323 BLACK RIVER AVE, WESTBY, WI 54667 · CCN 525619
Composite
14.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 14.7% 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
WI median
National median
National p25–p75
Total nurse
3.31
3.60
3.28
2.90–3.77
RN
0.45
0.64
0.39
0.25–0.58
Weekend total
3.33
3.49
3.11
—
Weekday total
3.30
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.0
3.31
0.45
0.59
2.27
3.33
17.8%
2025Q3
92
40.7
3.40
0.64
0.46
2.31
3.37
9.2%
2025Q2
91
35.8
3.54
0.80
0.32
2.42
3.46
5.0%
2025Q1
90
35.2
3.55
0.77
0.38
2.41
3.52
4.7%
2024Q4
92
37.1
3.54
0.71
0.39
2.44
3.43
4.0%
2024Q3
92
38.6
3.34
0.64
0.39
2.31
3.24
5.3%
2024Q2
91
39.7
3.50
0.83
0.26
2.42
3.47
0.7%
2024Q1
91
40.1
3.41
0.81
0.21
2.39
3.36
0.0%
2023Q4
92
40.7
3.32
0.90
0.15
2.27
3.33
1.5%
2023Q3
92
40.3
3.55
0.74
0.24
2.56
3.48
1.0%
2023Q2
91
41.8
3.40
0.66
0.25
2.49
3.38
0.0%
2023Q1
90
41.2
3.40
0.64
0.30
2.47
3.43
0.0%
2022Q4
92
41.5
3.43
0.70
0.29
2.45
3.33
0.0%
2022Q3
92
42.7
3.21
0.65
0.22
2.35
3.20
0.0%
2022Q2
91
43.8
3.34
0.66
0.05
2.64
3.34
0.0%
2022Q1
90
40.2
3.44
0.64
0.35
2.45
3.49
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
18
C × 1D × 10E × 4F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-19
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-07-24
2025-06-19
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-24
2025-06-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-24
2024-05-01
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
2024-05-29
2024-05-01
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
C
2024-05-29
2024-05-01
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-05-29
2024-05-01
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-05-29
2024-05-01
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
2024-05-29
2024-05-01
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-05-29
2024-05-01
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-05-29
2024-05-01
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
E
2024-05-29
2024-05-01
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2024-05-29
2024-05-01
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
2024-05-29
2024-05-01
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-05-29
2023-02-09
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
2023-02-23
2023-02-09
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-03-03
2023-02-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-03-03
2023-02-09
Health
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
2023-02-22
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
30
Owner
Role
Pct
From
Status
Source
BRALEY, MATTHEW
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
FEIRTAG, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-10
current
pecos_ownership
HANSON, CHARLES
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
KITE, CINDI
CORPORATE DIRECTOR
—
2018-03-01
current
pecos_ownership
KOTNOUR, JOSEPH
CORPORATE DIRECTOR
—
2016-03-21
current
pecos_ownership
PASSE, NICHOLAS
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
PATROS, PAUL
CORPORATE DIRECTOR
—
2017-03-01
current
pecos_ownership
PEDACE, TERRI
CORPORATE DIRECTOR
—
2021-03-01
current
pecos_ownership
QUARBERG, BRADLEY
CORPORATE DIRECTOR
—
2014-03-21
current
pecos_ownership
SACIE, BONITA
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
SPILDE, STEVE
CORPORATE DIRECTOR
—
2017-03-01
current
pecos_ownership
STROHM, BARBARA
CORPORATE DIRECTOR
—
2014-03-21
current
pecos_ownership
UBBELOHDE, CRAIG
CORPORATE OFFICER
—
2012-03-26
current
pecos_ownership
WICHELT, JOYCE
CORPORATE DIRECTOR
—
2014-03-01
current
pecos_ownership
ZEMAN, ELAINE
W-2 MANAGING EMPLOYEE
—
2021-03-27
current
pecos_ownership
BARBARA STROHM
CORPORATE DIRECTOR
100%
2014-03-21
ended 2026-05-18
pecos_ownership
BONITA SACIE
CORPORATE DIRECTOR
100%
2022-03-01
ended 2026-05-18
pecos_ownership
BRADLEY QUARBERG
CORPORATE DIRECTOR
100%
2014-03-21
ended 2026-05-18
pecos_ownership
CHARLES HANSON
CORPORATE DIRECTOR
100%
2022-03-01
ended 2026-05-18
pecos_ownership
CINDI KITE
CORPORATE DIRECTOR
100%
2018-03-01
ended 2026-05-18
pecos_ownership
CRAIG UBBELOHDE
CORPORATE OFFICER
100%
2012-03-26
ended 2026-05-18
pecos_ownership
ELAINE ZEMAN
CORPORATE OFFICER
100%
2021-03-27
ended 2026-05-18
pecos_ownership
JOSEPH KOTNOUR
CORPORATE DIRECTOR
100%
2016-03-21
ended 2026-05-18
pecos_ownership
JOYCE WICHELT
CORPORATE DIRECTOR
100%
2014-03-01
ended 2026-05-18
pecos_ownership
MATTHEW BRALEY
CORPORATE DIRECTOR
100%
2022-03-01
ended 2026-05-18
pecos_ownership
MEGAN FEIRTAG
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-04-10
ended 2026-05-18
pecos_ownership
NICHOLAS PASSE
CORPORATE DIRECTOR
100%
2019-03-01
ended 2026-05-18
pecos_ownership
PAUL PATROS
CORPORATE DIRECTOR
100%
2017-03-01
ended 2026-05-18
pecos_ownership
STEVE SPILDE
CORPORATE DIRECTOR
100%
2017-03-01
ended 2026-05-18
pecos_ownership
TERRI PEDACE
CORPORATE DIRECTOR
100%
2021-03-01
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
33
Geo
Kind
BR
Amount
As of
Source
county 55123
acs median gross
0
$858
2024-12-31
CENSUS_ACS5
county 55123
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 55123
acs median gross
1
$596
2024-12-31
CENSUS_ACS5
county 55123
fmr
1
$760
2025-10-01
HUD_USER_FMR
county 55123
acs median gross
2
$877
2024-12-31
CENSUS_ACS5
county 55123
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 55123
acs median gross
3
$988
2024-12-31
CENSUS_ACS5
county 55123
fmr
3
$1,221
2025-10-01
HUD_USER_FMR
county 55123
acs median gross
4
$1,141
2024-12-31
CENSUS_ACS5
county 55123
fmr
4
$1,485
2025-10-01
HUD_USER_FMR
county 55123
acs median gross
5
$1,125
2024-12-31
CENSUS_ACS5
county 55123
acs median gross
$836
2024-12-31
CENSUS_ACS5
county 55123
acs recent mover gross
$800
2024-12-31
CENSUS_ACS5
zcta 54667
acs median gross
1
$693
2024-12-31
CENSUS_ACS5
zcta 54667
acs median gross
2
$1,077
2024-12-31
CENSUS_ACS5
zcta 54667
acs median gross
3
$1,208
2024-12-31
CENSUS_ACS5
zcta 54667
acs median gross
4
$865
2024-12-31
CENSUS_ACS5
zcta 54667
acs median gross
$1,006
2024-12-31
CENSUS_ACS5
zip 54667
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 54667
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 54667
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 54667
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 54667
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 110
4
$1,980
2025-10-01
HUD_USER_SAFMR
zip 54667
payment standard 90
4
$1,620
2025-10-01
HUD_USER_SAFMR
zip 54667
safmr
4
$1,800
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.