Composite
59.3 / 100 percentile
Screener / 525495
B
Ascension Living - Lakeshore at Siena
snfWI
5643 ERIE STREET, RACINE, WI 53402 · CCN 525495 · chain ASCENSION HEALTH SENIOR CARE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 59.3% 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 signals9Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies57Licensure0Ownership21Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 70.0 | 47.7 | 0.30 | 0.2308 | 16.15 | in index |
| financial risk | 64.4 | 55.2 | 0.30 | 0.2308 | 14.86 | in index |
| regulatory risk | 61.4 | 52.9 | 0.30 | 0.2308 | 14.17 | in index |
| chow risk | 47.7 | 45.9 | 0.15 | 0.1154 | 5.50 | in index |
| staffing risk | 5.6 | 5.7 | 0.25 | 0.1923 | 1.08 | 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
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 12 chains | SIDHU SARFRAZ | 19 facilities |
| connection | Owner spans multiple chains | 5 chains | INTELYCARE INC | 6 facilities |
| connection | Owner spans multiple chains | 5 chains | HEALTH DIMENSIONS CONSULTING INC | 14 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | SMOOT KENNETH | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | ASCENSION HEALTH SENIOR CARE | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | MUSGRAVE LISA | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | SHADBOLT ERIN | 11 facilities |
| connection | Owner fleet enforcement cluster | 57% fined | MEDICAL SOLUTIONS LLC | 14 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | HEALTH DIMENSIONS CONSULTING INC | 20 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 | 47.7 | C | 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 | 66.8 | D | v0.6 | default · in composite | |
| financial risk | 55.2 | C | 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 | 0.0 | — | 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 | 52.9 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 5.7 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.4 | F | 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 | 71.4 | D | 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 | 57.6 | C | 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 | 57.9 | C | 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 | 52.8 | C | 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 | 52.8 | C | 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 | 5.7 | A | 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 | 5.7 | A | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Current owner tenure (years) | 8.08 | -1.06 | |
| Contract staffing share | 0.44 | +0.58 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.34 | |
| Total nurse staffing (HPRD) | 4.73 | -0.33 |
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 | 27.00 | -3.58 | |
| For-profit ownership | 0.00 | +1.62 | |
| Total nurse staffing (HPRD) | 4.73 | -0.64 | |
| Chain size (log) | 2.83 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.44 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.81 | -0.27 |
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 | 4.73 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.66 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 4.60 | 3.49 | 3.11 | — |
| Weekday total | 4.78 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 48.8 | 4.73 | 0.66 | 1.39 | 2.68 | 4.60 | 43.6% |
| 2025Q3 | 92 | 49.3 | 4.00 | 0.71 | 0.95 | 2.35 | 3.94 | 36.0% |
| 2025Q2 | 91 | 53.2 | 4.18 | 0.90 | 0.60 | 2.68 | 3.85 | 24.5% |
| 2025Q1 | 90 | 53.7 | 4.21 | 0.97 | 0.66 | 2.58 | 3.94 | 29.3% |
| 2024Q4 | 92 | 54.2 | 4.55 | 1.06 | 0.80 | 2.69 | 4.35 | 26.9% |
| 2024Q3 | 92 | 53.6 | 4.45 | 0.98 | 0.86 | 2.61 | 4.30 | 22.8% |
| 2024Q2 | 91 | 55.6 | 4.19 | 1.00 | 0.66 | 2.54 | 4.04 | 23.6% |
| 2024Q1 | 91 | 54.0 | 4.20 | 0.93 | 0.82 | 2.45 | 3.89 | 42.5% |
| 2023Q4 | 92 | 52.7 | 4.44 | 1.04 | 0.83 | 2.57 | 4.11 | 53.3% |
| 2023Q3 | 92 | 51.3 | 4.20 | 1.09 | 0.77 | 2.34 | 3.89 | 57.5% |
| 2023Q2 | 91 | 50.8 | 4.17 | 1.21 | 0.83 | 2.14 | 4.02 | 61.9% |
| 2023Q1 | 90 | 50.1 | 4.40 | 1.03 | 1.00 | 2.37 | 4.22 | 66.4% |
| 2022Q4 | 92 | 45.0 | 3.98 | 1.09 | 0.75 | 2.13 | 3.75 | 59.7% |
| 2022Q3 | 92 | 44.3 | 3.98 | 0.97 | 0.71 | 2.30 | 3.73 | 45.0% |
| 2022Q2 | 91 | 38.0 | 4.50 | 1.24 | 0.79 | 2.48 | 4.16 | 18.4% |
| 2022Q1 | 90 | 28.4 | 5.40 | 1.71 | 0.88 | 2.81 | 4.88 | 10.2% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-23 | Payment Denial | — | CMS provider data |
Total fines on record: $0
Deficiencies
57C × 2D × 34E × 9F × 8G × 3H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-09 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-03-31 |
| 2026-02-09 | Health | 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 | 2026-03-31 |
| 2026-02-09 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-31 |
| 2026-02-09 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-31 |
| 2026-02-09 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-03-31 |
| 2026-02-09 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | 2026-04-27 |
| 2026-02-09 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-27 |
| 2026-02-09 | 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 | 2026-03-31 |
| 2026-02-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2026-03-31 |
| 2026-02-09 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-03-31 |
| 2026-02-09 | 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 | 2026-03-31 |
| 2026-02-09 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-03-31 |
| 2026-02-09 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-03-31 |
| 2026-02-09 | 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 | 2026-03-31 |
| 2026-02-09 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2026-03-31 |
| 2026-02-09 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-03-31 |
| 2026-02-09 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2026-03-31 |
| 2026-02-09 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-31 |
| 2026-02-09 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2026-03-31 |
| 2026-02-09 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2026-03-31 |
| 2026-02-09 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2026-03-31 |
| 2025-07-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-08 |
| 2025-07-21 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-08-08 |
| 2025-05-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-19 |
| 2025-02-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-07 |
| 2024-12-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-21 |
| 2024-12-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-21 |
| 2024-09-23 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2024-11-01 |
| 2024-09-23 | Health | 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 | 2024-11-01 |
| 2024-09-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-23 |
| 2024-09-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-01 |
| 2024-09-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-01 |
| 2024-09-23 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-23 |
| 2024-09-23 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-11-01 |
| 2024-09-23 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2024-10-23 |
| 2024-04-17 | 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 | 2024-05-14 |
| 2024-04-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-14 |
| 2024-04-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-14 |
| 2024-01-23 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-07 |
| 2024-01-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-07 |
| 2023-10-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-11-09 |
| 2023-06-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-08-07 |
| 2023-06-22 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-07-26 |
| 2023-06-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-20 |
| 2023-06-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-26 |
| 2023-06-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-07-26 |
| 2023-06-22 | Health | F0732 | Post nurse staffing information every day. | C | 2023-07-15 |
| 2023-06-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-07-26 |
| 2023-06-22 | 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 | 2023-07-20 |
| 2023-06-22 | Health | 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 | 2023-07-26 |
| 2023-06-22 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2023-07-20 |
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
21| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-07-01 | current | pecos_ownership |
| AJAYI, OLUSOLA | ADP OF THE SNF | — | 2025-05-19 | current | pecos_ownership |
| ASCENSION HEALTH SENIOR CARE | ADP OF THE SNF | — | 2015-07-14 | current | pecos_ownership |
| HEALTH DIMENSIONS CONSULTING INC | ADP OF THE SNF | — | 2019-08-02 | current | pecos_ownership |
| HOUSE HEALTHCARE SOLUTIONS LLC | ADP OF THE SNF | — | 2025-06-10 | current | pecos_ownership |
| INTELYCARE INC | ADP OF THE SNF | — | 2022-02-08 | current | pecos_ownership |
| MEDICAL SOLUTIONS LLC | ADP OF THE SNF | — | 2017-06-14 | current | pecos_ownership |
| METIS LTC LLC | ADP OF THE SNF | — | 2024-09-02 | current | pecos_ownership |
| MUSGRAVE, LISA | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| PERSONNEL SPECIALISTS LLC | ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| PROLINK HEALTHCARE LLC | ADP OF THE SNF | — | 2023-04-26 | current | pecos_ownership |
| SHADBOLT, ERIN | CORPORATE OFFICER | — | 2022-10-17 | current | pecos_ownership |
| SHADBOLT, ERIN | CORPORATE DIRECTOR | — | 2024-01-01 | current | pecos_ownership |
| SIDHU, SARFRAZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| SMOOT, KENNETH | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| ERIN SHADBOLT | CORPORATE OFFICER | — | 2022-10-17 | ended 2026-05-18 | pecos_ownership |
| ERIN SHADBOLT | CORPORATE DIRECTOR | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| KENNETH SMOOT | CORPORATE DIRECTOR | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| LISA MUSGRAVE | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| OLUSOLA AJAYI | ADP OF THE SNF | — | 2025-05-19 | ended 2026-05-18 | pecos_ownership |
| SARFRAZ SIDHU | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-07-01 | — | ASCENSION LIVING - LAKESHORE AT SIENA INC | ASCENSION ALL SAINTS HOSPITAL INC | chow |
Comparable trades — WI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF 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 55101 | acs median gross | 0 | $1,037 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | fmr | 0 | $851 | 2025-10-01 | HUD_USER_FMR |
| county 55101 | acs median gross | 1 | $819 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | fmr | 1 | $988 | 2025-10-01 | HUD_USER_FMR |
| county 55101 | acs median gross | 2 | $1,076 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | fmr | 2 | $1,235 | 2025-10-01 | HUD_USER_FMR |
| county 55101 | acs median gross | 3 | $1,277 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | fmr | 3 | $1,592 | 2025-10-01 | HUD_USER_FMR |
| county 55101 | acs median gross | 4 | $1,473 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | fmr | 4 | $1,962 | 2025-10-01 | HUD_USER_FMR |
| county 55101 | acs median gross | 5 | $1,187 | 2024-12-31 | CENSUS_ACS5 |
| county 55101 | acs median gross | $1,080 | 2024-12-31 | CENSUS_ACS5 | |
| county 55101 | acs recent mover gross | $1,216 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53402 | acs median gross | 0 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53402 | acs median gross | 1 | $881 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53402 | acs median gross | 2 | $1,102 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53402 | acs median gross | 3 | $1,360 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53402 | acs median gross | 4 | $1,411 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53402 | acs median gross | $1,113 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53402 | acs recent mover gross | $1,151 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53402 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 110 | 1 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 90 | 1 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | safmr | 1 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 110 | 2 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 90 | 2 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | safmr | 2 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 110 | 3 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 90 | 3 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | safmr | 3 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 110 | 4 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | payment standard 90 | 4 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53402 | safmr | 4 | $2,020 | 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.