Composite
98.4 / 100 percentile
Screener / 235214
F
Harmony Village of Clawson
snfMISFF: SFF Candidate
535 N Main, Clawson, MI 48017 · CCN 235214 · chain MISSION POINT METRO HOLDING LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 98.4% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties7Deficiencies114Licensure0Ownership8Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.5 | 97.6 | 0.30 | 0.2308 | 22.73 | in index |
| financial risk | 87.2 | 74.1 | 0.30 | 0.2308 | 20.12 | in index |
| billing conduct | 80.6 | 53.3 | 0.30 | 0.2308 | 18.60 | in index |
| chow risk | 87.1 | 65.6 | 0.15 | 0.1154 | 10.05 | in index |
| staffing risk | 32.8 | 32.9 | 0.25 | 0.1923 | 6.31 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.6 vs natl | MALI HARI | 18 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 | 53.3 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 86.1 | F | v0.6 | default · in composite | |
| financial risk | 74.1 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 0.1 | — | 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 | 97.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 32.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.0 | 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 | 76.0 | 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 | 71.7 | D | 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 | 72.9 | D | 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 | 97.5 | 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 | 97.5 | 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 | 32.9 | B | 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 | 32.9 | B | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
28.2
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 | |
| Current owner tenure (years) | 5.33 | -1.33 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.56 | +0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.59 | -0.11 | |
| Deficiencies, last 12 months | 3.00 | -0.10 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
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 | 3.00 | +0.87 | |
| Occupancy | 0.56 | +0.79 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | -0.43 | -0.23 | |
| Current owner tenure (years) | 5.33 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 3.59 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.40 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.54 | 3.32 | 3.11 | — |
| Weekday total | 3.61 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 67.3 | 3.59 | 0.40 | 0.81 | 2.39 | 3.54 | 0.0% |
| 2025Q3 | 92 | 69.7 | 3.56 | 0.55 | 0.73 | 2.28 | 3.57 | 0.0% |
| 2025Q2 | 91 | 69.9 | 3.92 | 0.39 | 1.08 | 2.44 | 3.92 | 0.0% |
| 2025Q1 | 90 | 67.5 | 3.64 | 0.40 | 0.91 | 2.32 | 3.61 | 0.0% |
| 2024Q4 | 92 | 66.6 | 4.03 | 0.38 | 0.92 | 2.72 | 4.06 | 0.0% |
| 2024Q3 | 92 | 72.6 | 3.73 | 0.41 | 0.89 | 2.42 | 3.64 | 0.3% |
| 2024Q2 | 91 | 78.2 | 2.89 | 0.30 | 0.67 | 1.92 | 2.79 | 5.7% |
| 2024Q1 | 91 | 94.5 | 1.70 | 0.17 | 0.29 | 1.24 | 1.68 | 6.6% |
| 2023Q4 | 92 | 93.1 | 2.55 | 0.16 | 0.68 | 1.70 | 2.60 | 2.5% |
| 2023Q3 | 92 | 102.6 | 2.70 | 0.18 | 0.78 | 1.74 | 2.58 | 0.0% |
| 2023Q2 | 91 | 87.4 | 2.76 | 0.14 | 0.85 | 1.77 | 2.66 | 0.0% |
| 2023Q1 | 90 | 84.4 | 2.65 | 0.21 | 0.62 | 1.82 | 2.52 | 0.0% |
| 2022Q4 | 92 | 80.5 | 2.63 | 0.21 | 0.68 | 1.74 | 2.43 | 10.1% |
| 2022Q3 | 92 | 79.6 | 2.61 | 0.22 | 0.70 | 1.68 | 2.36 | 7.7% |
| 2022Q2 | 91 | 76.6 | 3.67 | 0.22 | 1.22 | 2.23 | 3.59 | 36.7% |
| 2022Q1 | 90 | 79.3 | 2.56 | 0.32 | 0.65 | 1.59 | 2.38 | 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
7fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-26 | Payment Denial | — | CMS provider data |
| 2024-08-13 | Fine | $83,401 | CMS provider data |
| 2024-08-13 | Payment Denial | — | CMS provider data |
| 2024-02-15 | Fine | $109,705 | CMS provider data |
| 2024-02-15 | Payment Denial | — | CMS provider data |
| 2023-07-13 | Fine | $89,819 | CMS provider data |
| 2023-07-13 | Payment Denial | — | CMS provider data |
Total fines on record: $282,925
Deficiencies
114C × 2D × 68E × 19F × 14G × 9J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-01-28 |
| 2025-12-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-21 |
| 2025-11-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-12-02 |
| 2025-07-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-07-30 |
| 2025-07-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-30 |
| 2025-07-09 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-07-30 |
| 2025-03-20 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-04-22 |
| 2025-03-20 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-04-22 |
| 2025-03-20 | 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 | 2025-04-22 |
| 2025-03-20 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | 2025-04-22 |
| 2025-03-20 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-04-22 |
| 2025-03-20 | 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 | 2025-04-22 |
| 2025-03-20 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-03-10 |
| 2025-03-20 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-04-22 |
| 2025-03-20 | Health | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2025-04-22 |
| 2025-03-20 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-04-22 |
| 2025-03-20 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-04-22 |
| 2025-03-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-22 |
| 2025-03-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-22 |
| 2025-03-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-22 |
| 2025-03-20 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-04-22 |
| 2025-03-20 | 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 | 2025-04-22 |
| 2025-03-20 | 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. | D | 2025-04-22 |
| 2025-03-20 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-04-22 |
| 2025-03-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-22 |
| 2025-02-18 | 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 | 2025-03-04 |
| 2025-02-18 | 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 | 2025-03-04 |
| 2024-11-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-12-04 |
| 2024-11-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-04 |
| 2024-11-13 | 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 | 2024-12-04 |
| 2024-11-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-04 |
| 2024-08-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-18 |
| 2024-08-13 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-09-06 |
| 2024-08-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-06 |
| 2024-08-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-09-06 |
| 2024-06-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-18 |
| 2024-06-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-18 |
| 2024-06-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-18 |
| 2024-06-25 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-07-18 |
| 2024-04-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-20 |
| 2024-04-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-20 |
| 2024-03-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-08 |
| 2024-03-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-05-20 |
| 2024-03-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | 2024-05-20 |
| 2024-03-07 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2024-04-01 |
| 2024-02-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-05-20 |
| 2024-02-15 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2024-03-26 |
| 2024-02-15 | Health · complaint | 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. | F | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-05-20 |
| 2024-02-15 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-03-26 |
| 2024-02-15 | 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 | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-26 |
| 2024-02-15 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-05-20 |
| 2024-02-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-26 |
| 2024-02-15 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-03-26 |
| 2024-02-15 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-03-26 |
| 2024-02-15 | 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 | 2024-03-26 |
| 2024-02-15 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-03-26 |
| 2024-02-15 | 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 | 2024-03-26 |
| 2024-02-15 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-03-26 |
| 2024-02-15 | 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. | E | 2024-05-20 |
| 2024-02-15 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-22 |
| 2024-02-15 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-03-26 |
| 2024-02-15 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-05-20 |
| 2024-02-15 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | F | 2024-03-26 |
| 2024-02-15 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-03-26 |
| 2024-02-15 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-03-26 |
| 2024-02-15 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-03-26 |
| 2023-08-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-11 |
| 2023-08-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-09-11 |
| 2023-07-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-11 |
| 2023-07-13 | 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 | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-08-11 |
| 2023-07-13 | 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. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-11 |
| 2023-07-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | 2023-08-11 |
| 2023-03-16 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-04-13 |
| 2023-03-16 | 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 | 2023-04-13 |
| 2023-03-16 | 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 | 2023-04-13 |
| 2023-03-16 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-04-13 |
| 2023-03-16 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2023-04-13 |
| 2023-03-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-13 |
| 2023-03-16 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-04-13 |
| 2023-03-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-04-20 |
| 2023-03-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-04-13 |
| 2023-03-16 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | 2023-04-13 |
| 2023-03-16 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-04-13 |
| 2023-03-16 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2023-04-13 |
| 2023-03-16 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-04-13 |
| 2023-03-16 | 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 | 2023-04-13 |
| 2023-03-16 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-04-13 |
| 2023-03-16 | 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 | 2023-04-20 |
| 2023-03-16 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-04-13 |
| 2023-03-16 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2023-04-13 |
| 2023-03-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-13 |
| 2023-03-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-04-13 |
| 2023-03-16 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2023-04-13 |
| 2023-03-16 | 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 | 2023-04-13 |
| 2023-03-16 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | F | 2023-04-13 |
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
8| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MISSION POINT METRO HOLDING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-01 | current | pecos_ownership |
| MALI, HARI | CORPORATE OFFICER | — | 2021-04-01 | current | pecos_ownership |
| ROSS, TALISHA | W-2 MANAGING EMPLOYEE | — | 2021-04-01 | current | pecos_ownership |
| SPAIN, KATHLEEN | W-2 MANAGING EMPLOYEE | — | 2021-04-01 | current | pecos_ownership |
| HARI MALI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-04-01 | ended 2026-05-18 | pecos_ownership |
| KATHLEEN SPAIN | W-2 MANAGING EMPLOYEE | — | 2021-04-01 | ended 2026-05-18 | pecos_ownership |
| SMV CLAWSON LLC | OTHER | — | 2021-04-01 | ended 2026-05-18 | pecos_ownership |
| TALISHA ROSS | W-2 MANAGING EMPLOYEE | — | 2021-04-01 | 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 |
|---|---|---|---|---|
| 2021-04-01 | — | MISSION POINT OF CLAWSON LLC | SSC CLAWSON OPERATING COMPANY LLC | chow |
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 26125 | acs median gross | 0 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 0 | $1,009 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 1 | $1,122 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 1 | $1,122 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 2 | $1,466 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 2 | $1,411 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 3 | $1,728 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 3 | $1,724 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 4 | $2,152 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 4 | $1,868 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 5 | $1,881 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | acs median gross | $1,376 | 2024-12-31 | CENSUS_ACS5 | |
| county 26125 | acs recent mover gross | $1,492 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48017 | acs median gross | 0 | $1,116 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48017 | acs median gross | 1 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48017 | acs median gross | 2 | $1,552 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48017 | acs median gross | 3 | $1,806 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48017 | acs median gross | $1,254 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48017 | acs recent mover gross | $1,653 | 2024-12-31 | CENSUS_ACS5 | |
| zip 48017 | payment standard 110 | 0 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 90 | 0 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | safmr | 0 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 110 | 1 | $1,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 90 | 1 | $1,008 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | safmr | 1 | $1,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 110 | 2 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 90 | 2 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | safmr | 2 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 110 | 3 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 90 | 3 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | safmr | 3 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 110 | 4 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | payment standard 90 | 4 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48017 | safmr | 4 | $1,870 | 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.