Reads as: riskier than 13.5% 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.
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 regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
MN median
National median
National p25–p75
Total nurse
4.45
3.49
3.28
2.90–3.77
RN
1.09
0.65
0.39
0.25–0.58
Weekend total
4.22
3.32
3.11
—
Weekday total
4.54
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
22.1
4.45
1.09
0.08
3.28
4.22
0.0%
2025Q3
92
23.5
4.86
1.32
0.16
3.39
4.56
4.8%
2025Q2
91
23.2
4.60
0.83
0.25
3.52
4.28
1.9%
2025Q1
90
23.4
4.30
0.86
0.23
3.21
4.16
0.4%
2024Q4
92
24.8
4.32
0.77
0.27
3.27
4.32
0.8%
2024Q3
92
22.3
4.54
0.85
0.37
3.33
4.23
5.4%
2024Q2
91
23.5
4.08
0.73
0.41
2.94
3.92
0.0%
2024Q1
91
23.2
4.13
0.57
0.58
2.98
3.97
22.5%
2023Q4
92
23.7
3.94
0.64
0.59
2.71
3.77
17.2%
2023Q3
92
25.8
4.03
0.66
0.35
3.02
3.94
20.2%
2023Q2
91
25.8
4.15
0.61
0.44
3.11
4.12
34.0%
2023Q1
90
24.2
4.27
0.42
0.61
3.24
4.12
28.1%
2022Q4
92
23.6
3.82
0.39
0.70
2.73
3.85
24.7%
2022Q3
92
21.5
4.40
0.58
0.72
3.09
4.15
8.3%
2022Q2
91
20.3
5.14
0.80
0.44
3.89
5.09
19.2%
2022Q1
90
22.3
4.17
0.89
0.23
3.04
4.22
6.6%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
13
D × 11E × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-10
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-04-23
2025-04-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-01
2025-04-10
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
2025-05-01
2025-01-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-01-23
2024-05-02
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-05-14
2024-05-02
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
2024-05-14
2024-05-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-14
2024-04-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-04-26
2024-04-12
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
2024-04-26
2023-07-13
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-09-01
2023-07-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-01
2023-07-13
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-08-18
2023-07-13
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
2023-09-01
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
80
Owner
Role
Pct
From
Status
Source
AHLGREN, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ANTIKAINEN, KARIS
CORPORATE DIRECTOR
—
2025-01-02
current
pecos_ownership
BRADFORD, BRITTANY
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-01
current
pecos_ownership
BRANDON, HEATHER
CORPORATE DIRECTOR
—
2025-09-23
current
pecos_ownership
BRETT, LORI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
COOK HOSPITAL
ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
COOK HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
DAHL, ELIZABETH
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
DEBEVEC, TERESA
ADP OF THE SNF
—
2007-10-01
current
pecos_ownership
DEBEVEC, TERESA
OPERATIONAL/MANAGERIAL CONTROL
—
2007-10-07
current
pecos_ownership
DOWNES, CODY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DRIGGS, JODELL
CORPORATE DIRECTOR
—
2025-01-02
current
pecos_ownership
ENZMANN, MICHAEL
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
GABLE, JOSEPHINE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-01
current
pecos_ownership
GREEN, ANDREA
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
HENSHAW, THERESA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
HOARD, KAYLEE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
HYPPA, MARGIE
CORPORATE DIRECTOR
—
2008-03-01
current
pecos_ownership
JOHANSEN, LORI
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
LESEMANN, JULIE
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
LONG, WENDY
CORPORATE DIRECTOR
—
2008-05-01
current
pecos_ownership
MAKI, STEPHANIE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MARTINSON, THERESA
CORPORATE DIRECTOR
—
2023-02-01
current
pecos_ownership
MCCARTHY, BRIAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MYRE, MARIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
NELSON, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
NOVAK, CHRISTINE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PARSON, DENISE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PEARSON, JUDITH
CORPORATE DIRECTOR
—
2007-01-01
current
pecos_ownership
PEDERSON, ERIC
CORPORATE DIRECTOR
—
2012-10-01
current
pecos_ownership
POTTER, DONALD
CORPORATE DIRECTOR
—
2002-07-01
current
pecos_ownership
SALO, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
SCHIMKA, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
SPENCE, ELIZABETH
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
STEGMEIR, JOHN
CORPORATE DIRECTOR
—
2015-05-01
current
pecos_ownership
TILLOTSON, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
TOSEL, LISA
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
VAIL-JACKSON, MOLLY
ADP OF THE SNF
—
2025-12-26
current
pecos_ownership
WEIAND, KATHY
CORPORATE DIRECTOR
—
2012-02-01
current
pecos_ownership
WILL, STACY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ZIEGLER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
DENISE PARSON
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
DONALD POTTER
CORPORATE DIRECTOR
0%
2002-07-01
ended 2026-05-18
pecos_ownership
ELIZABETH DAHL
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
ERIC PEDERSON
CORPORATE DIRECTOR
0%
2012-10-01
ended 2026-05-18
pecos_ownership
HEATHER BRANDON
CORPORATE DIRECTOR
0%
2025-09-23
ended 2026-05-18
pecos_ownership
JODELL DRIGGS
CORPORATE DIRECTOR
0%
2025-01-02
ended 2026-05-18
pecos_ownership
JOHN STEGMEIR
CORPORATE DIRECTOR
0%
2015-05-01
ended 2026-05-18
pecos_ownership
JUDITH PEARSON
CORPORATE DIRECTOR
0%
2007-01-01
ended 2026-05-18
pecos_ownership
KARIS ANTIKAINEN
CORPORATE DIRECTOR
0%
2025-01-02
ended 2026-05-18
pecos_ownership
KATHY WEIAND
CORPORATE DIRECTOR
0%
2012-02-01
ended 2026-05-18
pecos_ownership
LISA TOSEL
CORPORATE DIRECTOR
0%
2026-01-01
ended 2026-05-18
pecos_ownership
MARGIE HYPPA
CORPORATE DIRECTOR
0%
2008-03-01
ended 2026-05-18
pecos_ownership
MICHAEL ENZMANN
CORPORATE DIRECTOR
0%
2009-08-01
ended 2026-05-18
pecos_ownership
THERESA MARTINSON
CORPORATE DIRECTOR
0%
2023-02-01
ended 2026-05-18
pecos_ownership
WENDY LONG
CORPORATE DIRECTOR
0%
2008-05-01
ended 2026-05-18
pecos_ownership
ANDREA GREEN
ADP OF THE SNF
—
2025-12-01
ended 2026-05-18
pecos_ownership
BRIAN MCCARTHY
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
BRITTANY BRADFORD
ADP OF THE SNF
—
2026-01-01
ended 2026-05-18
pecos_ownership
CHRISTINE NOVAK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
CODY DOWNES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
DANIEL SCHIMKA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
DAVID SALO
ADP OF THE SNF
—
2025-08-01
ended 2026-05-18
pecos_ownership
ELIZABETH SPENCE
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
JOSEPHINE GABLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-01
ended 2026-05-18
pecos_ownership
JULIE LESEMANN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
KAYLEE HOARD
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
LORI BRETT
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
LORI JOHANSEN
ADP OF THE SNF
—
2025-10-01
ended 2026-05-18
pecos_ownership
MARIA MYRE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
MICHAEL TILLOTSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHELLE AHLGREN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MOLLY VAIL-JACKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-26
ended 2026-05-18
pecos_ownership
RICHARD ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
STACY WILL
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
STEPHANIE MAKI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
STEPHANIE NELSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
TERESA DEBEVEC
ADP OF THE SNF
—
2007-10-01
ended 2026-05-18
pecos_ownership
TERESA DEBEVEC
CORPORATE OFFICER
—
2007-10-07
ended 2026-05-18
pecos_ownership
THERESA HENSHAW
ADP OF THE SNF
—
2025-01-01
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
32
Geo
Kind
BR
Amount
As of
Source
county 27137
acs median gross
0
$728
2024-12-31
CENSUS_ACS5
county 27137
fmr
0
$849
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
1
$803
2024-12-31
CENSUS_ACS5
county 27137
fmr
1
$978
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
2
$1,096
2024-12-31
CENSUS_ACS5
county 27137
fmr
2
$1,232
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
3
$1,306
2024-12-31
CENSUS_ACS5
county 27137
fmr
3
$1,689
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
4
$2,052
2024-12-31
CENSUS_ACS5
county 27137
fmr
4
$2,067
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 27137
acs median gross
$1,013
2024-12-31
CENSUS_ACS5
county 27137
acs recent mover gross
$1,111
2024-12-31
CENSUS_ACS5
zcta 55723
acs median gross
1
$481
2024-12-31
CENSUS_ACS5
zcta 55723
acs median gross
2
$770
2024-12-31
CENSUS_ACS5
zcta 55723
acs median gross
$550
2024-12-31
CENSUS_ACS5
zcta 55723
acs recent mover gross
$530
2024-12-31
CENSUS_ACS5
zip 55723
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 55723
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 55723
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 55723
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 55723
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 55723
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 55723
safmr
4
$1,730
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.