Composite
86.2 / 100 percentile
Screener / 235174
D
Marshall Nursing and Rehabilitation Community
snfMI
575 N Madison Street, Marshall, MI 49068 · CCN 235174 · chain ATRIUM CENTERS MANAGEMENT LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 86.2% 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.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies76Licensure0Ownership41Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.8 | 94.2 | 0.30 | 0.2308 | 22.11 | in index |
| financial risk | 67.1 | 57.2 | 0.30 | 0.2308 | 15.48 | in index |
| billing conduct | 64.8 | 45.4 | 0.30 | 0.2308 | 14.95 | in index |
| staffing risk | 48.4 | 48.4 | 0.25 | 0.1923 | 9.31 | in index |
| chow risk | 18.1 | 17.7 | 0.15 | 0.1154 | 2.09 | 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
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner spans multiple chains | 24 chains | LUMENT REAL ESTATE CAPITAL LLC | 45 facilities |
| connection | Owner spans multiple chains | 18 chains | PLANTE MORAN PLLC | 55 facilities |
| connection | Owner spans multiple chains | 7 chains | OMNICARE LLC | 43 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 | 45.4 | 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 | 10.3 | A | v0.6 | default · in composite | |
| financial risk | 57.2 | 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 | 10.6 | — | 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 | 94.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 48.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.1 | C | 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 | 32.1 | B | 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 | 64.2 | 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 | 94.1 | F | 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 | 94.1 | F | 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 | 48.4 | C | 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 | 48.4 | C | 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)
10.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.30 | +0.30 | |
| Occupancy | 0.78 | -0.25 | |
| Contract staffing share | 0.20 | +0.22 |
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 | 25.00 | -3.21 | |
| Chain size (log) | 3.30 | -0.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.78 | -0.15 | |
| Contract staffing share | 0.20 | +0.14 | |
| Never sold on record | 1.00 | +0.12 |
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 | 3.31 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.33 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.05 | 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 | 47.0 | 3.31 | 0.33 | 1.07 | 1.92 | 3.05 | 20.2% |
| 2025Q3 | 92 | 46.5 | 3.43 | 0.33 | 1.09 | 2.01 | 3.23 | 15.7% |
| 2025Q2 | 91 | 48.0 | 3.29 | 0.34 | 0.98 | 1.96 | 2.96 | 11.5% |
| 2025Q1 | 90 | 48.7 | 2.98 | 0.49 | 0.66 | 1.84 | 2.90 | 10.9% |
| 2024Q4 | 92 | 45.9 | 3.27 | 0.49 | 0.74 | 2.04 | 3.01 | 13.6% |
| 2024Q3 | 92 | 48.6 | 3.51 | 0.55 | 0.73 | 2.23 | 3.38 | 21.5% |
| 2024Q2 | 91 | 49.9 | 3.32 | 0.45 | 0.71 | 2.15 | 3.19 | 12.5% |
| 2024Q1 | 91 | 53.4 | 2.84 | 0.28 | 0.70 | 1.86 | 2.77 | 13.4% |
| 2023Q4 | 92 | 52.4 | 3.21 | 0.31 | 0.70 | 2.20 | 3.03 | 10.0% |
| 2023Q3 | 92 | 52.0 | 2.86 | 0.25 | 0.71 | 1.90 | 2.50 | 1.3% |
| 2023Q2 | 91 | 49.6 | 2.96 | 0.12 | 0.86 | 1.98 | 2.73 | 0.0% |
| 2023Q1 | 90 | 53.4 | 2.85 | 0.26 | 0.82 | 1.77 | 2.44 | 0.0% |
| 2022Q4 | 92 | 55.3 | 2.45 | 0.19 | 0.73 | 1.52 | 2.19 | 0.0% |
| 2022Q3 | 92 | 56.8 | 2.05 | 0.34 | 0.57 | 1.13 | 1.85 | 0.0% |
| 2022Q2 | 91 | 57.1 | 1.93 | 0.39 | 0.60 | 0.94 | 1.73 | 0.0% |
| 2022Q1 | 90 | 56.4 | 1.96 | 0.41 | 0.62 | 0.93 | 1.79 | 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.
Penalties
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-20 | Payment Denial | — | CMS provider data |
| 2024-08-30 | Fine | $52,007 | CMS provider data |
| 2024-08-30 | Payment Denial | — | CMS provider data |
| 2023-10-11 | Fine | $53,853 | CMS provider data |
| 2023-10-11 | Payment Denial | — | CMS provider data |
Total fines on record: $105,860
Deficiencies
76D × 52E × 11F × 10G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-04-20 |
| 2026-03-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-20 |
| 2026-03-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-20 |
| 2026-03-04 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-03-23 |
| 2026-03-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-23 |
| 2026-02-05 | 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 | 2026-02-25 |
| 2025-09-08 | 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 | 2025-12-09 |
| 2025-09-08 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-12-09 |
| 2025-09-08 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-10-22 |
| 2025-09-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-10-22 |
| 2025-09-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-22 |
| 2025-09-08 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-12-09 |
| 2025-09-08 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2025-12-09 |
| 2025-09-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-22 |
| 2025-09-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-12-09 |
| 2025-09-08 | 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. | E | 2025-12-09 |
| 2025-09-08 | 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. | D | 2025-10-22 |
| 2025-09-08 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-10-22 |
| 2025-09-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-12-09 |
| 2025-09-08 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-12-09 |
| 2025-09-08 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-12-09 |
| 2025-09-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-22 |
| 2025-09-08 | 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 | 2025-10-22 |
| 2025-09-08 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-10-22 |
| 2025-08-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-24 |
| 2025-05-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-01 |
| 2025-05-29 | Health · complaint | 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. | D | 2025-07-01 |
| 2025-02-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2025-04-09 |
| 2025-02-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-09 |
| 2024-09-20 | 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. | D | 2024-10-17 |
| 2024-09-20 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | 2024-10-17 |
| 2024-09-20 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-17 |
| 2024-09-20 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-17 |
| 2024-09-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-17 |
| 2024-09-20 | 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 | 2024-11-20 |
| 2024-09-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-17 |
| 2024-09-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-17 |
| 2024-09-20 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-10-17 |
| 2024-09-20 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-17 |
| 2024-09-20 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-10-17 |
| 2024-09-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-11-20 |
| 2024-09-20 | 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 | 2024-11-20 |
| 2024-09-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-17 |
| 2024-09-20 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-17 |
| 2024-09-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-17 |
| 2024-09-20 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-10-17 |
| 2024-09-20 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-10-17 |
| 2024-09-20 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-11-20 |
| 2024-09-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-11-20 |
| 2024-08-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-16 |
| 2024-05-24 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2024-07-24 |
| 2024-05-24 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-06-25 |
| 2024-05-24 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-06-25 |
| 2024-05-24 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-06-25 |
| 2024-05-24 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2024-06-25 |
| 2024-05-24 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2024-06-25 |
| 2024-05-24 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2024-06-25 |
| 2024-03-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-19 |
| 2024-03-14 | 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 | 2024-04-19 |
| 2024-03-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-19 |
| 2024-03-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-19 |
| 2023-10-11 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2023-10-30 |
| 2023-10-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-23 |
| 2023-10-11 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-23 |
| 2023-10-11 | 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. | F | 2023-10-30 |
| 2023-10-11 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-10-30 |
| 2023-08-02 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-09-05 |
| 2023-08-02 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-05 |
| 2023-08-02 | 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 | 2023-09-05 |
| 2023-08-02 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-09-05 |
| 2023-08-02 | 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 | 2023-09-05 |
| 2023-08-02 | 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. | D | 2023-09-05 |
| 2023-08-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-05 |
| 2023-08-02 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-05 |
| 2023-08-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-05 |
| 2023-08-02 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2023-09-05 |
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ATRIUM CENTERS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-10-01 | current | pecos_ownership |
| ALBRIGHT ROSS, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-01-02 | current | pecos_ownership |
| ALBRIGHT ROSS, SUSAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-04-02 | current | pecos_ownership |
| AMICUS CAPITAL HOLDINGS INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-18 | current | pecos_ownership |
| AMICUS CAPITAL HOLDINGS, INC. EMPLOYEE STOCK OWNERSHIP TRUST | ADP OF THE SNF | — | 2021-08-18 | current | pecos_ownership |
| AMICUS PROPERTIES LLC | ADP OF THE SNF | — | 2021-01-01 | current | pecos_ownership |
| ANDERSON, CURT | ADP OF THE SNF | — | 2025-08-01 | current | pecos_ownership |
| ATRIUM CENTERS MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-10-01 | current | pecos_ownership |
| ATRIUM CENTERS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-08-20 | current | pecos_ownership |
| BAILEY, ESSEL | CORPORATE DIRECTOR | — | 2007-10-01 | current | pecos_ownership |
| BROAD RIVER REHABILITATION | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| CHERRY, JILL | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| EVERGREEN TWO LLC | ADP OF THE SNF | — | 2026-01-09 | current | pecos_ownership |
| FINNEY, DONALD | CORPORATE DIRECTOR | — | 2012-08-22 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2023-06-01 | current | pecos_ownership |
| GARDNER, LESLIE | ADP OF THE SNF | — | 2025-08-29 | current | pecos_ownership |
| HENDERSHOT, NEIL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-24 | current | pecos_ownership |
| ISRAEL, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| JOHNSON, CINDY | MANAGING CONTROL - GOVERNING BODY | — | 2024-09-18 | current | pecos_ownership |
| LA ROCCO, CHRISSIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-22 | current | pecos_ownership |
| LEADERSTAT LTD | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| LUMENT REAL ESTATE CAPITAL LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2022-05-01 | current | pecos_ownership |
| OCS REAL ESTATE HOLDINGS LLC | ADP OF THE SNF | — | 2021-01-01 | current | pecos_ownership |
| OMNICARE LLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| ORION PROPERTIES SIXTEEN ALPHA LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| ORION PROPERTIES SIXTEEN ALPHA LLC | ADP OF THE SNF | — | 2022-05-01 | current | pecos_ownership |
| ORION PROPERTIES SIXTEEN ALPHA LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| PAREDES, MIGUEL | ADP OF THE SNF | — | 2021-08-18 | current | pecos_ownership |
| PLANTE & MORAN PLLC | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| MIGUEL PAREDES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-08-18 | ended 2026-05-18 | pecos_ownership |
| ESSEL BAILEY | CORPORATE DIRECTOR | 74% | 2007-10-01 | ended 2026-05-18 | pecos_ownership |
| DONALD FINNEY | CORPORATE DIRECTOR | 25% | 2012-08-22 | ended 2026-05-18 | pecos_ownership |
| CHRISSIE LA ROCCO | ADP OF THE SNF | — | 2025-04-22 | ended 2026-05-18 | pecos_ownership |
| CINDY JOHNSON | ADP OF THE SNF | — | 2024-09-18 | ended 2026-05-18 | pecos_ownership |
| CURT ANDERSON | ADP OF THE SNF | — | 2025-08-01 | ended 2026-05-18 | pecos_ownership |
| JILL CHERRY | ADP OF THE SNF | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| LESLIE GARDNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-29 | ended 2026-05-18 | pecos_ownership |
| NEIL HENDERSHOT | ADP OF THE SNF | — | 2025-06-24 | ended 2026-05-18 | pecos_ownership |
| ORION PROPERTIES SIXTEEN ALPHA LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ROBERT ISRAEL | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| SUSAN ALBRIGHT ROSS | ADP OF THE SNF | — | 2018-01-02 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26025 | acs median gross | 0 | $777 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 0 | $833 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 1 | $814 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 1 | $976 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 2 | $1,047 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 2 | $1,176 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 3 | $1,091 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 3 | $1,410 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 4 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | fmr | 4 | $1,565 | 2025-10-01 | HUD_USER_FMR |
| county 26025 | acs median gross | 5 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| county 26025 | acs median gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| county 26025 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49068 | acs median gross | 1 | $823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49068 | acs median gross | 2 | $1,217 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49068 | acs median gross | 3 | $1,005 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49068 | acs median gross | 4 | $1,322 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49068 | acs median gross | $1,033 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49068 | acs recent mover gross | $970 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49068 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 110 | 3 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 90 | 3 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | safmr | 3 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 110 | 4 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | payment standard 90 | 4 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49068 | safmr | 4 | $1,530 | 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.