Reads as: riskier than 58.2% 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
5 chains
EIDE BAILLY LLP
24 facilities
connection
Owner fleet enforcement cluster
40% fined
RYAN GEOFFREY
5 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 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
3.16
3.49
3.28
2.90–3.77
RN
0.60
0.65
0.39
0.25–0.58
Weekend total
3.02
3.32
3.11
—
Weekday total
3.22
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.3
3.16
0.60
0.78
1.79
3.02
1.9%
2025Q3
92
57.3
3.21
0.62
0.74
1.85
2.89
0.0%
2025Q2
91
57.4
3.34
0.58
0.78
1.98
3.07
0.2%
2025Q1
90
57.5
3.31
0.55
0.88
1.88
3.05
0.0%
2024Q4
92
53.3
3.48
0.54
0.94
2.00
3.35
0.0%
2024Q3
92
56.9
3.35
0.62
0.84
1.89
3.11
0.1%
2024Q2
91
56.3
3.38
0.55
0.92
1.90
3.17
0.1%
2024Q1
91
57.8
3.23
0.53
0.86
1.84
3.11
0.3%
2023Q4
92
58.6
2.28
0.43
0.00
1.86
2.13
0.2%
2023Q3
92
56.2
2.68
0.40
0.70
1.58
2.60
0.0%
2023Q2
91
49.5
3.56
0.54
0.96
2.06
3.34
0.4%
2023Q1
90
52.9
3.81
0.52
0.93
2.36
3.70
14.0%
2022Q4
92
51.7
3.75
0.50
1.02
2.23
3.52
1.1%
2022Q3
92
50.8
3.66
0.53
1.02
2.12
3.29
0.0%
2022Q2
91
49.1
3.81
0.50
1.07
2.24
3.54
0.0%
2022Q1
90
47.5
4.36
0.71
1.09
2.55
4.20
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
25
D × 19E × 1F × 4G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-08-20
2025-06-26
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-08-20
2025-06-26
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-08-20
2025-06-26
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-08-20
2025-06-26
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-08-20
2025-06-26
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
2025-08-20
2025-06-26
Health
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
2025-08-20
2025-06-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-08-20
2025-06-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-20
2025-06-26
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-08-20
2025-06-26
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
2025-08-20
2025-06-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2025-09-24
2025-06-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-08-20
2025-06-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-20
2025-06-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-08-20
2025-06-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-24
2025-06-26
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2025-08-20
2024-05-16
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-07-01
2024-05-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-01
2024-05-16
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-07-01
2024-05-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-01
2024-05-16
Health
F0731
Request a waiver if it can't meet the nurse staffing requirements.
F
2024-07-01
2023-03-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-04-17
2023-03-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-04-17
2023-03-09
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
2023-04-17
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
45
Owner
Role
Pct
From
Status
Source
ANDERSON, EMILY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-02
current
pecos_ownership
BACH, CURTIS
CORPORATE DIRECTOR
—
2024-08-28
current
pecos_ownership
BARNARD, SHELLEY
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
BAY, ESA
ADP OF THE SNF
—
2025-08-07
current
pecos_ownership
BIG STONE THERAPIES INC
ADP OF THE SNF
—
2025-10-22
current
pecos_ownership
BIG STONE THERAPIES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-03
current
pecos_ownership
BLEVINS, ROSANNE
ADP OF THE SNF
—
2018-05-18
current
pecos_ownership
BURROWS, AMANDA
ADP OF THE SNF
—
2024-01-02
current
pecos_ownership
CASPERS, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-12-29
current
pecos_ownership
COPEMAN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
DRIPPS, DANIEL
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
EHLERS, DOUGLAS
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
EIDE BAILLY LLP
ADP OF THE SNF
—
2025-10-22
current
pecos_ownership
EIDE BAILLY LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-03
current
pecos_ownership
GOODNOUGH, JENNIFER
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
GRAMM, TIMOTHY
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
HANNEKEN, MICHELLE
ADP OF THE SNF
—
2022-07-20
current
pecos_ownership
HEJHAL, ROXANNE
ADP OF THE SNF
—
2023-04-10
current
pecos_ownership
HOFMANN, REED
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-08
current
pecos_ownership
INCONTRO, ELISABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2013-04-17
current
pecos_ownership
JUST, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
LAIR, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
LIENEMANN, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
LUETMER, JOHN
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
MARLOW, JINA
ADP OF THE SNF
—
2022-06-06
current
pecos_ownership
MCGRAW, CINDY
ADP OF THE SNF
—
—
current
pecos_ownership
NELSON, PATRICK
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
PETERSON-DEVRIES, CAMI
ADP OF THE SNF
—
2022-05-08
current
pecos_ownership
RAUSCH, AMY
ADP OF THE SNF
—
2025-04-22
current
pecos_ownership
RAW, CAROL
CORPORATE OFFICER
—
2005-08-16
current
pecos_ownership
RENTZ, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
RENTZ, MARK
ADP OF THE SNF
—
2024-04-22
current
pecos_ownership
RENTZ, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
ROCHE, SHANE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-08
current
pecos_ownership
RYAN, BEN
OPERATIONAL/MANAGERIAL CONTROL
—
2012-12-27
current
pecos_ownership
RYAN, GEOFFREY
ADP OF THE SNF
—
1998-01-12
current
pecos_ownership
SCHNEIDER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2013-07-01
current
pecos_ownership
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2002-05-10
current
pecos_ownership
STOCK, KELSEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
THOMPSON, RENEE
ADP OF THE SNF
—
2018-10-10
current
pecos_ownership
TOMOSON, APRIL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-12
current
pecos_ownership
TOWNLEY, GLENDA
OPERATIONAL/MANAGERIAL CONTROL
—
1999-02-08
current
pecos_ownership
WALKER, AMY
ADP OF THE SNF
—
2024-05-13
current
pecos_ownership
WIESE, LORRAINE
CORPORATE DIRECTOR
—
2017-07-25
current
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
2024-09-30
$327,329
—
—
—
—
1
—
2023-09-30
$313,076
—
—
—
—
1
—
2022-09-30
$259,345
—
—
—
—
1
—
2021-09-30
$244,919
—
—
—
—
1
—
2020-09-30
$235,432
—
—
—
—
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 27137
acs median gross
0
$728
2024-12-31
CENSUS_ACS5
county 27137
fmr
0
$849
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
1
$803
2024-12-31
CENSUS_ACS5
county 27137
fmr
1
$978
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
2
$1,096
2024-12-31
CENSUS_ACS5
county 27137
fmr
2
$1,232
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
3
$1,306
2024-12-31
CENSUS_ACS5
county 27137
fmr
3
$1,689
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
4
$2,052
2024-12-31
CENSUS_ACS5
county 27137
fmr
4
$2,067
2025-10-01
HUD_USER_FMR
county 27137
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 27137
acs median gross
$1,013
2024-12-31
CENSUS_ACS5
county 27137
acs recent mover gross
$1,111
2024-12-31
CENSUS_ACS5
zcta 55719
acs median gross
1
$545
2024-12-31
CENSUS_ACS5
zcta 55719
acs median gross
2
$1,002
2024-12-31
CENSUS_ACS5
zcta 55719
acs median gross
3
$737
2024-12-31
CENSUS_ACS5
zcta 55719
acs median gross
$731
2024-12-31
CENSUS_ACS5
zip 55719
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 55719
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 55719
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 55719
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 55719
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 55719
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 55719
safmr
4
$1,730
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.