1701 S 11th Street, Kalamazoo, MI 49009 · CCN 235282 · chain B&Y TRUST
Composite
10.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
39
Model
v1.2
Reads as: riskier than 10.5% 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
MI median
National median
National p25–p75
Total nurse
3.39
3.52
3.28
2.90–3.77
RN
0.44
0.47
0.39
0.25–0.58
Weekend total
3.29
3.32
3.11
—
Weekday total
3.42
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.9
3.39
0.44
0.88
2.07
3.29
0.0%
2025Q3
92
36.9
3.34
0.47
0.79
2.07
3.22
0.0%
2025Q2
91
37.3
3.34
0.41
0.89
2.04
3.25
0.0%
2025Q1
90
37.6
3.27
0.48
0.77
2.01
3.10
0.0%
2024Q4
92
37.7
3.25
0.52
0.75
1.99
3.11
0.0%
2024Q3
92
37.6
3.51
0.55
0.79
2.18
3.39
0.0%
2024Q2
91
37.4
3.60
0.43
0.91
2.25
3.43
0.0%
2024Q1
91
38.7
3.36
0.35
0.86
2.16
3.09
0.0%
2023Q4
92
38.6
3.43
0.38
0.88
2.16
3.39
0.0%
2023Q3
92
36.8
3.55
0.59
0.69
2.27
3.43
0.0%
2023Q2
91
37.6
3.68
0.76
0.61
2.31
3.53
0.0%
2023Q1
90
37.2
3.55
0.51
0.77
2.27
3.36
0.0%
2022Q4
92
37.5
3.61
0.46
0.78
2.37
3.42
0.0%
2022Q3
92
37.3
3.56
0.45
0.84
2.28
3.49
0.0%
2022Q2
91
37.3
3.62
0.46
0.74
2.42
3.43
0.0%
2022Q1
90
36.5
3.60
0.54
0.74
2.32
3.48
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-08-21
2025-07-09
Health
F0679
Provide activities to meet all resident's needs.
D
2025-07-29
2025-07-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-07-29
2025-07-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-29
2025-07-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-21
2025-07-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-07-29
2025-05-14
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-22
2024-08-01
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
2024-08-20
2024-08-01
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.
D
2024-08-20
2024-08-01
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-08-20
2024-08-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-20
2024-08-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-20
2024-05-23
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-02-12
2023-06-14
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2023-07-11
2023-06-14
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-07-11
2023-06-14
Health · complaint
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.
D
2023-07-11
2023-06-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-07-11
2023-06-14
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-11
2023-06-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-11
2023-06-14
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
2023-07-11
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
20
Owner
Role
Pct
From
Status
Source
ARK OPCO GROUP, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-07-01
current
pecos_ownership
B&Y TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-07-01
current
pecos_ownership
CODY HEALTHCARE S CORP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-07-01
current
pecos_ownership
CRAIG FLASHNER 2007 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-07-01
current
pecos_ownership
FLASHNER, CRAIG
CORPORATE DIRECTOR
—
2015-07-02
current
pecos_ownership
FLASHNER, CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
KIRK, KRISTINE
W-2 MANAGING EMPLOYEE
—
2016-09-02
current
pecos_ownership
NOBLE HEALTHCARE MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
NORCROSS, ROBERT
CONTRACTED MANAGING EMPLOYEE
—
2015-07-01
current
pecos_ownership
PERLSTEIN, YITZCHOK
CORPORATE DIRECTOR
—
2015-07-02
current
pecos_ownership
PERLSTEIN, YITZCHOK
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
PRESTIGE ADMINISTRATIVE SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
ROGERS, STACEY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
CRAIG FLASHNER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
ended 2026-05-18
pecos_ownership
CRAIG FLASHNER
CORPORATE DIRECTOR
—
2015-07-02
ended 2026-05-18
pecos_ownership
KRISTINE KIRK
W-2 MANAGING EMPLOYEE
—
2016-09-02
ended 2026-05-18
pecos_ownership
ROBERT NORCROSS
CONTRACTED MANAGING EMPLOYEE
—
2015-07-01
ended 2026-05-18
pecos_ownership
STACEY ROGERS
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
ended 2026-05-18
pecos_ownership
YITZCHOK PERLSTEIN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
ended 2026-05-18
pecos_ownership
YITZCHOK PERLSTEIN
CORPORATE DIRECTOR
—
2015-07-02
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
$147,275
—
$147,275
—
—
6
—
2023-12-31
$139,534
—
$139,534
—
—
6
—
2022-12-31
$153,882
—
$153,882
—
—
6
—
2021-12-31
$148,458
—
$148,458
—
—
6
—
2020-12-31
$212,317
—
$212,317
—
—
6
—
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 26077
acs median gross
0
$902
2024-12-31
CENSUS_ACS5
county 26077
fmr
0
$838
2025-10-01
HUD_USER_FMR
county 26077
acs median gross
1
$966
2024-12-31
CENSUS_ACS5
county 26077
fmr
1
$998
2025-10-01
HUD_USER_FMR
county 26077
acs median gross
2
$1,127
2024-12-31
CENSUS_ACS5
county 26077
fmr
2
$1,162
2025-10-01
HUD_USER_FMR
county 26077
acs median gross
3
$1,381
2024-12-31
CENSUS_ACS5
county 26077
fmr
3
$1,531
2025-10-01
HUD_USER_FMR
county 26077
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 26077
fmr
4
$1,571
2025-10-01
HUD_USER_FMR
county 26077
acs median gross
5
$1,798
2024-12-31
CENSUS_ACS5
county 26077
acs median gross
$1,093
2024-12-31
CENSUS_ACS5
county 26077
acs recent mover gross
$1,158
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
0
$796
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
1
$992
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
2
$1,217
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
3
$1,410
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
4
$2,016
2024-12-31
CENSUS_ACS5
zcta 49009
acs median gross
$1,137
2024-12-31
CENSUS_ACS5
zcta 49009
acs recent mover gross
$1,230
2024-12-31
CENSUS_ACS5
zip 49009
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 49009
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 110
1
$1,166
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 90
1
$954
2025-10-01
HUD_USER_SAFMR
zip 49009
safmr
1
$1,060
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 49009
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 110
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 90
3
$1,458
2025-10-01
HUD_USER_SAFMR
zip 49009
safmr
3
$1,620
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 49009
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 49009
safmr
4
$1,660
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.