Reads as: riskier than 73.2% 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
4 chains
OLD NATIONAL BANK
5 facilities
connection
Owner spans multiple chains
4 chains
LIFE CARE SERVICES LLC
58 facilities
connection
Owner fleet enforcement cluster
50% fined
OLD NATIONAL BANK
6 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
15
2025Q4 HPRD
This facility
WI median
National median
National p25–p75
Total nurse
4.17
3.60
3.28
2.90–3.77
RN
0.37
0.64
0.39
0.25–0.58
Weekend total
4.13
3.49
3.11
—
Weekday total
4.19
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
4.17
0.37
0.75
3.06
4.13
13.6%
2025Q3
92
40.3
4.50
0.43
0.85
3.22
4.51
14.7%
2025Q2
91
39.7
4.64
0.54
0.73
3.37
4.69
14.9%
2025Q1
90
38.7
5.00
0.53
0.82
3.65
4.79
21.3%
2024Q4
92
38.0
4.62
0.48
0.84
3.29
4.59
17.2%
2024Q3
92
38.0
4.62
0.41
0.95
3.26
4.58
16.8%
2024Q2
91
37.7
4.65
0.44
0.91
3.30
4.67
22.5%
2024Q1
91
39.1
4.37
0.54
0.70
3.13
4.39
16.9%
2023Q4
92
40.0
4.49
0.57
0.79
3.14
4.55
18.5%
2023Q3
92
40.5
4.17
0.48
0.75
2.93
4.22
17.6%
2023Q2
91
39.9
2.81
0.43
0.58
1.80
2.87
0.0%
2023Q1
90
38.0
4.25
0.65
0.52
3.09
4.35
0.0%
2022Q4
92
34.9
4.84
0.70
0.57
3.56
5.10
0.0%
2022Q3
92
33.1
5.26
0.68
0.65
3.93
5.30
0.0%
2022Q2
91
33.8
4.19
0.53
0.61
3.05
3.82
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-03-19
2026-02-18
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-03-19
2026-02-18
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2026-03-19
2026-02-18
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-03-19
2026-02-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-03-19
2026-02-18
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-03-19
2026-02-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-19
2026-02-18
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2026-03-19
2026-02-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2026-03-19
2026-02-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-19
2026-02-18
Health
F0732
Post nurse staffing information every day.
C
2026-03-19
2026-02-18
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-03-19
2026-02-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-03-19
2025-07-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-08-14
2024-11-27
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-12-27
2024-11-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-27
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
BECKER, LAURIE
CORPORATE OFFICER
—
2024-10-22
current
pecos_ownership
BECKER, LAURIE
CORPORATE DIRECTOR
—
2024-06-28
current
pecos_ownership
BEER, ALEXANDER
CORPORATE DIRECTOR
—
2025-01-28
current
pecos_ownership
BISSONNETTE, JULIE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
BISSONNETTE, JULIE
CORPORATE DIRECTOR
—
2021-10-26
current
pecos_ownership
BREMER BANK NATIONAL ASSOCIATION
5% OR GREATER SECURITY INTEREST
—
2022-05-05
current
pecos_ownership
HARRIS, BROOKE
MANAGING CONTROL - GOVERNING BODY
—
2025-11-16
current
pecos_ownership
JEGLUM, BONNIE
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
LANGE, GEORGE
CORPORATE DIRECTOR
—
2015-03-24
current
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-01
current
pecos_ownership
MAREK, GEORGE
CORPORATE DIRECTOR
—
2016-10-25
current
pecos_ownership
MAREK, GEORGE
CORPORATE OFFICER
—
2021-06-22
current
pecos_ownership
NORMINGTON, HAVILAH
CORPORATE DIRECTOR
—
2018-06-26
current
pecos_ownership
O'DONNELL, NANCY
CORPORATE OFFICER
—
2016-10-25
current
pecos_ownership
O'DONNELL, NANCY
CORPORATE DIRECTOR
—
2022-11-18
current
pecos_ownership
OLD NATIONAL BANK
5% OR GREATER SECURITY INTEREST
—
2022-05-01
current
pecos_ownership
RAMANUJAM, SANDEEP
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
REILLY, DENNIS
CORPORATE DIRECTOR
—
2024-10-22
current
pecos_ownership
RODGERS, KAREN
CORPORATE DIRECTOR
—
2024-10-22
current
pecos_ownership
SITZBERGER, BRADLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2006-03-13
current
pecos_ownership
TICE, BARBARA
CORPORATE DIRECTOR
—
2013-04-01
current
pecos_ownership
TILLMAR, KATHERINE
CORPORATE DIRECTOR
—
2022-10-25
current
pecos_ownership
WILLIAMSON, JOANNE
CORPORATE DIRECTOR
—
2023-06-28
current
pecos_ownership
WILLIAMSON, JOANNE
CORPORATE OFFICER
—
2024-10-22
current
pecos_ownership
NANCY O'DONNELL
CORPORATE OFFICER
100%
2016-10-25
ended 2026-05-18
pecos_ownership
ALEXANDER BEER
CORPORATE DIRECTOR
0%
2025-01-28
ended 2026-05-18
pecos_ownership
BARBARA TICE
CORPORATE DIRECTOR
0%
2013-04-01
ended 2026-05-18
pecos_ownership
BONNIE JEGLUM
CORPORATE OFFICER
0%
2023-01-01
ended 2026-05-18
pecos_ownership
DENNIS REILLY
CORPORATE DIRECTOR
0%
2024-10-22
ended 2026-05-18
pecos_ownership
GEORGE LANGE
CORPORATE DIRECTOR
0%
2015-03-24
ended 2026-05-18
pecos_ownership
GEORGE MAREK
CORPORATE OFFICER
0%
2021-06-22
ended 2026-05-18
pecos_ownership
GEORGE MAREK
CORPORATE DIRECTOR
0%
2016-10-25
ended 2026-05-18
pecos_ownership
HAVILAH NORMINGTON
CORPORATE DIRECTOR
0%
2018-06-26
ended 2026-05-18
pecos_ownership
JOANNE WILLIAMSON
CORPORATE OFFICER
0%
2024-10-22
ended 2026-05-18
pecos_ownership
JULIE BISSONNETTE
CORPORATE DIRECTOR
0%
2021-10-26
ended 2026-05-18
pecos_ownership
KAREN RODGERS
CORPORATE DIRECTOR
0%
2024-10-22
ended 2026-05-18
pecos_ownership
KATHERINE TILLMAR
CORPORATE DIRECTOR
0%
2022-10-25
ended 2026-05-18
pecos_ownership
LAURIE BECKER
CORPORATE OFFICER
0%
2024-10-22
ended 2026-05-18
pecos_ownership
NANCY O'DONNELL
CORPORATE DIRECTOR
0%
2022-11-18
ended 2026-05-18
pecos_ownership
BRADLEY SITZBERGER
OPERATIONAL/MANAGERIAL CONTROL
—
2006-03-13
ended 2026-05-18
pecos_ownership
BROOKE HARRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-16
ended 2026-05-18
pecos_ownership
JOANNE WILLIAMSON
CORPORATE DIRECTOR
—
2023-06-28
ended 2026-05-18
pecos_ownership
JULIE BISSONNETTE
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
LAURIE BECKER
CORPORATE DIRECTOR
—
2024-06-28
ended 2026-05-18
pecos_ownership
SANDEEP RAMANUJAM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
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
36
Geo
Kind
BR
Amount
As of
Source
county 55079
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 55079
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
1
$927
2024-12-31
CENSUS_ACS5
county 55079
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
2
$1,130
2024-12-31
CENSUS_ACS5
county 55079
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
3
$1,280
2024-12-31
CENSUS_ACS5
county 55079
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
4
$1,384
2024-12-31
CENSUS_ACS5
county 55079
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
5
$1,458
2024-12-31
CENSUS_ACS5
county 55079
acs median gross
$1,101
2024-12-31
CENSUS_ACS5
county 55079
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
0
$1,115
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
1
$1,005
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
2
$1,379
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
3
$1,782
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
4
$2,580
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
5
$1,926
2024-12-31
CENSUS_ACS5
zcta 53211
acs median gross
$1,287
2024-12-31
CENSUS_ACS5
zcta 53211
acs recent mover gross
$1,322
2024-12-31
CENSUS_ACS5
zip 53211
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 53211
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 53211
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 110
2
$1,804
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 90
2
$1,476
2025-10-01
HUD_USER_SAFMR
zip 53211
safmr
2
$1,640
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 110
3
$2,222
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 90
3
$1,818
2025-10-01
HUD_USER_SAFMR
zip 53211
safmr
3
$2,020
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 110
4
$2,409
2025-10-01
HUD_USER_SAFMR
zip 53211
payment standard 90
4
$1,971
2025-10-01
HUD_USER_SAFMR
zip 53211
safmr
4
$2,190
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.