Reads as: riskier than 27.2% 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
7 chains
BRIGHTON CONSULTING GROUP LLC
17 facilities
connection
Owner spans multiple chains
4 chains
ECSI INC
9 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
IA median
National median
National p25–p75
Total nurse
3.09
3.15
3.28
2.90–3.77
RN
0.75
0.46
0.39
0.25–0.58
Weekend total
2.84
2.96
3.11
—
Weekday total
3.18
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.8
3.09
0.75
0.23
2.11
2.84
0.3%
2025Q3
92
46.3
3.03
0.70
0.23
2.09
2.65
0.4%
2025Q2
91
43.9
2.97
0.73
0.24
2.00
2.72
0.4%
2025Q1
90
41.3
3.03
0.71
0.31
2.01
2.86
0.0%
2024Q4
92
40.6
3.06
0.76
0.23
2.07
2.98
0.2%
2024Q3
92
38.0
3.27
0.80
0.29
2.17
2.99
0.1%
2024Q2
91
39.3
2.99
0.79
0.28
1.93
2.83
0.4%
2024Q1
91
39.4
3.01
0.74
0.33
1.94
2.80
1.7%
2023Q4
92
42.1
2.99
0.74
0.32
1.92
2.80
0.3%
2023Q3
92
36.2
3.27
0.79
0.46
2.03
3.03
0.0%
2023Q2
91
37.5
3.15
0.72
0.49
1.94
2.94
0.1%
2023Q1
90
42.7
2.03
0.48
0.21
1.34
1.92
2.8%
2022Q4
92
43.1
1.99
0.44
0.21
1.33
1.79
4.1%
2022Q3
92
44.5
2.82
0.68
0.30
1.83
2.56
3.4%
2022Q2
91
48.6
2.68
0.51
0.37
1.81
2.45
0.0%
2022Q1
90
50.1
2.82
0.51
0.33
1.97
2.64
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
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
5
D × 3E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-08-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-20
2024-08-08
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-08-20
2024-08-08
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-08-20
2023-11-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-11-27
2023-11-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-27
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
54
Owner
Role
Pct
From
Status
Source
APPLETON, LOWELL
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
BCG HOLDINGS INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BLUE STONE THERAPY INC
ADP OF THE SNF
—
2023-03-17
current
pecos_ownership
BOELTER, TERRY
CORPORATE DIRECTOR
—
2004-04-01
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
CATTAIL BCG LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
CATTAIL INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
CRAVENS, JAMES
CORPORATE DIRECTOR
—
—
current
pecos_ownership
DAGEL, STACEY
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
ECSI INC
DIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
GETTING, KARISSA
CORPORATE DIRECTOR
—
2023-05-01
current
pecos_ownership
HAACK, JOHN
CORPORATE DIRECTOR
—
2023-03-01
current
pecos_ownership
IOWA HEALTH CARE ASSOCIATION
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
JENNESS, MACKENZIE
CORPORATE DIRECTOR
—
2025-03-01
current
pecos_ownership
K F MURPHY CO PC
ADP OF THE SNF
—
1998-06-01
current
pecos_ownership
KOOIMA, CHARLOTTE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
KROESE, JEFFERY
CORPORATE DIRECTOR
—
2022-08-01
current
pecos_ownership
LICHTY, SCOTT
ADP OF THE SNF
—
2025-11-21
current
pecos_ownership
LICHTY, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-03
current
pecos_ownership
MCDOWELL, DUDLEY
CORPORATE DIRECTOR
—
2014-04-14
current
pecos_ownership
NCS HEALTHCARE OF IOWA, LLC
ADP OF THE SNF
—
2021-03-01
current
pecos_ownership
NELSON, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-17
current
pecos_ownership
NELSON, WENDY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
POSTMA, SETH
CORPORATE OFFICER
—
2021-03-01
current
pecos_ownership
PRINS, JENNIFER
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
QUECK, JEFFREY
CORPORATE DIRECTOR
—
1998-01-01
current
pecos_ownership
RDI COMPUTER NETWORKING
ADP OF THE SNF
—
2024-12-31
current
pecos_ownership
SCHWARZ, MAGDELENA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-25
current
pecos_ownership
VANDERWERFF, BRENT
CORPORATE DIRECTOR
—
2018-03-01
current
pecos_ownership
VANDYKE, NANCY
CORPORATE OFFICER
—
2016-03-01
current
pecos_ownership
WILSON, RACHEL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-25
current
pecos_ownership
WOLTERS, CHRIS
CORPORATE OFFICER
—
2017-03-01
current
pecos_ownership
DUDLEY MCDOWELL
CORPORATE DIRECTOR
11%
2014-04-14
ended 2026-05-18
pecos_ownership
JAMES CRAVENS
CORPORATE OFFICER
11%
—
ended 2026-05-18
pecos_ownership
JEFFREY QUECK
CORPORATE DIRECTOR
9%
1998-01-01
ended 2026-05-18
pecos_ownership
LOWELL APPLETON
CORPORATE DIRECTOR
9%
2009-08-01
ended 2026-05-18
pecos_ownership
TERRY BOELTER
CORPORATE DIRECTOR
9%
2004-04-01
ended 2026-05-18
pecos_ownership
CHRIS WOLTERS
CORPORATE OFFICER
0%
2017-03-01
ended 2026-05-18
pecos_ownership
NANCY VANDYKE
CORPORATE OFFICER
0%
2016-03-01
ended 2026-05-18
pecos_ownership
BRENT VANDERWERFF
CORPORATE DIRECTOR
—
2018-03-01
ended 2026-05-18
pecos_ownership
CHARLOTTE KOOIMA
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
JEFFERY KROESE
CORPORATE DIRECTOR
—
2022-08-01
ended 2026-05-18
pecos_ownership
JENNIFER PRINS
CORPORATE OFFICER
—
2022-07-01
ended 2026-05-18
pecos_ownership
JOHN HAACK
CORPORATE DIRECTOR
—
2023-03-01
ended 2026-05-18
pecos_ownership
KARISSA GETTING
CORPORATE DIRECTOR
—
2023-05-01
ended 2026-05-18
pecos_ownership
MACKENZIE JENNESS
CORPORATE DIRECTOR
—
2025-03-01
ended 2026-05-18
pecos_ownership
MAGDELENA SCHWARZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-25
ended 2026-05-18
pecos_ownership
RACHEL WILSON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-25
ended 2026-05-18
pecos_ownership
SCOTT LICHTY
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-03
ended 2026-05-18
pecos_ownership
SCOTT LICHTY
ADP OF THE SNF
—
2025-11-21
ended 2026-05-18
pecos_ownership
SETH POSTMA
CORPORATE OFFICER
—
2021-03-01
ended 2026-05-18
pecos_ownership
STACEY DAGEL
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
THOMAS NELSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-17
ended 2026-05-18
pecos_ownership
WENDY NELSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 19141
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 19141
acs median gross
1
$731
2024-12-31
CENSUS_ACS5
county 19141
fmr
1
$700
2025-10-01
HUD_USER_FMR
county 19141
acs median gross
2
$894
2024-12-31
CENSUS_ACS5
county 19141
fmr
2
$919
2025-10-01
HUD_USER_FMR
county 19141
acs median gross
3
$876
2024-12-31
CENSUS_ACS5
county 19141
fmr
3
$1,111
2025-10-01
HUD_USER_FMR
county 19141
acs median gross
4
$950
2024-12-31
CENSUS_ACS5
county 19141
fmr
4
$1,217
2025-10-01
HUD_USER_FMR
county 19141
acs median gross
5
$629
2024-12-31
CENSUS_ACS5
county 19141
acs median gross
$868
2024-12-31
CENSUS_ACS5
county 19141
acs recent mover gross
$953
2024-12-31
CENSUS_ACS5
zcta 51248
acs median gross
0
$1,148
2024-12-31
CENSUS_ACS5
zcta 51248
acs median gross
1
$1,018
2024-12-31
CENSUS_ACS5
zcta 51248
acs median gross
2
$925
2024-12-31
CENSUS_ACS5
zcta 51248
acs median gross
3
$879
2024-12-31
CENSUS_ACS5
zcta 51248
acs median gross
$954
2024-12-31
CENSUS_ACS5
zcta 51248
acs recent mover gross
$1,275
2024-12-31
CENSUS_ACS5
zip 51248
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 51248
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 51248
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 51248
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 51248
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 110
4
$1,540
2025-10-01
HUD_USER_SAFMR
zip 51248
payment standard 90
4
$1,260
2025-10-01
HUD_USER_SAFMR
zip 51248
safmr
4
$1,400
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.