Composite
88.5 / 100 percentile
Screener / 235103
D
Optalis Health & Rehabilitation at Kent-Crossing
snfMI
2320 E Beltline SE, Grand Rapids, MI 49546 · CCN 235103 · chain OPTUM MANAGEMENT SOLUTIONS INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
182
Model
v1.2
Reads as: riskier than 88.5% 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.
Score model5ML signals8Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies69Licensure0Ownership32Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 85.6 | 72.4 | 0.30 | 0.2308 | 19.75 | in index |
| billing conduct | 80.0 | 52.9 | 0.30 | 0.2308 | 18.46 | in index |
| regulatory risk | 63.7 | 55.9 | 0.30 | 0.2308 | 14.70 | in index |
| staffing risk | 36.4 | 36.4 | 0.25 | 0.1923 | 7.00 | in index |
| chow risk | 49.2 | 47.3 | 0.15 | 0.1154 | 5.68 | in 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
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.1 vs natl | OM HOLDCO 7 LLC | 7 facilities |
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | CONNER MARIANNE | 25 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | SHARON ROBERT | 34 facilities |
| connection | Owner spans multiple chains | 20 chains | CLIFTONLARSONALLEN LLP | 98 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | PINAL R PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10 6 2020 | 14 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | OPTUM MANAGEMENT SOLUTIONS INC | 36 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PATEL RAJAN | 36 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 52.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 69.6 | D | v0.6 | default · in composite | |
| financial risk | 72.4 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.1 | — | v0.1 | default · in 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. |
| regulatory risk | 55.9 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.4 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.5 | F | v0.1 | superseded | 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. |
| financial risk | 71.5 | D | v0.2 | superseded | 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. |
| financial risk | 66.6 | D | v0.3 | superseded | 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. |
| financial risk | 72.4 | D | v0.4 | superseded | 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. |
| regulatory risk | 55.9 | C | v0.1 | superseded | 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. |
| regulatory risk | 55.9 | C | v0.2 | superseded | 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. |
| staffing risk | 36.4 | B | v0.1 | superseded | 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. |
| staffing risk | 36.4 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.08 | -1.74 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.56 | +0.35 | |
| Facility size (log beds) | 5.21 | -0.13 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 27.00 | -3.58 | |
| Chain size (log) | 3.56 | -0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.65 | +0.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Current owner tenure (years) | 1.08 | -0.28 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +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 HPRD | This facility | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.52 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.43 | 3.32 | 3.11 | — |
| Weekday total | 3.56 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 118.8 | 3.52 | 0.35 | 0.78 | 2.39 | 3.43 | 13.8% |
| 2025Q3 | 92 | 111.3 | 3.59 | 0.28 | 0.77 | 2.53 | 3.26 | 5.3% |
| 2025Q2 | 91 | 115.3 | 3.70 | 0.37 | 0.86 | 2.46 | 3.38 | 0.0% |
| 2025Q1 | 90 | 123.3 | 3.35 | 0.25 | 0.84 | 2.27 | 3.28 | 0.0% |
| 2024Q4 | 92 | 119.9 | 3.28 | 0.27 | 0.87 | 2.14 | 3.17 | 0.0% |
| 2024Q3 | 92 | 117.2 | 3.32 | 0.29 | 0.78 | 2.25 | 3.23 | 0.2% |
| 2024Q2 | 91 | 119.4 | 3.21 | 0.32 | 0.74 | 2.14 | 3.09 | 2.8% |
| 2024Q1 | 91 | 120.1 | 3.15 | 0.33 | 0.56 | 2.25 | 3.00 | 4.5% |
| 2023Q4 | 92 | 126.2 | 3.39 | 0.46 | 0.75 | 2.19 | 3.23 | 6.2% |
| 2023Q3 | 92 | 130.0 | 3.20 | 0.35 | 0.73 | 2.11 | 3.02 | 1.6% |
| 2023Q2 | 91 | 127.0 | 3.22 | 0.39 | 0.83 | 2.00 | 3.07 | 0.0% |
| 2023Q1 | 90 | 128.1 | 3.49 | 0.39 | 0.94 | 2.16 | 3.33 | 3.1% |
| 2022Q4 | 92 | 131.4 | 3.37 | 0.32 | 0.91 | 2.14 | 2.96 | 14.5% |
| 2022Q3 | 92 | 131.8 | 3.02 | 0.30 | 0.79 | 1.93 | 2.73 | 13.5% |
| 2022Q2 | 91 | 122.7 | 3.22 | 0.42 | 0.81 | 2.00 | 2.97 | 13.6% |
| 2022Q1 | 90 | 127.4 | 2.78 | 0.41 | 0.73 | 1.64 | 2.58 | 4.8% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
69D × 50E × 14F × 3G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-04-15 |
| 2026-03-19 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-04-15 |
| 2026-03-19 | 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 | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-04-15 |
| 2026-03-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | 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 | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-04-15 |
| 2026-03-19 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-04-15 |
| 2026-03-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2026-04-15 |
| 2026-03-19 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0693 | Ensure 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. | D | 2026-04-15 |
| 2026-03-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2026-04-15 |
| 2026-03-19 | Health · complaint | 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 | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2026-04-15 |
| 2026-03-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-04-15 |
| 2025-08-07 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2025-09-05 |
| 2025-08-07 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-09-05 |
| 2025-08-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-09-05 |
| 2025-08-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-09-05 |
| 2025-08-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-09-05 |
| 2025-08-07 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-09-05 |
| 2025-01-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-02-25 |
| 2025-01-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-02-25 |
| 2025-01-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-25 |
| 2025-01-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-25 |
| 2025-01-29 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-02-25 |
| 2025-01-29 | 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 | 2025-02-25 |
| 2025-01-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-25 |
| 2025-01-29 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-02-25 |
| 2025-01-29 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2025-02-25 |
| 2025-01-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-25 |
| 2025-01-29 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-02-25 |
| 2025-01-29 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-02-25 |
| 2025-01-29 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-02-25 |
| 2025-01-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-25 |
| 2025-01-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-04-01 |
| 2025-01-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-02-25 |
| 2024-10-24 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-11-13 |
| 2024-10-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-13 |
| 2024-10-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-13 |
| 2024-10-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-22 |
| 2024-10-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-30 |
| 2024-10-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-30 |
| 2024-04-25 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-05-09 |
| 2024-04-25 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-05-09 |
| 2024-04-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-08 |
| 2024-04-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-09 |
| 2024-04-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-09 |
| 2024-01-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-06 |
| 2024-01-12 | Health · complaint | 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 | 2024-02-06 |
| 2024-01-12 | 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 | 2024-02-06 |
| 2024-01-12 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-02-06 |
| 2024-01-12 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-02-06 |
| 2024-01-12 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-02-06 |
| 2024-01-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-06 |
| 2024-01-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-02-06 |
| 2024-01-12 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-02-06 |
| 2024-01-12 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-02-06 |
| 2024-01-12 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-02-06 |
| 2024-01-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-06 |
| 2024-01-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-06 |
| 2023-10-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-03-08 |
| 2023-10-12 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-10-23 |
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
0No 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 |
|---|---|---|---|---|---|
| 2320 E BELTLINE AVE SE PROPCO LLC | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| CONNER, MARIANNE | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| GRAND RAPIDS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| GRAND RAPIDS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| LINK, ERIC | ADP OF THE SNF | — | 2025-11-26 | current | pecos_ownership |
| LINK, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| MILLER-GILL, DESHONIQUE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| NWANKWO, UCHEBIKE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| NWANKWO, UCHEBIKE | ADP OF THE SNF | — | 2025-11-26 | current | pecos_ownership |
| OM HOLDCO 7 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2025-07-01 | current | pecos_ownership |
| OPTUM MANAGEMENT SOLUTIONS. INC | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| PATEL, RAJAN | MANAGING CONTROL - GOVERNING BODY | — | 2025-07-01 | current | pecos_ownership |
| PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2025-07-01 | current | pecos_ownership |
| SCHLAUPITZ MADHAVAN | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| SHARON, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| PAAR 108 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| DESHONIQUE MILLER-GILL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| ERIC LINK | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| ERIC LINK | ADP OF THE SNF | — | 2025-11-26 | ended 2026-05-18 | pecos_ownership |
| GRAND RAPIDS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GRAND RAPIDS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| GRAND RAPIDS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| MARIANNE CONNER | ADP OF THE SNF | — | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| RAJAN PATEL | CORPORATE OFFICER | — | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT SHARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | ended 2026-05-18 | pecos_ownership |
| UCHEBIKE NWANKWO | ADP OF THE SNF | — | 2025-11-26 | ended 2026-05-18 | pecos_ownership |
| UCHEBIKE NWANKWO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-07-01 | — | OPTALIS BELTLINE OPCO LLC | GRAND RAPIDS SNF LLC | chow |
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossingthis facility | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS OPCO 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26081 | acs median gross | 0 | $1,041 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 0 | $1,232 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 1 | $1,055 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 1 | $1,278 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 2 | $1,284 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 2 | $1,531 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 3 | $1,524 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 3 | $1,980 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 4 | $1,853 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | fmr | 4 | $2,189 | 2025-10-01 | HUD_USER_FMR |
| county 26081 | acs median gross | 5 | $1,826 | 2024-12-31 | CENSUS_ACS5 |
| county 26081 | acs median gross | $1,243 | 2024-12-31 | CENSUS_ACS5 | |
| county 26081 | acs recent mover gross | $1,483 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49546 | acs median gross | 0 | $939 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49546 | acs median gross | 1 | $1,220 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49546 | acs median gross | 2 | $1,490 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49546 | acs median gross | 3 | $1,784 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49546 | acs median gross | 5 | $1,449 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49546 | acs median gross | $1,408 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49546 | acs recent mover gross | $1,550 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49546 | payment standard 110 | 0 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 90 | 0 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | safmr | 0 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 110 | 1 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 90 | 1 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | safmr | 1 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 110 | 2 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 90 | 2 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | safmr | 2 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 110 | 3 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 90 | 3 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | safmr | 3 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 110 | 4 | $2,629 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | payment standard 90 | 4 | $2,151 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49546 | safmr | 4 | $2,390 | 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.