16391 Rotunda Dr, Dearborn, MI 48120 · CCN 235502 · chain COREWELL HEALTH
Composite
59.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
196
Model
v1.2
Reads as: riskier than 59.7% 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
MI median
National median
National p25–p75
Total nurse
2.77
3.52
3.28
2.90–3.77
RN
0.19
0.47
0.39
0.25–0.58
Weekend total
2.83
3.32
3.11
—
Weekday total
2.74
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.9
2.77
0.19
1.26
1.31
2.83
0.0%
2025Q3
92
94.7
2.43
0.17
1.13
1.12
2.43
0.0%
2025Q2
91
89.2
2.65
0.21
1.18
1.26
2.70
2.7%
2025Q1
90
87.1
2.64
0.15
1.17
1.33
2.63
0.0%
2024Q4
92
85.9
2.73
0.19
1.19
1.35
2.71
0.0%
2024Q3
92
82.0
2.96
0.14
1.28
1.54
2.94
1.2%
2024Q2
91
78.1
2.93
0.13
1.29
1.51
2.80
0.0%
2024Q1
91
70.2
3.10
0.18
1.34
1.59
2.89
8.6%
2023Q4
92
65.9
3.36
0.22
1.46
1.68
3.19
17.8%
2023Q3
92
67.0
3.18
0.23
1.45
1.50
2.99
16.4%
2023Q2
91
69.0
2.91
0.23
1.18
1.49
2.91
2.8%
2023Q1
90
70.3
3.15
0.24
1.26
1.65
3.04
0.7%
2022Q4
92
65.6
3.26
0.22
1.21
1.83
3.19
0.0%
2022Q3
92
66.2
3.22
0.18
1.28
1.77
3.00
0.0%
2022Q2
91
67.1
3.14
0.18
1.25
1.71
3.04
0.3%
2022Q1
90
69.3
2.53
0.11
1.12
1.30
2.33
0.4%
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2026-04-15
2025-03-19
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-11
2025-03-19
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-04-11
2025-03-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-11
2025-03-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-11
2024-02-29
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-26
2024-02-29
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
2024-03-26
2024-02-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-03-26
2024-02-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-26
2024-02-29
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-03-26
2024-02-29
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-03-26
2024-02-29
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-03-26
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
21
Owner
Role
Pct
From
Status
Source
OAKWOOD HEALTHCARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BEAUMONT HEALTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2014-09-01
current
pecos_ownership
COREWELL HEALTH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
COX, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
FLORES, CHRISTOPHER
CORPORATE DIRECTOR
—
2022-10-20
current
pecos_ownership
FREESE DECKER, CHRISTINA
CORPORATE OFFICER
—
2022-02-01
current
pecos_ownership
MAHMOOD, ALI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
MARLOW, TAMILA
ADP OF THE SNF
—
2025-02-06
current
pecos_ownership
PAKKALA, KAREN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-08
current
pecos_ownership
PAKKALA, KAREN
CORPORATE DIRECTOR
—
2023-09-30
current
pecos_ownership
RUMSEY, DEAN
ADP OF THE SNF
—
2020-09-21
current
pecos_ownership
SADLER, KELLI
CORPORATE DIRECTOR
—
2023-09-30
current
pecos_ownership
KAREN PAKKALA
CORPORATE OFFICER
100%
2023-09-08
ended 2026-05-18
pecos_ownership
MATTHEW COX
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-02-01
ended 2026-05-18
pecos_ownership
CHRISTINA FREESE DECKER
CORPORATE OFFICER
0%
2022-02-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER FLORES
CORPORATE DIRECTOR
0%
2022-10-20
ended 2026-05-18
pecos_ownership
KAREN PAKKALA
CORPORATE DIRECTOR
0%
2023-09-30
ended 2026-05-18
pecos_ownership
KELLI SADLER
CORPORATE DIRECTOR
0%
2023-09-30
ended 2026-05-18
pecos_ownership
ALI MAHMOOD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
ended 2026-05-18
pecos_ownership
DEAN RUMSEY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-21
ended 2026-05-18
pecos_ownership
TAMILA MARLOW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-06
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
$2,299,097
—
—
—
$114,622
1
—
2023-12-31
$4,075,677
—
—
—
$1,027,978
2
—
2022-12-31
$5,018,382
—
—
—
$2,548,782
2
—
2021-12-31
$5,412,719
—
—
—
$2,753,445
1
—
2020-12-31
$6,394,465
—
—
—
$3,445,162
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
34
Geo
Kind
BR
Amount
As of
Source
county 26163
acs median gross
0
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
0
$1,009
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
1
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
1
$1,122
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
2
$1,144
2024-12-31
CENSUS_ACS5
county 26163
fmr
2
$1,411
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
county 26163
fmr
3
$1,724
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
4
$1,395
2024-12-31
CENSUS_ACS5
county 26163
fmr
4
$1,868
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
5
$1,431
2024-12-31
CENSUS_ACS5
county 26163
acs median gross
$1,132
2024-12-31
CENSUS_ACS5
county 26163
acs recent mover gross
$1,309
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
0
$440
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
1
$2,529
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
2
$1,358
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
3
$1,422
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
4
$1,104
2024-12-31
CENSUS_ACS5
zcta 48120
acs median gross
$1,355
2024-12-31
CENSUS_ACS5
zip 48120
payment standard 110
0
$1,419
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 90
0
$1,161
2025-10-01
HUD_USER_SAFMR
zip 48120
safmr
0
$1,290
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 110
1
$1,573
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 90
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 48120
safmr
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 48120
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 110
3
$2,420
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 90
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 48120
safmr
3
$2,200
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 110
4
$2,618
2025-10-01
HUD_USER_SAFMR
zip 48120
payment standard 90
4
$2,142
2025-10-01
HUD_USER_SAFMR
zip 48120
safmr
4
$2,380
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.