710 N CHRISTIAN AVENUE, MOUNDRIDGE, KS 67107 · CCN 175553
Composite
6.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
78
Model
v1.2
Reads as: riskier than 6.5% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
SMITH DAVID
7 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 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
KS median
National median
National p25–p75
Total nurse
3.54
3.03
3.28
2.90–3.77
RN
0.28
0.44
0.39
0.25–0.58
Weekend total
3.13
2.87
3.11
—
Weekday total
3.69
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.8
3.54
0.28
0.52
2.74
3.13
0.0%
2025Q3
92
76.6
3.65
0.28
0.52
2.85
3.28
0.0%
2025Q2
91
76.3
3.59
0.24
0.53
2.82
3.13
0.0%
2025Q1
90
76.6
3.62
0.24
0.56
2.83
3.20
0.0%
2024Q4
92
76.4
3.59
0.22
0.56
2.81
3.18
0.0%
2024Q3
92
73.8
3.71
0.24
0.56
2.90
3.34
0.0%
2024Q2
91
75.4
3.60
0.14
0.58
2.88
3.22
0.0%
2024Q1
91
74.0
3.85
0.16
0.63
3.05
3.44
0.0%
2023Q4
92
75.2
3.60
0.13
0.69
2.78
3.20
0.0%
2023Q3
92
75.7
3.51
0.10
0.59
2.82
3.10
0.0%
2023Q2
91
77.0
3.32
0.09
0.56
2.66
3.07
3.7%
2023Q1
90
76.3
3.28
0.10
0.55
2.63
3.00
6.3%
2022Q4
92
75.0
3.38
0.11
0.56
2.70
3.11
15.0%
2022Q3
92
76.0
3.32
0.16
0.55
2.62
3.02
15.9%
2022Q2
91
74.3
3.46
0.17
0.58
2.70
3.06
21.6%
2022Q1
90
73.1
3.21
0.20
0.53
2.47
3.00
21.2%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-10-19
2024-09-25
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-10-19
2024-09-25
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-10-19
2023-03-15
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-04-26
2023-03-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-04-26
2023-03-15
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
2023-04-26
2023-03-15
Health
F0758
Implement 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.
D
2023-04-26
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
59
Owner
Role
Pct
From
Status
Source
BEACON CONSULTING
ADP OF THE SNF
—
2024-04-03
current
pecos_ownership
BECKER, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-06
current
pecos_ownership
CHURCH OF GOD IN CHRIST MENNONITE
DIRECT OWNERSHIP INTEREST
—
2015-01-30
current
pecos_ownership
DECKER, PAM
OPERATIONAL/MANAGERIAL CONTROL
—
2000-11-20
current
pecos_ownership
DYCK, ANDREW
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
ENSZ ACCOUNTING
ADP OF THE SNF
—
1999-01-01
current
pecos_ownership
ENSZ, GLEN
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
current
pecos_ownership
FINANICAL MANAGEMENT INC
ADP OF THE SNF
—
2008-01-01
current
pecos_ownership
GEHRING, OLIVIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-11
current
pecos_ownership
KOEHN, ANGELA
ADP OF THE SNF
—
2015-01-30
current
pecos_ownership
KOEHN, BRENTON
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
current
pecos_ownership
KOEHN, CHAD
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KOEHN, KEITH
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
KOEHN, KELLY
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
KOEHN, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
current
pecos_ownership
KOEHN, STEVE
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
MARTENS, KENDALL
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
MERCY HOSPITAL INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
NIGHTINGALE, DEB
OPERATIONAL/MANAGERIAL CONTROL
—
1995-06-28
current
pecos_ownership
RATZLAFF, CRAIG
ADP OF THE SNF
—
2020-11-03
current
pecos_ownership
RHEA, CARLOLYN
OPERATIONAL/MANAGERIAL CONTROL
—
1995-10-06
current
pecos_ownership
SCHMIDT, SHARON
ADP OF THE SNF
—
1993-10-25
current
pecos_ownership
SMITH, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
UNRUH, GREG
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
UNRUH, JARED
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-25
current
pecos_ownership
UNRUH, KATIE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-09
current
pecos_ownership
UNRUH, KEVIN
CORPORATE DIRECTOR
—
2014-08-01
current
pecos_ownership
UNRUH, SHELBY
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
current
pecos_ownership
WADEL, AUTUME
OPERATIONAL/MANAGERIAL CONTROL
—
2010-06-21
current
pecos_ownership
WEDEL, KARLA
ADP OF THE SNF
—
1992-10-01
current
pecos_ownership
WIEBE, ANTHONY
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
WIEBE, KENT
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
KEVIN UNRUH
CORPORATE DIRECTOR
100%
2014-08-01
ended 2026-05-18
pecos_ownership
ANDREW DYCK
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
ANGELA KOEHN
ADP OF THE SNF
—
2015-01-30
ended 2026-05-18
pecos_ownership
ANTHONY WIEBE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
AUTUME WADEL
OPERATIONAL/MANAGERIAL CONTROL
—
2010-06-21
ended 2026-05-18
pecos_ownership
BRENTON KOEHN
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
ended 2026-05-18
pecos_ownership
CARLOLYN RHEA
OPERATIONAL/MANAGERIAL CONTROL
—
1995-10-06
ended 2026-05-18
pecos_ownership
CHAD KOEHN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
CRAIG RATZLAFF
ADP OF THE SNF
—
2020-11-03
ended 2026-05-18
pecos_ownership
DAVID SMITH
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
DEB NIGHTINGALE
OPERATIONAL/MANAGERIAL CONTROL
—
1995-06-28
ended 2026-05-18
pecos_ownership
GLEN ENSZ
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
ended 2026-05-18
pecos_ownership
GREG UNRUH
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
JARED UNRUH
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-25
ended 2026-05-18
pecos_ownership
KARLA WEDEL
OPERATIONAL/MANAGERIAL CONTROL
—
1992-10-01
ended 2026-05-18
pecos_ownership
KATIE UNRUH
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-09
ended 2026-05-18
pecos_ownership
KEITH KOEHN
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
KELLY KOEHN
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
KENDALL MARTENS
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
KENT WIEBE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
MICHAEL KOEHN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
ended 2026-05-18
pecos_ownership
OLIVIA GEHRING
ADP OF THE SNF
—
2025-02-11
ended 2026-05-18
pecos_ownership
PAM DECKER
OPERATIONAL/MANAGERIAL CONTROL
—
2000-11-20
ended 2026-05-18
pecos_ownership
SHARON SCHMIDT
ADP OF THE SNF
—
1993-10-25
ended 2026-05-18
pecos_ownership
SHELBY UNRUH
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
STEVE KOEHN
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
TRAVIS BECKER
ADP OF THE SNF
—
2016-06-06
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
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
33
Geo
Kind
BR
Amount
As of
Source
county 20113
acs median gross
0
$815
2024-12-31
CENSUS_ACS5
county 20113
fmr
0
$674
2025-10-01
HUD_USER_FMR
county 20113
acs median gross
1
$675
2024-12-31
CENSUS_ACS5
county 20113
fmr
1
$701
2025-10-01
HUD_USER_FMR
county 20113
acs median gross
2
$889
2024-12-31
CENSUS_ACS5
county 20113
fmr
2
$920
2025-10-01
HUD_USER_FMR
county 20113
acs median gross
3
$1,060
2024-12-31
CENSUS_ACS5
county 20113
fmr
3
$1,176
2025-10-01
HUD_USER_FMR
county 20113
acs median gross
4
$1,110
2024-12-31
CENSUS_ACS5
county 20113
fmr
4
$1,356
2025-10-01
HUD_USER_FMR
county 20113
acs median gross
5
$1,167
2024-12-31
CENSUS_ACS5
county 20113
acs median gross
$916
2024-12-31
CENSUS_ACS5
county 20113
acs recent mover gross
$1,030
2024-12-31
CENSUS_ACS5
zcta 67107
acs median gross
1
$430
2024-12-31
CENSUS_ACS5
zcta 67107
acs median gross
2
$738
2024-12-31
CENSUS_ACS5
zcta 67107
acs median gross
3
$1,014
2024-12-31
CENSUS_ACS5
zcta 67107
acs median gross
$750
2024-12-31
CENSUS_ACS5
zcta 67107
acs recent mover gross
$617
2024-12-31
CENSUS_ACS5
zip 67107
payment standard 110
0
$704
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 90
0
$576
2025-10-01
HUD_USER_SAFMR
zip 67107
safmr
0
$640
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 110
1
$737
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 90
1
$603
2025-10-01
HUD_USER_SAFMR
zip 67107
safmr
1
$670
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 110
2
$968
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 90
2
$792
2025-10-01
HUD_USER_SAFMR
zip 67107
safmr
2
$880
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 110
3
$1,232
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 90
3
$1,008
2025-10-01
HUD_USER_SAFMR
zip 67107
safmr
3
$1,120
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 110
4
$1,474
2025-10-01
HUD_USER_SAFMR
zip 67107
payment standard 90
4
$1,206
2025-10-01
HUD_USER_SAFMR
zip 67107
safmr
4
$1,340
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.