Reads as: riskier than 46.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
6 chains
WIPFLI LLP
67 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.
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
WI median
National median
National p25–p75
Total nurse
3.06
3.60
3.28
2.90–3.77
RN
0.58
0.64
0.39
0.25–0.58
Weekend total
3.12
3.49
3.11
—
Weekday total
3.04
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.4
3.06
0.58
0.66
1.82
3.12
8.8%
2025Q3
92
44.2
3.04
0.62
0.60
1.82
3.01
14.4%
2025Q2
91
45.9
3.10
0.51
0.71
1.88
2.97
11.9%
2025Q1
90
47.2
2.79
0.40
0.69
1.71
2.68
3.2%
2024Q4
92
43.9
2.79
0.51
0.60
1.69
2.69
0.6%
2024Q3
92
41.6
2.99
0.47
0.65
1.86
2.92
0.1%
2024Q2
91
43.8
3.03
0.47
0.68
1.89
2.95
0.5%
2024Q1
91
45.9
2.91
0.43
0.77
1.71
2.85
0.7%
2023Q4
92
43.9
2.96
0.30
0.84
1.82
2.90
1.8%
2023Q3
92
41.0
3.02
0.31
1.02
1.69
2.99
6.8%
2023Q2
91
46.9
2.89
0.37
1.03
1.48
2.77
20.9%
2023Q1
90
50.3
2.56
0.18
1.06
1.32
2.47
10.6%
2022Q4
92
51.0
2.66
0.16
1.02
1.48
2.50
16.4%
2022Q3
92
49.9
2.68
0.25
1.08
1.35
2.54
6.8%
2022Q2
91
52.9
3.10
0.61
0.93
1.55
2.89
30.1%
2022Q1
90
50.2
3.03
0.38
1.17
1.47
2.85
22.0%
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
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
20
C × 1D × 16E × 1F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-09
2025-08-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-09-09
2025-08-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-09
2025-08-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-09-09
2025-08-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-09
2025-02-27
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-03-21
2025-02-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-21
2024-06-19
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-17
2024-06-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-17
2024-06-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-17
2024-03-13
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-03-29
2023-07-12
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-01
2023-07-12
Health · complaint
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
E
2023-08-01
2023-04-05
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-05-03
2023-04-05
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-05-03
2023-04-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-05-03
2023-04-05
Health
F0730
Observe each nurse aide's job performance and give regular training.
C
2023-05-03
2023-04-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-05-03
2023-04-05
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
2023-05-03
2023-04-05
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2023-05-03
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
31
Owner
Role
Pct
From
Status
Source
NSHF OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-07-24
current
pecos_ownership
MILLS, DAVID
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2017-06-29
current
pecos_ownership
BAUMANN, TROY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
BAUMANN, TROY
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
BELONGIA, CHRISTINA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
CIBC BANK USA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-22
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
GEE, DARREN
ADP OF THE SNF
—
2021-11-30
current
pecos_ownership
GREER, LAUREN
ADP OF THE SNF
—
2023-11-29
current
pecos_ownership
HOEHN, JEFFREY
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
HOEHN, JEFFREY
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
NSH REHAB LLC
ADP OF THE SNF
—
2025-06-09
current
pecos_ownership
NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
NSHF WISCONSIN LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
PATZER, COLLEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
current
pecos_ownership
PENNEY, TRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-01
current
pecos_ownership
PURTELL, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
current
pecos_ownership
PURTELL, BRIAN
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
RAMNANAN, KESHNI
ADP OF THE SNF
—
2023-12-01
current
pecos_ownership
SHEBOYGAN PROPERTY HOLDINGS, LLC
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
JEFFREY HOEHN
CORPORATE DIRECTOR
100%
2017-06-29
ended 2026-05-18
pecos_ownership
NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2013-12-05
ended 2026-05-18
pecos_ownership
TROY BAUMANN
CORPORATE DIRECTOR
100%
2017-06-29
ended 2026-05-18
pecos_ownership
DAVID MILLS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2017-06-29
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$462,012
—
$462,012
—
—
1
—
2023-12-31
$424,710
—
—
—
—
1
—
2022-12-31
$464,401
—
—
—
—
1
—
2021-12-31
$278,997
—
—
—
—
1
—
2020-12-31
$326,386
—
—
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 55117
acs median gross
0
$677
2024-12-31
CENSUS_ACS5
county 55117
fmr
0
$769
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
1
$766
2024-12-31
CENSUS_ACS5
county 55117
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
2
$993
2024-12-31
CENSUS_ACS5
county 55117
fmr
2
$1,116
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
3
$1,015
2024-12-31
CENSUS_ACS5
county 55117
fmr
3
$1,351
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
4
$1,105
2024-12-31
CENSUS_ACS5
county 55117
fmr
4
$1,527
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
5
$996
2024-12-31
CENSUS_ACS5
county 55117
acs median gross
$934
2024-12-31
CENSUS_ACS5
county 55117
acs recent mover gross
$1,063
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
0
$449
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
1
$779
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
3
$978
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
4
$1,235
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
5
$863
2024-12-31
CENSUS_ACS5
zcta 53081
acs median gross
$916
2024-12-31
CENSUS_ACS5
zcta 53081
acs recent mover gross
$1,084
2024-12-31
CENSUS_ACS5
zip 53081
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 53081
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 110
1
$968
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 90
1
$792
2025-10-01
HUD_USER_SAFMR
zip 53081
safmr
1
$880
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 53081
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 53081
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 110
4
$1,672
2025-10-01
HUD_USER_SAFMR
zip 53081
payment standard 90
4
$1,368
2025-10-01
HUD_USER_SAFMR
zip 53081
safmr
4
$1,520
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.