1915 South 18th Street, Centerville, IA 52544 · CCN 165257 · chain STEGOTEK INC
Composite
27.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
46
Model
v1.2
Reads as: riskier than 27.7% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
BRIGHTON CONSULTING GROUP LLC
17 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
16
2025Q4 HPRD
This facility
IA median
National median
National p25–p75
Total nurse
3.19
3.15
3.28
2.90–3.77
RN
0.59
0.46
0.39
0.25–0.58
Weekend total
2.70
2.96
3.11
—
Weekday total
3.38
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.2
3.19
0.59
0.61
1.99
2.70
0.1%
2025Q3
92
40.4
2.72
0.37
0.63
1.72
2.49
0.2%
2025Q2
91
40.3
2.77
0.33
0.71
1.73
2.50
0.1%
2025Q1
90
37.6
2.90
0.33
0.76
1.81
2.65
0.0%
2024Q4
92
32.9
3.51
0.31
0.89
2.32
3.21
0.4%
2024Q3
92
34.5
3.19
0.36
0.66
2.17
2.95
0.2%
2024Q2
91
34.6
3.41
0.30
0.77
2.35
3.17
5.0%
2024Q1
91
35.4
3.46
0.33
0.63
2.50
3.23
4.7%
2023Q4
92
37.1
3.11
0.36
0.65
2.11
2.96
4.7%
2023Q3
92
36.9
2.86
0.34
0.59
1.93
2.74
0.4%
2023Q2
91
34.8
2.63
0.41
0.60
1.62
2.40
2.4%
2023Q1
90
32.1
3.11
0.45
0.57
2.09
2.76
0.4%
2022Q4
92
32.3
3.05
0.51
0.54
2.00
2.80
0.0%
2022Q3
92
34.3
2.90
0.58
0.45
1.87
2.82
4.9%
2022Q2
91
32.8
3.59
0.43
0.73
2.43
3.13
20.9%
2022Q1
90
29.0
3.74
0.59
0.74
2.41
3.56
6.0%
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
15
D × 12E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-10-21
Health · complaint
F0761
Ensure 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.
D
2025-12-17
2025-07-31
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-08-17
2025-07-31
Health
F0585
Honor 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.
D
2025-08-17
2025-07-31
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-08-17
2025-07-31
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-08-17
2025-07-31
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-08-17
2025-07-31
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-08-17
2025-03-19
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-04-04
2025-03-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-04
2024-07-17
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
2024-08-08
2024-07-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-08
2024-02-08
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-08
2024-02-08
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-03-08
2024-02-08
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2024-03-08
2024-02-08
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-03-08
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
39
Owner
Role
Pct
From
Status
Source
BLUE STONE THERAPY INC
ADP OF THE SNF
—
2022-11-22
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
CATTAIL CONSULTING LLC
ADP OF THE SNF
—
2022-09-30
current
pecos_ownership
CONNER, ROBERT
DIRECT OWNERSHIP INTEREST
—
2019-12-01
current
pecos_ownership
CONNER, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
current
pecos_ownership
DAHM, KNAPP & ASSOCIATES PC
ADP OF THE SNF
—
2014-10-01
current
pecos_ownership
DIGITAL STEW SERVICES INC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
DILLARD, TIFFANY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
GOLDEN AGE INC
ADP OF THE SNF
—
2014-10-01
current
pecos_ownership
GUARDIAN PHARMACY OF IOWA LLC
ADP OF THE SNF
—
2021-01-31
current
pecos_ownership
MCCLAIN, AMBER
OPERATIONAL/MANAGERIAL CONTROL
—
2000-06-11
current
pecos_ownership
PARKER, KRISTI
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-24
current
pecos_ownership
SALLADAY, KORIE
OPERATIONAL/MANAGERIAL CONTROL
—
2000-10-26
current
pecos_ownership
SAXTON, ROSE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-11
current
pecos_ownership
SAXTON, ROSE
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
SLOAN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-01
current
pecos_ownership
STEGGERDA, JEFFREY
DIRECT OWNERSHIP INTEREST
—
2017-01-01
current
pecos_ownership
STEGGERDA, JEFFREY
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
current
pecos_ownership
STEGOTEK INC
DIRECT OWNERSHIP INTEREST
—
2017-01-01
current
pecos_ownership
WEI, SHIPENG
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-14
current
pecos_ownership
WEI, SHIPENG
ADP OF THE SNF
—
2025-11-08
current
pecos_ownership
WILKES, JAMES
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
WILKES, JAMES
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
current
pecos_ownership
JAMES WILKES
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2019-12-01
ended 2026-05-18
pecos_ownership
JEFFREY STEGGERDA
DIRECT OWNERSHIP INTEREST
33%
2017-01-01
ended 2026-05-18
pecos_ownership
ROBERT CONNER
DIRECT OWNERSHIP INTEREST
33%
2019-12-01
ended 2026-05-18
pecos_ownership
AMBER MCCLAIN
OPERATIONAL/MANAGERIAL CONTROL
—
2000-06-11
ended 2026-05-18
pecos_ownership
JAMES WILKES
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
JAMES WILKES
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
ended 2026-05-18
pecos_ownership
JEFFREY STEGGERDA
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
ended 2026-05-18
pecos_ownership
KORIE SALLADAY
OPERATIONAL/MANAGERIAL CONTROL
—
2000-10-26
ended 2026-05-18
pecos_ownership
KRISTI PARKER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-24
ended 2026-05-18
pecos_ownership
ROBERT CONNER
MANAGING CONTROL - GOVERNING BODY
—
2014-10-01
ended 2026-05-18
pecos_ownership
ROSE SAXTON
ADP OF THE SNF
—
2025-11-07
ended 2026-05-18
pecos_ownership
ROSE SAXTON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-11
ended 2026-05-18
pecos_ownership
SCOTT SLOAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-01
ended 2026-05-18
pecos_ownership
SHIPENG WEI
ADP OF THE SNF
—
2025-11-08
ended 2026-05-18
pecos_ownership
SHIPENG WEI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-14
ended 2026-05-18
pecos_ownership
TIFFANY DILLARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$45,434
—
—
—
—
1
—
2023-12-31
$8,812
—
—
—
—
1
—
2022-12-31
$50,011
—
—
—
—
1
—
2021-12-31
$44,185
—
—
—
—
1
—
2020-12-31
$55,242
—
—
—
—
1
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 19007
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 19007
acs median gross
1
$561
2024-12-31
CENSUS_ACS5
county 19007
fmr
1
$700
2025-10-01
HUD_USER_FMR
county 19007
acs median gross
2
$800
2024-12-31
CENSUS_ACS5
county 19007
fmr
2
$919
2025-10-01
HUD_USER_FMR
county 19007
acs median gross
3
$850
2024-12-31
CENSUS_ACS5
county 19007
fmr
3
$1,102
2025-10-01
HUD_USER_FMR
county 19007
acs median gross
4
$1,055
2024-12-31
CENSUS_ACS5
county 19007
fmr
4
$1,306
2025-10-01
HUD_USER_FMR
county 19007
acs median gross
$784
2024-12-31
CENSUS_ACS5
county 19007
acs recent mover gross
$760
2024-12-31
CENSUS_ACS5
zcta 52544
acs median gross
1
$568
2024-12-31
CENSUS_ACS5
zcta 52544
acs median gross
2
$812
2024-12-31
CENSUS_ACS5
zcta 52544
acs median gross
3
$800
2024-12-31
CENSUS_ACS5
zcta 52544
acs median gross
4
$1,065
2024-12-31
CENSUS_ACS5
zcta 52544
acs median gross
$785
2024-12-31
CENSUS_ACS5
zcta 52544
acs recent mover gross
$761
2024-12-31
CENSUS_ACS5
zip 52544
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 52544
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 52544
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 52544
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 110
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 90
3
$990
2025-10-01
HUD_USER_SAFMR
zip 52544
safmr
3
$1,100
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 110
4
$1,441
2025-10-01
HUD_USER_SAFMR
zip 52544
payment standard 90
4
$1,179
2025-10-01
HUD_USER_SAFMR
zip 52544
safmr
4
$1,310
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.