Composite
60.4 / 100 percentile
Screener / 235458
C
Optalis Health and Rehabilitation of Grand Rapids
snfMISFF: SFF Candidate
1950 32nd Street SE, Grand Rapids, MI 49508 · CCN 235458 · chain OPTUM MANAGEMENT SOLUTIONS INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 60.4% 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 model5ML signals3Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies101Licensure0Ownership25Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.0 | 96.9 | 0.30 | 0.2308 | 22.62 | in index |
| financial risk | 87.8 | 74.7 | 0.30 | 0.2308 | 20.26 | in index |
| staffing risk | 28.7 | 28.8 | 0.25 | 0.1923 | 5.52 | in index |
| chow risk | 33.6 | 32.2 | 0.15 | 0.1154 | 3.88 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in 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.
ML signals — parallel engine
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet enforcement cluster | 53% fined | PAAR 108 LLC | 15 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | OPTUM MANAGEMENT SOLUTIONS INC | 36 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PATEL RAJAN | 36 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 39.4 | B | v0.6 | default · in composite | |
| financial risk | 74.7 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.1 | — | v0.1 | default · in 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. |
| regulatory risk | 96.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 28.8 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 62.0 | C | v0.1 | superseded | 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. |
| financial risk | 42.0 | B | v0.2 | superseded | 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. |
| financial risk | 69.4 | D | v0.3 | superseded | 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. |
| financial risk | 73.9 | D | v0.4 | superseded | 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. |
| regulatory risk | 96.9 | F | v0.1 | superseded | 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. |
| regulatory risk | 96.9 | F | v0.2 | superseded | 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. |
| staffing risk | 28.8 | B | v0.1 | superseded | 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. |
| staffing risk | 28.8 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.97 | -1.65 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 34.00 | +0.65 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.56 | +0.35 | |
| High-severity deficiencies, 12m | 4.00 | +0.20 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 34.00 | -4.88 | |
| Chain size (log) | 3.56 | -0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 4.00 | -0.28 | |
| Current owner tenure (years) | 1.97 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.69 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.40 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.57 | 3.32 | 3.11 | — |
| Weekday total | 3.73 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 89.6 | 3.69 | 0.40 | 0.76 | 2.52 | 3.57 | 10.2% |
| 2025Q3 | 92 | 91.5 | 3.58 | 0.62 | 0.50 | 2.46 | 3.50 | 12.5% |
| 2025Q2 | 91 | 89.1 | 4.39 | 0.70 | 0.88 | 2.81 | 4.51 | 36.1% |
| 2025Q1 | 90 | 90.1 | 3.55 | 0.35 | 0.82 | 2.38 | 3.46 | 25.9% |
| 2024Q4 | 92 | 94.5 | 3.13 | 0.41 | 0.63 | 2.09 | 3.06 | 27.1% |
| 2024Q3 | 92 | 93.2 | 3.32 | 0.40 | 0.67 | 2.26 | 3.15 | 23.7% |
| 2024Q2 | 91 | 93.4 | 3.83 | 0.34 | 0.86 | 2.64 | 3.61 | 24.5% |
| 2024Q1 | 91 | 93.8 | 3.80 | 0.39 | 0.83 | 2.59 | 3.66 | 27.8% |
| 2023Q4 | 92 | 96.9 | 3.73 | 0.37 | 0.79 | 2.56 | 3.57 | 30.7% |
| 2023Q3 | 92 | 94.3 | 3.80 | 0.36 | 0.85 | 2.59 | 3.65 | 29.4% |
| 2023Q2 | 91 | 85.0 | 3.92 | 0.25 | 0.87 | 2.81 | 3.78 | 24.6% |
| 2023Q1 | 90 | 85.2 | 3.71 | 0.30 | 0.77 | 2.64 | 3.64 | 27.4% |
| 2022Q4 | 92 | 84.9 | 3.72 | 0.28 | 0.81 | 2.63 | 3.57 | 26.9% |
| 2022Q3 | 92 | 84.1 | 3.70 | 0.21 | 0.88 | 2.60 | 3.58 | 27.7% |
| 2022Q2 | 91 | 82.3 | 3.56 | 0.20 | 0.93 | 2.44 | 3.47 | 27.7% |
| 2022Q1 | 90 | 83.2 | 3.39 | 0.24 | 0.92 | 2.22 | 3.25 | 31.3% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-24 | Payment Denial | — | CMS provider data |
| 2025-08-18 | Payment Denial | — | CMS provider data |
| 2025-01-14 | Fine | $128,989 | CMS provider data |
| 2025-01-14 | Payment Denial | — | CMS provider data |
| 2023-12-05 | Fine | $7,796 | CMS provider data |
Total fines on record: $136,785
Deficiencies
101D × 65E × 14F × 10G × 8J × 3K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-05-14 |
| 2026-04-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-14 |
| 2026-04-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-14 |
| 2026-03-05 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-03-24 |
| 2026-03-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-03-24 |
| 2026-03-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-24 |
| 2025-12-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-27 |
| 2025-12-29 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-01-27 |
| 2025-12-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-01-27 |
| 2025-12-29 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-27 |
| 2025-12-29 | 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. | J | 2026-01-27 |
| 2025-12-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-27 |
| 2025-12-29 | Health · complaint | 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 | 2026-01-27 |
| 2025-12-29 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-02-10 |
| 2025-12-29 | Health · complaint | F0732 | Post nurse staffing information every day. | D | 2026-01-27 |
| 2025-12-29 | Health · complaint | 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. | D | 2026-01-27 |
| 2025-11-24 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-12-12 |
| 2025-11-24 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-10-19 |
| 2025-11-24 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-12-12 |
| 2025-11-24 | Health · complaint | F0838 | Conduct 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. | F | 2025-12-12 |
| 2025-11-24 | Health · complaint | 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 | 2025-12-12 |
| 2025-09-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-22 |
| 2025-09-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-26 |
| 2025-09-04 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-26 |
| 2025-09-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-09-26 |
| 2025-08-18 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-17 |
| 2025-08-18 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-09-16 |
| 2025-08-18 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-16 |
| 2025-08-18 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-09-16 |
| 2025-08-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-17 |
| 2025-08-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-17 |
| 2025-08-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-16 |
| 2025-08-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-09-16 |
| 2025-08-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-11-17 |
| 2025-05-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-03 |
| 2025-05-08 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-06-03 |
| 2025-05-08 | 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 | 2025-06-03 |
| 2025-05-08 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-06-03 |
| 2025-05-08 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-06-03 |
| 2025-05-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-06-03 |
| 2025-05-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-03 |
| 2025-05-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-01 |
| 2025-05-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-03 |
| 2025-05-08 | 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 | 2025-06-03 |
| 2025-05-08 | Health | 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. | E | 2025-06-03 |
| 2025-05-08 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-03 |
| 2025-05-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-03 |
| 2025-05-08 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-06-03 |
| 2025-05-08 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-06-03 |
| 2025-05-08 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2025-06-03 |
| 2025-02-20 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-17 |
| 2025-02-20 | Health · complaint | 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 | 2025-03-17 |
| 2025-02-20 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-01-12 |
| 2025-02-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-17 |
| 2025-02-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-04-15 |
| 2025-02-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-17 |
| 2025-02-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-17 |
| 2025-01-14 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2025-04-15 |
| 2025-01-14 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | G | 2024-11-21 |
| 2025-01-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-02-23 |
| 2025-01-14 | 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 | 2025-04-15 |
| 2025-01-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-15 |
| 2025-01-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-23 |
| 2025-01-14 | Health · complaint | 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 | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-23 |
| 2025-01-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-15 |
| 2025-01-14 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-02-23 |
| 2024-03-21 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-24 |
| 2024-03-21 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-04-24 |
| 2024-03-21 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-04-24 |
| 2024-03-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-24 |
| 2024-03-21 | Health | 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. | E | 2024-04-24 |
| 2024-03-21 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2024-04-24 |
| 2024-03-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-24 |
| 2024-03-21 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-24 |
| 2024-03-21 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-04-24 |
| 2023-12-05 | 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 | 2023-12-22 |
| 2023-12-05 | 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. | J | 2023-11-15 |
| 2023-08-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-25 |
| 2023-02-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-03-11 |
| 2023-02-15 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-03-11 |
| 2023-02-15 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-03-11 |
| 2023-02-15 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-03-11 |
| 2023-02-15 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-03-11 |
| 2023-02-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-03-11 |
| 2023-02-15 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-03-11 |
| 2023-02-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-03-11 |
| 2023-02-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-04-12 |
| 2023-02-15 | 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 | 2023-03-11 |
| 2023-02-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-03-11 |
| 2023-02-15 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-03-11 |
| 2023-02-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-03-11 |
| 2023-02-15 | Health | F0809 | Ensure 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. | F | 2023-03-11 |
| 2023-02-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-11 |
| 2023-02-15 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-03-11 |
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
0No 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
25| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PAAR 108-GR LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-08-07 | current | pecos_ownership |
| PINAL R PATEL 2017 IRRV TR UAD 6-14-17 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-08-07 | current | pecos_ownership |
| GRAND RAPIDS PROPCO | Director, officer, administrator or key person of provider or organization | 25% | 2024-01-01 | current | hcris_a_8_1 |
| PINAL R PATEL REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-08-07 | current | pecos_ownership |
| RAJAN G PATEL REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-08-07 | current | pecos_ownership |
| BILBAO, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-07 | current | pecos_ownership |
| LYON, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-15 | current | pecos_ownership |
| LYON, THOMAS | ADP OF THE SNF | — | 2024-12-04 | current | pecos_ownership |
| OPTALIS GRAND RAPIDS PROPCO LLC | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| OPTUM MANAGEMENT SOLUTIONS. INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-04 | current | pecos_ownership |
| PAAR 108 LLC | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| PAAR 108-GR LLC | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| PATEL, RAJAN | MANAGING CONTROL - GOVERNING BODY | — | 2024-08-07 | current | pecos_ownership |
| PINAL R PATEL 2017 IRRV TR UAD 6-14-17 | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| PINAL R PATEL REVOCABLE TRUST | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| RAJAN G PATEL REVOCABLE TRUST | ADP OF THE SNF | — | 2024-11-15 | current | pecos_ownership |
| SLENDEBROEK, MATTHEW | ADP OF THE SNF | — | 2024-12-04 | current | pecos_ownership |
| SLENDEBROEK, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-15 | current | pecos_ownership |
| PAAR 108 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-08-07 | ended 2026-05-18 | pecos_ownership |
| RAJAN PATEL | CORPORATE DIRECTOR | 33% | 2024-08-07 | ended 2026-05-18 | pecos_ownership |
| ANDREW BILBAO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-07 | ended 2026-05-18 | pecos_ownership |
| MATTHEW SLENDEBROEK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-15 | ended 2026-05-18 | pecos_ownership |
| MATTHEW SLENDEBROEK | ADP OF THE SNF | — | 2024-12-04 | ended 2026-05-18 | pecos_ownership |
| THOMAS LYON | ADP OF THE SNF | — | 2024-12-04 | ended 2026-05-18 | pecos_ownership |
| THOMAS LYON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-15 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-08-07 | — | OPTALIS GRAND RAPIDS OPCO LLC | SAMARITAS LUTHERAN SOCIAL SERVICES OF MICHIGAN | chow |
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapidsthis facility | — | — | — | 120 | OPTALIS 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26081 | acs median gross | 0 | $1,041 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 0 | $1,232 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 1 | $1,055 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 1 | $1,278 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 2 | $1,284 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 2 | $1,531 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 3 | $1,524 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 3 | $1,980 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 4 | $1,853 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 4 | $2,189 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 5 | $1,826 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | acs median gross | $1,243 | 2024-12-31 | CENSUS_ACS5 | |
| county 26081 | acs recent mover gross | $1,483 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49508 | acs median gross | 0 | $1,383 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49508 | acs median gross | 1 | $1,041 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49508 | acs median gross | 2 | $1,235 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49508 | acs median gross | 3 | $1,808 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49508 | acs median gross | 4 | $2,008 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49508 | acs median gross | $1,264 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49508 | acs recent mover gross | $1,762 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49508 | payment standard 110 | 0 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 90 | 0 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | safmr | 0 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 110 | 1 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 90 | 1 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | safmr | 1 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 110 | 2 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 90 | 2 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | safmr | 2 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 110 | 3 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 90 | 3 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | safmr | 3 | $2,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 110 | 4 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | payment standard 90 | 4 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49508 | safmr | 4 | $2,220 | 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.