28210 OLD TOWNE ROAD, CHISAGO CITY, MN 55013 · CCN 245328 · chain SPARTAN HEALTHCARE LLC
Composite
34.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
91
Model
v1.2
Reads as: riskier than 34.3% 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
2.91
3.49
3.28
2.90–3.77
RN
0.65
0.65
0.39
0.25–0.58
Weekend total
2.91
3.32
3.11
—
Weekday total
2.91
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.3
2.91
0.65
0.55
1.71
2.91
19.3%
2025Q3
92
83.7
2.77
0.55
0.64
1.57
2.75
20.3%
2025Q2
91
81.5
2.88
0.55
0.69
1.65
2.89
17.6%
2025Q1
90
84.8
2.77
0.62
0.54
1.62
2.81
16.9%
2024Q4
92
82.8
2.69
0.50
0.63
1.56
2.71
22.1%
2024Q3
92
80.9
2.81
0.59
0.56
1.67
2.91
25.3%
2024Q2
91
83.4
2.40
0.50
0.44
1.47
2.42
19.9%
2024Q1
91
82.2
2.50
0.36
0.62
1.52
2.69
23.6%
2023Q4
92
80.6
2.50
0.41
0.58
1.51
2.50
22.5%
2023Q3
92
78.3
2.49
0.39
0.57
1.52
2.64
13.6%
2023Q2
91
75.7
2.59
0.36
0.67
1.56
2.67
14.1%
2023Q1
90
75.8
2.02
0.12
0.50
1.40
2.24
0.0%
2022Q4
92
73.3
2.56
0.56
0.57
1.42
2.49
10.9%
2022Q3
92
76.7
2.50
0.64
0.47
1.38
2.33
2.6%
2022Q2
91
69.2
2.68
0.60
0.49
1.59
2.57
0.0%
2022Q1
90
69.6
2.69
0.73
0.45
1.51
2.68
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-08-05
2025-02-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-14
2024-09-19
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-10-18
2024-09-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-18
2024-09-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-10-18
2024-09-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-18
2024-09-19
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
2024-10-18
2024-09-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-10-18
2023-09-14
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-09-25
2023-09-08
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-09-08
2023-09-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2023-09-08
2023-07-13
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-09-01
2023-07-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-01
2023-07-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-01
2023-07-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-09-01
2022-02-17
Health
F0578
Honor 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.
D
2022-03-18
2022-02-17
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-03-18
2022-02-17
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2022-03-18
2022-02-17
Health
F0760
Ensure that residents are free from significant medication errors.
J
2022-03-18
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
15
Owner
Role
Pct
From
Status
Source
HALPERT, MARC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2017-12-29
current
pecos_ownership
LEGUM, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2017-12-29
current
pecos_ownership
SPARTAN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
28%
2017-12-29
current
pecos_ownership
YAZOMA HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
28%
2017-12-29
current
pecos_ownership
STERN, WILLIAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
2017-12-29
current
pecos_ownership
WBS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
2017-12-29
current
pecos_ownership
JCA HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2017-12-29
current
pecos_ownership
JAFFA, NOAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2017-12-29
current
pecos_ownership
NIJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2017-12-29
current
pecos_ownership
MONARCH HEALTHCARE OPERATING V LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-29
current
pecos_ownership
JOSHUA LEGUM
CONTRACTED MANAGING EMPLOYEE
28%
2017-12-29
ended 2026-05-18
pecos_ownership
MARC HALPERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2017-12-29
ended 2026-05-18
pecos_ownership
WILLIAM STERN
CORPORATE OFFICER
19%
2017-12-29
ended 2026-05-18
pecos_ownership
JEFFREY AREM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2017-12-29
ended 2026-05-18
pecos_ownership
NOAM JAFFA
CORPORATE DIRECTOR
10%
2017-12-29
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
$1,414,596
—
—
—
—
3
—
2023-12-31
$1,876,276
—
—
$810,725
—
3
—
2022-12-31
$1,811,894
—
—
$766,312
—
4
—
2021-12-31
$1,620,599
—
—
$858,937
—
3
—
2020-12-31
$1,371,898
—
—
$612,173
—
3
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 27025
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27025
acs median gross
1
$910
2024-12-31
CENSUS_ACS5
county 27025
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27025
acs median gross
2
$1,168
2024-12-31
CENSUS_ACS5
county 27025
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27025
acs median gross
3
$1,423
2024-12-31
CENSUS_ACS5
county 27025
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27025
acs median gross
4
$1,474
2024-12-31
CENSUS_ACS5
county 27025
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27025
acs median gross
$1,186
2024-12-31
CENSUS_ACS5
county 27025
acs recent mover gross
$1,179
2024-12-31
CENSUS_ACS5
zcta 55013
acs median gross
0
$967
2024-12-31
CENSUS_ACS5
zcta 55013
acs median gross
1
$1,151
2024-12-31
CENSUS_ACS5
zcta 55013
acs median gross
2
$1,618
2024-12-31
CENSUS_ACS5
zcta 55013
acs median gross
$1,385
2024-12-31
CENSUS_ACS5
zip 55013
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 55013
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 110
1
$1,375
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 90
1
$1,125
2025-10-01
HUD_USER_SAFMR
zip 55013
safmr
1
$1,250
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 110
2
$1,672
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 90
2
$1,368
2025-10-01
HUD_USER_SAFMR
zip 55013
safmr
2
$1,520
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 110
3
$2,222
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 90
3
$1,818
2025-10-01
HUD_USER_SAFMR
zip 55013
safmr
3
$2,020
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 110
4
$2,497
2025-10-01
HUD_USER_SAFMR
zip 55013
payment standard 90
4
$2,043
2025-10-01
HUD_USER_SAFMR
zip 55013
safmr
4
$2,270
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.