475 Yellow Creek Rd, EVANSTON, WY 82930 · CCN 535038
Composite
65.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 65.3% 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.
ML signals — parallel engine
17
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.3 vs natl
SIMMONS BENJAMIN
11 facilities
connection
Owner fleet risk far above national
+31.3 vs natl
WINTERHOLLER DAVID
11 facilities
connection
Owner fleet risk far above national
+22.8 vs natl
CONNELL ERIC
11 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
BANGERTER EDWARD
14 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
MIKESELL BRADLEY
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
SAMUELSON LANCE
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
WIDDISON ALAN
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
BEEMAN RAYMOND
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
BOARDMAN LAURA
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
HALE FREDRICK
7 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GATHERUM JASON
14 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
MORRISSEY ROBERT
13 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
8 facilities
NORTH BIG HORN HOSPITAL DISTRICT
8 facilities
connection
Owner fleet enforcement cluster
73% fined
CONNELL ERIC
11 facilities
connection
Owner fleet enforcement cluster
73% fined
SIMMONS BENJAMIN
11 facilities
connection
Owner fleet enforcement cluster
73% fined
WINTERHOLLER DAVID
11 facilities
connection
Owner fleet enforcement cluster
62% fined
MORRISSEY ROBERT
13 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
WY median
National median
National p25–p75
Total nurse
2.94
3.23
3.28
2.90–3.77
RN
0.54
0.56
0.39
0.25–0.58
Weekend total
2.81
3.13
3.11
—
Weekday total
2.99
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.8
2.94
0.54
0.41
2.00
2.81
1.2%
2025Q3
92
46.2
2.78
0.49
0.42
1.88
2.80
1.3%
2025Q2
91
45.5
2.79
0.56
0.38
1.85
2.86
0.9%
2025Q1
90
44.8
2.60
0.56
0.39
1.66
2.55
1.8%
2024Q4
92
44.0
2.74
0.65
0.32
1.78
2.73
7.0%
2024Q3
92
44.9
2.71
0.65
0.30
1.76
2.62
7.0%
2024Q2
91
43.8
2.52
0.60
0.30
1.63
2.33
10.2%
2024Q1
91
46.4
2.35
0.55
0.37
1.43
2.32
19.0%
2023Q4
92
43.6
2.61
0.54
0.40
1.67
2.49
19.8%
2023Q3
92
46.4
2.74
0.46
0.40
1.88
2.63
9.9%
2023Q2
91
46.5
2.81
0.56
0.32
1.93
2.63
3.8%
2023Q1
90
42.9
2.86
0.69
0.30
1.88
2.81
2.1%
2022Q4
92
41.2
2.91
0.68
0.31
1.92
2.88
1.6%
2022Q3
92
42.0
3.21
0.65
0.34
2.22
3.09
1.7%
2022Q2
91
43.4
2.98
0.50
0.34
2.14
2.86
0.9%
2022Q1
90
41.5
2.87
0.51
0.43
1.93
2.73
6.6%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2026-05-19
2026-04-16
Health
F0679
Provide activities to meet all resident's needs.
D
2026-05-19
2026-04-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-19
2025-03-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-03-07
2024-09-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-09-05
2024-08-22
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
2024-09-27
2024-08-22
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-09-27
2024-08-22
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2024-09-27
2023-06-29
Health
F0732
Post nurse staffing information every day.
B
2023-07-03
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
54
Owner
Role
Pct
From
Status
Source
BANGERTE, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
BANGERTER, EDWARD
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
BANGERTER, EDWARD
ADP OF THE SNF
—
2019-12-30
current
pecos_ownership
BANGERTER, JOHNATHAN
ADP OF THE SNF
—
2020-02-25
current
pecos_ownership
BANGERTER, JOHNATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
BEEMAN, RAYMOND
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
BOARDMAN, LAURA
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
BUNOT, NANCY
ADP OF THE SNF
—
2008-01-25
current
pecos_ownership
CAPENER, RICHARD
ADP OF THE SNF
—
2022-11-01
current
pecos_ownership
CONNELL, ERIC
CORPORATE OFFICER
—
2020-10-05
current
pecos_ownership
DARBY, MEGAN
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
GATHERUM, JASON
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
HALE, FREDRICK
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
HANSEN, KENT
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
MIKESELL, BRADLEY
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
MORRISON, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
current
pecos_ownership
NEVES, COURTNEY
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
OWENS, JON
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
RMC AUTO
Other (financial or non-financial)
—
2024-07-01
current
hcris_a_8_1
RMC AUTO
Other (financial or non-financial)
—
2023-07-01
current
hcris_a_8_1
ROCKY MOUNTAIN CARE EVANSTON INC
ADP OF THE SNF
—
2025-11-11
current
pecos_ownership
ROCKY MOUNTAIN CARE EVANSTON INC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-15
current
pecos_ownership
ROCKY MOUNTAIN CARE LLC
ADP OF THE SNF
—
2025-11-06
current
pecos_ownership
SAMUELSON, LANCE
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
SIMMONS, BENJAMIN
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
current
pecos_ownership
SNOWBALL, KELLY
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
current
pecos_ownership
WIDDISON, ALAN
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
current
pecos_ownership
WINTERHOLLER, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
current
pecos_ownership
ALAN WIDDISON
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
ASPEN TECHNOLOG
Other (financial or non-financial)
—
2022-07-01
ended 2023-06-30
hcris_a_8_1
ASPEN TECHNOLOG
Other (financial or non-financial)
—
2021-07-01
ended 2022-06-30
hcris_a_8_1
ASPEN TECHNOLOG
Other (financial or non-financial)
—
2020-07-01
ended 2021-06-30
hcris_a_8_1
BENJAMIN SIMMONS
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
ended 2026-05-18
pecos_ownership
BRADLEY MIKESELL
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
COURTNEY NEVES
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
DAVID WINTERHOLLER
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
ended 2026-05-18
pecos_ownership
EDWARD BANGERTER
ADP OF THE SNF
—
2019-12-30
ended 2026-05-18
pecos_ownership
EDWARD BANGERTER
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
ERIC CONNELL
CORPORATE OFFICER
—
2020-10-05
ended 2026-05-18
pecos_ownership
FREDRICK HALE
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
JASON GATHERUM
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
JOHNATHAN BANGERTER
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
JOHNATHAN BANGERTER
ADP OF THE SNF
—
2020-02-25
ended 2026-05-18
pecos_ownership
JON OWENS
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
KELLY SNOWBALL
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
KENT HANSEN
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
LANCE SAMUELSON
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
LAURA BOARDMAN
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
MEGAN DARBY
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
NANCY BUNOT
OPERATIONAL/MANAGERIAL CONTROL
—
2008-01-25
ended 2026-05-18
pecos_ownership
NATHAN BANGERTE
MANAGING CONTROL - GOVERNING BODY
—
2025-11-01
ended 2026-05-18
pecos_ownership
RAYMOND BEEMAN
MANAGING CONTROL - GOVERNING BODY
—
2022-09-22
ended 2026-05-18
pecos_ownership
RICHARD CAPENER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
ended 2026-05-18
pecos_ownership
ROBERT MORRISON
MANAGING CONTROL - GOVERNING BODY
—
2025-09-30
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
2025-06-30
$790,982
—
—
$355,257
$39,540
6
propco
2024-06-30
$652,969
—
—
$246,322
$13,195
4
propco
2023-06-30
$692,057
—
—
$264,609
$58,756
4
propco
2022-06-30
$656,673
—
—
$231,840
$55,488
4
propco
2021-06-30
$809,120
—
—
$352,070
$67,159
4
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
33
Geo
Kind
BR
Amount
As of
Source
county 56041
acs median gross
0
$506
2024-12-31
CENSUS_ACS5
county 56041
fmr
0
$664
2025-10-01
HUD_USER_FMR
county 56041
acs median gross
1
$629
2024-12-31
CENSUS_ACS5
county 56041
fmr
1
$734
2025-10-01
HUD_USER_FMR
county 56041
acs median gross
2
$743
2024-12-31
CENSUS_ACS5
county 56041
fmr
2
$963
2025-10-01
HUD_USER_FMR
county 56041
acs median gross
3
$1,123
2024-12-31
CENSUS_ACS5
county 56041
fmr
3
$1,339
2025-10-01
HUD_USER_FMR
county 56041
acs median gross
4
$825
2024-12-31
CENSUS_ACS5
county 56041
fmr
4
$1,467
2025-10-01
HUD_USER_FMR
county 56041
acs median gross
$900
2024-12-31
CENSUS_ACS5
county 56041
acs recent mover gross
$1,160
2024-12-31
CENSUS_ACS5
zcta 82930
acs median gross
0
$506
2024-12-31
CENSUS_ACS5
zcta 82930
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
zcta 82930
acs median gross
2
$737
2024-12-31
CENSUS_ACS5
zcta 82930
acs median gross
3
$1,071
2024-12-31
CENSUS_ACS5
zcta 82930
acs median gross
$847
2024-12-31
CENSUS_ACS5
zcta 82930
acs recent mover gross
$1,221
2024-12-31
CENSUS_ACS5
zip 82930
payment standard 110
0
$1,243
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 90
0
$1,017
2025-10-01
HUD_USER_SAFMR
zip 82930
safmr
0
$1,130
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 82930
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 82930
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 82930
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 110
4
$2,266
2025-10-01
HUD_USER_SAFMR
zip 82930
payment standard 90
4
$1,854
2025-10-01
HUD_USER_SAFMR
zip 82930
safmr
4
$2,060
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.