Reads as: riskier than 31.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
WIPFLI LLP
67 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 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
3.63
3.60
3.28
2.90–3.77
RN
0.68
0.64
0.39
0.25–0.58
Weekend total
3.66
3.49
3.11
—
Weekday total
3.61
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.0
3.63
0.68
0.27
2.68
3.66
0.0%
2025Q3
92
46.5
3.74
0.67
0.25
2.82
3.68
0.0%
2025Q2
91
47.8
3.65
0.75
0.14
2.76
3.64
0.0%
2025Q1
90
47.6
3.42
0.75
0.15
2.52
3.38
0.0%
2024Q4
92
46.2
3.54
0.82
0.11
2.61
3.45
0.0%
2024Q3
92
43.6
3.67
0.67
0.27
2.73
3.52
0.0%
2024Q2
91
44.9
3.26
0.67
0.32
2.27
3.17
0.0%
2024Q1
91
42.3
3.46
0.69
0.47
2.30
3.39
0.0%
2023Q4
92
42.4
3.25
0.80
0.32
2.13
3.18
0.0%
2023Q3
92
41.6
3.26
0.94
0.16
2.16
3.07
0.0%
2023Q2
91
41.4
3.34
1.00
0.16
2.18
3.14
0.0%
2023Q1
90
41.0
3.23
0.86
0.20
2.17
3.12
0.0%
2022Q4
92
39.9
3.05
0.91
0.04
2.10
2.96
0.0%
2022Q3
92
42.0
2.82
0.81
0.01
2.01
2.81
0.0%
2022Q2
91
44.3
2.79
0.74
0.03
2.01
2.65
0.0%
2022Q1
90
42.6
3.13
0.91
0.03
2.19
3.00
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.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-04-08
2026-03-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-08
2026-03-25
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
2026-02-04
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-02-26
2026-02-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-02-26
2025-03-10
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
2025-03-24
2025-03-10
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
2025-03-24
2024-12-18
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-01-07
2024-11-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-18
2024-11-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-11-18
2024-06-25
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-07-10
2024-06-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-10
2024-06-25
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-07-10
2023-09-27
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
2023-10-20
2023-09-27
Health
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.
F
2023-10-20
2023-09-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-20
2023-09-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-11
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
BAIER, PATRICIA
ADP OF THE SNF
—
2016-01-01
current
pecos_ownership
BRASURE, ANN
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
CROCKFORD, LYNNE
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
DECKER, DAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
EBLI, JIM
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
FIRST BANK UPPER MICHIGAN
5% OR GREATER MORTGAGE INTEREST
—
2022-11-30
current
pecos_ownership
FRANTZ, LANA
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
FREDRICK, AUDREY
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
HAYES, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
current
pecos_ownership
HERRIGES, ROSEMARY
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
HERRIGES, ROSEMARY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
KALDOR, CARRIE
ADP OF THE SNF
—
1999-01-01
current
pecos_ownership
MATTSON, ANN
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
PRIME TIME HEALTHCARE LLC
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
PRIME TIME HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
PULTZ, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
SIKORA, CHRISTY
ADP OF THE SNF
—
2021-05-18
current
pecos_ownership
UP REHAB SERVICES LLC
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
UP REHAB SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
1999-01-01
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
ANN BRASURE
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
AUDREY FREDRICK
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
DAN DECKER
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JIM EBLI
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
LANA FRANTZ
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
PATRICIA BAIER
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
ROBERT PULTZ
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
ROSEMARY HERRIGES
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
ANN MATTSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
CARRIE KALDOR
ADP OF THE SNF
—
1999-01-01
ended 2026-05-18
pecos_ownership
CHRISTY SIKORA
ADP OF THE SNF
—
2021-05-18
ended 2026-05-18
pecos_ownership
LYNNE CROCKFORD
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
PAUL HAYES
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROSEMARY HERRIGES
ADP OF THE SNF
—
2021-01-01
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
2025-06-30
$9,840
—
$9,840
—
—
0
—
2024-06-30
$9,839
—
$9,839
—
—
0
—
2023-06-30
$9,839
—
$9,839
—
—
0
—
2022-06-30
$9,839
—
—
—
—
0
—
2021-06-30
$9,839
—
—
—
—
0
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 55075
acs median gross
0
$504
2024-12-31
CENSUS_ACS5
county 55075
fmr
0
$741
2025-10-01
HUD_USER_FMR
county 55075
acs median gross
1
$677
2024-12-31
CENSUS_ACS5
county 55075
fmr
1
$745
2025-10-01
HUD_USER_FMR
county 55075
acs median gross
2
$846
2024-12-31
CENSUS_ACS5
county 55075
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 55075
acs median gross
3
$829
2024-12-31
CENSUS_ACS5
county 55075
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 55075
acs median gross
4
$1,014
2024-12-31
CENSUS_ACS5
county 55075
fmr
4
$1,457
2025-10-01
HUD_USER_FMR
county 55075
acs median gross
$795
2024-12-31
CENSUS_ACS5
county 55075
acs recent mover gross
$888
2024-12-31
CENSUS_ACS5
zcta 54151
acs median gross
1
$594
2024-12-31
CENSUS_ACS5
zcta 54151
acs median gross
2
$933
2024-12-31
CENSUS_ACS5
zcta 54151
acs median gross
3
$792
2024-12-31
CENSUS_ACS5
zcta 54151
acs median gross
$799
2024-12-31
CENSUS_ACS5
zip 54151
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 54151
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 54151
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 110
2
$1,177
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 90
2
$963
2025-10-01
HUD_USER_SAFMR
zip 54151
safmr
2
$1,070
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 54151
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 110
4
$1,738
2025-10-01
HUD_USER_SAFMR
zip 54151
payment standard 90
4
$1,422
2025-10-01
HUD_USER_SAFMR
zip 54151
safmr
4
$1,580
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.