Composite
52.5 / 100 percentile
Screener / 235600
B
Medilodge of Montrose Inc
snfMI
9317 West Vienna Road, Montrose, MI 48457 · CCN 235600 · chain B&Y TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
121
Model
v1.2
Reads as: riskier than 52.5% 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.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies82Licensure0Ownership14Related party5Transactions0Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.0 | 95.6 | 0.30 | 0.2308 | 22.38 | in index |
| billing conduct | 32.2 | 32.6 | 0.30 | 0.2308 | 7.43 | in index |
| financial risk | 29.2 | 33.3 | 0.30 | 0.2308 | 6.74 | in index |
| chow risk | 56.5 | 54.8 | 0.15 | 0.1154 | 6.52 | in index |
| staffing risk | 32.4 | 32.5 | 0.25 | 0.1923 | 6.23 | 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 | 32.6 | 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 | 84.6 | F | v0.6 | default · in composite | |
| financial risk | 33.3 | B | 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 | 5.7 | — | 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 | 95.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 32.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.6 | 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 | 67.6 | 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 | 35.1 | B | 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 | 39.3 | B | 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 | 95.6 | 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 | 95.6 | 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 | 32.5 | 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 | 32.5 | 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)
5.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
91.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.94 | -0.70 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.37 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 24.00 | +0.41 | |
| 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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 24.00 | -3.02 | |
| Chain size (log) | 4.37 | -1.34 | |
| Occupancy | 0.94 | -0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.60 | -0.16 | |
| Never sold on record | 1.00 | +0.12 |
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 | 3.60 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.53 | 3.32 | 3.11 | — |
| Weekday total | 3.63 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 113.8 | 3.60 | 0.35 | 0.89 | 2.36 | 3.53 | 0.0% |
| 2025Q3 | 92 | 108.0 | 3.67 | 0.44 | 0.93 | 2.30 | 3.41 | 0.0% |
| 2025Q2 | 91 | 105.1 | 3.38 | 0.40 | 0.88 | 2.10 | 3.16 | 0.0% |
| 2025Q1 | 90 | 109.5 | 3.08 | 0.39 | 0.80 | 1.90 | 2.80 | 0.0% |
| 2024Q4 | 92 | 102.3 | 3.40 | 0.38 | 0.90 | 2.13 | 3.12 | 0.0% |
| 2024Q3 | 92 | 104.3 | 3.39 | 0.30 | 0.86 | 2.23 | 3.14 | 0.0% |
| 2024Q2 | 91 | 103.0 | 3.36 | 0.33 | 0.81 | 2.22 | 2.98 | 0.0% |
| 2024Q1 | 91 | 100.5 | 3.10 | 0.22 | 0.89 | 1.99 | 2.91 | 0.0% |
| 2023Q4 | 92 | 91.4 | 3.64 | 0.28 | 0.96 | 2.41 | 3.54 | 0.0% |
| 2023Q3 | 92 | 91.3 | 3.81 | 0.22 | 0.88 | 2.70 | 3.75 | 0.0% |
| 2023Q2 | 91 | 93.0 | 3.79 | 0.43 | 0.72 | 2.64 | 3.83 | 0.0% |
| 2023Q1 | 90 | 92.2 | 3.25 | 0.35 | 0.78 | 2.12 | 3.17 | 0.0% |
| 2022Q4 | 92 | 80.8 | 3.39 | 0.35 | 0.83 | 2.22 | 3.23 | 0.0% |
| 2022Q3 | 92 | 80.5 | 3.16 | 0.47 | 0.62 | 2.07 | 3.02 | 0.0% |
| 2022Q2 | 91 | 81.8 | 3.29 | 0.52 | 0.45 | 2.32 | 3.25 | 0.0% |
| 2022Q1 | 90 | 78.2 | 3.55 | 0.71 | 0.23 | 2.61 | 3.92 | 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.
Penalties
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-11 | Fine | $30,303 | CMS provider data |
| 2025-06-11 | Payment Denial | — | CMS provider data |
| 2024-07-03 | Fine | $36,648 | CMS provider data |
| 2023-11-09 | Fine | $52,686 | CMS provider data |
| 2023-11-09 | Payment Denial | — | CMS provider data |
Total fines on record: $119,637
Deficiencies
82C × 1D × 47E × 22F × 5G × 6K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-03-24 |
| 2026-03-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-24 |
| 2026-02-02 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-03-06 |
| 2026-02-02 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-03-06 |
| 2026-02-02 | 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 | 2026-03-06 |
| 2026-02-02 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-06 |
| 2026-02-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-06 |
| 2026-02-02 | 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 | 2026-03-06 |
| 2026-02-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-06 |
| 2026-02-02 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2026-03-06 |
| 2026-02-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2026-03-06 |
| 2026-02-02 | 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. | E | 2026-03-06 |
| 2026-02-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-06 |
| 2026-02-02 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-06 |
| 2026-02-02 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2026-03-06 |
| 2025-12-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2025-11-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-16 |
| 2025-11-21 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-16 |
| 2025-11-21 | 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 | 2025-12-16 |
| 2025-08-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-08-15 |
| 2025-08-14 | 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 | 2025-08-15 |
| 2025-08-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-14 |
| 2025-08-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-14 |
| 2025-08-01 | Health · complaint | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-08-14 |
| 2025-07-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-08-07 |
| 2025-07-09 | 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. | E | 2025-08-07 |
| 2025-07-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-07 |
| 2025-07-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-08-07 |
| 2025-07-09 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-08-07 |
| 2025-07-09 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-08-07 |
| 2025-06-11 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-07-08 |
| 2025-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-08 |
| 2025-06-11 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-07-08 |
| 2025-04-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-04-16 |
| 2025-04-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-24 |
| 2025-04-08 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-04-16 |
| 2025-02-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-19 |
| 2025-02-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-19 |
| 2025-02-27 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-03-19 |
| 2024-12-05 | 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 | 2025-01-07 |
| 2024-12-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-07 |
| 2024-12-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-07 |
| 2024-12-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-07 |
| 2024-12-05 | 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 | 2025-01-07 |
| 2024-12-05 | 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 | 2025-01-07 |
| 2024-12-05 | 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. | E | 2025-01-07 |
| 2024-12-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-01-07 |
| 2024-12-05 | Health | 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. | E | 2025-01-07 |
| 2024-12-05 | Health | F0732 | Post nurse staffing information every day. | E | 2025-01-07 |
| 2024-12-05 | 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 | 2025-01-07 |
| 2024-12-05 | 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 | 2025-01-07 |
| 2024-12-05 | 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. | E | 2025-01-07 |
| 2024-12-05 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-01-07 |
| 2024-12-05 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-07 |
| 2024-12-05 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-01-07 |
| 2024-09-26 | 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 | 2024-10-15 |
| 2024-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-15 |
| 2024-07-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-01 |
| 2024-07-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-01 |
| 2024-07-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | K | 2024-08-01 |
| 2024-07-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-12 |
| 2024-07-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-07-12 |
| 2024-07-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-12 |
| 2024-07-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-07-12 |
| 2024-07-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-12 |
| 2024-01-29 | 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 | 2024-01-31 |
| 2023-11-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-12-08 |
| 2023-11-09 | 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 | 2023-12-08 |
| 2023-11-09 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-12-08 |
| 2023-11-09 | 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 | 2023-12-08 |
| 2023-11-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-08 |
| 2023-11-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-08 |
| 2023-11-09 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-12-08 |
| 2023-11-09 | 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. | G | 2023-12-08 |
| 2023-11-09 | 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 | 2023-12-08 |
| 2023-11-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-12-08 |
| 2023-11-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-08 |
| 2023-11-09 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-08 |
| 2023-11-09 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-12-20 |
| 2023-11-09 | 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. | E | 2023-12-08 |
| 2023-11-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-08 |
| 2023-11-09 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-08 |
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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FIFTEENINONE CORPORATE GROUP INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-11-01 | current | pecos_ownership |
| B&Y TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2013-11-01 | current | pecos_ownership |
| CRAIG FLASHNER 2007 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2013-11-01 | current | pecos_ownership |
| FLASHNER, CRAIG | CORPORATE DIRECTOR | — | 2013-11-01 | current | pecos_ownership |
| GENERATIONS HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-11-01 | current | pecos_ownership |
| KIRK, KRISTINE | W-2 MANAGING EMPLOYEE | — | 2013-11-01 | current | pecos_ownership |
| NORCROSS, ROBERT | CONTRACTED MANAGING EMPLOYEE | — | 2013-11-01 | current | pecos_ownership |
| PERLSTEIN, YITZCHOK | CORPORATE DIRECTOR | — | 2013-11-01 | current | pecos_ownership |
| ROGERS, STACEY | CONTRACTED MANAGING EMPLOYEE | — | 2014-10-20 | current | pecos_ownership |
| KRISTINE KIRK | W-2 MANAGING EMPLOYEE | 0% | 2013-11-01 | ended 2026-05-18 | pecos_ownership |
| STACEY ROGERS | CONTRACTED MANAGING EMPLOYEE | 0% | 2014-10-20 | ended 2026-05-18 | pecos_ownership |
| CRAIG FLASHNER | CORPORATE OFFICER | — | 2013-11-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT NORCROSS | CONTRACTED MANAGING EMPLOYEE | — | 2013-11-01 | ended 2026-05-18 | pecos_ownership |
| YITZCHOK PERLSTEIN | CORPORATE DIRECTOR | — | 2013-11-01 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26049 | acs median gross | 0 | $684 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | fmr | 0 | $731 | 2025-10-01 | HUD_USER_FMR |
| county 26049 | acs median gross | 1 | $801 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | fmr | 1 | $856 | 2025-10-01 | HUD_USER_FMR |
| county 26049 | acs median gross | 2 | $1,016 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | fmr | 2 | $1,033 | 2025-10-01 | HUD_USER_FMR |
| county 26049 | acs median gross | 3 | $1,132 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | fmr | 3 | $1,272 | 2025-10-01 | HUD_USER_FMR |
| county 26049 | acs median gross | 4 | $1,224 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | fmr | 4 | $1,497 | 2025-10-01 | HUD_USER_FMR |
| county 26049 | acs median gross | 5 | $1,357 | 2024-12-31 | CENSUS_ACS5 |
| county 26049 | acs median gross | $989 | 2024-12-31 | CENSUS_ACS5 | |
| county 26049 | acs recent mover gross | $1,069 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48457 | acs median gross | 1 | $760 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48457 | acs median gross | 2 | $877 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48457 | acs median gross | 3 | $988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48457 | acs median gross | 4 | $988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48457 | acs median gross | $859 | 2024-12-31 | CENSUS_ACS5 | |
| zip 48457 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 110 | 3 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 90 | 3 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | safmr | 3 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 110 | 4 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | payment standard 90 | 4 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48457 | safmr | 4 | $1,410 | 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.