CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 02:56 UTC
Screener / 235506
C

Shelby Health and Rehabilitation Center

snfMI
46100 Schoenherr Road, Shelby Township, MI 48315 · CCN 235506 · chain OPTUM MANAGEMENT SOLUTIONS INC
Composite
72.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
212
Model
v1.2
Reads as: riskier than 72.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk83.280.10.300.230819.20in index
billing conduct78.151.80.300.230818.02in index
staffing risk49.749.70.250.19239.56in index
chow risk44.642.80.150.11545.15in index
financial risk22.228.60.300.23085.12in 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

15
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+22.4 vs natlCONNER MARIANNE25 facilities
connectionOwner fleet risk far above national+20.2 vs natlSHARON ROBERT34 facilities
connectionOwner fleet enforcement cluster55% finedCHARLES FRANKLIN LLC11 facilities
connectionOwner fleet enforcement cluster53% finedPAAR 108 LLC15 facilities
connectionOwner fleet enforcement cluster50% finedSNW LLC22 facilities
connectionOwner fleet enforcement cluster50% finedHEMANT SHAH 2018 IRREVOCABLE TRUST12 facilities
connectionOwner fleet enforcement cluster46% finedPINAL R PATEL 2017 IRREVOCABLE TRUST F B O AARNA R PATEL13 facilities
connectionOwner fleet enforcement cluster46% finedRAJAN G PATEL 2020 IRR FAM TR UAD 12 3 202013 facilities
connectionOwner fleet enforcement cluster46% finedPINAL R PATEL 2017 IRREVOCABLE TRUST F B O ANSH R PATEL13 facilities
connectionOwner fleet enforcement cluster44% finedDUNN CHARLES27 facilities
connectionOwner fleet enforcement cluster44% finedSHAH HEMANT27 facilities
connectionOwner fleet enforcement cluster43% finedPINAL R PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10 6 202014 facilities
connectionOwner fleet enforcement cluster43% finedPARKER SETH7 facilities
connectionOwner fleet enforcement cluster42% finedOPTUM MANAGEMENT SOLUTIONS INC36 facilities
connectionOwner fleet enforcement cluster42% finedPATEL RAJAN36 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 typeScoreGradeModelStatusRegistry model notes
billing conduct51.8Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk60.5Cv0.6default · in composite
financial risk28.6Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/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 12m3.7v0.1default · in compositeR22/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 risk80.1Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk49.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk61.5Cv0.1supersededPre-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 risk41.5Bv0.2supersededPre-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 risk36.7Bv0.3supersededPre-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 risk34.6Bv0.4supersededPre-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 risk80.0Fv0.1supersededPre-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 risk80.0Fv0.2supersededPre-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 risk49.7Cv0.1supersededPre-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 risk49.7Cv0.2supersededPre-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)
3.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
82.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.87-0.49
No PBJ staffing report0.00+0.42
Chain size (log)3.56+0.35
Ownership changes, last 5 years0.00+0.20
Facility size (log beds)5.36-0.16
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
Chain size (log)3.56-0.87
For-profit ownership1.00-0.69
Occupancy0.87-0.50
No PBJ staffing report0.00+0.39
Facility size (log beds)5.36-0.21
Fine amount, 12m (log)0.00+0.18
Staffing trend, last 4 quarters0.38+0.15
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 HPRDThis facilityMI medianNational medianNational p25–p75
Total nurse3.293.523.282.90–3.77
RN0.160.470.390.25–0.58
Weekend total3.173.323.11
Weekday total3.333.613.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492183.93.290.161.231.893.1712.1%
2025Q392177.93.470.231.182.063.2826.4%
2025Q291182.53.040.211.121.702.8624.7%
2025Q190196.12.100.190.881.031.820.0%
2024Q492186.92.900.231.041.632.648.9%
2024Q392183.22.900.251.111.532.656.3%
2024Q291188.03.270.201.101.973.1634.0%
2024Q191189.22.810.161.121.532.6220.4%
2023Q492187.73.060.171.141.752.9819.4%
2023Q392170.33.210.221.171.833.0432.1%
2023Q291170.73.110.251.061.792.9533.8%
2023Q190176.92.970.191.121.662.7929.3%
2022Q492179.13.170.171.231.772.9731.3%
2022Q392178.43.080.151.211.723.0334.2%
2022Q291167.23.050.221.221.622.8120.8%
2022Q190157.63.150.201.321.622.929.0%
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

2
DateTypeFineSource
2025-03-05Fine$41,847CMS provider data
2025-03-05Payment DenialCMS provider data
Total fines on record: $41,847

Deficiencies

50
D × 34E × 7F × 3G × 6
deficiencies by survey year
1792223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-30Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2026-05-26
2025-09-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-09-19
2025-07-10Health · complaintF0584Honor 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.D2025-07-18
2025-04-02Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-05-01
2025-04-02Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-05-01
2025-03-05Health · complaintF0578Honor 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.D2025-04-01
2025-03-05HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2025-04-01
2025-03-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-01
2025-03-05Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-04-01
2025-03-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-01
2025-03-05HealthF0688Provide 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.D2025-04-01
2025-03-05Health · complaintF0758Implement 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.D2025-04-01
2025-03-05Health · complaintF0761Ensure 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.E2025-04-01
2025-03-05Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2025-04-01
2025-03-05Health · complaintF0880Provide and implement an infection prevention and control program.F2025-04-01
2025-03-05HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2025-04-01
2024-11-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-11-27
2024-02-21Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-03-19
2024-02-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-03-19
2024-01-23Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-27
2024-01-23Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2024-02-27
2024-01-23HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2024-02-27
2024-01-23HealthF0584Honor 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.D2024-02-27
2024-01-23Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-02-27
2024-01-23HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-27
2024-01-23Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-02-27
2024-01-23HealthF0687Provide appropriate foot care.D2024-02-27
2024-01-23HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2024-02-27
2024-01-23Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-02-27
2024-01-23HealthF0880Provide and implement an infection prevention and control program.D2024-02-27
2023-09-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-10-10
2023-09-18Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2023-10-05
2023-08-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-09-13
2022-10-13HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2022-11-08
2022-10-13HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-11-08
2022-10-13HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2022-11-08
2022-10-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-11-08
2022-10-13HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-11-08
2022-10-13HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2022-11-08
2022-10-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2022-11-08
2022-10-13HealthF0692Provide enough food/fluids to maintain a resident's health.D2022-11-08
2022-10-13HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-11-08
2022-10-13HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2022-11-08
2022-10-13HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2022-11-08
2022-10-13HealthF0761Ensure 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.E2022-11-08
2022-10-13HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2022-11-08
2022-10-13HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2022-11-08
2022-10-13HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2022-11-08
2022-10-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2022-11-08
2022-10-13HealthF0814Dispose of garbage and refuse properly.F2022-11-08
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

42
OwnerRolePctFromStatusSource
SHELBY PROPCOIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
SHELBY PROPCOIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
SNW LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-09-01currentpecos_ownership
CHARLES FRANKLIN LLCADP OF THE SNF2019-09-01currentpecos_ownership
CHECKLEY, ERICOPERATIONAL/MANAGERIAL CONTROL2023-04-07currentpecos_ownership
CHECKLEY, ERICADP OF THE SNF2025-04-08currentpecos_ownership
CONNER, MARIANNEADP OF THE SNF2024-05-13currentpecos_ownership
DILIPBHAI & KALAVATI PATEL FAMILY TRUSTINDIRECT OWNERSHIP INTEREST2019-09-01currentpecos_ownership
DUNN, CHARLESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-04-08currentpecos_ownership
EAST WEST BANK5% OR GREATER SECURITY INTEREST2019-09-01currentpecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUSTADP OF THE SNF2019-09-01currentpecos_ownership
MERCHANTS BANK OF INDIANA5% OR GREATER MORTGAGE INTEREST2019-09-01currentpecos_ownership
OM HOLDCO, LLCADP OF THE SNF2019-09-01currentpecos_ownership
OPTALIS LP INVESTORS 1, LLCADP OF THE SNF2019-09-01currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCINDIRECT OWNERSHIP INTEREST2019-09-01currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCADP OF THE SNF2025-04-09currentpecos_ownership
PAAR 108 LLCADP OF THE SNF2019-09-01currentpecos_ownership
PARKER, SETHOPERATIONAL/MANAGERIAL CONTROL2023-04-07currentpecos_ownership
PARKER, SETHADP OF THE SNF2025-04-08currentpecos_ownership
PATEL, RAJANMANAGING CONTROL - GOVERNING BODY2023-04-07currentpecos_ownership
PATEL, RAJANOPERATIONAL/MANAGERIAL CONTROL2019-09-01currentpecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATELADP OF THE SNF2019-09-01currentpecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATELADP OF THE SNF2019-09-01currentpecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020ADP OF THE SNF2019-09-01currentpecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020ADP OF THE SNF2019-09-01currentpecos_ownership
ROUSE, TAMMYOPERATIONAL/MANAGERIAL CONTROL2023-04-07currentpecos_ownership
SCHLAUPITZ MADHAVANADP OF THE SNF2025-01-01currentpecos_ownership
SHAH, HEMANTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-04-03currentpecos_ownership
SHARON, ROBERTOPERATIONAL/MANAGERIAL CONTROL2024-05-13currentpecos_ownership
SHELBY PROPCOIndividual has financial interest in both related organization and provider100%2021-01-01ended 2021-12-31hcris_a_8_1
SHELBY PROPCOIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-12-31hcris_a_8_1
SHELBY PROPCOIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.20015% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-09-01ended 2026-05-18pecos_ownership
ERIC CHECKLEYADP OF THE SNF2025-04-08ended 2026-05-18pecos_ownership
ERIC CHECKLEYOPERATIONAL/MANAGERIAL CONTROL2023-04-07ended 2026-05-18pecos_ownership
MARIANNE CONNERADP OF THE SNF2024-05-13ended 2026-05-18pecos_ownership
RAJAN PATELOPERATIONAL/MANAGERIAL CONTROL2019-09-01ended 2026-05-18pecos_ownership
RAJAN PATELMANAGING CONTROL - GOVERNING BODY2023-04-07ended 2026-05-18pecos_ownership
ROBERT SHARONADP OF THE SNF2024-05-13ended 2026-05-18pecos_ownership
SETH PARKEROPERATIONAL/MANAGERIAL CONTROL2023-04-07ended 2026-05-18pecos_ownership
SETH PARKERADP OF THE SNF2025-04-08ended 2026-05-18pecos_ownership
TAMMY ROUSEOPERATIONAL/MANAGERIAL CONTROL2023-04-07ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids120OPTALIS 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

33
GeoKindBRAmountAs ofSource
county 26099acs median gross0$1,0082024-12-31CENSUS_ACS5
county 26099fmr0$1,0092025-10-01HUD_USER_FMR
county 26099acs median gross1$9952024-12-31CENSUS_ACS5
county 26099fmr1$1,1222025-10-01HUD_USER_FMR
county 26099acs median gross2$1,2402024-12-31CENSUS_ACS5
county 26099fmr2$1,4112025-10-01HUD_USER_FMR
county 26099acs median gross3$1,4872024-12-31CENSUS_ACS5
county 26099fmr3$1,7242025-10-01HUD_USER_FMR
county 26099acs median gross4$1,7192024-12-31CENSUS_ACS5
county 26099fmr4$1,8682025-10-01HUD_USER_FMR
county 26099acs median gross5$1,5692024-12-31CENSUS_ACS5
county 26099acs median gross$1,2112024-12-31CENSUS_ACS5
county 26099acs recent mover gross$1,3042024-12-31CENSUS_ACS5
zcta 48315acs median gross1$1,0762024-12-31CENSUS_ACS5
zcta 48315acs median gross2$1,7302024-12-31CENSUS_ACS5
zcta 48315acs median gross3$1,9082024-12-31CENSUS_ACS5
zcta 48315acs median gross$1,3322024-12-31CENSUS_ACS5
zcta 48315acs recent mover gross$1,2572024-12-31CENSUS_ACS5
zip 48315payment standard 1100$1,0892025-10-01HUD_USER_SAFMR
zip 48315payment standard 900$8912025-10-01HUD_USER_SAFMR
zip 48315safmr0$9902025-10-01HUD_USER_SAFMR
zip 48315payment standard 1101$1,2212025-10-01HUD_USER_SAFMR
zip 48315payment standard 901$9992025-10-01HUD_USER_SAFMR
zip 48315safmr1$1,1102025-10-01HUD_USER_SAFMR
zip 48315payment standard 1102$1,5292025-10-01HUD_USER_SAFMR
zip 48315payment standard 902$1,2512025-10-01HUD_USER_SAFMR
zip 48315safmr2$1,3902025-10-01HUD_USER_SAFMR
zip 48315payment standard 1103$1,8702025-10-01HUD_USER_SAFMR
zip 48315payment standard 903$1,5302025-10-01HUD_USER_SAFMR
zip 48315safmr3$1,7002025-10-01HUD_USER_SAFMR
zip 48315payment standard 1104$2,0242025-10-01HUD_USER_SAFMR
zip 48315payment standard 904$1,6562025-10-01HUD_USER_SAFMR
zip 48315safmr4$1,8402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.