Reads as: riskier than 59.2% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
6 chains
WIPFLI LLP
67 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
WI median
National median
National p25–p75
Total nurse
2.99
3.60
3.28
2.90–3.77
RN
0.56
0.64
0.39
0.25–0.58
Weekend total
2.97
3.49
3.11
—
Weekday total
3.00
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.0
2.99
0.56
0.43
2.00
2.97
3.5%
2025Q3
92
64.4
3.22
0.51
0.59
2.13
3.09
1.4%
2025Q2
91
62.0
3.25
0.63
0.54
2.09
3.16
6.2%
2025Q1
90
64.6
2.93
0.59
0.52
1.82
2.91
4.1%
2024Q4
92
67.6
2.70
0.61
0.47
1.62
2.64
3.5%
2024Q3
92
67.0
2.92
0.68
0.30
1.94
2.72
0.3%
2024Q2
91
65.5
3.03
0.75
0.30
1.98
2.82
1.2%
2024Q1
91
67.4
2.82
0.71
0.42
1.69
2.63
1.0%
2023Q4
92
63.6
2.76
0.86
0.29
1.60
2.60
0.9%
2023Q3
92
63.9
2.61
0.81
0.28
1.52
2.48
0.8%
2023Q2
91
58.6
2.72
0.95
0.29
1.49
2.59
0.0%
2023Q1
90
57.5
2.76
0.85
0.35
1.55
2.63
1.9%
2022Q4
92
59.0
2.61
0.95
0.33
1.32
2.46
7.9%
2022Q3
92
58.9
2.52
0.96
0.24
1.32
2.29
7.8%
2022Q2
91
62.5
2.40
0.95
0.19
1.26
2.16
5.8%
2022Q1
90
66.5
2.58
0.91
0.16
1.50
2.46
3.6%
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.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-04-03
2026-03-05
Health
F0814
Dispose of garbage and refuse properly.
F
2026-04-03
2026-03-05
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-04-03
2025-12-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-16
2025-12-17
Health · complaint
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
2026-01-16
2025-03-11
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-04-02
2025-03-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-04-02
2025-03-11
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
2025-04-02
2025-03-11
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-02
2024-12-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-01-12
2024-12-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-12
2024-12-12
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2025-01-12
2024-12-12
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.
E
2025-01-12
2024-12-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-01-12
2024-12-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-12
2024-12-12
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-01-12
2024-12-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-12
2024-03-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-02-19
2023-11-01
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
2023-11-17
2023-11-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-17
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
26
Owner
Role
Pct
From
Status
Source
NORTH SHORE HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-12-01
current
pecos_ownership
NSHC WISCONSIN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-01
current
pecos_ownership
BAUMANN, TROY
INDIRECT OWNERSHIP INTEREST
—
2016-12-01
current
pecos_ownership
BELONGIA, CHRISTINA
ADP OF THE SNF
—
2019-11-01
current
pecos_ownership
BEVERLY ENTERPRISES - WISCONSIN INC
ADP OF THE SNF
—
2016-12-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2024-12-31
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-22
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-10-20
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
GEE, DARREN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-30
current
pecos_ownership
GREER, LAUREN
ADP OF THE SNF
—
2023-11-29
current
pecos_ownership
HOEHN, JEFFREY
ADP OF THE SNF
—
2016-12-01
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
NSH REHAB LLC
ADP OF THE SNF
—
2025-06-13
current
pecos_ownership
NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
NSHC WISCONSIN LLC
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
PATZER, COLLEEN
ADP OF THE SNF
—
2023-02-14
current
pecos_ownership
PURTELL, BRIAN
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
RAMNANAN, KESHNI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-16
current
pecos_ownership
RAMNANAN, KESHNI
ADP OF THE SNF
—
2016-12-21
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2016-12-21
ended 2026-05-18
pecos_ownership
NSHC WISCONSIN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-21
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2016-12-21
ended 2026-05-18
pecos_ownership
TROY BAUMANN
OPERATIONAL/MANAGERIAL CONTROL
50%
2016-12-21
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
$578,815
—
$578,815
—
—
1
—
2023-12-31
$497,833
—
—
—
—
1
—
2022-12-31
$474,654
—
—
—
—
1
—
2021-12-31
$306,123
—
—
—
—
1
—
2020-12-31
$347,374
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
36
Geo
Kind
BR
Amount
As of
Source
county 55073
acs median gross
0
$693
2024-12-31
CENSUS_ACS5
county 55073
fmr
0
$791
2025-10-01
HUD_USER_FMR
county 55073
acs median gross
1
$768
2024-12-31
CENSUS_ACS5
county 55073
fmr
1
$889
2025-10-01
HUD_USER_FMR
county 55073
acs median gross
2
$1,025
2024-12-31
CENSUS_ACS5
county 55073
fmr
2
$1,147
2025-10-01
HUD_USER_FMR
county 55073
acs median gross
3
$1,205
2024-12-31
CENSUS_ACS5
county 55073
fmr
3
$1,511
2025-10-01
HUD_USER_FMR
county 55073
acs median gross
4
$1,197
2024-12-31
CENSUS_ACS5
county 55073
fmr
4
$1,519
2025-10-01
HUD_USER_FMR
county 55073
acs median gross
5
$900
2024-12-31
CENSUS_ACS5
county 55073
acs median gross
$999
2024-12-31
CENSUS_ACS5
county 55073
acs recent mover gross
$1,088
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
0
$670
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
1
$732
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
2
$921
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
3
$1,079
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
4
$1,375
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
5
$1,721
2024-12-31
CENSUS_ACS5
zcta 54449
acs median gross
$849
2024-12-31
CENSUS_ACS5
zcta 54449
acs recent mover gross
$747
2024-12-31
CENSUS_ACS5
zip 54449
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 54449
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 54449
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 54449
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 54449
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 110
4
$1,496
2025-10-01
HUD_USER_SAFMR
zip 54449
payment standard 90
4
$1,224
2025-10-01
HUD_USER_SAFMR
zip 54449
safmr
4
$1,360
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.