410 WEST MAIN STREET, OSAKIS, MN 56360 · CCN 245465
Composite
1.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
40
Model
v1.2
Reads as: riskier than 1.5% 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
4.65
3.49
3.28
2.90–3.77
RN
0.68
0.65
0.39
0.25–0.58
Weekend total
3.84
3.32
3.11
—
Weekday total
4.97
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.6
4.65
0.68
1.45
2.52
3.84
0.0%
2025Q3
92
33.4
4.44
0.63
1.31
2.50
3.49
0.0%
2025Q2
91
36.0
4.14
0.50
1.18
2.46
3.46
0.0%
2025Q1
90
35.2
3.90
0.50
1.09
2.31
3.29
0.0%
2024Q4
92
32.9
3.58
0.52
1.08
1.99
2.98
0.0%
2024Q3
92
30.9
4.02
0.50
1.32
2.20
3.20
0.0%
2024Q2
91
26.3
4.89
0.82
1.62
2.45
3.93
0.0%
2024Q1
91
24.5
4.42
0.82
1.52
2.09
3.90
0.0%
2023Q4
92
25.6
4.48
0.78
1.48
2.22
3.94
0.0%
2023Q3
92
28.1
4.00
0.59
1.14
2.27
3.52
0.0%
2023Q2
91
27.1
4.61
0.76
1.37
2.48
3.82
0.0%
2023Q1
90
30.4
4.18
0.62
1.38
2.18
3.60
0.0%
2022Q4
92
28.5
4.75
0.69
1.48
2.59
4.08
0.0%
2022Q3
92
29.7
4.46
0.72
1.31
2.44
3.76
0.0%
2022Q2
91
31.3
4.51
0.63
1.51
2.37
3.89
0.0%
2022Q1
90
28.2
4.87
0.83
1.45
2.59
4.29
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
5
D × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-20
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
2025-03-07
2024-10-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-22
2024-10-30
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-11-22
2023-11-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-12-31
2023-11-16
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-12-31
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
BENSON, SANDI
CORPORATE DIRECTOR
—
2014-11-15
current
pecos_ownership
BERGSTRAND, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
BERGSTRAND, PAUL
ADP OF THE SNF
—
2025-01-30
current
pecos_ownership
CURTIS, ROBIN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
JOHNSON, NEIL
CORPORATE OFFICER
—
2011-09-27
current
pecos_ownership
KLUKKEN, JUANITA
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
KOSTRZEWSK, BERNICE
CORPORATE DIRECTOR
—
2014-11-15
current
pecos_ownership
MOORE, JANICE
CORPORATE DIRECTOR
—
2011-09-27
current
pecos_ownership
REINKE, ANGELA
ADP OF THE SNF
—
2025-03-12
current
pecos_ownership
REINKE, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-01
current
pecos_ownership
TEMPLE, JOHN
CORPORATE OFFICER
—
2011-09-27
current
pecos_ownership
THESING, GEORGIA
CORPORATE OFFICER
—
2011-09-24
current
pecos_ownership
BERNICE KOSTRZEWSK
CORPORATE DIRECTOR
0%
2014-11-15
ended 2026-05-18
pecos_ownership
GEORGIA THESING
CORPORATE OFFICER
0%
2011-09-24
ended 2026-05-18
pecos_ownership
JANICE MOORE
CORPORATE DIRECTOR
0%
2011-09-27
ended 2026-05-18
pecos_ownership
JOHN TEMPLE
CORPORATE OFFICER
0%
2011-09-27
ended 2026-05-18
pecos_ownership
JUANITA KLUKKEN
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
NEIL JOHNSON
CORPORATE OFFICER
0%
2011-09-27
ended 2026-05-18
pecos_ownership
SANDI BENSON
CORPORATE DIRECTOR
0%
2014-11-15
ended 2026-05-18
pecos_ownership
ANGELA REINKE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-01
ended 2026-05-18
pecos_ownership
ANGELA REINKE
ADP OF THE SNF
—
2025-03-12
ended 2026-05-18
pecos_ownership
PAUL BERGSTRAND
ADP OF THE SNF
—
2025-01-30
ended 2026-05-18
pecos_ownership
PAUL BERGSTRAND
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
ROBIN CURTIS
CORPORATE DIRECTOR
—
2021-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 27041
acs median gross
0
$698
2024-12-31
CENSUS_ACS5
county 27041
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 27041
acs median gross
1
$664
2024-12-31
CENSUS_ACS5
county 27041
fmr
1
$772
2025-10-01
HUD_USER_FMR
county 27041
acs median gross
2
$943
2024-12-31
CENSUS_ACS5
county 27041
fmr
2
$991
2025-10-01
HUD_USER_FMR
county 27041
acs median gross
3
$1,193
2024-12-31
CENSUS_ACS5
county 27041
fmr
3
$1,378
2025-10-01
HUD_USER_FMR
county 27041
acs median gross
4
$1,393
2024-12-31
CENSUS_ACS5
county 27041
fmr
4
$1,441
2025-10-01
HUD_USER_FMR
county 27041
acs median gross
5
$840
2024-12-31
CENSUS_ACS5
county 27041
acs median gross
$927
2024-12-31
CENSUS_ACS5
county 27041
acs recent mover gross
$1,092
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
1
$289
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
2
$900
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
3
$1,025
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
4
$1,750
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
5
$1,714
2024-12-31
CENSUS_ACS5
zcta 56360
acs median gross
$638
2024-12-31
CENSUS_ACS5
zcta 56360
acs recent mover gross
$1,438
2024-12-31
CENSUS_ACS5
zip 56360
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 56360
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 56360
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 56360
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 56360
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 56360
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 56360
safmr
4
$1,620
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.