316 East Lincolnway, Wheatland, IA 52777 · CCN 165377
Composite
17.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
44
Model
v1.2
Reads as: riskier than 17.5% 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.
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
IA median
National median
National p25–p75
Total nurse
3.16
3.15
3.28
2.90–3.77
RN
0.60
0.46
0.39
0.25–0.58
Weekend total
3.03
2.96
3.11
—
Weekday total
3.21
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.6
3.16
0.60
0.10
2.45
3.03
0.0%
2025Q3
92
38.9
2.93
0.44
0.30
2.19
2.84
0.0%
2025Q2
91
39.4
3.11
0.50
0.31
2.31
2.88
44.8%
2025Q1
90
41.0
3.32
0.43
0.46
2.43
3.26
40.9%
2024Q4
92
41.2
3.23
0.39
0.52
2.32
3.22
36.1%
2024Q3
92
40.0
3.18
0.37
0.56
2.25
2.97
31.0%
2024Q2
91
41.6
3.15
0.40
0.61
2.13
2.99
30.2%
2024Q1
91
40.4
3.18
0.41
0.58
2.18
2.98
27.2%
2023Q4
92
37.9
3.42
0.58
0.48
2.36
3.13
32.8%
2023Q3
92
37.1
3.24
0.59
0.31
2.33
3.12
24.6%
2023Q2
91
37.8
3.37
0.69
0.31
2.38
3.09
31.8%
2023Q1
90
38.4
3.17
0.66
0.25
2.26
2.88
38.4%
2022Q4
92
37.0
3.35
0.70
0.26
2.39
3.01
47.9%
2022Q3
92
42.0
3.04
0.72
0.07
2.25
2.73
54.6%
2022Q2
91
38.9
3.16
0.63
0.17
2.35
2.91
45.6%
2022Q1
90
34.7
3.23
0.82
0.03
2.38
3.02
40.1%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-02-06
2025-01-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-01-29
2024-02-01
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-16
2024-02-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-02-16
2024-02-01
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-02-16
2024-02-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-16
2024-02-01
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-02-16
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
31
Owner
Role
Pct
From
Status
Source
PETERSEN, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-19
current
pecos_ownership
BUCHANNAN, JANYCE
5% OR GREATER DIRECT OWNERSHIP INTEREST
38%
—
current
pecos_ownership
BUCHANAN, MATTHEW
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2008-01-01
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BUCHANAN, MATTHEW
CORPORATE OFFICER
—
2017-05-05
current
pecos_ownership
EAKER, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
current
pecos_ownership
F&B COMMUNICATIONS INC
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
FOWLER, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-12
current
pecos_ownership
FOWLER, STEVEN
ADP OF THE SNF
—
2025-09-23
current
pecos_ownership
GREGORY A WIESE CPA LLC
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
HARLSON, BRITTNI
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-26
current
pecos_ownership
MILLENNIUM REHAB & CONSULTING INC
ADP OF THE SNF
—
2003-02-01
current
pecos_ownership
MOTTO, DANNA
ADP OF THE SNF
—
1999-10-26
current
pecos_ownership
PETERSEN, DAVID
CORPORATE OFFICER
—
2017-05-05
current
pecos_ownership
PORTER, SAUNDRA
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
WEIH, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2006-12-01
current
pecos_ownership
WEIH, MICHAEL
ADP OF THE SNF
—
2025-09-23
current
pecos_ownership
WILLIAM BURKE LTD
ADP OF THE SNF
—
2015-08-12
current
pecos_ownership
MICHAEL WEIH
OPERATIONAL/MANAGERIAL CONTROL
100%
2006-12-01
ended 2026-05-18
pecos_ownership
DAVID PETERSEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-19
ended 2026-05-18
pecos_ownership
JANYCE BUCHANNAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
38%
—
ended 2026-05-18
pecos_ownership
MATTHEW BUCHANAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2008-01-01
ended 2026-05-18
pecos_ownership
BRITTNI HARLSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-26
ended 2026-05-18
pecos_ownership
DANNA MOTTO
ADP OF THE SNF
—
1999-10-26
ended 2026-05-18
pecos_ownership
DAVID PETERSEN
CORPORATE OFFICER
—
2017-05-05
ended 2026-05-18
pecos_ownership
KIMBERLY EAKER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
ended 2026-05-18
pecos_ownership
MATTHEW BUCHANAN
CORPORATE OFFICER
—
2017-05-05
ended 2026-05-18
pecos_ownership
MICHAEL WEIH
ADP OF THE SNF
—
2025-09-23
ended 2026-05-18
pecos_ownership
SAUNDRA PORTER
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
STEVEN FOWLER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-12
ended 2026-05-18
pecos_ownership
STEVEN FOWLER
ADP OF THE SNF
—
2025-09-23
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-12-31
$7,810
$7,810
—
—
—
1
—
2020-12-31
$8,349
$8,349
—
—
—
1
—
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 19045
acs median gross
0
$394
2024-12-31
CENSUS_ACS5
county 19045
fmr
0
$659
2025-10-01
HUD_USER_FMR
county 19045
acs median gross
1
$623
2024-12-31
CENSUS_ACS5
county 19045
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 19045
acs median gross
2
$876
2024-12-31
CENSUS_ACS5
county 19045
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 19045
acs median gross
3
$1,115
2024-12-31
CENSUS_ACS5
county 19045
fmr
3
$1,184
2025-10-01
HUD_USER_FMR
county 19045
acs median gross
4
$1,549
2024-12-31
CENSUS_ACS5
county 19045
fmr
4
$1,507
2025-10-01
HUD_USER_FMR
county 19045
acs median gross
5
$687
2024-12-31
CENSUS_ACS5
county 19045
acs median gross
$850
2024-12-31
CENSUS_ACS5
county 19045
acs recent mover gross
$1,002
2024-12-31
CENSUS_ACS5
zcta 52777
acs median gross
2
$857
2024-12-31
CENSUS_ACS5
zcta 52777
acs median gross
$791
2024-12-31
CENSUS_ACS5
zcta 52777
acs recent mover gross
$638
2024-12-31
CENSUS_ACS5
zip 52777
payment standard 110
0
$693
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 90
0
$567
2025-10-01
HUD_USER_SAFMR
zip 52777
safmr
0
$630
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 52777
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 52777
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 110
3
$1,254
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 90
3
$1,026
2025-10-01
HUD_USER_SAFMR
zip 52777
safmr
3
$1,140
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 110
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 52777
payment standard 90
4
$1,296
2025-10-01
HUD_USER_SAFMR
zip 52777
safmr
4
$1,440
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.