CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 18:52 UTC
Screener / 245055
A

LAKEHOUSE HEALTHCARE & REHABILITATION CENTER

snfMN
3737 BRYANT AVENUE SOUTH, MINNEAPOLIS, MN 55409 · CCN 245055 · chain ML MILANO 2022 FAMILY TRUST
Composite
29.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
260
Model
v1.2
Reads as: riskier than 29.9% 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 model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies81Licensure0Ownership26Related party3Transactions1Comps12Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk63.355.30.300.230814.61in index
staffing risk54.554.50.250.192310.48in index
billing conduct30.231.70.300.23086.97in index
financial risk23.929.80.300.23085.52in index
chow risk27.426.30.150.11543.16in 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.

ML signals — parallel engine

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+21.1 vs natlIB MIMI 2022 FAMILY TRUST5 facilities
connectionOwner fleet risk far above national+20.5 vs natlGOTTESMAN DANIEL26 facilities
connectionOwner spans multiple chains7 chainsGOTTESMAN DANIEL24 facilities
connectionOwner fleet enforcement cluster40% finedIB MIMI 2022 FAMILY TRUST5 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct31.7Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk27.6Bv0.6default · in composite
financial risk29.8Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.0—v0.1default · in compositeR22/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 risk55.3Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk54.5Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk56.0Cv0.1supersededPre-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 risk36.0Bv0.2supersededPre-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 risk35.7Bv0.3supersededPre-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 risk35.8Bv0.4supersededPre-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 risk55.3Cv0.1supersededPre-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 risk55.3Cv0.2supersededPre-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 risk54.5Cv0.1supersededPre-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 risk54.5Cv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.24-1.53
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.86-0.47
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months23.00+0.39
Facility size (log beds)5.56-0.19
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
DriverValuePull on odds
Deficiencies, last 12 months23.00-2.84
For-profit ownership1.00-0.69
Occupancy0.86-0.47
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Facility size (log beds)5.56-0.25
Current owner tenure (years)3.24-0.25
Ownership changes, last 5 years1.00+0.23
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 HPRDThis facilityMN medianNational medianNational p25–p75
Total nurse3.223.493.282.90–3.77
RN0.540.650.390.25–0.58
Weekend total3.163.323.11—
Weekday total3.243.593.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492223.93.220.540.652.033.161.6%
2025Q392223.53.270.570.642.063.166.0%
2025Q291224.43.200.540.671.993.058.9%
2025Q190223.83.100.530.661.913.056.6%
2024Q492224.03.120.580.591.953.085.6%
2024Q392225.83.240.510.712.023.1110.7%
2024Q291226.63.190.570.641.983.0713.0%
2024Q191227.43.040.440.731.862.9212.4%
2023Q492219.93.050.480.641.932.969.4%
2023Q392203.73.110.600.591.932.977.7%
2023Q291203.32.970.680.471.822.8412.2%
2023Q190202.32.770.540.421.822.807.0%
2022Q492204.72.780.620.411.752.870.0%
2022Q392206.92.700.670.361.672.750.0%
2022Q291201.52.970.740.391.852.921.1%
2022Q190197.33.310.820.492.003.313.8%
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

81
D × 64E × 12F × 4J × 1
deficiencies by survey year
311623242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-30Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-06-02
2026-04-30Health · complaintF0693Ensure 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.D2026-06-02
2026-04-30Health · complaintF0880Provide and implement an infection prevention and control program.D2026-06-02
2026-03-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-15
2025-11-19Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-01-06
2025-09-03Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-08-29
2025-08-15HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-10-02
2025-08-15HealthF0583Keep residents' personal and medical records private and confidential.D2025-10-02
2025-08-15HealthF0641Ensure each resident receives an accurate assessment.D2025-10-02
2025-08-15HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-10-02
2025-08-15HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-10-02
2025-08-15HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-10-02
2025-08-15HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-10-02
2025-08-15HealthF0679Provide activities to meet all resident's needs.D2025-10-02
2025-08-15HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-10-02
2025-08-15HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-10-02
2025-08-15HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2025-10-02
2025-08-15HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-10-02
2025-08-15HealthF0791Provide or obtain dental services for each resident.D2025-10-02
2025-08-15HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2025-10-02
2025-08-15HealthF0880Provide and implement an infection prevention and control program.D2025-10-02
2025-08-15Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2025-10-02
2025-08-15HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2025-10-02
2025-07-18Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-09-03
2025-07-18Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-09-03
2025-07-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-09-03
2025-06-13Health · complaintF0578Honor 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.D2025-07-15
2025-01-02Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-02-05
2024-12-23Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-14
2024-10-14Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-11-05
2024-08-01Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-09-17
2024-08-01Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-09-17
2024-08-01HealthF0584Honor 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.E2024-09-17
2024-08-01HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-09-17
2024-08-01HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-09-17
2024-08-01HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-09-17
2024-08-01HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-09-17
2024-08-01HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-09-17
2024-08-01HealthF0685Assist a resident in gaining access to vision and hearing services.D2024-09-17
2024-08-01HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-17
2024-08-01HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-09-17
2024-08-01Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-09-17
2024-08-01HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-09-17
2024-08-01HealthF0758Implement 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.D2024-09-17
2024-08-01Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2024-09-17
2024-08-01HealthF0761Ensure 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.E2024-09-17
2024-08-01HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2024-09-17
2024-08-01HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-09-17
2024-08-01Health · complaintF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D2024-09-17
2024-08-01HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-09-17
2024-08-01Health · complaintF0880Provide and implement an infection prevention and control program.F2024-09-17
2024-08-01Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-09-17
2024-08-01HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-09-17
2024-06-10Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-07-16
2024-06-10Health · complaintF0578Honor 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.D2024-07-16
2024-06-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-07-16
2024-04-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-05-15
2024-03-08Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-03-29
2024-01-11Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-02-09
2023-12-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-06
2023-12-28Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2024-02-06
2023-08-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-09-01
2023-06-29HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-09-01
2023-06-29HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-09-01
2023-06-29HealthF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2023-09-01
2023-06-29HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-09-01
2023-06-29HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-09-01
2023-06-29HealthF0679Provide activities to meet all resident's needs.D2023-09-01
2023-06-29HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-09-01
2023-06-29HealthF0688Provide 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.D2023-09-01
2023-06-29HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-09-01
2023-06-29Health · complaintF0693Ensure 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.D2023-09-01
2023-06-29HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2023-09-01
2023-06-29HealthF0758Implement 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.D2023-09-01
2023-06-29HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-09-01
2023-06-29HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2023-09-01
2023-06-29HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2023-09-01
2023-06-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-09-01
2023-06-29Health · complaintF0880Provide and implement an infection prevention and control program.F2023-09-01
2023-06-29HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-09-01
2023-06-29HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-09-01
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

26
OwnerRolePctFromStatusSource
LAKE HARRIET OPERATOR HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-05-01currentpecos_ownership
3737 BRYANT AVENUE LLCADP OF THE SNF—2023-05-01currentpecos_ownership
CCP MN HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
FAIRBAIRN, SCOTTADP OF THE SNF—2023-05-01currentpecos_ownership
GLEN HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
GOTTESMAN, DANIELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-03-18currentpecos_ownership
HARMONY HOLDINGS 2005, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
HEWITT, REIDADP OF THE SNF—2025-03-14currentpecos_ownership
HEWITT, REIDMANAGING CONTROL - GOVERNING BODY—2025-04-10currentpecos_ownership
HIGHVIEW HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
IB MIMI 2022 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
JK 2022 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
KNOBEL, REUVENCORPORATE OFFICER—2024-01-01currentpecos_ownership
LIGHTHOUSE HOLDINGS 2016, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
MIMI HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
MN HOLDINGS 101 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
MN V ASSOCIATES LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-05-01currentpecos_ownership
SSHG FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
TARLOW, LEONCORPORATE OFFICER—2024-01-01currentpecos_ownership
YDN FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
ML MILANO 2022 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2023-05-01ended 2026-05-18pecos_ownership
LEON TARLOWCORPORATE OFFICER—2024-01-01ended 2026-05-18pecos_ownership
REID HEWITTOPERATIONAL/MANAGERIAL CONTROL—2025-03-14ended 2026-05-18pecos_ownership
REID HEWITTMANAGING CONTROL - GOVERNING BODY—2025-04-10ended 2026-05-18pecos_ownership
REUVEN KNOBELCORPORATE OFFICER—2024-01-01ended 2026-05-18pecos_ownership
SCOTT FAIRBAIRNOPERATIONAL/MANAGERIAL CONTROL—2023-05-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-05-01—LAKE HARRIET OPERATOR LLCWALKER METHODIST HEALTH CENTER INCchow

Comparable trades — MN snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-07-22CURA OF ONAMIA———57CURA OF ONAMIA LLC
2024-12-01SHAKOPEE FRIENDSHIP MANOR———60SHAKOPEE CARE LLC
2024-12-01EDENBROOK ROCHESTER WEST———48EDENBROOK ROCHESTER WEST LLC
2024-10-29Cura of Sauk Centre———60CURA OF SAUK CENTRE LLC
2024-10-15Heartwood———54CROSBY SENIOR SERVICES CARE CENTER
2024-02-13Cura of Monticello———67CURA OF MONTICELLO LLC
2023-12-31MAPLEWOOD REHABILITATION CENTER———115MAPLEWOOD REHABILITATION CENTER LLC
2023-12-31SLEEPY EYE REHABILITATI CENTER———61SLEEPY EYE REHABILITATION CENTER LLC
2023-12-15ST BENEDICTS CARE CENTER———75ECUMEN SBC ST CLOUD PROPERTIES LLC
2023-12-01Frazee Care Center———42LEGACY SENIOR SERVICES
2023-06-05CURA OF LE SUEUR———50CURA OF LE SUEUR LLC
2023-05-01LAKEHOUSE HEALTHCARE & REHABILITATION CENTERthis facility———260LAKE HARRIET OPERATOR 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

34
GeoKindBRAmountAs ofSource
county 27053acs median gross0$1,1412024-12-31CENSUS_ACS5
county 27053fmr0$1,2422025-10-01HUD_USER_FMR
county 27053acs median gross1$1,2932024-12-31CENSUS_ACS5
county 27053fmr1$1,4052025-10-01HUD_USER_FMR
county 27053acs median gross2$1,6772024-12-31CENSUS_ACS5
county 27053fmr2$1,7092025-10-01HUD_USER_FMR
county 27053acs median gross3$1,9632024-12-31CENSUS_ACS5
county 27053fmr3$2,2622025-10-01HUD_USER_FMR
county 27053acs median gross4$2,2162024-12-31CENSUS_ACS5
county 27053fmr4$2,5312025-10-01HUD_USER_FMR
county 27053acs median gross5$1,9992024-12-31CENSUS_ACS5
county 27053acs median gross$1,4872024-12-31CENSUS_ACS5
county 27053acs recent mover gross$1,6282024-12-31CENSUS_ACS5
zcta 55409acs median gross0$9822024-12-31CENSUS_ACS5
zcta 55409acs median gross1$1,1382024-12-31CENSUS_ACS5
zcta 55409acs median gross2$1,6322024-12-31CENSUS_ACS5
zcta 55409acs median gross3$1,7022024-12-31CENSUS_ACS5
zcta 55409acs median gross$1,3342024-12-31CENSUS_ACS5
zcta 55409acs recent mover gross$9822024-12-31CENSUS_ACS5
zip 55409payment standard 1100$1,3202025-10-01HUD_USER_SAFMR
zip 55409payment standard 900$1,0802025-10-01HUD_USER_SAFMR
zip 55409safmr0$1,2002025-10-01HUD_USER_SAFMR
zip 55409payment standard 1101$1,4962025-10-01HUD_USER_SAFMR
zip 55409payment standard 901$1,2242025-10-01HUD_USER_SAFMR
zip 55409safmr1$1,3602025-10-01HUD_USER_SAFMR
zip 55409payment standard 1102$1,8152025-10-01HUD_USER_SAFMR
zip 55409payment standard 902$1,4852025-10-01HUD_USER_SAFMR
zip 55409safmr2$1,6502025-10-01HUD_USER_SAFMR
zip 55409payment standard 1103$2,3982025-10-01HUD_USER_SAFMR
zip 55409payment standard 903$1,9622025-10-01HUD_USER_SAFMR
zip 55409safmr3$2,1802025-10-01HUD_USER_SAFMR
zip 55409payment standard 1104$2,6842025-10-01HUD_USER_SAFMR
zip 55409payment standard 904$2,1962025-10-01HUD_USER_SAFMR
zip 55409safmr4$2,4402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · LAKEHOUSE HEALTHCARE & REHABILITATION CENTER (245055) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency