3550 West Americana Terrace, Boise, ID 83706 · CCN 135139 · chain BALL VENTURES LLC
Composite
73.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
30
Model
v1.2
Reads as: riskier than 73.8% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+26.1 vs natl
STEVENS GARY
5 facilities
connection
Owner fleet risk far above national
+23.8 vs natl
BALL VENTURES LLC
9 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
BANGERTER EDWARD
14 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GATHERUM JASON
14 facilities
connection
Owner spans multiple chains
6 chains
WILLIAMS RYAN
26 facilities
connection
Owner fleet enforcement cluster
40% fined
STEVENS GARY
5 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
ID median
National median
National p25–p75
Total nurse
3.79
3.34
3.28
2.90–3.77
RN
0.43
0.51
0.39
0.25–0.58
Weekend total
3.85
3.05
3.11
—
Weekday total
3.77
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
28.4
3.79
0.43
0.95
2.42
3.85
8.5%
2025Q3
92
26.0
4.16
0.56
0.98
2.61
4.24
11.4%
2025Q2
91
27.7
4.02
0.45
1.05
2.51
3.91
22.1%
2025Q1
90
28.1
4.05
0.48
0.95
2.62
4.01
27.7%
2024Q4
92
30.1
3.88
0.29
0.96
2.62
3.87
23.4%
2024Q3
92
29.9
3.87
0.40
0.93
2.54
3.84
24.6%
2024Q2
91
28.0
4.24
0.60
0.90
2.75
4.15
14.7%
2024Q1
91
23.7
4.76
0.65
1.04
3.08
4.64
29.6%
2023Q4
92
25.3
4.38
0.72
0.92
2.75
4.36
26.6%
2023Q3
92
25.7
3.98
0.56
1.13
2.30
3.71
8.1%
2023Q2
91
26.9
3.81
0.40
1.19
2.22
3.20
7.5%
2023Q1
90
28.9
3.65
0.26
1.16
2.24
3.66
6.8%
2022Q4
92
28.1
4.13
0.34
1.39
2.40
3.98
0.0%
2022Q3
92
28.1
4.19
0.29
1.63
2.27
4.12
3.6%
2022Q2
91
25.5
4.33
0.39
1.63
2.31
4.19
0.8%
2022Q1
90
19.9
5.53
1.01
1.57
2.94
5.36
2.2%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-02-06
2026-01-09
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
2026-02-06
2026-01-09
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2026-01-04
2026-01-09
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-02-06
2026-01-09
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
2026-02-06
2026-01-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-06
2026-01-09
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2026-02-06
2026-01-09
Health · complaint
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
2026-02-06
2026-01-09
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-02-06
2026-01-09
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2026-02-06
2026-01-09
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
2026-02-06
2025-01-24
Health
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
2025-02-21
2025-01-24
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
2025-02-21
2025-01-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-21
2024-02-23
Health · complaint
F0578
Honor 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.
D
2024-04-12
2024-02-23
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-04-12
2024-02-23
Health · complaint
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
2024-04-12
2024-02-23
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2024-01-06
2024-02-23
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-04-12
2024-02-23
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-04-12
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
46
Owner
Role
Pct
From
Status
Source
BALL VENTURES LLC
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BALL, ALLEN
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BALL, CONNIE
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BANGERTE, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
BANGERTER, DEE
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BANGERTER, EDWARD
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
BANGERTER, EDWARD
INDIRECT OWNERSHIP INTEREST
—
2025-03-28
current
pecos_ownership
BANGERTER, JOHNATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
BANGERTER, JOHNATHAN
INDIRECT OWNERSHIP INTEREST
—
2025-03-28
current
pecos_ownership
BANGERTER, LAMAR
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BV OPERATIONS LLC.
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
BV PAC HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
CAVARRETTA, CHRISTOPHER
ADP OF THE SNF
—
2024-01-31
current
pecos_ownership
DARBY, MEGAN
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
DLB LEGACY LLC
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
GATHERUM, JASON
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
HANSEN, KENT
MANAGING CONTROL - GOVERNING BODY
—
2025-08-12
current
pecos_ownership
NEVES, COURTNEY
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
OWENS, JON
MANAGING CONTROL - GOVERNING BODY
—
2025-08-12
current
pecos_ownership
RMC ENTERPRISES LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
ROCKY MOUNTAIN CARE LLC
ADP OF THE SNF
—
2025-10-24
current
pecos_ownership
SHRADER, RICHARD
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
SNOWBALL, KELLY
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
STEVENS, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
WILLIAMS, RYAN
ADP OF THE SNF
—
2024-01-10
current
pecos_ownership
SNF BOISE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
JOHNATHAN BANGERTER
INDIRECT OWNERSHIP INTEREST
35%
2025-03-28
ended 2026-05-18
pecos_ownership
EDWARD BANGERTER
INDIRECT OWNERSHIP INTEREST
18%
2025-03-28
ended 2026-05-18
pecos_ownership
DEE BANGERTER
INDIRECT OWNERSHIP INTEREST
16%
2025-04-01
ended 2026-05-18
pecos_ownership
ALLEN BALL
INDIRECT OWNERSHIP INTEREST
11%
2025-04-01
ended 2026-05-18
pecos_ownership
CONNIE BALL
INDIRECT OWNERSHIP INTEREST
11%
2025-04-01
ended 2026-05-18
pecos_ownership
RICHARD SHRADER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
LAMAR BANGERTER
INDIRECT OWNERSHIP INTEREST
1%
2025-04-01
ended 2026-05-18
pecos_ownership
NATHAN BANGERTE
INDIRECT OWNERSHIP INTEREST
0%
2025-04-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER CAVARRETTA
ADP OF THE SNF
—
2024-01-31
ended 2026-05-18
pecos_ownership
COURTNEY NEVES
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
EDWARD BANGERTER
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
GARY STEVENS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
JASON GATHERUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
JOHNATHAN BANGERTER
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
JON OWENS
MANAGING CONTROL - GOVERNING BODY
—
2025-08-12
ended 2026-05-18
pecos_ownership
KELLY SNOWBALL
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
KENT HANSEN
MANAGING CONTROL - GOVERNING BODY
—
2025-08-12
ended 2026-05-18
pecos_ownership
MEGAN DARBY
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
RYAN WILLIAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-10
ended 2026-05-18
pecos_ownership
SNF BOISE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
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
$1,256,368
—
—
$604,706
$98,274
4
—
2023-12-31
$754,283
—
—
$532,969
$51,977
2
—
2022-12-31
$283,771
—
—
—
—
1
—
2021-12-31
$660,709
—
$316,173
—
—
2
propco
2020-12-31
$595,091
—
$245,147
—
—
2
propco
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 16001
acs median gross
0
$1,235
2024-12-31
CENSUS_ACS5
county 16001
fmr
0
$1,170
2025-10-01
HUD_USER_FMR
county 16001
acs median gross
1
$1,277
2024-12-31
CENSUS_ACS5
county 16001
fmr
1
$1,381
2025-10-01
HUD_USER_FMR
county 16001
acs median gross
2
$1,487
2024-12-31
CENSUS_ACS5
county 16001
fmr
2
$1,655
2025-10-01
HUD_USER_FMR
county 16001
acs median gross
3
$1,899
2024-12-31
CENSUS_ACS5
county 16001
fmr
3
$2,318
2025-10-01
HUD_USER_FMR
county 16001
acs median gross
4
$2,264
2024-12-31
CENSUS_ACS5
county 16001
fmr
4
$2,772
2025-10-01
HUD_USER_FMR
county 16001
acs median gross
5
$2,624
2024-12-31
CENSUS_ACS5
county 16001
acs median gross
$1,577
2024-12-31
CENSUS_ACS5
county 16001
acs recent mover gross
$1,748
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
0
$1,212
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
1
$1,366
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
3
$1,753
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
4
$822
2024-12-31
CENSUS_ACS5
zcta 83706
acs median gross
$1,431
2024-12-31
CENSUS_ACS5
zcta 83706
acs recent mover gross
$1,382
2024-12-31
CENSUS_ACS5
zip 83706
payment standard 110
0
$1,364
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 90
0
$1,116
2025-10-01
HUD_USER_SAFMR
zip 83706
safmr
0
$1,240
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 110
1
$1,606
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 90
1
$1,314
2025-10-01
HUD_USER_SAFMR
zip 83706
safmr
1
$1,460
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 83706
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 110
3
$2,695
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 90
3
$2,205
2025-10-01
HUD_USER_SAFMR
zip 83706
safmr
3
$2,450
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 83706
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 83706
safmr
4
$2,930
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.