Reads as: riskier than 74.6% 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
WI median
National median
National p25–p75
Total nurse
3.54
3.60
3.28
2.90–3.77
RN
0.62
0.64
0.39
0.25–0.58
Weekend total
3.55
3.49
3.11
—
Weekday total
3.54
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.4
3.54
0.62
0.43
2.49
3.55
1.2%
2025Q3
92
56.1
3.31
0.64
0.35
2.32
3.23
0.1%
2025Q2
91
56.0
3.73
0.67
0.42
2.64
3.69
0.0%
2025Q1
90
55.9
3.76
0.70
0.34
2.72
3.95
1.2%
2024Q4
92
56.2
3.38
0.58
0.40
2.40
3.61
3.5%
2024Q3
92
60.3
3.31
0.57
0.30
2.44
3.29
2.2%
2024Q2
91
58.9
3.02
0.62
0.42
1.98
3.11
1.5%
2024Q1
91
56.0
3.43
0.63
0.50
2.30
3.52
2.6%
2023Q4
92
52.8
3.35
0.65
0.55
2.15
3.40
10.8%
2023Q3
92
57.8
3.31
0.65
0.56
2.10
3.24
7.0%
2023Q2
91
55.1
3.69
0.68
0.71
2.30
3.47
17.6%
2023Q1
90
53.7
3.64
0.68
0.77
2.19
3.47
16.3%
2022Q4
92
53.7
3.44
0.55
0.80
2.10
3.43
17.2%
2022Q3
92
60.7
3.51
0.52
0.67
2.33
3.40
13.4%
2022Q2
91
65.3
3.06
0.47
0.57
2.02
2.99
3.4%
2022Q1
90
56.1
3.46
0.56
0.68
2.23
3.26
2.8%
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
11
D × 8E × 1F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-17
2025-09-29
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2025-12-17
2025-06-12
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-06-30
2025-06-12
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-30
2025-02-19
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
2025-03-19
2025-02-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-19
2025-02-19
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-03-19
2025-02-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-19
2025-02-19
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.
D
2025-03-19
2023-12-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-03
2023-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-22
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
32
Owner
Role
Pct
From
Status
Source
BLAUBACH, TRACY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-27
current
pecos_ownership
CARLSON, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
current
pecos_ownership
DERUYTER, KELLI
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
FULLHART, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-03
current
pecos_ownership
GOYAL, ALOK
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KARLS, JAMES
CORPORATE DIRECTOR
—
2024-11-11
current
pecos_ownership
KATZER, SHERI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KIRKEGAARD, JONATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
MALCHOW, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-13
current
pecos_ownership
MILLER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-04
current
pecos_ownership
O' CONNOR, PATRICK
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
OMEARA, CHARLES
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
PRETRE, NICOLE
CORPORATE OFFICER
—
2021-05-15
current
pecos_ownership
ROSS, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
current
pecos_ownership
WISNEFSKE, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
current
pecos_ownership
ZWYGART, CHRISTOPHER
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
current
pecos_ownership
JAMES KARLS
CORPORATE DIRECTOR
0%
2024-11-11
ended 2026-05-18
pecos_ownership
NICOLE PRETRE
CORPORATE OFFICER
0%
2021-05-15
ended 2026-05-18
pecos_ownership
ALOK GOYAL
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
CHARLES OMEARA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER ZWYGART
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
ended 2026-05-18
pecos_ownership
JENNIFER FULLHART
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-03
ended 2026-05-18
pecos_ownership
JONATHAN KIRKEGAARD
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
JOSEPH CARLSON
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
ended 2026-05-18
pecos_ownership
KELLI DERUYTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
MICHAEL WISNEFSKE
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
ended 2026-05-18
pecos_ownership
PATRICK O' CONNOR
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
SARAH MALCHOW
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-13
ended 2026-05-18
pecos_ownership
SHERI KATZER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
THOMAS ROSS
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
ended 2026-05-18
pecos_ownership
TODD MILLER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-04
ended 2026-05-18
pecos_ownership
TRACY BLAUBACH
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-27
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 55131
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
1
$915
2024-12-31
CENSUS_ACS5
county 55131
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
2
$1,150
2024-12-31
CENSUS_ACS5
county 55131
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
3
$1,413
2024-12-31
CENSUS_ACS5
county 55131
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
4
$1,558
2024-12-31
CENSUS_ACS5
county 55131
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
5
$1,299
2024-12-31
CENSUS_ACS5
county 55131
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 55131
acs recent mover gross
$1,500
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
0
$1,583
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
1
$907
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
3
$1,300
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
4
$2,007
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
5
$1,311
2024-12-31
CENSUS_ACS5
zcta 53095
acs median gross
$1,086
2024-12-31
CENSUS_ACS5
zcta 53095
acs recent mover gross
$1,658
2024-12-31
CENSUS_ACS5
zip 53095
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 53095
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 53095
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 110
2
$1,375
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 90
2
$1,125
2025-10-01
HUD_USER_SAFMR
zip 53095
safmr
2
$1,250
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 53095
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 53095
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 53095
safmr
4
$1,670
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.