701 W 6TH STREET, LA CROSSE, KS 67548 · CCN 175369
Composite
38.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
38
Model
v1.2
Reads as: riskier than 38.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 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
15
2025Q4 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
3.26
3.03
3.28
2.90–3.77
RN
0.34
0.44
0.39
0.25–0.58
Weekend total
2.56
2.87
3.11
—
Weekday total
3.53
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.9
3.26
0.34
0.42
2.50
2.56
0.0%
2025Q3
92
33.3
3.38
0.44
0.46
2.48
2.81
0.0%
2025Q2
91
32.4
3.51
0.55
0.69
2.26
3.04
0.0%
2025Q1
90
34.1
3.15
0.54
0.53
2.08
2.61
0.0%
2024Q4
92
34.4
3.14
0.50
0.54
2.10
2.73
0.0%
2024Q3
92
35.4
2.98
0.54
0.46
1.98
2.41
0.0%
2024Q2
91
34.6
3.47
0.65
0.31
2.52
2.91
0.0%
2024Q1
91
35.5
3.04
0.63
0.36
2.05
2.69
0.0%
2023Q3
92
32.2
3.04
0.62
0.36
2.06
2.80
0.0%
2023Q2
91
32.6
3.08
0.53
0.40
2.15
2.87
6.7%
2023Q1
90
31.0
3.17
0.56
0.43
2.18
3.21
28.7%
2022Q4
92
34.3
2.85
0.51
0.43
1.92
2.60
32.2%
2022Q3
92
32.7
2.90
0.54
0.40
1.96
2.85
29.2%
2022Q2
91
32.8
2.83
0.57
0.32
1.94
2.44
36.5%
2022Q1
90
30.9
2.88
0.59
0.30
1.99
2.39
38.9%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-09-02
2024-09-11
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
2024-10-14
2024-09-11
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
2024-10-14
2024-09-11
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
2024-10-14
2024-09-11
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
2024-10-14
2024-09-11
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2024-10-14
2024-09-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-10-14
2023-01-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-03-08
2023-01-31
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
2023-03-08
2023-01-31
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
2023-03-08
2023-01-31
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
2023-03-08
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
39
Owner
Role
Pct
From
Status
Source
ALDRICH, TROY
CORPORATE DIRECTOR
—
2024-03-28
current
pecos_ownership
BAALMANN, RUTH
CORPORATE OFFICER
—
2013-06-27
current
pecos_ownership
BASGALL, TONYA
ADP OF THE SNF
—
2016-09-22
current
pecos_ownership
BASGALL, TONYA
CORPORATE OFFICER
—
2024-05-23
current
pecos_ownership
BLAND & ASSOCIATES, P.C.
ADP OF THE SNF
—
2022-09-23
current
pecos_ownership
DEPPERSCHMIDT, AMY
ADP OF THE SNF
—
2020-09-24
current
pecos_ownership
FARMERS BANK AND TRUST
ADP OF THE SNF
—
2004-02-04
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2004-02-04
current
pecos_ownership
GIPSON, JAMES
ADP OF THE SNF
—
2018-02-28
current
pecos_ownership
GROSS, SAMUEL
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
HARTMAN, SYDNI
ADP OF THE SNF
—
2022-02-24
current
pecos_ownership
HELM, TAYCI
ADP OF THE SNF
—
2014-09-02
current
pecos_ownership
HOLOPIREK, KATHY
MANAGING CONTROL - GOVERNING BODY
—
2024-02-22
current
pecos_ownership
HOLOPIREK, RACHEL
CORPORATE DIRECTOR
—
2024-02-22
current
pecos_ownership
LADD, ROBERT
ADP OF THE SNF
—
2019-05-01
current
pecos_ownership
LEAMING, LONDON
ADP OF THE SNF
—
2024-07-08
current
pecos_ownership
NORTHCUTT, JAMES
ADP OF THE SNF
—
2009-01-01
current
pecos_ownership
RATHKE, CHARLOTTE
ADP OF THE SNF
—
2004-02-17
current
pecos_ownership
STECKLEIN, MICHAEL
ADP OF THE SNF
—
2010-01-20
current
pecos_ownership
TORREZ, CARI
ADP OF THE SNF
—
2024-09-04
current
pecos_ownership
WORTHEY, SUZI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-10
current
pecos_ownership
AMY DEPPERSCHMIDT
CORPORATE DIRECTOR
0%
2020-09-24
ended 2026-05-18
pecos_ownership
KATHY HOLOPIREK
CORPORATE DIRECTOR
0%
2024-02-22
ended 2026-05-18
pecos_ownership
RACHEL HOLOPIREK
CORPORATE DIRECTOR
0%
2024-02-22
ended 2026-05-18
pecos_ownership
RUTH BAALMANN
CORPORATE DIRECTOR
0%
2013-06-27
ended 2026-05-18
pecos_ownership
TONYA BASGALL
CORPORATE OFFICER
0%
2024-05-23
ended 2026-05-18
pecos_ownership
TROY ALDRICH
CORPORATE DIRECTOR
0%
2024-03-28
ended 2026-05-18
pecos_ownership
CARI TORREZ
ADP OF THE SNF
—
2024-09-04
ended 2026-05-18
pecos_ownership
CHARLOTTE RATHKE
ADP OF THE SNF
—
2004-02-17
ended 2026-05-18
pecos_ownership
JAMES GIPSON
ADP OF THE SNF
—
2018-02-28
ended 2026-05-18
pecos_ownership
JAMES NORTHCUTT
ADP OF THE SNF
—
2009-01-01
ended 2026-05-18
pecos_ownership
LONDON LEAMING
ADP OF THE SNF
—
2024-07-08
ended 2026-05-18
pecos_ownership
MICHAEL STECKLEIN
ADP OF THE SNF
—
2010-01-20
ended 2026-05-18
pecos_ownership
ROBERT LADD
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-01
ended 2026-05-18
pecos_ownership
SAMUEL GROSS
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
SUZI WORTHEY
ADP OF THE SNF
—
2025-06-10
ended 2026-05-18
pecos_ownership
SYDNI HARTMAN
ADP OF THE SNF
—
2022-02-24
ended 2026-05-18
pecos_ownership
TAYCI HELM
ADP OF THE SNF
—
2014-09-02
ended 2026-05-18
pecos_ownership
TONYA BASGALL
MANAGING CONTROL - GOVERNING BODY
—
2016-09-22
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
31
Geo
Kind
BR
Amount
As of
Source
county 20165
fmr
0
$643
2025-10-01
HUD_USER_FMR
county 20165
acs median gross
1
$546
2024-12-31
CENSUS_ACS5
county 20165
fmr
1
$710
2025-10-01
HUD_USER_FMR
county 20165
acs median gross
2
$630
2024-12-31
CENSUS_ACS5
county 20165
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20165
acs median gross
3
$817
2024-12-31
CENSUS_ACS5
county 20165
fmr
3
$1,220
2025-10-01
HUD_USER_FMR
county 20165
acs median gross
4
$983
2024-12-31
CENSUS_ACS5
county 20165
fmr
4
$1,302
2025-10-01
HUD_USER_FMR
county 20165
acs median gross
$711
2024-12-31
CENSUS_ACS5
county 20165
acs recent mover gross
$744
2024-12-31
CENSUS_ACS5
zcta 67548
acs median gross
1
$825
2024-12-31
CENSUS_ACS5
zcta 67548
acs median gross
2
$636
2024-12-31
CENSUS_ACS5
zcta 67548
acs median gross
3
$641
2024-12-31
CENSUS_ACS5
zcta 67548
acs median gross
$717
2024-12-31
CENSUS_ACS5
zcta 67548
acs recent mover gross
$735
2024-12-31
CENSUS_ACS5
zip 67548
payment standard 110
0
$704
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 90
0
$576
2025-10-01
HUD_USER_SAFMR
zip 67548
safmr
0
$640
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 67548
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 110
2
$968
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 90
2
$792
2025-10-01
HUD_USER_SAFMR
zip 67548
safmr
2
$880
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 110
3
$1,342
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 90
3
$1,098
2025-10-01
HUD_USER_SAFMR
zip 67548
safmr
3
$1,220
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 110
4
$1,441
2025-10-01
HUD_USER_SAFMR
zip 67548
payment standard 90
4
$1,179
2025-10-01
HUD_USER_SAFMR
zip 67548
safmr
4
$1,310
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.