1438 COUNTY ROAD C EAST, MAPLEWOOD, MN 55109 · CCN 245381
Composite
6.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
64
Model
v1.2
Reads as: riskier than 6.9% 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 financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
MN median
National median
National p25–p75
Total nurse
3.66
3.49
3.28
2.90–3.77
RN
1.01
0.65
0.39
0.25–0.58
Weekend total
3.77
3.32
3.11
—
Weekday total
3.62
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
62.0
3.66
1.01
0.54
2.12
3.77
0.0%
2025Q3
92
61.9
3.72
0.98
0.57
2.17
3.78
0.0%
2025Q2
91
60.4
3.82
0.93
0.72
2.17
3.87
0.0%
2025Q1
90
61.7
3.81
0.88
0.74
2.19
3.79
0.0%
2024Q4
92
61.6
3.81
0.77
0.91
2.13
3.79
0.0%
2024Q3
92
61.0
3.87
0.67
1.04
2.15
3.83
0.0%
2024Q2
91
62.3
3.92
0.70
0.99
2.22
3.82
0.0%
2024Q1
91
61.5
3.93
0.76
0.99
2.19
3.82
0.0%
2023Q4
92
61.3
3.92
0.68
1.03
2.21
3.92
0.0%
2023Q3
92
61.8
3.90
0.65
1.06
2.19
3.94
0.0%
2023Q2
91
61.5
3.91
0.71
1.00
2.20
3.90
0.0%
2023Q1
90
63.4
3.63
0.65
0.88
2.09
3.68
0.0%
2022Q4
92
63.0
3.47
0.69
0.87
1.91
3.56
0.0%
2022Q3
92
65.4
3.32
0.67
0.87
1.78
3.37
0.0%
2022Q2
91
65.1
3.24
0.58
0.83
1.83
3.22
0.0%
2022Q1
90
67.1
3.26
0.61
0.81
1.84
3.29
0.0%
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
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
29
D × 23E × 3F × 1G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-04
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-06
2025-04-04
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-05-06
2025-04-04
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2025-05-06
2025-04-04
Health · complaint
F0700
Try 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.
E
2025-05-06
2025-01-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-17
2025-01-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-02-17
2025-01-09
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-02-17
2025-01-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-17
2025-01-09
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-02-17
2025-01-09
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
2025-02-17
2025-01-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-02-17
2025-01-09
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-02-17
2025-01-09
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2025-02-17
2025-01-09
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-02-17
2024-09-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-09-18
2024-01-05
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2024-02-14
2023-11-09
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2023-12-19
2023-11-09
Health · complaint
F0584
Honor 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.
D
2023-12-19
2023-11-09
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
2023-12-19
2023-02-03
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-03-15
2023-02-03
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-03-15
2023-02-03
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
2023-03-15
2023-02-03
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-03-15
2023-02-03
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-03-15
2023-02-03
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-03-15
2023-02-03
Health
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2023-03-15
2023-02-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-03-15
2023-02-03
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2023-03-15
2023-02-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-15
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
CASSIA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-01-01
current
pecos_ownership
ELIM CARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1995-10-25
current
pecos_ownership
ADDINGTON, JON
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
ADERINKOMI, MICHAEL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
ALBRECHT, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
1998-10-05
current
pecos_ownership
ALMSTED, KRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-15
current
pecos_ownership
BALDWIN, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
1998-12-28
current
pecos_ownership
BRADY, JAIME
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
BROWN, ANGELA
ADP OF THE SNF
—
2018-01-01
current
pecos_ownership
CASSIA
ADP OF THE SNF
—
2026-03-05
current
pecos_ownership
CASSIA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
KERN, MATTHEW
CORPORATE OFFICER
—
2025-10-01
current
pecos_ownership
LIBBON, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
MASON, KRISSA
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
NUSS, PATRICK
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
SCHWENSEN, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-13
current
pecos_ownership
SONNTAG, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
STADTHERR, SEELOCHANI
CORPORATE OFFICER
—
2018-01-01
current
pecos_ownership
THOMPSON, LAURIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-15
current
pecos_ownership
VLAMINCK, LORES
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
VOGEL, MARISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-11
current
pecos_ownership
WEBER-DANIELS, NICOLETTE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
YOUNGQUIST, KATHRYN
ADP OF THE SNF
—
2018-01-01
current
pecos_ownership
YOUNGQUIST, KATHRYN
CORPORATE OFFICER
—
2001-01-01
current
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,866,675
—
—
$696,641
$56,541
6
—
2023-12-31
$1,669,074
—
—
$604,866
$50,379
6
—
2022-12-31
$1,228,885
—
$46,825
$387,740
—
6
—
2021-12-31
$1,052,738
—
$44,604
$394,247
—
6
—
2020-12-31
$947,630
—
—
$375,971
$37,804
5
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 27123
acs median gross
0
$1,074
2024-12-31
CENSUS_ACS5
county 27123
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
1
$1,173
2024-12-31
CENSUS_ACS5
county 27123
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
2
$1,438
2024-12-31
CENSUS_ACS5
county 27123
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
3
$1,776
2024-12-31
CENSUS_ACS5
county 27123
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
4
$1,911
2024-12-31
CENSUS_ACS5
county 27123
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
5
$1,813
2024-12-31
CENSUS_ACS5
county 27123
acs median gross
$1,329
2024-12-31
CENSUS_ACS5
county 27123
acs recent mover gross
$1,347
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
0
$1,226
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
1
$1,087
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
2
$1,382
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
3
$1,903
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
4
$2,510
2024-12-31
CENSUS_ACS5
zcta 55109
acs median gross
$1,369
2024-12-31
CENSUS_ACS5
zcta 55109
acs recent mover gross
$1,363
2024-12-31
CENSUS_ACS5
zip 55109
payment standard 110
0
$1,298
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 90
0
$1,062
2025-10-01
HUD_USER_SAFMR
zip 55109
safmr
0
$1,180
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 55109
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 110
2
$1,782
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 90
2
$1,458
2025-10-01
HUD_USER_SAFMR
zip 55109
safmr
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 110
3
$2,354
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 90
3
$1,926
2025-10-01
HUD_USER_SAFMR
zip 55109
safmr
3
$2,140
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 55109
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 55109
safmr
4
$2,400
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.