1111 N STATE ST, MONTICELLO, IL 61856 · CCN 145883
Composite
24.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 24.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
3.97
3.13
3.28
2.90–3.77
RN
0.25
0.49
0.39
0.25–0.58
Weekend total
3.51
2.93
3.11
—
Weekday total
4.15
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.3
3.97
0.25
0.79
2.93
3.51
1.9%
2025Q3
92
85.7
3.92
0.29
0.72
2.90
3.39
2.9%
2025Q2
91
83.0
4.24
0.39
0.62
3.23
3.69
2.5%
2025Q1
90
84.7
4.03
0.42
0.63
2.97
3.61
5.4%
2024Q4
92
86.3
3.87
0.37
0.70
2.79
3.38
0.1%
2024Q3
92
82.3
4.03
0.43
0.68
2.92
3.46
0.0%
2024Q2
91
82.3
3.86
0.38
0.72
2.77
3.37
0.0%
2024Q1
91
80.4
3.71
0.35
0.78
2.58
3.32
0.0%
2023Q4
92
81.4
3.76
0.36
0.78
2.62
3.24
0.0%
2023Q3
92
79.1
3.85
0.37
0.77
2.71
3.33
0.0%
2023Q2
91
80.1
3.51
0.34
0.72
2.45
3.19
0.0%
2023Q1
90
76.9
3.72
0.35
0.70
2.67
3.42
9.7%
2022Q4
92
72.3
3.92
0.46
0.76
2.70
3.44
11.1%
2022Q3
92
75.6
3.70
0.32
0.82
2.56
3.27
2.3%
2022Q2
91
75.4
3.76
0.55
0.63
2.58
3.31
2.0%
2022Q1
90
73.4
3.34
0.52
0.47
2.35
2.88
4.4%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-06-24
2025-06-18
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-26
2025-06-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-06-24
2025-06-18
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-07-01
2025-06-18
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
2025-06-26
2025-06-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-06-24
2025-05-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-05-06
2025-02-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-21
2024-04-09
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-04-17
2024-04-09
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-04-25
2024-04-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-04-09
2024-04-09
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-04-10
2024-04-09
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K
2024-04-09
2024-04-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-17
2024-04-09
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-04-17
2024-04-09
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-04-09
2024-04-09
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.
F
2024-04-17
2023-05-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-14
2023-05-11
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-06-14
2023-05-11
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-06-14
2023-05-11
Health
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.
F
2023-06-14
2023-05-11
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-06-14
2023-05-11
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
2023-06-14
2023-05-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-06-14
2023-05-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-14
2023-05-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-14
2023-05-11
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.
G
2023-06-15
2023-05-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2023-06-15
2023-05-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-14
2023-05-11
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.
E
2023-06-14
2023-05-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-14
2023-05-11
Health
F0881
Implement a program that monitors antibiotic use.
D
2023-06-14
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
30
Owner
Role
Pct
From
Status
Source
PIATT CO.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BERKEY, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-12
current
pecos_ownership
BERKEY, STEPHANIE
W-2 MANAGING EMPLOYEE
—
2019-11-01
current
pecos_ownership
BERKEY, STEPHANIE
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
HEALTH TECHNOLOGIES, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-19
current
pecos_ownership
HEALTH TECHNOLOGIES, INC
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
MANINT, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-12
current
pecos_ownership
MANINT, JAMES
W-2 MANAGING EMPLOYEE
—
2022-06-01
current
pecos_ownership
MANINT, JAMES
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
PIATT CO.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-24
current
pecos_ownership
PORTER, SCOTT
W-2 MANAGING EMPLOYEE
—
2013-11-01
current
pecos_ownership
PORTER, SCOTT
CORPORATE DIRECTOR
—
2017-10-26
current
pecos_ownership
PORTER, SCOTT
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
SAPP, CAROL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-19
current
pecos_ownership
SAPP, CAROL
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
TUCKER, HILLARY
W-2 MANAGING EMPLOYEE
—
2012-08-01
current
pecos_ownership
TUCKER, HILLARY
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
SCOTT PORTER
W-2 MANAGING EMPLOYEE
100%
2013-11-01
ended 2026-05-18
pecos_ownership
SCOTT PORTER
CORPORATE DIRECTOR
100%
2017-10-26
ended 2026-05-18
pecos_ownership
CAROL SAPP
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-19
ended 2026-05-18
pecos_ownership
CAROL SAPP
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
HILLARY TUCKER
W-2 MANAGING EMPLOYEE
—
2012-08-01
ended 2026-05-18
pecos_ownership
HILLARY TUCKER
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
JAMES MANINT
W-2 MANAGING EMPLOYEE
—
2022-06-01
ended 2026-05-18
pecos_ownership
JAMES MANINT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-12
ended 2026-05-18
pecos_ownership
JAMES MANINT
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
SCOTT PORTER
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
STEPHANIE BERKEY
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
STEPHANIE BERKEY
W-2 MANAGING EMPLOYEE
—
2019-11-01
ended 2026-05-18
pecos_ownership
STEPHANIE BERKEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-12
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
30
Geo
Kind
BR
Amount
As of
Source
county 17147
fmr
0
$941
2025-10-01
HUD_USER_FMR
county 17147
acs median gross
1
$738
2024-12-31
CENSUS_ACS5
county 17147
fmr
1
$946
2025-10-01
HUD_USER_FMR
county 17147
acs median gross
2
$971
2024-12-31
CENSUS_ACS5
county 17147
fmr
2
$1,122
2025-10-01
HUD_USER_FMR
county 17147
acs median gross
3
$1,141
2024-12-31
CENSUS_ACS5
county 17147
fmr
3
$1,436
2025-10-01
HUD_USER_FMR
county 17147
acs median gross
4
$1,308
2024-12-31
CENSUS_ACS5
county 17147
fmr
4
$1,486
2025-10-01
HUD_USER_FMR
county 17147
acs median gross
$1,046
2024-12-31
CENSUS_ACS5
county 17147
acs recent mover gross
$1,604
2024-12-31
CENSUS_ACS5
zcta 61856
acs median gross
1
$2,509
2024-12-31
CENSUS_ACS5
zcta 61856
acs median gross
2
$1,284
2024-12-31
CENSUS_ACS5
zcta 61856
acs median gross
3
$1,240
2024-12-31
CENSUS_ACS5
zcta 61856
acs median gross
$1,398
2024-12-31
CENSUS_ACS5
zip 61856
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 61856
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 61856
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 61856
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 61856
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 61856
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 61856
safmr
4
$1,510
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.