1201 GARFIELD AVENUE, ALBERT LEA, MN 56007 · CCN 245425
Composite
91.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
52
Model
v1.2
Reads as: riskier than 91.4% 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
MN median
National median
National p25–p75
Total nurse
3.10
3.49
3.28
2.90–3.77
RN
0.42
0.65
0.39
0.25–0.58
Weekend total
3.23
3.32
3.11
—
Weekday total
3.06
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.6
3.10
0.42
0.42
2.26
3.23
47.4%
2025Q3
92
44.7
3.30
0.41
0.52
2.37
3.43
47.6%
2025Q2
91
41.0
3.30
0.40
0.58
2.32
3.31
47.5%
2025Q1
90
42.7
3.23
0.43
0.70
2.10
3.02
38.8%
2024Q4
92
40.1
3.33
0.41
0.83
2.08
3.17
34.6%
2024Q3
92
38.6
3.20
0.53
0.67
1.99
3.08
24.1%
2024Q2
91
38.0
2.89
0.44
0.75
1.69
2.74
4.0%
2024Q1
91
35.2
2.92
0.48
0.82
1.62
2.72
0.0%
2023Q4
92
30.4
3.29
0.50
0.88
1.91
3.10
6.6%
2023Q3
92
34.8
2.87
0.46
0.79
1.62
2.54
7.4%
2023Q2
91
40.6
2.63
0.40
0.74
1.49
2.44
8.0%
2023Q1
90
41.0
2.63
0.38
0.77
1.49
2.42
8.0%
2022Q4
92
39.2
2.41
0.43
0.66
1.31
2.27
5.3%
2022Q3
92
37.7
2.90
0.52
0.75
1.63
2.78
9.7%
2022Q2
91
38.4
2.99
0.44
0.74
1.81
2.74
21.4%
2022Q1
90
38.8
2.48
0.41
0.76
1.30
2.33
3.2%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-03-06
2026-01-27
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2026-03-06
2026-01-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-06
2026-01-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-11
2026-01-27
Health
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
2026-03-06
2026-01-27
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-03-06
2026-01-27
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.
F
2026-03-06
2026-01-27
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F
2026-03-06
2026-01-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2026-03-06
2026-01-27
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-03-06
2026-01-27
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2026-03-06
2026-01-27
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2026-03-06
2026-01-27
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2026-03-06
2026-01-27
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-03-06
2026-01-27
Health
F0881
Implement a program that monitors antibiotic use.
F
2026-03-06
2026-01-27
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-03-06
2025-12-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-12-19
2025-09-18
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
2025-10-10
2025-09-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-10
2025-09-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-10-10
2025-09-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-10-10
2024-12-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-12-08
2024-11-20
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-12-17
2024-10-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-11-08
2024-10-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-08
2024-05-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-05-29
2023-10-26
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2023-12-15
2023-10-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-12-15
2023-10-26
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
2023-12-15
2023-10-26
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2023-12-15
2023-10-26
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2023-12-15
2023-10-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-15
2023-10-26
Health
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
2023-12-15
2023-10-26
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-12-15
2023-10-26
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2023-12-15
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
37
Owner
Role
Pct
From
Status
Source
ALLEN, RYAN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
BLATNIK, ANDREA
CORPORATE OFFICER
—
2013-01-01
current
pecos_ownership
BLATNIK, ANDREA
W-2 MANAGING EMPLOYEE
—
2021-01-01
current
pecos_ownership
DAVIDSON, ROGER
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
FORD, ASHLEY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
HANSON, PHILLIP
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
JOHNSON, DOROTHY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
JOHNSON, JAMES
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
JOHNSON, LARS
CORPORATE OFFICER
—
2023-06-05
current
pecos_ownership
KILLIAN, GEORGE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
NEIMAN, RUTH
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PETERS, MARSHALL
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
VAN DER BEEK, BRUCE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
VANOSTRAM, STEVEN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
VAUGHN-GRAY, STEPHANIE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
WAGONER FORD, ANNE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
WHITAKER, BRUCE
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
WOOD, JENNIFER
W-2 MANAGING EMPLOYEE
—
2024-03-12
current
pecos_ownership
ANDREA BLATNIK
CORPORATE OFFICER
100%
2013-01-01
ended 2026-05-18
pecos_ownership
ANDREA BLATNIK
W-2 MANAGING EMPLOYEE
0%
2021-01-01
ended 2026-05-18
pecos_ownership
ANNE WAGONER FORD
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
ASHLEY FORD
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
BRUCE VAN DER BEEK
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
DOROTHY JOHNSON
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
GEORGE KILLIAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JAMES JOHNSON
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JENNIFER WOOD
W-2 MANAGING EMPLOYEE
0%
2024-03-12
ended 2026-05-18
pecos_ownership
LARS JOHNSON
CORPORATE OFFICER
0%
2023-06-05
ended 2026-05-18
pecos_ownership
MARSHALL PETERS
CORPORATE DIRECTOR
0%
2013-01-01
ended 2026-05-18
pecos_ownership
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
OTHER
0%
2021-03-01
ended 2026-05-18
pecos_ownership
PHILLIP HANSON
CORPORATE DIRECTOR
0%
2013-01-01
ended 2026-05-18
pecos_ownership
ROGER DAVIDSON
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RUTH NEIMAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RYAN ALLEN
CORPORATE DIRECTOR
0%
2013-01-01
ended 2026-05-18
pecos_ownership
STEPHANIE VAUGHN-GRAY
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
STEVEN VANOSTRAM
CORPORATE DIRECTOR
0%
2013-01-01
ended 2026-05-18
pecos_ownership
BRUCE WHITAKER
CORPORATE DIRECTOR
—
2013-01-01
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
2025-08-31
$481,746
—
—
—
—
1
—
2024-08-31
$466,555
—
—
—
—
1
—
2023-08-31
$439,482
—
—
—
—
1
—
2022-08-31
$406,067
—
—
—
—
1
—
2021-08-31
$384,058
—
—
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 27047
fmr
0
$672
2025-10-01
HUD_USER_FMR
county 27047
acs median gross
1
$633
2024-12-31
CENSUS_ACS5
county 27047
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 27047
acs median gross
2
$886
2024-12-31
CENSUS_ACS5
county 27047
fmr
2
$974
2025-10-01
HUD_USER_FMR
county 27047
acs median gross
3
$1,067
2024-12-31
CENSUS_ACS5
county 27047
fmr
3
$1,283
2025-10-01
HUD_USER_FMR
county 27047
acs median gross
4
$950
2024-12-31
CENSUS_ACS5
county 27047
fmr
4
$1,432
2025-10-01
HUD_USER_FMR
county 27047
acs median gross
$849
2024-12-31
CENSUS_ACS5
county 27047
acs recent mover gross
$745
2024-12-31
CENSUS_ACS5
zcta 56007
acs median gross
1
$676
2024-12-31
CENSUS_ACS5
zcta 56007
acs median gross
2
$899
2024-12-31
CENSUS_ACS5
zcta 56007
acs median gross
3
$1,144
2024-12-31
CENSUS_ACS5
zcta 56007
acs median gross
4
$1,047
2024-12-31
CENSUS_ACS5
zcta 56007
acs median gross
$855
2024-12-31
CENSUS_ACS5
zcta 56007
acs recent mover gross
$744
2024-12-31
CENSUS_ACS5
zip 56007
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 56007
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 56007
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 56007
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 56007
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 56007
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 56007
safmr
4
$1,430
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.