Composite
92.6 / 100 percentile
Screener / 525523
D
Avina of Milwaukee
snfWI
9255 N 76TH ST, MILWAUKEE, WI 53223 · CCN 525523 · chain ASCENSION HEALTH SENIOR CARE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
108
Model
v1.2
Reads as: riskier than 92.6% 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.
Score model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies80Licensure0Ownership8Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.8 | 94.2 | 0.30 | 0.2308 | 22.11 | in index |
| financial risk | 93.6 | 82.2 | 0.30 | 0.2308 | 21.60 | in index |
| chow risk | 86.7 | 67.5 | 0.15 | 0.1154 | 10.00 | in index |
| billing conduct | 35.8 | 34.2 | 0.30 | 0.2308 | 8.26 | in index |
| staffing risk | 36.1 | 36.2 | 0.25 | 0.1923 | 6.94 | in index |
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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Quarter-over-quarter staffing cliff | −27% QoQ | this facility | 2026-07-29 |
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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | 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. |
| chow risk | 80.0 | F | v0.6 | default · in composite | |
| financial risk | 82.2 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 10.6 | — | v0.1 | default · in 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. |
| regulatory risk | 94.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.2 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.3 | F | v0.1 | superseded | 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. |
| financial risk | 74.3 | D | v0.2 | superseded | 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. |
| financial risk | 66.8 | D | v0.3 | superseded | 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. |
| financial risk | 82.1 | F | v0.4 | superseded | 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. |
| regulatory risk | 94.2 | F | v0.1 | superseded | 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. |
| regulatory risk | 94.2 | F | v0.2 | superseded | 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. |
| staffing risk | 36.2 | B | v0.1 | superseded | 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. |
| staffing risk | 36.2 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
10.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 33.00 | +0.63 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.77 | -0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.83 | +0.20 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 33.00 | -4.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 2.83 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.35 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.53 | -0.13 | |
| Never sold on record | 1.00 | +0.12 |
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 | 3.53 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.64 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.33 | 3.49 | 3.11 | — |
| Weekday total | 3.60 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 83.2 | 3.53 | 0.64 | 0.58 | 2.31 | 3.33 | 15.5% |
| 2025Q3 | 92 | 81.9 | 2.66 | 0.56 | 0.40 | 1.69 | 2.60 | 28.6% |
| 2025Q2 | 91 | 84.8 | 3.66 | 0.82 | 0.78 | 2.06 | 3.34 | 24.2% |
| 2025Q1 | 90 | 79.4 | 3.42 | 0.86 | 0.73 | 1.84 | 3.11 | 34.7% |
| 2024Q4 | 92 | 71.1 | 3.88 | 1.11 | 0.69 | 2.07 | 3.43 | 26.2% |
| 2024Q3 | 92 | 66.5 | 4.39 | 1.20 | 0.68 | 2.52 | 4.24 | 25.1% |
| 2024Q2 | 91 | 76.1 | 4.09 | 1.04 | 0.64 | 2.42 | 3.96 | 24.6% |
| 2024Q1 | 91 | 73.4 | 3.76 | 1.12 | 0.46 | 2.17 | 3.59 | 36.7% |
| 2023Q4 | 92 | 66.9 | 3.79 | 1.06 | 0.59 | 2.14 | 3.70 | 35.1% |
| 2023Q3 | 92 | 67.7 | 3.59 | 1.03 | 0.42 | 2.14 | 3.43 | 30.5% |
| 2023Q2 | 91 | 65.9 | 3.56 | 1.02 | 0.47 | 2.07 | 3.26 | 25.3% |
| 2023Q1 | 90 | 68.6 | 3.05 | 0.89 | 0.29 | 1.88 | 2.86 | 14.7% |
| 2022Q4 | 92 | 58.3 | 3.65 | 1.12 | 0.38 | 2.15 | 3.43 | 14.1% |
| 2022Q3 | 92 | 64.8 | 3.56 | 0.97 | 0.43 | 2.17 | 3.20 | 11.2% |
| 2022Q2 | 91 | 55.2 | 3.49 | 0.76 | 0.51 | 2.22 | 3.12 | 3.4% |
| 2022Q1 | 90 | 47.2 | 3.74 | 0.81 | 0.66 | 2.27 | 3.30 | 5.2% |
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.
Penalties
4| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-07 | Fine | $74,120 | CMS provider data |
| 2024-10-07 | Payment Denial | — | CMS provider data |
| 2024-07-01 | Fine | $16,801 | CMS provider data |
| 2024-07-01 | Payment Denial | — | CMS provider data |
Total fines on record: $90,921
Deficiencies
80D × 53E × 13F × 9G × 4J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-14 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-05-02 |
| 2026-04-14 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2026-05-02 |
| 2026-04-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-05-02 |
| 2026-04-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-02 |
| 2026-04-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-05-02 |
| 2026-04-14 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-05-02 |
| 2026-03-12 | 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. | E | 2026-04-08 |
| 2026-03-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-04-08 |
| 2026-03-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-08 |
| 2026-03-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-04-08 |
| 2026-03-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-04-08 |
| 2026-03-12 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-04-08 |
| 2026-03-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-04-08 |
| 2026-03-12 | 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 | 2026-04-08 |
| 2026-03-12 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2026-04-08 |
| 2026-03-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-08 |
| 2026-03-12 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2026-04-08 |
| 2026-03-12 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-04-08 |
| 2026-03-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-04-08 |
| 2026-02-03 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-03 |
| 2026-01-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-08 |
| 2026-01-08 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-02-08 |
| 2026-01-08 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-08 |
| 2026-01-08 | Health · complaint | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | 2026-02-08 |
| 2025-12-04 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2026-01-04 |
| 2025-12-04 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-01-04 |
| 2025-12-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-04 |
| 2025-12-04 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-01-04 |
| 2025-07-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-28 |
| 2025-07-28 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-09-18 |
| 2025-03-20 | 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 | 2025-04-20 |
| 2025-03-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-20 |
| 2025-03-20 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2025-04-20 |
| 2025-03-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-20 |
| 2025-03-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-20 |
| 2024-12-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-20 |
| 2024-12-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-12-20 |
| 2024-10-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-20 |
| 2024-10-07 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-05 |
| 2024-10-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-11-05 |
| 2024-10-07 | 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 | 2024-11-05 |
| 2024-10-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-05 |
| 2024-10-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-11-05 |
| 2024-10-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-12-20 |
| 2024-10-07 | 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 | 2024-11-05 |
| 2024-10-07 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-05 |
| 2024-10-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-11-05 |
| 2024-10-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-05 |
| 2024-10-07 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-05 |
| 2024-07-01 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | E | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-08-21 |
| 2024-07-01 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0946 | Provide training in compliance and ethics. | F | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-08-06 |
| 2024-07-01 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-08-06 |
| 2024-04-08 | Health · complaint | 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. | E | 2024-05-07 |
| 2023-08-09 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-09-09 |
| 2023-08-09 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-09-09 |
| 2023-08-09 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-09-09 |
| 2023-08-09 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-09-09 |
| 2023-08-09 | 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. | E | 2023-09-09 |
| 2023-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-09 |
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
0No 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
8| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ANDREA OHMAN | W-2 MANAGING EMPLOYEE | — | 2016-04-26 | ended 2026-05-18 | pecos_ownership |
| ASCENSION HEALTH SENIOR CARE | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-07-01 | ended 2026-05-18 | pecos_ownership |
| BRAD FOLEY | CORPORATE DIRECTOR | — | 2018-04-19 | ended 2026-05-18 | pecos_ownership |
| DANIEL STRICKER | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-07-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL STRICKER | CORPORATE OFFICER | — | 2011-05-01 | ended 2026-05-18 | pecos_ownership |
| DAVID BORDO | CORPORATE DIRECTOR | — | 2018-04-19 | ended 2026-05-18 | pecos_ownership |
| JOAN BACHLEITNER | CORPORATE DIRECTOR | — | 2018-04-19 | ended 2026-05-18 | pecos_ownership |
| MICHAEL GORDON | CORPORATE OFFICER | — | 2018-01-01 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — WI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
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 55079 | acs median gross | 0 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 1 | $927 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 2 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 3 | $1,280 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 4 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 5 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | acs median gross | $1,101 | 2024-12-31 | CENSUS_ACS5 | |
| county 55079 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53223 | acs median gross | 0 | $732 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53223 | acs median gross | 1 | $923 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53223 | acs median gross | 2 | $1,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53223 | acs median gross | 3 | $1,336 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53223 | acs median gross | $1,109 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53223 | acs recent mover gross | $1,095 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53223 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 110 | 1 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 90 | 1 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | safmr | 1 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 110 | 2 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 90 | 2 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | safmr | 2 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 110 | 3 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 90 | 3 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | safmr | 3 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 110 | 4 | $1,991 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | payment standard 90 | 4 | $1,629 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53223 | safmr | 4 | $1,810 | 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.