302 Second Street NE, Mason City, IA 50401 · CCN 165072
Composite
62.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
180
Model
v1.2
Reads as: riskier than 62.3% 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.
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
IA median
National median
National p25–p75
Total nurse
3.49
3.15
3.28
2.90–3.77
RN
0.27
0.46
0.39
0.25–0.58
Weekend total
3.36
2.96
3.11
—
Weekday total
3.54
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
151.8
3.49
0.27
0.66
2.56
3.36
51.5%
2025Q3
92
156.1
3.38
0.28
0.64
2.46
3.28
54.2%
2025Q2
91
157.5
3.35
0.27
0.65
2.43
3.26
53.2%
2025Q1
90
154.5
3.58
0.31
0.64
2.63
3.44
49.2%
2024Q4
92
157.1
3.48
0.22
0.71
2.55
3.38
43.8%
2024Q3
92
161.6
3.26
0.23
0.68
2.35
3.09
33.2%
2024Q2
91
161.4
3.19
0.33
0.57
2.29
2.94
35.1%
2024Q1
91
157.8
3.13
0.27
0.58
2.28
2.88
34.1%
2023Q4
92
156.5
3.27
0.29
0.57
2.41
3.04
37.3%
2023Q3
92
155.6
2.91
0.35
0.51
2.05
2.82
28.7%
2023Q2
91
160.5
2.86
0.32
0.53
2.01
2.75
25.5%
2023Q1
90
159.6
2.97
0.33
0.41
2.22
2.83
29.3%
2022Q4
92
159.3
2.31
0.31
0.04
1.95
2.25
24.5%
2022Q3
92
161.7
2.60
0.25
0.61
1.75
2.50
8.7%
2022Q2
91
157.8
2.78
0.29
0.57
1.92
2.61
4.8%
2022Q1
90
161.2
2.75
0.28
0.52
1.95
2.74
1.4%
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 appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-09
2026-02-24
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-03-09
2025-12-11
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-01-05
2025-12-11
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-06-02
2025-12-11
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-01-05
2025-12-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-01-05
2025-12-11
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2026-01-05
2025-03-13
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-03
2025-03-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-03
2025-03-13
Health · complaint
F0713
Provide or arrange emergency care by a doctor 24 hours a day.
G
2025-04-03
2024-10-31
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-11-16
2024-10-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-16
2024-10-31
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
2024-11-16
2024-10-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-11-16
2024-10-31
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
2024-11-16
2024-10-31
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
2024-11-16
2024-10-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-16
2024-09-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-27
2024-08-30
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-27
2024-08-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-09-17
2024-08-30
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-09-27
2023-11-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-20
2023-07-06
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-08-06
2023-07-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-08-06
2023-07-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-06
2023-07-06
Health
F0732
Post nurse staffing information every day.
F
2023-08-06
2023-07-06
Health
F0814
Dispose of garbage and refuse properly.
F
2023-08-06
2023-07-06
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-06
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
33
Owner
Role
Pct
From
Status
Source
ALDEN, KATHRYN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
BOEDEKER, JOHN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
DEMARIS, ANNE
W-2 MANAGING EMPLOYEE
—
2008-11-19
current
pecos_ownership
DOUGLAS, TOM
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
EVERIST, BURTON
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
FLYNN, ANNE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GERRIETTS, DAN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GOOD SHEPHERD GERIATRIC CENTER INC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-11-19
current
pecos_ownership
HUNT, SAMUEL
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
MADDEN, THELMA
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PAULSON, KIRK
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SCHUMAKER, TERRY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SHIPMAN, SCOTT
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SMED, SCOTT
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
STOCKBEGER, IAN
W-2 MANAGING EMPLOYEE
—
2013-12-01
current
pecos_ownership
WHITE, JERROLD
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
ZOOK, ANNE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
ANNE DEMARIS
W-2 MANAGING EMPLOYEE
—
2008-11-19
ended 2026-05-18
pecos_ownership
ANNE FLYNN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
ANNE ZOOK
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
BURTON EVERIST
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
DAN GERRIETTS
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
IAN STOCKBEGER
CORPORATE OFFICER
—
2013-12-01
ended 2026-05-18
pecos_ownership
JERROLD WHITE
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
JOHN BOEDEKER
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
KATHRYN ALDEN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
KIRK PAULSON
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
SAMUEL HUNT
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
SCOTT SHIPMAN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
SCOTT SMED
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
TERRY SCHUMAKER
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
THELMA MADDEN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
TOM DOUGLAS
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
34
Geo
Kind
BR
Amount
As of
Source
county 19033
acs median gross
0
$654
2024-12-31
CENSUS_ACS5
county 19033
fmr
0
$746
2025-10-01
HUD_USER_FMR
county 19033
acs median gross
1
$686
2024-12-31
CENSUS_ACS5
county 19033
fmr
1
$750
2025-10-01
HUD_USER_FMR
county 19033
acs median gross
2
$880
2024-12-31
CENSUS_ACS5
county 19033
fmr
2
$949
2025-10-01
HUD_USER_FMR
county 19033
acs median gross
3
$1,062
2024-12-31
CENSUS_ACS5
county 19033
fmr
3
$1,226
2025-10-01
HUD_USER_FMR
county 19033
acs median gross
4
$1,146
2024-12-31
CENSUS_ACS5
county 19033
fmr
4
$1,446
2025-10-01
HUD_USER_FMR
county 19033
acs median gross
$850
2024-12-31
CENSUS_ACS5
county 19033
acs recent mover gross
$839
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
0
$670
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
1
$701
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
2
$915
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
3
$1,047
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
4
$1,047
2024-12-31
CENSUS_ACS5
zcta 50401
acs median gross
$875
2024-12-31
CENSUS_ACS5
zcta 50401
acs recent mover gross
$811
2024-12-31
CENSUS_ACS5
zip 50401
payment standard 110
0
$836
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 90
0
$684
2025-10-01
HUD_USER_SAFMR
zip 50401
safmr
0
$760
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 50401
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 50401
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 50401
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 50401
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 50401
safmr
4
$1,480
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.