1742 Main Street, Pella, IA 50219 · CCN 165607 · chain WESLEYLIFE
Composite
38.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 38.2% 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.
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
4.00
3.15
3.28
2.90–3.77
RN
0.63
0.46
0.39
0.25–0.58
Weekend total
4.06
2.96
3.11
—
Weekday total
3.97
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.5
4.00
0.63
0.66
2.71
4.06
21.7%
2025Q3
92
93.0
3.63
0.53
0.67
2.43
3.58
10.6%
2025Q2
91
89.2
3.83
0.48
0.73
2.61
3.81
5.8%
2025Q1
90
89.7
3.71
0.44
0.80
2.48
3.85
11.1%
2024Q4
92
91.6
3.67
0.43
0.80
2.43
3.72
9.6%
2024Q3
92
92.0
3.78
0.41
0.81
2.56
3.81
3.6%
2024Q2
91
93.3
3.72
0.46
0.80
2.46
3.69
0.9%
2024Q1
91
84.7
4.09
0.56
0.78
2.75
4.08
3.9%
2023Q4
92
79.8
3.60
0.48
0.73
2.38
3.63
5.3%
2023Q3
92
76.4
3.68
0.60
0.67
2.40
3.68
6.5%
2023Q2
91
75.7
3.70
0.53
0.76
2.41
3.61
4.8%
2023Q1
90
75.9
3.71
0.46
0.79
2.46
3.73
3.5%
2022Q4
92
65.6
4.17
0.48
0.88
2.82
4.09
2.4%
2022Q3
92
60.0
3.95
0.38
0.90
2.67
3.73
0.0%
2022Q2
91
62.3
3.71
0.44
0.83
2.43
3.62
0.0%
2022Q1
90
62.0
3.61
0.39
0.92
2.30
3.54
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-12-11
2025-11-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-11
2025-08-25
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-09-25
2025-08-25
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
2025-09-25
2025-08-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-25
2025-08-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-25
2025-08-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-09-25
2025-08-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-09-25
2025-08-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-09-25
2025-08-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-25
2025-08-25
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-09-25
2025-02-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-02-25
2024-09-26
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
2024-10-21
2024-09-26
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-10-21
2024-09-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-21
2024-05-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-04
2023-06-29
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-07-20
2023-06-29
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
2023-07-20
2023-06-29
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.
D
2023-07-20
2023-06-29
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-07-20
2023-06-29
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-07-20
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
27
Owner
Role
Pct
From
Status
Source
WESLEY RETIREMENT SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2009-09-25
current
pecos_ownership
ALBERTSON, KERMIT
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
GILROY, ABBEY
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
HAMILTON, NANCY
W-2 MANAGING EMPLOYEE
—
2009-12-07
current
pecos_ownership
HARTSOOK, LONDA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-09
current
pecos_ownership
HEARTHSTONE A MINISTRY OF WESLEYLIFE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-09-25
current
pecos_ownership
KRETZINGER, ROBERT
CORPORATE OFFICER
—
2009-09-25
current
pecos_ownership
LAGREE, ROGER
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
LORENCE, JOANNE
CORPORATE DIRECTOR
—
2009-09-25
current
pecos_ownership
RASMUSSEN, CHAD
CORPORATE DIRECTOR
—
2011-01-01
current
pecos_ownership
RUCH, ROBERT
CORPORATE DIRECTOR
—
2009-09-25
current
pecos_ownership
STOUT, DAVID
CORPORATE DIRECTOR
—
2011-01-01
current
pecos_ownership
TAYLOR, CHRISTINA
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
WATSON, SUSAN
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
WESLEYLIFE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-09-21
current
pecos_ownership
ABBEY GILROY
CORPORATE DIRECTOR
—
2016-01-01
ended 2026-05-18
pecos_ownership
CHAD RASMUSSEN
CORPORATE DIRECTOR
—
2011-01-01
ended 2026-05-18
pecos_ownership
CHRISTINA TAYLOR
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
DAVID STOUT
CORPORATE DIRECTOR
—
2011-01-01
ended 2026-05-18
pecos_ownership
JOANNE LORENCE
CORPORATE DIRECTOR
—
2009-09-25
ended 2026-05-18
pecos_ownership
KERMIT ALBERTSON
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
LONDA HARTSOOK
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-09
ended 2026-05-18
pecos_ownership
NANCY HAMILTON
W-2 MANAGING EMPLOYEE
—
2009-12-07
ended 2026-05-18
pecos_ownership
ROBERT KRETZINGER
CORPORATE OFFICER
—
2009-09-25
ended 2026-05-18
pecos_ownership
ROBERT RUCH
CORPORATE DIRECTOR
—
2009-09-25
ended 2026-05-18
pecos_ownership
ROGER LAGREE
CORPORATE DIRECTOR
—
2015-01-01
ended 2026-05-18
pecos_ownership
SUSAN WATSON
CORPORATE DIRECTOR
—
2014-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,161,366
—
—
—
—
1
—
2023-12-31
$1,029,852
—
—
—
—
1
—
2022-12-31
$843,844
—
—
—
—
1
—
2021-12-31
$592,053
—
—
—
—
1
—
2020-12-31
$584,121
—
—
—
—
1
—
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 19125
acs median gross
0
$605
2024-12-31
CENSUS_ACS5
county 19125
fmr
0
$701
2025-10-01
HUD_USER_FMR
county 19125
acs median gross
1
$801
2024-12-31
CENSUS_ACS5
county 19125
fmr
1
$808
2025-10-01
HUD_USER_FMR
county 19125
acs median gross
2
$957
2024-12-31
CENSUS_ACS5
county 19125
fmr
2
$1,016
2025-10-01
HUD_USER_FMR
county 19125
acs median gross
3
$982
2024-12-31
CENSUS_ACS5
county 19125
fmr
3
$1,218
2025-10-01
HUD_USER_FMR
county 19125
acs median gross
4
$892
2024-12-31
CENSUS_ACS5
county 19125
fmr
4
$1,356
2025-10-01
HUD_USER_FMR
county 19125
acs median gross
$884
2024-12-31
CENSUS_ACS5
county 19125
acs recent mover gross
$1,070
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
0
$590
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
1
$886
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
2
$1,128
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
3
$1,023
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
4
$1,563
2024-12-31
CENSUS_ACS5
zcta 50219
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
zcta 50219
acs recent mover gross
$1,072
2024-12-31
CENSUS_ACS5
zip 50219
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 50219
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 50219
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 110
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 90
2
$1,053
2025-10-01
HUD_USER_SAFMR
zip 50219
safmr
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 50219
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 50219
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 50219
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.