3401 EAST MEDICINE LAKE BOULEVARD, PLYMOUTH, MN 55441 · CCN 245546
Composite
54.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 54.2% 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
8
2025Q4 HPRD
This facility
MN median
National median
National p25–p75
Total nurse
3.65
3.49
3.28
2.90–3.77
RN
0.94
0.65
0.39
0.25–0.58
Weekend total
3.44
3.32
3.11
—
Weekday total
3.73
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.2
3.65
0.94
0.34
2.37
3.44
0.0%
2025Q3
92
56.0
3.56
1.06
0.32
2.18
3.24
0.0%
2025Q2
91
56.3
3.51
0.99
0.35
2.17
3.09
0.0%
2025Q1
90
57.3
3.44
0.97
0.37
2.10
3.17
0.0%
2024Q4
92
59.1
0.24
0.06
0.04
0.14
0.25
0.0%
2024Q3
92
57.4
3.34
0.80
0.45
2.09
2.95
0.0%
2024Q2
91
57.2
3.24
0.75
0.38
2.10
2.94
0.0%
2024Q1
91
54.8
3.49
0.79
0.48
2.22
3.26
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.
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
2026-03-26
2026-02-25
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2026-02-19
2026-02-11
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-03-04
2026-01-08
Health · complaint
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
E
2026-01-23
2025-07-03
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-08-18
2025-07-03
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-08-18
2025-07-03
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-08-18
2025-04-10
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-05-09
2025-04-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-09
2025-04-10
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-04-03
2025-03-12
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-04-18
2025-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-18
2025-03-12
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2025-04-18
2024-05-31
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-12
2024-05-31
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2024-07-12
2024-05-31
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
2024-07-12
2024-05-31
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-07-12
2024-05-31
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-07-12
2024-05-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-12
2024-05-31
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-12
2024-05-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-12
2024-05-31
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-07-12
2024-05-31
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-07-12
2024-05-31
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
2024-07-12
2024-05-31
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-07-12
2024-05-31
Health
F0881
Implement a program that monitors antibiotic use.
F
2024-07-12
2024-05-31
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-07-12
2024-04-24
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-05-17
2023-12-13
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-01-04
2023-12-13
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-01-04
2023-07-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-08-28
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
45
Owner
Role
Pct
From
Status
Source
MISSIONS, INC PROGRAMS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
AURAND, CLAUDIA
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
BARKER, JOEL
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
BILLY, STACEY
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
BOBO, CYNTHIA
CORPORATE DIRECTOR
—
2023-06-01
current
pecos_ownership
COLLINS, LUCAS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-05
current
pecos_ownership
DANIELS, KATHRYN
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
DETERMAN, TERESA
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
FALLON, TAMARA
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
KIWUS, KELLY
CORPORATE DIRECTOR
—
2023-06-01
current
pecos_ownership
MANNIX, PETER
CORPORATE DIRECTOR
—
2023-10-01
current
pecos_ownership
MEYER, ELLEN
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
MONCRIEF, WILLIAM
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
MONCRIEF, WILLIAM
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
NETTLES, ANDREA
CORPORATE DIRECTOR
—
2023-06-01
current
pecos_ownership
O'BRIEN, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-26
current
pecos_ownership
RODRIGUEZ, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
SENKBEIL, MARY
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
SONNTAG, ROBERT
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
SONNTAG, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
SPAULDING, WENDY
CORPORATE DIRECTOR
—
2023-06-01
current
pecos_ownership
WHITMAN, ANDREW
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
WOLD, DENNIS
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
ELLEN MEYER
CORPORATE DIRECTOR
100%
2022-06-01
ended 2026-05-18
pecos_ownership
ANDREA NETTLES
CORPORATE DIRECTOR
0%
2023-06-01
ended 2026-05-18
pecos_ownership
ANDREW WHITMAN
CORPORATE DIRECTOR
0%
2020-06-01
ended 2026-05-18
pecos_ownership
CYNTHIA BOBO
CORPORATE DIRECTOR
0%
2023-06-01
ended 2026-05-18
pecos_ownership
KELLY KIWUS
CORPORATE DIRECTOR
0%
2023-06-01
ended 2026-05-18
pecos_ownership
MARY SENKBEIL
CORPORATE DIRECTOR
0%
2020-06-01
ended 2026-05-18
pecos_ownership
PETER MANNIX
CORPORATE DIRECTOR
0%
2023-10-01
ended 2026-05-18
pecos_ownership
WENDY SPAULDING
CORPORATE DIRECTOR
0%
2023-06-01
ended 2026-05-18
pecos_ownership
CLAUDIA AURAND
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
DENNIS WOLD
CORPORATE DIRECTOR
—
2022-06-01
ended 2026-05-18
pecos_ownership
JENNIFER RODRIGUEZ
ADP OF THE SNF
—
2023-10-16
ended 2026-05-18
pecos_ownership
JOEL BARKER
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
KATHRYN DANIELS
CORPORATE DIRECTOR
—
2022-07-01
ended 2026-05-18
pecos_ownership
LINDA O'BRIEN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-26
ended 2026-05-18
pecos_ownership
LUCAS COLLINS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-05
ended 2026-05-18
pecos_ownership
ROBERT SONNTAG
ADP OF THE SNF
—
2025-04-02
ended 2026-05-18
pecos_ownership
ROBERT SONNTAG
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
ended 2026-05-18
pecos_ownership
STACEY BILLY
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
TAMARA FALLON
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
TERESA DETERMAN
CORPORATE DIRECTOR
—
2022-06-01
ended 2026-05-18
pecos_ownership
WILLIAM MONCRIEF
ADP OF THE SNF
—
2025-02-20
ended 2026-05-18
pecos_ownership
WILLIAM MONCRIEF
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
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
$568
—
—
—
—
1
—
2020-12-31
$141,996
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 27053
acs median gross
0
$1,141
2024-12-31
CENSUS_ACS5
county 27053
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
1
$1,293
2024-12-31
CENSUS_ACS5
county 27053
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
2
$1,677
2024-12-31
CENSUS_ACS5
county 27053
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
3
$1,963
2024-12-31
CENSUS_ACS5
county 27053
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
4
$2,216
2024-12-31
CENSUS_ACS5
county 27053
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
5
$1,999
2024-12-31
CENSUS_ACS5
county 27053
acs median gross
$1,487
2024-12-31
CENSUS_ACS5
county 27053
acs recent mover gross
$1,628
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
0
$1,346
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
1
$1,428
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
2
$1,745
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
3
$2,114
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
4
$2,045
2024-12-31
CENSUS_ACS5
zcta 55441
acs median gross
$1,637
2024-12-31
CENSUS_ACS5
zcta 55441
acs recent mover gross
$1,549
2024-12-31
CENSUS_ACS5
zip 55441
payment standard 110
0
$1,485
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 90
0
$1,215
2025-10-01
HUD_USER_SAFMR
zip 55441
safmr
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 110
1
$1,683
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 90
1
$1,377
2025-10-01
HUD_USER_SAFMR
zip 55441
safmr
1
$1,530
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 110
2
$2,046
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 90
2
$1,674
2025-10-01
HUD_USER_SAFMR
zip 55441
safmr
2
$1,860
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 110
3
$2,706
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 90
3
$2,214
2025-10-01
HUD_USER_SAFMR
zip 55441
safmr
3
$2,460
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 110
4
$3,025
2025-10-01
HUD_USER_SAFMR
zip 55441
payment standard 90
4
$2,475
2025-10-01
HUD_USER_SAFMR
zip 55441
safmr
4
$2,750
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.