Composite
74.4 / 100 percentile
Screener / 235471
C
Life Care Center of Plainwell
snfMI
320 Brigham St, Plainwell, MI 49080 · CCN 235471 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
Model
v1.2
Reads as: riskier than 74.4% 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.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies85Licensure0Ownership39Related party5Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.2 | 97.2 | 0.30 | 0.2308 | 22.66 | in index |
| financial risk | 65.5 | 56.0 | 0.30 | 0.2308 | 15.12 | in index |
| staffing risk | 41.9 | 42.0 | 0.25 | 0.1923 | 8.06 | in index |
| chow risk | 59.1 | 57.5 | 0.15 | 0.1154 | 6.82 | in index |
| billing conduct | 22.7 | 27.4 | 0.30 | 0.2308 | 5.24 | in index |
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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 27.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 90.0 | F | v0.6 | default · in composite | |
| financial risk | 56.0 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.2 | — | v0.1 | default · in 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. |
| regulatory risk | 97.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 42.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.1 | F | v0.1 | superseded | 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. |
| financial risk | 74.1 | D | v0.2 | superseded | 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. |
| financial risk | 54.3 | C | v0.3 | superseded | 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. |
| financial risk | 59.5 | C | v0.4 | superseded | 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. |
| regulatory risk | 97.2 | F | v0.1 | superseded | 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. |
| regulatory risk | 97.2 | F | v0.2 | superseded | 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. |
| staffing risk | 42.0 | B | v0.1 | superseded | 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. |
| staffing risk | 42.0 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 9.08 | -0.97 | |
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 16.00 | +0.22 | |
| Occupancy | 0.77 | -0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.08 | -0.15 | |
| Occupancy | 0.77 | -0.09 |
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 | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.42 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.70 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.11 | 3.32 | 3.11 | — |
| Weekday total | 3.54 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 91.7 | 3.42 | 0.70 | 0.62 | 2.10 | 3.11 | 0.0% |
| 2025Q3 | 92 | 91.4 | 3.29 | 0.73 | 0.61 | 1.94 | 2.94 | 0.0% |
| 2025Q2 | 91 | 88.7 | 3.25 | 0.56 | 0.79 | 1.90 | 2.94 | 0.0% |
| 2025Q1 | 90 | 83.8 | 3.57 | 0.55 | 0.90 | 2.12 | 3.28 | 0.0% |
| 2024Q4 | 92 | 85.8 | 3.40 | 0.48 | 0.91 | 2.01 | 3.17 | 0.0% |
| 2024Q3 | 92 | 83.4 | 3.44 | 0.48 | 0.81 | 2.15 | 3.18 | 0.0% |
| 2024Q2 | 91 | 77.9 | 3.56 | 0.34 | 0.94 | 2.29 | 3.22 | 0.2% |
| 2024Q1 | 91 | 75.2 | 3.97 | 0.32 | 1.19 | 2.46 | 3.67 | 9.0% |
| 2023Q4 | 92 | 86.5 | 3.16 | 0.27 | 1.00 | 1.89 | 2.97 | 10.9% |
| 2023Q3 | 92 | 90.1 | 2.86 | 0.31 | 0.79 | 1.76 | 2.62 | 8.8% |
| 2023Q2 | 91 | 88.3 | 3.02 | 0.28 | 0.84 | 1.90 | 2.61 | 9.6% |
| 2023Q1 | 90 | 84.6 | 2.88 | 0.19 | 0.96 | 1.72 | 2.58 | 11.6% |
| 2022Q4 | 92 | 82.5 | 3.09 | 0.17 | 1.03 | 1.89 | 2.77 | 10.2% |
| 2022Q3 | 92 | 79.3 | 2.88 | 0.28 | 0.94 | 1.66 | 2.66 | 7.4% |
| 2022Q2 | 91 | 71.3 | 2.88 | 0.32 | 0.94 | 1.62 | 2.48 | 13.2% |
| 2022Q1 | 90 | 73.3 | 2.67 | 0.35 | 0.83 | 1.49 | 2.36 | 9.9% |
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.
Penalties
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-09-19 | Fine | $15,593 | CMS provider data |
| 2023-09-19 | Fine | $156,244 | CMS provider data |
Total fines on record: $171,837
Deficiencies
85D × 61E × 16F × 2G × 4J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-09 | Health · complaint | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2026-05-01 |
| 2026-04-09 | 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 | 2026-05-01 |
| 2026-04-09 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-05-01 |
| 2026-04-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-01 |
| 2026-04-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-01 |
| 2025-12-17 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-01-20 |
| 2025-12-17 | 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 | 2026-01-20 |
| 2025-12-17 | 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. | E | 2026-01-20 |
| 2025-12-17 | Health | F0687 | Provide appropriate foot care. | D | 2026-01-20 |
| 2025-12-17 | 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 | 2026-01-20 |
| 2025-12-17 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-01-20 |
| 2025-12-17 | 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. | E | 2026-01-20 |
| 2025-12-17 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | 2026-01-20 |
| 2025-12-17 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2026-01-20 |
| 2025-12-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2026-01-20 |
| 2025-12-17 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2026-01-20 |
| 2025-06-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-14 |
| 2025-06-18 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-07-14 |
| 2025-06-18 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-07-14 |
| 2025-01-29 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-02-19 |
| 2024-10-10 | 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 | 2024-11-01 |
| 2024-10-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-01 |
| 2024-10-10 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-11-01 |
| 2024-10-10 | 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 | 2024-11-01 |
| 2024-10-10 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-11-01 |
| 2024-10-10 | 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 | 2024-11-01 |
| 2024-10-10 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-11-01 |
| 2024-10-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-01 |
| 2024-10-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-01 |
| 2024-08-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-06 |
| 2024-08-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-06 |
| 2024-08-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-06 |
| 2024-08-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-06 |
| 2024-08-22 | Health · complaint | 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 | 2024-09-06 |
| 2024-08-22 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-06 |
| 2024-06-27 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-22 |
| 2024-06-27 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-22 |
| 2024-06-27 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-07-22 |
| 2024-06-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-22 |
| 2024-04-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-03 |
| 2024-04-12 | Health · complaint | 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 | 2024-05-03 |
| 2023-12-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-01-16 |
| 2023-12-11 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-01-16 |
| 2023-12-11 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-01-16 |
| 2023-12-11 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-16 |
| 2023-12-11 | Health | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2024-01-16 |
| 2023-12-11 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-01-16 |
| 2023-12-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-01-16 |
| 2023-12-11 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-01-16 |
| 2023-12-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-01-16 |
| 2023-12-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-01-16 |
| 2023-12-11 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-16 |
| 2023-12-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-16 |
| 2023-12-11 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-01-16 |
| 2023-12-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-01-16 |
| 2023-12-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-01-16 |
| 2023-12-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-16 |
| 2023-12-11 | 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 | 2024-01-16 |
| 2023-12-11 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-16 |
| 2023-12-11 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-01-16 |
| 2023-12-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-16 |
| 2023-12-11 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-01-16 |
| 2023-12-11 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-01-16 |
| 2023-12-11 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-01-16 |
| 2023-12-11 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2024-01-16 |
| 2023-12-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-16 |
| 2023-12-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-16 |
| 2023-12-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-16 |
| 2023-12-11 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-01-16 |
| 2023-12-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-01-16 |
| 2023-12-11 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-01-16 |
| 2023-12-11 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2024-01-16 |
| 2023-09-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-10-08 |
| 2023-09-19 | 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 | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | G | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2023-10-08 |
| 2023-09-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-08 |
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
0No 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
39| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PLAINWELL RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| PLAINWELL RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| ALVI, TAHIR | ADP OF THE SNF | — | 2025-03-06 | current | pecos_ownership |
| ALVI, TAHIR | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-24 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 2017-01-24 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 2017-01-24 | current | pecos_ownership |
| LAY, LISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-24 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-09-21 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| LONG, ZOFIA | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-03-15 | current | pecos_ownership |
| NICKRENT, DAWN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-21 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-27 | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| PRESTON, FORREST | INDIRECT OWNERSHIP INTEREST | — | 2015-09-21 | current | pecos_ownership |
| SWANKER, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2017-01-24 | current | pecos_ownership |
| WESTERS, PENNIE | ADP OF THE SNF | — | 2025-02-14 | current | pecos_ownership |
| WESTERS, PENNIE | MANAGING CONTROL - GOVERNING BODY | — | 2022-10-17 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-09-18 | current | pecos_ownership |
| FORREST PRESTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-09-21 | ended 2026-05-18 | pecos_ownership |
| PLAINWELL RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| PLAINWELL RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| PLAINWELL RE INV LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AUBREY PRESTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-27 | ended 2026-05-18 | pecos_ownership |
| CINDY CROSS | CORPORATE OFFICER | — | 2017-01-24 | ended 2026-05-18 | pecos_ownership |
| DAWN NICKRENT | MANAGING CONTROL - GOVERNING BODY | — | 2024-02-21 | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | ADP OF THE SNF | — | 2004-05-07 | ended 2026-05-18 | pecos_ownership |
| JAMES ZIEGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-09-18 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2017-01-24 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-24 | ended 2026-05-18 | pecos_ownership |
| PENNIE WESTERS | ADP OF THE SNF | — | 2025-02-14 | ended 2026-05-18 | pecos_ownership |
| PENNIE WESTERS | MANAGING CONTROL - GOVERNING BODY | — | 2022-10-17 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| TAHIR ALVI | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-24 | ended 2026-05-18 | pecos_ownership |
| TAHIR ALVI | ADP OF THE SNF | — | 2025-03-06 | ended 2026-05-18 | pecos_ownership |
| TERRY HENRY | CORPORATE OFFICER | — | 2017-01-24 | ended 2026-05-18 | pecos_ownership |
| TODD FLETCHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| ZOFIA LONG | MANAGING CONTROL - GOVERNING BODY | — | 2004-03-15 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-07-01 | — | PLAINWELL OPERATIONS, LLC | LIFE CARE CENTERS OF AMERICA, INC. | chow |
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS OPCO LLC |
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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26005 | acs median gross | 0 | $654 | 2024-12-31 | CENSUS_ACS5 |
| county 26005 | fmr | 0 | $959 | 2025-10-01 | HUD_USER_FMR |
| county 26005 | acs median gross | 1 | $774 | 2024-12-31 | CENSUS_ACS5 |
| county 26005 | fmr | 1 | $966 | 2025-10-01 | HUD_USER_FMR |
| county 26005 | acs median gross | 2 | $1,115 | 2024-12-31 | CENSUS_ACS5 |
| county 26005 | fmr | 2 | $1,267 | 2025-10-01 | HUD_USER_FMR |
| county 26005 | acs median gross | 3 | $1,245 | 2024-12-31 | CENSUS_ACS5 |
| county 26005 | fmr | 3 | $1,583 | 2025-10-01 | HUD_USER_FMR |
| county 26005 | acs median gross | 4 | $1,600 | 2024-12-31 | CENSUS_ACS5 |
| county 26005 | fmr | 4 | $1,761 | 2025-10-01 | HUD_USER_FMR |
| county 26005 | acs median gross | $1,100 | 2024-12-31 | CENSUS_ACS5 | |
| county 26005 | acs recent mover gross | $1,201 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49080 | acs median gross | 1 | $658 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49080 | acs median gross | 2 | $1,076 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49080 | acs median gross | 3 | $1,348 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49080 | acs median gross | $1,010 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49080 | acs recent mover gross | $1,575 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49080 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 110 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 90 | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | safmr | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 110 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 90 | 2 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | safmr | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 110 | 4 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | payment standard 90 | 4 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49080 | safmr | 4 | $1,650 | 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.