Reads as: riskier than 2.0% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
HEALTH DIMENSIONS CONSULTING INC
14 facilities
connection
Owner spans multiple chains
4 chains
AMERGIS HEALTHCARE STAFFING INC
9 facilities
connection
Owner fleet enforcement cluster
57% fined
MEDICAL SOLUTIONS LLC
14 facilities
connection
Owner fleet enforcement cluster
40% fined
HEALTH DIMENSIONS CONSULTING INC
20 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 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
3.76
3.60
3.28
2.90–3.77
RN
0.58
0.64
0.39
0.25–0.58
Weekend total
3.59
3.49
3.11
—
Weekday total
3.83
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.0
3.76
0.58
0.38
2.81
3.59
18.4%
2025Q3
92
41.1
3.55
0.66
0.18
2.71
3.46
6.9%
2025Q2
91
38.0
3.87
0.73
0.30
2.83
3.86
6.4%
2025Q1
90
35.2
3.94
0.83
0.31
2.81
3.91
6.0%
2024Q4
92
33.9
3.83
0.94
0.25
2.64
3.82
8.2%
2024Q3
92
35.2
3.69
0.95
0.19
2.55
3.55
1.8%
2024Q2
91
37.4
3.58
0.89
0.27
2.42
3.42
2.6%
2024Q1
91
37.4
3.41
0.80
0.32
2.29
3.39
7.0%
2023Q4
92
35.6
3.88
0.81
0.41
2.66
3.86
7.9%
2023Q3
92
37.7
3.58
0.73
0.32
2.53
3.55
6.6%
2023Q2
91
37.9
3.57
0.71
0.39
2.47
3.66
1.4%
2023Q1
90
40.6
3.40
0.78
0.33
2.29
3.37
0.0%
2022Q4
92
41.7
3.29
0.80
0.34
2.16
3.21
0.0%
2022Q3
92
42.0
2.93
0.77
0.34
1.81
2.85
0.0%
2022Q2
91
41.7
3.16
0.87
0.35
1.95
3.08
2.3%
2022Q1
90
40.0
3.27
0.65
0.44
2.18
3.33
1.5%
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 × 2F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-04
2025-05-14
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-06-14
2025-05-14
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-06-14
2024-04-24
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-05-16
2023-04-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-21
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
77
Owner
Role
Pct
From
Status
Source
REGIONAL ENTERPRISES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ACTUALMEDS CORPORATION
ADP OF THE SNF
—
2015-10-01
current
pecos_ownership
AMERGIS HEALTHCARE STAFFING, INC.
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BEIRL, LUKE
MANAGING CONTROL - GOVERNING BODY
—
2018-04-11
current
pecos_ownership
BOWMAN, ALAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-07
current
pecos_ownership
COURTRIGHT, MARTHA
ADP OF THE SNF
—
2022-10-11
current
pecos_ownership
COURTRIGHT, MARTHA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
current
pecos_ownership
DUMONSEAU, KENT
CORPORATE OFFICER
—
2013-08-19
current
pecos_ownership
DUNLAP, SABRINA
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
ECKES, KYLAH
MANAGING CONTROL - GOVERNING BODY
—
2023-04-01
current
pecos_ownership
FRANDSEN BANK AND TRUST
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
GARDNER, KATRINA
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
GARRETT, JOHN
CORPORATE DIRECTOR
—
2016-04-01
current
pecos_ownership
HEALTH DIMENSIONS CONSULTING INC
ADP OF THE SNF
—
2025-11-14
current
pecos_ownership
HELENIUS, HILARY
ADP OF THE SNF
—
2025-03-06
current
pecos_ownership
HENCK, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-19
current
pecos_ownership
HOBAN, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
IVERSON, CHRISTINE
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
JOKINEN, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
KELLER, JOY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-18
current
pecos_ownership
KUCHINKA, SAM
CORPORATE DIRECTOR
—
2025-10-01
current
pecos_ownership
LEADINGCHOICE NETWORK LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
LEADINGCHOICE NETWORK LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-01
current
pecos_ownership
LINDSAY, AINDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-26
current
pecos_ownership
MAANUM, SCOTT
ADP OF THE SNF
—
2011-08-08
current
pecos_ownership
MANNING, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-22
current
pecos_ownership
MEDICAL SOLUTIONS LLC
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
MIKULA, DANI
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
MILLER, DEBRA
ADP OF THE SNF
—
—
current
pecos_ownership
PEARSON, TAYLOR
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
PIECUCH, DEBRA
ADP OF THE SNF
—
2018-05-29
current
pecos_ownership
REGIONAL ENTERPRISES INC
ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
SCHRAUFNAGEL, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
SETZKE, RICHARD
CORPORATE DIRECTOR
—
2025-08-01
current
pecos_ownership
SHEEHAN, HEATHER
ADP OF THE SNF
—
2007-08-27
current
pecos_ownership
SIGNORELLI, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
SKAR, ANNA
ADP OF THE SNF
—
2018-06-04
current
pecos_ownership
STANGRET, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-09
current
pecos_ownership
THOMPSON, DODSON
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
THRASHER, MICHELLE
ADP OF THE SNF
—
2012-12-18
current
pecos_ownership
TUMAS, AISTIS
CORPORATE DIRECTOR
—
2025-10-01
current
pecos_ownership
WEGENER, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-01
current
pecos_ownership
WICKMAN, TYLER
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
current
pecos_ownership
LUKE BEIRL
CORPORATE OFFICER
0%
2018-04-11
ended 2026-05-18
pecos_ownership
AINDREA LINDSAY
ADP OF THE SNF
—
2018-11-26
ended 2026-05-18
pecos_ownership
AISTIS TUMAS
CORPORATE DIRECTOR
—
2025-10-01
ended 2026-05-18
pecos_ownership
ALAN BOWMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-07
ended 2026-05-18
pecos_ownership
AMANDA MANNING
ADP OF THE SNF
—
2022-04-22
ended 2026-05-18
pecos_ownership
AMANDA STANGRET
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-09
ended 2026-05-18
pecos_ownership
ANNA HENCK
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-19
ended 2026-05-18
pecos_ownership
ANNA SKAR
ADP OF THE SNF
—
2018-06-04
ended 2026-05-18
pecos_ownership
CHRISTINE IVERSON
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
ended 2026-05-18
pecos_ownership
DANI MIKULA
CORPORATE DIRECTOR
—
2025-08-01
ended 2026-05-18
pecos_ownership
DAVID WEGENER
ADP OF THE SNF
—
2021-03-01
ended 2026-05-18
pecos_ownership
DEBRA MILLER
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
DEBRA PIECUCH
ADP OF THE SNF
—
2018-05-29
ended 2026-05-18
pecos_ownership
DODSON THOMPSON
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
HEATHER SHEEHAN
ADP OF THE SNF
—
2007-08-27
ended 2026-05-18
pecos_ownership
HILARY HELENIUS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-06
ended 2026-05-18
pecos_ownership
JOHN GARRETT
MANAGING CONTROL - GOVERNING BODY
—
2016-04-01
ended 2026-05-18
pecos_ownership
JOSEPH SIGNORELLI
CORPORATE DIRECTOR
—
2025-08-01
ended 2026-05-18
pecos_ownership
JOY KELLER
ADP OF THE SNF
—
2022-07-18
ended 2026-05-18
pecos_ownership
KATRINA GARDNER
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
ended 2026-05-18
pecos_ownership
KENT DUMONSEAU
CORPORATE OFFICER
—
2013-08-19
ended 2026-05-18
pecos_ownership
KYLAH ECKES
MANAGING CONTROL - GOVERNING BODY
—
2023-04-01
ended 2026-05-18
pecos_ownership
MARTHA COURTRIGHT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
ended 2026-05-18
pecos_ownership
MARTHA COURTRIGHT
ADP OF THE SNF
—
2022-10-11
ended 2026-05-18
pecos_ownership
MICHELLE THRASHER
OPERATIONAL/MANAGERIAL CONTROL
—
2012-12-18
ended 2026-05-18
pecos_ownership
PATRICIA SCHRAUFNAGEL
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
ended 2026-05-18
pecos_ownership
RICHARD HOBAN
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
RICHARD SETZKE
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
ended 2026-05-18
pecos_ownership
SABRINA DUNLAP
CORPORATE DIRECTOR
—
2025-08-01
ended 2026-05-18
pecos_ownership
SAM KUCHINKA
MANAGING CONTROL - GOVERNING BODY
—
2025-10-01
ended 2026-05-18
pecos_ownership
SCOTT MAANUM
OPERATIONAL/MANAGERIAL CONTROL
—
2011-08-08
ended 2026-05-18
pecos_ownership
TAYLOR PEARSON
CORPORATE DIRECTOR
—
2025-08-01
ended 2026-05-18
pecos_ownership
THOMAS JOKINEN
CORPORATE DIRECTOR
—
2025-08-01
ended 2026-05-18
pecos_ownership
TYLER WICKMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-08-01
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.
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
34
Geo
Kind
BR
Amount
As of
Source
county 55113
acs median gross
0
$758
2024-12-31
CENSUS_ACS5
county 55113
fmr
0
$771
2025-10-01
HUD_USER_FMR
county 55113
acs median gross
1
$369
2024-12-31
CENSUS_ACS5
county 55113
fmr
1
$801
2025-10-01
HUD_USER_FMR
county 55113
acs median gross
2
$819
2024-12-31
CENSUS_ACS5
county 55113
fmr
2
$1,051
2025-10-01
HUD_USER_FMR
county 55113
acs median gross
3
$693
2024-12-31
CENSUS_ACS5
county 55113
fmr
3
$1,260
2025-10-01
HUD_USER_FMR
county 55113
acs median gross
4
$773
2024-12-31
CENSUS_ACS5
county 55113
fmr
4
$1,392
2025-10-01
HUD_USER_FMR
county 55113
acs median gross
$712
2024-12-31
CENSUS_ACS5
county 55113
acs recent mover gross
$972
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
0
$1,006
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
1
$381
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
2
$811
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
3
$646
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
4
$693
2024-12-31
CENSUS_ACS5
zcta 54843
acs median gross
$707
2024-12-31
CENSUS_ACS5
zcta 54843
acs recent mover gross
$899
2024-12-31
CENSUS_ACS5
zip 54843
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 54843
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 54843
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 54843
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 54843
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 110
4
$1,529
2025-10-01
HUD_USER_SAFMR
zip 54843
payment standard 90
4
$1,251
2025-10-01
HUD_USER_SAFMR
zip 54843
safmr
4
$1,390
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.