5805 NORTH FIR ROAD, GRANGER, IN 46530 · CCN 155850 · chain MAJOR HOSPITAL
Composite
45.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 45.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.2 vs natl
CLAXTON RYAN
23 facilities
connection
Owner spans multiple chains
9 chains
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES LLC
22 facilities
connection
Owner spans multiple chains
9 chains
FUNDAMENTAL ADMINISTRATIVE SERVICES LLC
21 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
IN median
National median
National p25–p75
Total nurse
2.79
2.85
3.28
2.90–3.77
RN
0.36
0.40
0.39
0.25–0.58
Weekend total
2.66
2.71
3.11
—
Weekday total
2.84
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.4
2.79
0.36
0.73
1.70
2.66
0.0%
2025Q3
92
81.9
2.85
0.28
0.73
1.84
2.77
0.0%
2025Q2
91
83.7
2.87
0.24
0.81
1.81
2.66
0.0%
2025Q1
90
84.3
2.72
0.21
0.84
1.66
2.61
0.0%
2024Q4
92
85.0
2.72
0.20
0.85
1.67
2.57
0.0%
2024Q3
92
80.5
2.73
0.16
0.85
1.72
2.56
0.0%
2024Q2
91
80.9
2.72
0.15
0.83
1.74
2.50
0.0%
2024Q1
91
83.3
2.64
0.16
0.82
1.66
2.50
0.0%
2023Q4
92
80.0
2.41
0.22
0.64
1.54
2.34
0.0%
2023Q3
92
79.2
2.51
0.27
0.60
1.64
2.46
0.1%
2023Q2
91
85.2
2.84
0.15
0.82
1.88
2.75
3.6%
2023Q1
90
86.8
2.59
0.14
0.69
1.77
2.50
8.0%
2022Q4
92
86.0
2.75
0.15
0.77
1.82
2.60
7.6%
2022Q3
92
84.5
2.61
0.11
0.65
1.84
2.51
12.4%
2022Q2
91
74.2
2.09
0.05
0.46
1.58
1.97
3.4%
2022Q1
90
70.6
2.17
0.16
0.59
1.42
2.16
7.2%
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-12-30
2025-06-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-30
2025-05-08
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-06-04
2025-05-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-04
2024-07-29
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-08-12
2024-07-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-12
2024-07-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-12
2023-08-14
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
2023-09-18
2023-08-14
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
2023-09-18
2023-08-14
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-09-18
2023-08-14
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-09-18
2023-08-14
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.
E
2023-09-18
2023-08-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-18
2023-08-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-18
2023-08-14
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-09-18
2023-08-14
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
2023-09-18
2023-08-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-18
2023-08-14
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
2023-09-18
2023-08-14
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-09-18
2023-08-14
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
2023-09-18
2023-08-14
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2023-09-18
2023-08-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-09-18
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
36
Owner
Role
Pct
From
Status
Source
BEATY, JEFF
CORPORATE DIRECTOR
—
2003-02-01
current
pecos_ownership
BLACK, STEPHEN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
BURTON, KAREN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
CALDWELL, DANA
CORPORATE DIRECTOR
—
2008-02-01
current
pecos_ownership
CARMEAN, MARTI
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-06
current
pecos_ownership
CLAXTON, RYAN
ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
COFFIN, JOHN
CORPORATE DIRECTOR
—
2009-10-01
current
pecos_ownership
FUNDAMENTAL ADMINISTRATIVE SERVICES LLC
ADP OF THE SNF
—
2016-07-05
current
pecos_ownership
FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC
ADP OF THE SNF
—
2016-07-05
current
pecos_ownership
GUSTAFSON, PAULA
CORPORATE OFFICER
—
2013-01-01
current
pecos_ownership
HAEHL, PHILLIP
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
KUHN, HEATHER
CORPORATE OFFICER
—
2013-01-01
current
pecos_ownership
MERCURI, RALPH
CORPORATE OFFICER
—
2008-09-01
current
pecos_ownership
MORGAN POWERS, DEANNA
ADP OF THE SNF
—
2021-02-01
current
pecos_ownership
SANDMAN, JAN
CORPORATE DIRECTOR
—
2006-02-01
current
pecos_ownership
SHIPPENSBURG HEALTH CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-05-20
current
pecos_ownership
STEVENS, MELANIE
CORPORATE DIRECTOR
—
2006-02-01
current
pecos_ownership
TANDY, SHERRI
CORPORATE DIRECTOR
—
2006-02-01
current
pecos_ownership
VAN DEN DRIESSCHE, THOMAS
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
MAJOR HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-01
ended 2026-05-18
pecos_ownership
RYAN CLAXTON
CORPORATE OFFICER
100%
2025-03-27
ended 2026-05-18
pecos_ownership
DANA CALDWELL
CORPORATE DIRECTOR
—
2008-02-01
ended 2026-05-18
pecos_ownership
DEANNA MORGAN POWERS
ADP OF THE SNF
—
2021-02-01
ended 2026-05-18
pecos_ownership
HEATHER KUHN
CORPORATE OFFICER
—
2013-01-01
ended 2026-05-18
pecos_ownership
JAN SANDMAN
CORPORATE DIRECTOR
—
2006-02-01
ended 2026-05-18
pecos_ownership
JEFF BEATY
CORPORATE DIRECTOR
—
2003-02-01
ended 2026-05-18
pecos_ownership
JOHN COFFIN
CORPORATE DIRECTOR
—
2009-10-01
ended 2026-05-18
pecos_ownership
KAREN BURTON
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
MARTI CARMEAN
ADP OF THE SNF
—
2019-05-06
ended 2026-05-18
pecos_ownership
MELANIE STEVENS
CORPORATE DIRECTOR
—
2006-02-01
ended 2026-05-18
pecos_ownership
PAULA GUSTAFSON
CORPORATE OFFICER
—
2013-01-01
ended 2026-05-18
pecos_ownership
PHILLIP HAEHL
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
RALPH MERCURI
CORPORATE DIRECTOR
—
2008-09-01
ended 2026-05-18
pecos_ownership
SHERRI TANDY
CORPORATE DIRECTOR
—
2006-02-01
ended 2026-05-18
pecos_ownership
STEPHEN BLACK
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
THOMAS VAN DEN DRIESSCHE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
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
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
34
Geo
Kind
BR
Amount
As of
Source
county 18141
acs median gross
0
$858
2024-12-31
CENSUS_ACS5
county 18141
fmr
0
$898
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
1
$905
2024-12-31
CENSUS_ACS5
county 18141
fmr
1
$1,105
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
2
$1,092
2024-12-31
CENSUS_ACS5
county 18141
fmr
2
$1,292
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
3
$1,197
2024-12-31
CENSUS_ACS5
county 18141
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 18141
fmr
4
$1,711
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
5
$1,404
2024-12-31
CENSUS_ACS5
county 18141
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
county 18141
acs recent mover gross
$1,164
2024-12-31
CENSUS_ACS5
zcta 46530
acs median gross
0
$1,565
2024-12-31
CENSUS_ACS5
zcta 46530
acs median gross
1
$1,222
2024-12-31
CENSUS_ACS5
zcta 46530
acs median gross
2
$1,834
2024-12-31
CENSUS_ACS5
zcta 46530
acs median gross
3
$2,563
2024-12-31
CENSUS_ACS5
zcta 46530
acs median gross
$1,754
2024-12-31
CENSUS_ACS5
zcta 46530
acs recent mover gross
$1,779
2024-12-31
CENSUS_ACS5
zip 46530
payment standard 110
0
$1,441
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 90
0
$1,179
2025-10-01
HUD_USER_SAFMR
zip 46530
safmr
0
$1,310
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 110
1
$1,749
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 90
1
$1,431
2025-10-01
HUD_USER_SAFMR
zip 46530
safmr
1
$1,590
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 110
2
$2,046
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 90
2
$1,674
2025-10-01
HUD_USER_SAFMR
zip 46530
safmr
2
$1,860
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 110
3
$2,497
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 90
3
$2,043
2025-10-01
HUD_USER_SAFMR
zip 46530
safmr
3
$2,270
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 110
4
$2,706
2025-10-01
HUD_USER_SAFMR
zip 46530
payment standard 90
4
$2,214
2025-10-01
HUD_USER_SAFMR
zip 46530
safmr
4
$2,460
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.