200 SOUTH DEKALB STREET, REDWOOD FALLS, MN 56283 · CCN 245237 · chain SPARTAN HEALTHCARE LLC
Composite
18.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
43
Model
v1.2
Reads as: riskier than 18.6% 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.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
MN median
National median
National p25–p75
Total nurse
2.90
3.49
3.28
2.90–3.77
RN
0.59
0.65
0.39
0.25–0.58
Weekend total
2.94
3.32
3.11
—
Weekday total
2.89
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
30.7
2.90
0.59
0.57
1.74
2.94
70.0%
2025Q3
92
34.2
2.83
0.77
0.19
1.87
2.87
42.4%
2025Q2
91
34.0
2.75
0.49
0.32
1.93
2.64
26.7%
2025Q1
90
33.0
2.44
0.14
0.65
1.66
2.52
1.6%
2024Q4
92
34.4
2.45
0.16
0.65
1.65
2.41
0.3%
2024Q3
92
33.6
2.38
0.19
0.69
1.50
2.29
0.0%
2024Q2
91
35.1
2.46
0.19
0.67
1.60
2.36
0.0%
2024Q1
91
33.2
2.69
0.23
0.78
1.67
2.63
0.0%
2023Q4
92
35.2
2.60
0.24
0.78
1.58
2.49
0.6%
2023Q3
92
38.1
2.57
0.13
0.80
1.64
2.42
0.3%
2023Q2
91
39.0
2.64
0.11
0.74
1.79
2.50
0.0%
2023Q1
90
36.7
2.51
0.13
0.67
1.71
2.47
0.0%
2022Q4
92
33.1
2.89
0.11
0.69
2.08
2.86
0.0%
2022Q3
92
36.2
2.54
0.08
0.65
1.81
2.44
0.0%
2022Q2
91
37.5
2.61
0.09
0.63
1.89
2.61
0.0%
2022Q1
90
36.4
2.63
0.15
0.56
1.92
2.62
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-05-06
2026-03-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-06
2026-03-24
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-05-06
2026-03-24
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-05-06
2025-05-13
Health · complaint
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
—
2025-02-05
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-03-14
2025-02-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-14
2025-02-05
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
2025-03-14
2025-02-05
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-03-14
2025-02-05
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-03-14
2025-02-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-14
2025-02-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-03-14
2025-01-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-01-19
2024-02-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-06
2024-02-07
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-03-06
2024-02-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-06
2024-02-07
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-03-06
2024-02-07
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-03-06
2024-02-07
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2024-03-06
2024-02-07
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F
2024-03-06
2023-11-08
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
2023-11-20
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
11
Owner
Role
Pct
From
Status
Source
SPARTAN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
32%
2019-08-22
current
pecos_ownership
NIJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
14%
2019-08-22
current
pecos_ownership
HALPERT, MARC
CORPORATE OFFICER
—
2019-08-22
current
pecos_ownership
JAFFA, NOAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-08-22
current
pecos_ownership
LEGUM, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-08-22
current
pecos_ownership
STERN, WILLIAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-08-22
current
pecos_ownership
WBS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-08-22
current
pecos_ownership
JOSHUA LEGUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2019-08-22
ended 2026-05-18
pecos_ownership
MARC HALPERT
CORPORATE OFFICER
32%
2019-08-22
ended 2026-05-18
pecos_ownership
WILLIAM STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2019-08-22
ended 2026-05-18
pecos_ownership
NOAM JAFFA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-08-22
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$526,444
—
—
—
—
3
—
2023-12-31
$614,602
—
—
$126,970
—
3
—
2022-12-31
$479,936
—
—
$131,678
—
3
—
2021-12-31
$365,282
—
—
$164,420
—
2
—
2020-12-31
$328,358
—
—
$149,934
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34
Geo
Kind
BR
Amount
As of
Source
county 27127
acs median gross
0
$814
2024-12-31
CENSUS_ACS5
county 27127
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 27127
acs median gross
1
$593
2024-12-31
CENSUS_ACS5
county 27127
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 27127
acs median gross
2
$750
2024-12-31
CENSUS_ACS5
county 27127
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 27127
acs median gross
3
$1,042
2024-12-31
CENSUS_ACS5
county 27127
fmr
3
$1,321
2025-10-01
HUD_USER_FMR
county 27127
acs median gross
4
$996
2024-12-31
CENSUS_ACS5
county 27127
fmr
4
$1,566
2025-10-01
HUD_USER_FMR
county 27127
acs median gross
5
$1,347
2024-12-31
CENSUS_ACS5
county 27127
acs median gross
$757
2024-12-31
CENSUS_ACS5
county 27127
acs recent mover gross
$730
2024-12-31
CENSUS_ACS5
zcta 56283
acs median gross
1
$575
2024-12-31
CENSUS_ACS5
zcta 56283
acs median gross
2
$768
2024-12-31
CENSUS_ACS5
zcta 56283
acs median gross
3
$1,125
2024-12-31
CENSUS_ACS5
zcta 56283
acs median gross
4
$1,260
2024-12-31
CENSUS_ACS5
zcta 56283
acs median gross
$831
2024-12-31
CENSUS_ACS5
zcta 56283
acs recent mover gross
$747
2024-12-31
CENSUS_ACS5
zip 56283
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 56283
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 56283
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 56283
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 110
3
$1,617
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 90
3
$1,323
2025-10-01
HUD_USER_SAFMR
zip 56283
safmr
3
$1,470
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 56283
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 56283
safmr
4
$1,740
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.