-31CENSUS_ACS5
county 26033fmr3$1,2782025-10-01HUD_USER_FMR
county 26033acs median gross4$9232024-12-31CENSUS_ACS5
county 26033fmr4$1,4112025-10-01HUD_USER_FMR
county 26033acs median gross5$8372024-12-31CENSUS_ACS5
county 26033acs median gross$7972024-12-31CENSUS_ACS5
county 26033acs recent mover gross$8062024-12-31CENSUS_ACS5
zcta 49783acs median gross0$6042024-12-31CENSUS_ACS5
zcta 49783acs median gross1$7312024-12-31CENSUS_ACS5
zcta 49783acs median gross2$7912024-12-31CENSUS_ACS5
zcta 49783acs median gross3$8862024-12-31CENSUS_ACS5
zcta 49783acs median gross4$9252024-12-31CENSUS_ACS5
zcta 49783acs median gross$7952024-12-31CENSUS_ACS5
zcta 49783acs recent mover gross$7942024-12-31CENSUS_ACS5
zip 49783payment standard 1100$8142025-10-01HUD_USER_SAFMR
zip 49783payment standard 900$6662025-10-01HUD_USER_SAFMR
zip 49783safmr0$7402025-10-01HUD_USER_SAFMR
zip 49783payment standard 1101$9132025-10-01HUD_USER_SAFMR
zip 49783payment standard 901$7472025-10-01HUD_USER_SAFMR
zip 49783safmr1$8302025-10-01HUD_USER_SAFMR
zip 49783payment standard 1102$1,1772025-10-01HUD_USER_SAFMR
zip 49783payment standard 902$9632025-10-01HUD_USER_SAFMR
zip 49783safmr2$1,0702025-10-01HUD_USER_SAFMR
zip 49783payment standard 1103$1,4082025-10-01HUD_USER_SAFMR
zip 49783payment standard 903$1,1522025-10-01HUD_USER_SAFMR
zip 49783safmr3$1,2802025-10-01HUD_USER_SAFMR
zip 49783payment standard 1104$1,5622025-10-01HUD_USER_SAFMR
zip 49783payment standard 904$1,2782025-10-01HUD_USER_SAFMR
zip 49783safmr4$1,4202025-10-01HUD_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 · Medilodge of Sault Ste. Marie (235292) · generated 2026-08-04 · 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