Composite
34.3 / 100 percentile
Screener / 235289
B
Villa at Borgess Place
snfMISFF: SFF Candidate
3057 Gull Road, Kalamazoo, MI 49048 · CCN 235289 · chain ISRAEL FAMILY INVESTMENT TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
101
Model
v1.2
Reads as: riskier than 34.3% 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 radar1Staffing16Penalties2Deficiencies70Licensure0Ownership44Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.1 | 88.8 | 0.30 | 0.2308 | 21.02 | in index |
| billing conduct | 43.8 | 36.9 | 0.30 | 0.2308 | 10.11 | in index |
| chow risk | 45.7 | 43.8 | 0.15 | 0.1154 | 5.27 | in index |
| financial risk | 15.6 | 23.9 | 0.30 | 0.2308 | 3.60 | in index |
| staffing risk | 13.1 | 13.2 | 0.25 | 0.1923 | 2.52 | 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 | +22.4 vs natl | BAUMOL YEHOSHUA | 18 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | STERN TODD | 45 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | ISRAEL INVESTMENT TR | 19 facilities |
| connection | Owner fleet risk far above national | +22.2 vs natl | AARON JONATHAN | 32 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | ISRAEL FAMILY INVESTMENT TRUST | 19 facilities |
| connection | Owner fleet risk far above national | +21.7 vs natl | ISRAEL BENJAMIN | 40 facilities |
| connection | Owner fleet risk far above national | +21.4 vs natl | GRAF MARCELLA | 37 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | AARON FAMILY INVESTMENT TRUST | 7 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 | 36.9 | B | 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 | 62.6 | C | v0.6 | default · in composite | |
| financial risk | 23.9 | A | 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 | 88.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 13.2 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 82.9 | 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 | 62.9 | C | 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 | 23.9 | A | 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 | 27.4 | B | 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 | 88.7 | F | 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 | 88.7 | F | 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 | 13.2 | A | 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 | 13.2 | A | 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) | 1.90 | -1.66 | |
| 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 | 31.00 | +0.58 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.50 | +0.34 | |
| Occupancy | 0.79 | -0.25 |
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 | 31.00 | -4.32 | |
| Chain size (log) | 3.50 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.72 | -0.61 | |
| Total nurse staffing (HPRD) | 4.18 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 4.00 | -0.28 |
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 | 4.18 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.52 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.85 | 3.32 | 3.11 | — |
| Weekday total | 4.31 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 79.3 | 4.18 | 0.52 | 1.10 | 2.56 | 3.85 | 0.0% |
| 2025Q3 | 92 | 78.9 | 4.32 | 0.59 | 1.09 | 2.63 | 4.11 | 1.5% |
| 2025Q2 | 91 | 77.5 | 4.03 | 0.53 | 1.00 | 2.50 | 3.84 | 0.0% |
| 2025Q1 | 90 | 78.4 | 3.98 | 0.54 | 1.08 | 2.36 | 3.69 | 9.1% |
| 2024Q4 | 92 | 73.8 | 4.53 | 0.49 | 1.26 | 2.78 | 4.07 | 21.2% |
| 2024Q3 | 92 | 70.5 | 3.96 | 0.53 | 1.07 | 2.37 | 3.60 | 26.5% |
| 2024Q2 | 91 | 78.2 | 3.78 | 0.55 | 1.02 | 2.20 | 3.43 | 22.9% |
| 2024Q1 | 91 | 79.4 | 3.55 | 0.58 | 0.96 | 2.01 | 3.27 | 29.0% |
| 2023Q4 | 92 | 78.5 | 3.36 | 0.58 | 0.96 | 1.82 | 3.09 | 34.8% |
| 2023Q3 | 92 | 75.1 | 3.63 | 0.28 | 1.33 | 2.02 | 3.31 | 45.0% |
| 2023Q2 | 91 | 77.6 | 3.44 | 0.25 | 1.34 | 1.85 | 3.07 | 44.9% |
| 2023Q1 | 90 | 77.2 | 3.43 | 0.34 | 1.27 | 1.81 | 3.02 | 40.5% |
| 2022Q4 | 92 | 75.5 | 3.73 | 0.35 | 1.32 | 2.06 | 3.25 | 36.7% |
| 2022Q3 | 92 | 71.5 | 3.70 | 0.33 | 1.29 | 2.08 | 3.23 | 30.4% |
| 2022Q2 | 91 | 65.9 | 3.53 | 0.36 | 1.23 | 1.94 | 3.41 | 0.0% |
| 2022Q1 | 90 | 58.7 | 3.94 | 0.67 | 1.16 | 2.11 | 3.69 | 0.0% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-13 | Fine | $45,130 | CMS provider data |
| 2025-08-13 | Payment Denial | — | CMS provider data |
Total fines on record: $45,130
Deficiencies
70D × 51E × 10F × 4G × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-22 |
| 2026-04-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-04-22 |
| 2026-04-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-13 |
| 2026-03-26 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-04-22 |
| 2026-03-26 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-04-22 |
| 2026-03-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-22 |
| 2026-03-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-22 |
| 2025-12-10 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-01-05 |
| 2025-12-10 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-01-05 |
| 2025-12-10 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-05 |
| 2025-12-10 | Health · complaint | 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 | 2026-01-05 |
| 2025-12-10 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2026-01-05 |
| 2025-12-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-05 |
| 2025-08-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-09-09 |
| 2025-08-13 | 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 | 2025-09-09 |
| 2025-08-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-09 |
| 2025-08-13 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-09-09 |
| 2025-08-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-09 |
| 2025-08-13 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-09 |
| 2025-08-13 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-09-09 |
| 2025-08-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2025-09-09 |
| 2025-08-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-03 |
| 2025-08-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-10-03 |
| 2025-08-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-10-03 |
| 2025-08-13 | 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 | 2025-09-09 |
| 2025-08-13 | Health | F0761 | Ensure 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. | D | 2025-09-09 |
| 2025-08-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-09 |
| 2025-08-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-09-09 |
| 2025-08-13 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2025-09-09 |
| 2025-08-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-03 |
| 2025-08-13 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-09-09 |
| 2025-06-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-14 |
| 2025-06-09 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-07-14 |
| 2025-06-09 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-07-14 |
| 2025-06-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-14 |
| 2025-06-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-12 |
| 2025-06-09 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2025-07-14 |
| 2025-06-09 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-07-14 |
| 2025-02-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-21 |
| 2025-02-11 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-21 |
| 2025-02-11 | Health · complaint | F0761 | Ensure 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. | D | 2025-03-21 |
| 2025-02-11 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2025-03-21 |
| 2024-09-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-10 |
| 2024-09-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-10 |
| 2024-09-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-10 |
| 2024-08-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-04 |
| 2024-08-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-04 |
| 2024-08-29 | 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 | 2024-10-04 |
| 2024-08-29 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-04 |
| 2024-08-29 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-04 |
| 2024-08-29 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-10-04 |
| 2024-08-29 | 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 | 2024-10-04 |
| 2024-08-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-04 |
| 2024-08-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-04 |
| 2024-08-29 | Health | F0758 | Implement 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. | D | 2024-10-04 |
| 2024-08-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-04 |
| 2024-08-29 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-10-04 |
| 2024-08-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-04 |
| 2024-08-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-10-04 |
| 2024-08-29 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-10-04 |
| 2024-01-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-02 |
| 2023-09-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-13 |
| 2023-07-12 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-08-09 |
| 2023-07-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-09 |
| 2023-07-12 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-09 |
| 2023-07-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-08-09 |
| 2023-07-12 | 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 | 2023-08-09 |
| 2023-07-12 | Health | F0761 | Ensure 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. | E | 2023-08-09 |
| 2023-07-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-09 |
| 2023-07-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-09 |
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
44| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AARON FAMILY INVESTMENT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | 2024-09-03 | current | pecos_ownership |
| BAUMOL, YEHOSHUA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27% | 2024-09-03 | current | pecos_ownership |
| AB INVESTMENT TRUST U/A/D 01/03/23 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2024-09-03 | current | pecos_ownership |
| 3057 GULL ROAD LLC | ADP OF THE SNF | — | 2024-12-12 | current | pecos_ownership |
| AARON FAMILY INVESTMENT TRUST | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| AARON, JONATHAN | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| AARON, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-03 | current | pecos_ownership |
| AB INVESTMENT TRUST U/A/D 01/03/23 | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| BAUMOL, YEHOSHUA | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| BERGER, MENACHEM | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| CUDNEY, KIERSTEN | W-2 MANAGING EMPLOYEE | — | 2024-09-03 | current | pecos_ownership |
| CUDNEY, KIERSTEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 | current | pecos_ownership |
| GRAF, MARCELLA | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| GRAF, MARCELLA | W-2 MANAGING EMPLOYEE | — | 2024-09-03 | current | pecos_ownership |
| GRAF, MARCELLA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 | current | pecos_ownership |
| ISRAEL FAMILY INVESTMENT TRUST | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| ISRAEL INVESTMENT TR | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| ISRAEL, BENJAMIN | ADP OF THE SNF | — | 2024-12-05 | current | pecos_ownership |
| NAGEL, STEVEN | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| OMNIA HEALTHCARE GROUP LLC | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| OPRESCU, NICOARA | W-2 MANAGING EMPLOYEE | — | 2024-09-03 | current | pecos_ownership |
| OPRESCU, NICOARA | ADP OF THE SNF | — | 2024-12-12 | current | pecos_ownership |
| STERN, TODD | ADP OF THE SNF | — | 2024-12-05 | current | pecos_ownership |
| TODD A STERN 2015 IRRV INS TR | ADP OF THE SNF | — | 2024-12-02 | current | pecos_ownership |
| YEHOSHUA BAUMOL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 27% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| TODD A STERN 2015 IRRV INS TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| ISRAEL FAMILY INVESTMENT TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| ISRAEL INVESTMENT TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| STEVEN NAGEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| GABRIEL KROLL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 1% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| MARCELLA GRAF | W-2 MANAGING EMPLOYEE | 1% | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN ISRAEL | ADP OF THE SNF | — | 2024-12-05 | ended 2026-05-18 | pecos_ownership |
| JONATHAN AARON | ADP OF THE SNF | — | 2024-12-23 | ended 2026-05-18 | pecos_ownership |
| JONATHAN AARON | MANAGING CONTROL - GOVERNING BODY | — | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| KIERSTEN CUDNEY | W-2 MANAGING EMPLOYEE | — | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| KIERSTEN CUDNEY | ADP OF THE SNF | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| MARCELLA GRAF | ADP OF THE SNF | — | 2024-12-23 | ended 2026-05-18 | pecos_ownership |
| MARCELLA GRAF | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| MENACHEM BERGER | ADP OF THE SNF | — | 2024-12-23 | ended 2026-05-18 | pecos_ownership |
| NICOARA OPRESCU | W-2 MANAGING EMPLOYEE | — | 2024-09-03 | ended 2026-05-18 | pecos_ownership |
| NICOARA OPRESCU | ADP OF THE SNF | — | 2024-12-12 | ended 2026-05-18 | pecos_ownership |
| STEVEN NAGEL | ADP OF THE SNF | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| TODD STERN | ADP OF THE SNF | — | 2024-12-05 | ended 2026-05-18 | pecos_ownership |
| YEHOSHUA BAUMOL | ADP OF THE SNF | — | 2024-12-02 | 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 |
|---|---|---|---|---|
| 2024-09-03 | — | VILLA AT BORGESS PLACE LLC | BORGESS NURSING HOME INC | 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-Crossing | — | — | — | 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 Placethis facility | — | — | — | 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 26077 | acs median gross | 0 | $902 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | fmr | 0 | $838 | 2025-10-01 | HUD_USER_FMR |
| county 26077 | acs median gross | 1 | $966 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | fmr | 1 | $998 | 2025-10-01 | HUD_USER_FMR |
| county 26077 | acs median gross | 2 | $1,127 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | fmr | 2 | $1,162 | 2025-10-01 | HUD_USER_FMR |
| county 26077 | acs median gross | 3 | $1,381 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | fmr | 3 | $1,531 | 2025-10-01 | HUD_USER_FMR |
| county 26077 | acs median gross | 4 | $1,624 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | fmr | 4 | $1,571 | 2025-10-01 | HUD_USER_FMR |
| county 26077 | acs median gross | 5 | $1,798 | 2024-12-31 | CENSUS_ACS5 |
| county 26077 | acs median gross | $1,093 | 2024-12-31 | CENSUS_ACS5 | |
| county 26077 | acs recent mover gross | $1,158 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49048 | acs median gross | 0 | $975 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49048 | acs median gross | 1 | $918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49048 | acs median gross | 2 | $1,150 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49048 | acs median gross | 3 | $1,253 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49048 | acs median gross | 4 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49048 | acs median gross | $1,074 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49048 | acs recent mover gross | $1,264 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49048 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 110 | 1 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 90 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | safmr | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 110 | 3 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 90 | 3 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | safmr | 3 | $1,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 110 | 4 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | payment standard 90 | 4 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49048 | safmr | 4 | $1,560 | 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.