500 WEST GRANT STREET, LAKE CITY, MN 55041 · CCN 245218
Composite
67.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 67.7% 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 fleet enforcement cluster
40% fined
ANDERSON BRETT
5 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 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
MN median
National median
National p25–p75
Total nurse
4.10
3.49
3.28
2.90–3.77
RN
0.89
0.65
0.39
0.25–0.58
Weekend total
4.13
3.32
3.11
—
Weekday total
4.08
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.7
4.10
0.89
0.78
2.43
4.13
9.6%
2025Q3
92
57.2
4.59
0.88
0.91
2.81
4.46
8.9%
2025Q2
91
61.9
4.29
0.80
0.91
2.58
4.12
6.0%
2025Q1
90
66.2
4.07
0.68
0.90
2.50
4.09
9.6%
2024Q4
92
67.8
3.87
0.70
0.83
2.34
3.87
22.6%
2024Q3
92
61.4
4.01
0.62
0.76
2.64
3.94
11.9%
2024Q2
91
55.5
3.52
0.54
0.78
2.20
3.63
15.0%
2024Q1
91
59.5
3.58
0.51
0.80
2.27
3.69
30.6%
2023Q4
92
57.4
3.83
0.65
0.85
2.33
3.98
35.6%
2023Q3
92
54.5
4.09
0.78
0.93
2.39
4.02
22.1%
2023Q2
91
53.8
4.04
0.85
0.79
2.40
3.99
30.1%
2023Q1
90
56.3
3.44
0.66
0.80
1.98
3.41
34.7%
2022Q4
92
57.0
3.04
0.54
1.06
1.44
2.99
19.5%
2022Q3
92
61.5
3.26
0.38
1.05
1.83
3.18
16.6%
2022Q2
91
63.6
3.04
0.47
1.02
1.55
2.89
4.7%
2022Q1
90
58.3
3.12
0.55
1.19
1.37
3.02
6.2%
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
2026-05-15
2026-04-20
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-05-15
2026-04-20
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-05-15
2026-04-20
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-15
2025-12-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-12-19
2025-07-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-08
2025-04-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-05-01
2024-12-18
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2024-12-10
2024-06-13
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
B
2024-08-09
2024-06-13
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-08-09
2024-06-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-08-09
2024-06-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-09
2024-06-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-08-09
2024-06-13
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-08-09
2024-06-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-08-09
2024-06-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-09
2024-06-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-08-09
2023-11-06
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2023-11-27
2023-11-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-27
2023-11-06
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
2023-11-27
2023-11-06
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
2023-11-27
2023-11-06
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2023-11-27
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
73
Owner
Role
Pct
From
Status
Source
ALIX, JAY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-24
current
pecos_ownership
ANDERSON, BRETT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
ANDERSON, TRENT
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
ANIL, GOKHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
ARCHER, LISA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BAICKER, KATHERINE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
BAKER, DOUGLAS
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
BARTLETT, BRIAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BEAHRS, TAYLOR
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BILICIC, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
BROWN, SALLY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
BURNS, URSULA
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
CAINE, NATALIE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
CALLSTROM, MATTHEW
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
COMFERE, NNEKA
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DAHLEN, DENNIS
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DAVIS, JED
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DAVIS, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DIDEHBAN, ROSHANAK
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DUNN, AJANI
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
DURAND, KATHLEEN
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
EBENEZER MANAGEMENT SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-25
current
pecos_ownership
FAMUYIDE, ABIMBOLA
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
FARRUGIA, GIANRICO
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
FLATTUM, BETHANIE
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
FLATTUM, BETHANIE
CORPORATE DIRECTOR
—
2025-01-09
current
pecos_ownership
FONSECA, RAFAEL
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
FOSS, RANDY
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
FOSS, RANDY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
FOSS, RANDY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
FOSS, RANDY
ADP OF THE SNF
—
2026-02-24
current
pecos_ownership
FRANCIS, JAMES
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
GERBERDING, JULIE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
GHOSH, KARTHIK
CORPORATE OFFICER
—
2025-11-13
current
pecos_ownership
GORMAN, PAUL
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
GRAY, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
GULDEN, CHRISTOPHER
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
HARA, AMY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
HARNISCH, MACKENZIE
ADP OF THE SNF
—
2025-07-21
current
pecos_ownership
HARNISCH, MACKENZIE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
HARRIS, ALBERT
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
HINDERAKER, KATIE
CORPORATE DIRECTOR
—
2025-07-10
current
pecos_ownership
HUBERT, SHERRY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
KANUGA, MANSI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KEILMAN, DENA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KHAN, SYED
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KRAMER, MEGAN
CORPORATE DIRECTOR
—
2026-02-01
current
pecos_ownership
KROSCH, TARA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LYNCH, BRIAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
MAYO CLINIC
OPERATIONAL/MANAGERIAL CONTROL
—
1998-01-01
current
pecos_ownership
MCLAUGHLIN, SARAH
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
MILLER, MORRIS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
MILLER, MORRIS
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
PAUL, TRAVIS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
PECK, KRISTIN
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
PERETSMAN, NANCY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
POWELL, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
REMY, DONALD
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
RIHAL, CHARANJIT
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
ROBERTS, ROBIN
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
ROBO, JAMES
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
ROTHBLATT, MARTINE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
SCHMIDT, ERIC
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
SCHRUTH, TARYN
CORPORATE OFFICER
—
2025-11-13
current
pecos_ownership
SEXTON OLIVER, TRACY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
SHANNON, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
SMITH, CHARLES
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
SMITH, JOSHUA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
SWEENEY, ANNE
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
THIELEN, KENT
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
WILLETT, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2016-10-01
current
pecos_ownership
WILLIAMS, AMY
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
pecos_ownership
ZORN, CHRISTINA
MANAGING CONTROL - GOVERNING BODY
—
1998-04-28
current
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
34
Geo
Kind
BR
Amount
As of
Source
county 27049
acs median gross
0
$642
2024-12-31
CENSUS_ACS5
county 27049
fmr
0
$755
2025-10-01
HUD_USER_FMR
county 27049
acs median gross
1
$831
2024-12-31
CENSUS_ACS5
county 27049
fmr
1
$901
2025-10-01
HUD_USER_FMR
county 27049
acs median gross
2
$1,016
2024-12-31
CENSUS_ACS5
county 27049
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 27049
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 27049
fmr
3
$1,523
2025-10-01
HUD_USER_FMR
county 27049
acs median gross
4
$1,207
2024-12-31
CENSUS_ACS5
county 27049
fmr
4
$1,837
2025-10-01
HUD_USER_FMR
county 27049
acs median gross
5
$1,063
2024-12-31
CENSUS_ACS5
county 27049
acs median gross
$966
2024-12-31
CENSUS_ACS5
county 27049
acs recent mover gross
$1,253
2024-12-31
CENSUS_ACS5
zcta 55041
acs median gross
1
$640
2024-12-31
CENSUS_ACS5
zcta 55041
acs median gross
2
$862
2024-12-31
CENSUS_ACS5
zcta 55041
acs median gross
3
$1,105
2024-12-31
CENSUS_ACS5
zcta 55041
acs median gross
4
$977
2024-12-31
CENSUS_ACS5
zcta 55041
acs median gross
$881
2024-12-31
CENSUS_ACS5
zcta 55041
acs recent mover gross
$537
2024-12-31
CENSUS_ACS5
zip 55041
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 55041
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 55041
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 55041
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 55041
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 110
4
$2,288
2025-10-01
HUD_USER_SAFMR
zip 55041
payment standard 90
4
$1,872
2025-10-01
HUD_USER_SAFMR
zip 55041
safmr
4
$2,080
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.