Reads as: riskier than 71.5% 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.
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
2
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
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
2.88
3.60
3.28
2.90–3.77
RN
0.61
0.64
0.39
0.25–0.58
Weekend total
2.88
3.49
3.11
—
Weekday total
2.88
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.1
2.88
0.61
0.39
1.89
2.88
1.3%
2025Q3
92
40.2
2.98
0.70
0.35
1.92
2.89
5.3%
2025Q2
91
39.6
2.99
0.74
0.27
1.99
2.95
4.0%
2025Q1
90
38.5
2.95
0.80
0.25
1.90
2.94
5.5%
2024Q4
92
37.2
2.85
0.83
0.25
1.77
2.73
5.2%
2024Q3
92
36.0
2.90
0.86
0.23
1.81
2.88
4.5%
2024Q2
91
36.3
2.74
0.84
0.22
1.67
2.59
8.1%
2024Q1
91
35.2
2.82
0.93
0.12
1.77
2.72
5.0%
2023Q4
92
33.5
2.92
0.95
0.10
1.86
2.90
0.7%
2023Q3
92
32.1
3.08
1.03
0.11
1.94
2.94
5.3%
2023Q2
91
33.9
2.52
0.90
0.20
1.42
2.27
0.0%
2023Q1
90
36.0
2.84
0.99
0.19
1.66
2.49
0.7%
2022Q4
92
31.4
2.67
0.89
0.24
1.54
2.41
5.3%
2022Q3
92
27.8
3.08
1.24
0.26
1.57
3.01
4.7%
2022Q2
91
28.9
2.70
1.12
0.18
1.40
2.67
9.8%
2022Q1
90
27.5
2.88
1.16
0.26
1.46
2.83
4.0%
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
21
D × 17E × 3F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2026-04-15
2026-03-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-15
2026-03-19
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-04-15
2026-03-19
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2026-04-15
2026-03-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-15
2024-12-04
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
2024-12-27
2024-12-04
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2024-12-27
2024-12-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-27
2024-12-04
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
2024-12-27
2024-12-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-27
2024-12-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-27
2024-12-04
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-12-27
2024-12-04
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-12-27
2024-12-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-12-27
2024-10-14
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-10-31
2024-10-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-31
2024-10-14
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-10-31
2024-04-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-02
2023-09-28
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-10-17
2023-09-28
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-10-17
2023-09-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-28
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
32
Owner
Role
Pct
From
Status
Source
NSHC WISCONSIN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-04-04
current
pecos_ownership
BAUMANN, TROY
ADP OF THE SNF
—
2017-04-04
current
pecos_ownership
BELONGIA, CHRISTINA
ADP OF THE SNF
—
2019-11-01
current
pecos_ownership
BLUMENTHAL, JUSTIN
ADP OF THE SNF
—
2026-03-16
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2025-01-01
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
—
2025-04-14
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
ADP OF THE SNF
—
2025-04-14
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
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
HOEHN, JEFFREY
CORPORATE OFFICER
—
2017-04-04
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-04
current
pecos_ownership
NSH 3129 MICHIGAN AVENUE LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
NSH REHAB LLC
ADP OF THE SNF
—
2025-06-13
current
pecos_ownership
PATZER, COLLEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
current
pecos_ownership
PURTELL, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
current
pecos_ownership
RAMNANAN, KESHNI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
JEFFREY HOEHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-04-04
ended 2026-05-18
pecos_ownership
TROY BAUMANN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-04-04
ended 2026-05-18
pecos_ownership
BRIAN PURTELL
ADP OF THE SNF
—
2018-06-01
ended 2026-05-18
pecos_ownership
CHRISTINA BELONGIA
ADP OF THE SNF
—
2019-11-01
ended 2026-05-18
pecos_ownership
COLLEEN PATZER
ADP OF THE SNF
—
2023-02-14
ended 2026-05-18
pecos_ownership
DARREN GEE
ADP OF THE SNF
—
2021-11-30
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
ADP OF THE SNF
—
2024-12-31
ended 2026-05-18
pecos_ownership
KESHNI RAMNANAN
ADP OF THE SNF
—
2023-02-01
ended 2026-05-18
pecos_ownership
LAUREN GREER
ADP OF THE SNF
—
2023-11-29
ended 2026-05-18
pecos_ownership
STEPHANIE JOHNSON
ADP OF THE SNF
—
2025-09-15
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
$369,328
—
$369,328
—
—
1
—
2023-12-31
$344,588
—
—
—
—
1
—
2022-12-31
$299,378
—
—
—
—
1
—
2021-12-31
$170,561
—
—
—
—
1
—
2020-12-31
$163,277
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
28
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
zip 53082
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 53082
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 53082
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 53082
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 53082
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 110
4
$1,683
2025-10-01
HUD_USER_SAFMR
zip 53082
payment standard 90
4
$1,377
2025-10-01
HUD_USER_SAFMR
zip 53082
safmr
4
$1,530
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.