Composite
98.1 / 100 percentile
Screener / 235267
F
Optalis Health and Rehabilitation of Kingsford
snfMI
1225 Woodward Avenue, Kingsford, MI 49801 · CCN 235267 · chain OPTUM MANAGEMENT SOLUTIONS INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
107
Model
v1.2
Reads as: riskier than 98.1% 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.
Score model5ML signals12Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies56Licensure0Ownership34Related party5Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.7 | 91.5 | 0.30 | 0.2308 | 21.62 | in index |
| financial risk | 92.2 | 80.3 | 0.30 | 0.2308 | 21.28 | in index |
| billing conduct | 59.3 | 43.2 | 0.30 | 0.2308 | 13.68 | in index |
| staffing risk | 70.9 | 70.9 | 0.25 | 0.1923 | 13.63 | in index |
| chow risk | 57.4 | 59.5 | 0.15 | 0.1154 | 6.62 | 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
12| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +25.0 vs natl | OPTALIS LP INVESTORS 5 LLC | 8 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | OM HOLDCO 5 LLC | 9 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | CONNER MARIANNE | 25 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | SHARON ROBERT | 34 facilities |
| connection | Owner spans multiple chains | 20 chains | CLIFTONLARSONALLEN LLP | 98 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | SIENA LENDING GROUP LLC | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | SNW LLC | 22 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | SHAH HEMANT | 27 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | OM HOLDCO 5 LLC | 9 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | DUNN CHARLES | 27 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | OPTUM MANAGEMENT SOLUTIONS INC | 36 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PATEL RAJAN | 36 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 43.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | A | 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 | 94.4 | F | v0.6 | default · in composite | |
| financial risk | 80.3 | 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 | 0.0 | — | 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 | 91.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 70.9 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 54.5 | C | 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 | 34.5 | B | 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 | 69.8 | 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 | 79.4 | D | 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 | 91.5 | 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 | 91.5 | 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 | 70.9 | D | 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 | 70.9 | D | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.31 | -1.52 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.56 | +0.35 | |
| Occupancy | 0.82 | -0.34 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
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
27.7
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 | 2.00 | +1.06 | |
| Chain size (log) | 3.56 | -0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.82 | -0.28 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.31 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.97 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 2.85 | 3.32 | 3.11 | — |
| Weekday total | 3.02 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 87.3 | 2.97 | 0.37 | 0.75 | 1.85 | 2.85 | 7.6% |
| 2025Q3 | 92 | 81.9 | 2.99 | 0.35 | 0.77 | 1.87 | 2.87 | 10.4% |
| 2025Q2 | 91 | 77.9 | 3.23 | 0.43 | 0.70 | 2.10 | 3.11 | 19.3% |
| 2025Q1 | 90 | 83.1 | 3.01 | 0.41 | 0.70 | 1.90 | 2.88 | 20.3% |
| 2024Q4 | 92 | 83.6 | 2.86 | 0.57 | 0.46 | 1.83 | 2.81 | 17.0% |
| 2024Q3 | 92 | 76.2 | 3.04 | 0.60 | 0.52 | 1.91 | 2.98 | 15.8% |
| 2024Q2 | 91 | 70.8 | 3.09 | 0.60 | 0.55 | 1.94 | 3.01 | 9.8% |
| 2024Q1 | 91 | 64.4 | 3.33 | 0.61 | 0.58 | 2.13 | 3.32 | 9.4% |
| 2023Q4 | 92 | 74.4 | 2.91 | 0.35 | 0.55 | 2.01 | 2.84 | 12.7% |
| 2023Q3 | 92 | 67.2 | 2.81 | 0.29 | 0.52 | 2.01 | 2.81 | 7.0% |
| 2023Q2 | 91 | 64.3 | 2.92 | 0.41 | 0.40 | 2.11 | 2.89 | 0.0% |
| 2023Q1 | 90 | 68.8 | 2.88 | 0.57 | 0.38 | 1.93 | 2.86 | 0.0% |
| 2022Q4 | 92 | 65.1 | 3.01 | 0.58 | 0.40 | 2.02 | 3.04 | 0.0% |
| 2022Q3 | 92 | 68.1 | 2.60 | 0.62 | 0.37 | 1.61 | 2.59 | 0.0% |
| 2022Q2 | 91 | 66.2 | 2.44 | 0.73 | 0.29 | 1.42 | 2.39 | 0.0% |
| 2022Q1 | 90 | 58.8 | 2.58 | 0.75 | 0.35 | 1.47 | 2.57 | 9.6% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-26 | Fine | $17,345 | CMS provider data |
| 2025-06-26 | Payment Denial | — | CMS provider data |
| 2025-03-26 | Fine | $9,252 | CMS provider data |
| 2024-10-30 | Fine | $12,841 | CMS provider data |
| 2024-05-29 | Fine | $91,031 | CMS provider data |
| 2024-05-29 | Payment Denial | — | CMS provider data |
Total fines on record: $130,469
Deficiencies
56D × 32E × 8F × 12G × 3K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-03 | Health · complaint | 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 | 2026-02-13 |
| 2025-09-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-08 |
| 2025-06-26 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-07-21 |
| 2025-06-26 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-07-21 |
| 2025-06-26 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-21 |
| 2025-06-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-21 |
| 2025-06-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-21 |
| 2025-06-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-07-21 |
| 2025-06-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-21 |
| 2025-06-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-21 |
| 2025-06-26 | 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 | 2025-08-08 |
| 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 | 2025-07-21 |
| 2025-05-01 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-05-09 |
| 2025-05-01 | 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 | 2025-05-09 |
| 2025-05-01 | Health · complaint | 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 | 2025-05-09 |
| 2025-03-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-09 |
| 2025-03-26 | 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. | G | 2025-04-09 |
| 2025-01-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-30 |
| 2025-01-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-30 |
| 2025-01-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-30 |
| 2025-01-02 | Health · complaint | 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 | 2025-01-30 |
| 2024-11-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-12-05 |
| 2024-10-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-20 |
| 2024-10-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-20 |
| 2024-09-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-15 |
| 2024-09-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-15 |
| 2024-07-24 | 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 | 2024-08-12 |
| 2024-07-24 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-08-12 |
| 2024-05-29 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-06-14 |
| 2024-05-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2024-07-23 |
| 2024-05-29 | Health · complaint | 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 | 2024-06-14 |
| 2024-05-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-14 |
| 2024-05-29 | 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 | 2024-06-14 |
| 2024-05-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-06-14 |
| 2024-05-29 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-14 |
| 2024-05-29 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-06-14 |
| 2024-05-29 | 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 | 2024-06-14 |
| 2024-05-29 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-06-14 |
| 2024-05-29 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | F | 2024-06-14 |
| 2024-05-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-14 |
| 2024-05-29 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-06-14 |
| 2024-05-29 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-06-14 |
| 2024-05-29 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-06-14 |
| 2024-05-29 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-06-14 |
| 2024-05-29 | Health | F0908 | Keep all essential equipment working safely. | F | 2024-06-14 |
| 2024-05-29 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-06-14 |
| 2023-11-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-12-19 |
| 2023-11-22 | 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. | E | 2023-12-19 |
| 2023-07-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-08-23 |
| 2023-07-14 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2023-08-23 |
| 2023-07-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-23 |
| 2023-07-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-23 |
| 2023-07-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-23 |
| 2023-07-14 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2023-08-23 |
| 2023-07-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-23 |
| 2023-07-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-23 |
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
34| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| OM HOLDCO 5 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-04-07 | current | pecos_ownership |
| SNW LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2023-04-07 | current | pecos_ownership |
| OPTALIS LP INVESTORS 5 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2023-04-07 | current | pecos_ownership |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| CONNER, MARIANNE | ADP OF THE SNF | — | 2024-05-13 | current | pecos_ownership |
| DUNN, CHARLES | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-11-28 | current | pecos_ownership |
| IRISH, COLIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| IRISH, COLIN | ADP OF THE SNF | — | 2025-11-28 | current | pecos_ownership |
| JOHNSON, CANDACE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| OPTUM MANAGEMENT SOLUTIONS. INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-07 | current | pecos_ownership |
| OPTUM MANAGEMENT SOLUTIONS. INC | ADP OF THE SNF | — | 2025-11-28 | current | pecos_ownership |
| PATEL, RAJAN | MANAGING CONTROL - GOVERNING BODY | — | 2023-04-07 | current | pecos_ownership |
| SCHLAUPITZ MADHAVAN | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| SHAH, HEMANT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-11-28 | current | pecos_ownership |
| SHARON, ROBERT | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-13 | current | pecos_ownership |
| SIENA LENDING GROUP LLC | 5% OR GREATER SECURITY INTEREST | — | 2023-04-07 | current | pecos_ownership |
| USITALO, BETTY | ADP OF THE SNF | — | 2025-11-28 | current | pecos_ownership |
| USITALO, BETTY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| CHARLES FRANKLIN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| PAAR 108 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| HEMANT SHAH 2018 IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| BETTY USITALO | ADP OF THE SNF | — | 2025-11-28 | ended 2026-05-18 | pecos_ownership |
| BETTY USITALO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| CANDACE JOHNSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| COLIN IRISH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| COLIN IRISH | ADP OF THE SNF | — | 2025-11-28 | ended 2026-05-18 | pecos_ownership |
| MARIANNE CONNER | ADP OF THE SNF | — | 2024-05-13 | ended 2026-05-18 | pecos_ownership |
| RAJAN PATEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-07 | ended 2026-05-18 | pecos_ownership |
| ROBERT SHARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-13 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-04-07 | — | OPTALIS KINGSFORD OPCO LLC | MANOR CARE OF KINGSFORD MI LLC | chow |
Comparable trades — MI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26043 | acs median gross | 0 | $624 | 2024-12-31 | CENSUS_ACS5 |
| county 26043 | fmr | 0 | $689 | 2025-10-01 | HUD_USER_FMR |
| county 26043 | acs median gross | 1 | $690 | 2024-12-31 | CENSUS_ACS5 |
| county 26043 | fmr | 1 | $841 | 2025-10-01 | HUD_USER_FMR |
| county 26043 | acs median gross | 2 | $850 | 2024-12-31 | CENSUS_ACS5 |
| county 26043 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 26043 | acs median gross | 3 | $964 | 2024-12-31 | CENSUS_ACS5 |
| county 26043 | fmr | 3 | $1,182 | 2025-10-01 | HUD_USER_FMR |
| county 26043 | acs median gross | 4 | $843 | 2024-12-31 | CENSUS_ACS5 |
| county 26043 | fmr | 4 | $1,632 | 2025-10-01 | HUD_USER_FMR |
| county 26043 | acs median gross | $797 | 2024-12-31 | CENSUS_ACS5 | |
| county 26043 | acs recent mover gross | $778 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49801 | acs median gross | 1 | $693 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49801 | acs median gross | 2 | $689 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49801 | acs median gross | 3 | $923 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49801 | acs median gross | $747 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49801 | acs recent mover gross | $761 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49801 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 110 | 3 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 90 | 3 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | safmr | 3 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 110 | 4 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | payment standard 90 | 4 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49801 | safmr | 4 | $1,640 | 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.