Reads as: riskier than 71.1% 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
anomaly
Federal penalty spike
no prior fines
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.
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
MN median
National median
National p25–p75
Total nurse
2.74
3.49
3.28
2.90–3.77
RN
0.63
0.65
0.39
0.25–0.58
Weekend total
2.61
3.32
3.11
—
Weekday total
2.79
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.3
2.74
0.63
0.38
1.73
2.61
35.4%
2025Q3
92
40.1
2.78
0.65
0.46
1.67
2.63
10.7%
2025Q2
91
38.8
3.31
0.72
0.55
2.04
2.98
17.8%
2025Q1
90
41.8
3.30
0.66
0.50
2.14
3.01
17.1%
2024Q4
92
44.7
3.07
0.67
0.40
2.00
2.71
19.1%
2024Q3
92
45.0
2.92
0.49
0.42
2.01
2.66
13.7%
2024Q2
91
42.8
3.21
0.65
0.49
2.07
2.93
0.2%
2024Q1
91
45.1
3.16
0.67
0.45
2.04
2.90
11.6%
2023Q4
92
45.6
2.81
0.61
0.36
1.84
2.67
15.6%
2023Q3
92
44.8
2.91
0.70
0.30
1.90
2.74
8.5%
2023Q2
91
41.8
3.38
0.76
0.31
2.32
3.10
3.8%
2023Q1
90
41.0
3.52
0.73
0.35
2.44
3.18
10.5%
2022Q4
92
41.4
3.49
0.72
0.38
2.40
3.18
14.3%
2022Q3
92
39.8
3.85
0.87
0.35
2.64
3.54
15.8%
2022Q2
91
40.4
3.73
0.81
0.39
2.52
3.39
10.7%
2022Q1
90
40.9
3.47
0.64
0.39
2.44
3.20
7.4%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-04-03
2026-03-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2026-04-03
2026-03-05
Health · complaint
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2026-04-03
2026-03-05
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.
D
2026-04-03
2026-01-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-06
2025-09-25
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
2025-10-27
2025-09-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-10-27
2025-08-21
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-10-03
2025-08-21
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
E
2025-10-03
2025-08-21
Health · complaint
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
2025-10-03
2025-04-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-05-09
2025-04-09
Health
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.
F
2025-05-09
2025-04-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-09
2025-04-09
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-05-09
2024-02-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-02-16
2024-02-08
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-02-16
2023-12-20
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-01-05
2023-03-22
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-05-03
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
29
Owner
Role
Pct
From
Status
Source
ANDERSON, LISA
CORPORATE DIRECTOR
—
2023-11-16
current
pecos_ownership
BEITZ, RACHEL
CORPORATE DIRECTOR
—
2019-11-07
current
pecos_ownership
BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-01
current
pecos_ownership
BERGIEN, TRICIA
CORPORATE OFFICER
—
2016-11-16
current
pecos_ownership
CARLEY, GERALD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-03
current
pecos_ownership
FISCHER, HALLIE
CORPORATE DIRECTOR
—
2023-11-16
current
pecos_ownership
HACK, TAYLAR
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
HOLTEN, TANNER
CORPORATE DIRECTOR
—
2021-09-01
current
pecos_ownership
HVIDING, MORGAN
CONTRACTED MANAGING EMPLOYEE
—
2022-07-25
current
pecos_ownership
KAPPES, COLLEEN
CORPORATE DIRECTOR
—
2021-09-01
current
pecos_ownership
LUITHLE, TIMOTHY
CONTRACTED MANAGING EMPLOYEE
—
2024-01-01
current
pecos_ownership
MYKLESETH, KAILEY
CORPORATE DIRECTOR
—
2021-09-01
current
pecos_ownership
PALM, RYAN
CORPORATE DIRECTOR
—
2019-11-07
current
pecos_ownership
RING, BRUCE
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
RYMANOWSKI, KEVIN
CORPORATE OFFICER
—
2008-01-01
current
pecos_ownership
GERALD CARLEY
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-01-03
ended 2026-05-18
pecos_ownership
BRUCE RING
CORPORATE DIRECTOR
0%
2016-07-01
ended 2026-05-18
pecos_ownership
COLLEEN KAPPES
CORPORATE DIRECTOR
0%
2021-09-01
ended 2026-05-18
pecos_ownership
HALLIE FISCHER
CORPORATE DIRECTOR
0%
2023-11-16
ended 2026-05-18
pecos_ownership
KAILEY MYKLESETH
CORPORATE DIRECTOR
0%
2021-09-01
ended 2026-05-18
pecos_ownership
LISA ANDERSON
CORPORATE DIRECTOR
0%
2023-11-16
ended 2026-05-18
pecos_ownership
MORGAN HVIDING
CONTRACTED MANAGING EMPLOYEE
0%
2022-07-25
ended 2026-05-18
pecos_ownership
RACHEL BEITZ
CORPORATE DIRECTOR
0%
2019-11-07
ended 2026-05-18
pecos_ownership
RYAN PALM
CORPORATE DIRECTOR
0%
2019-11-07
ended 2026-05-18
pecos_ownership
TANNER HOLTEN
CORPORATE DIRECTOR
0%
2021-09-01
ended 2026-05-18
pecos_ownership
TAYLAR HACK
CORPORATE DIRECTOR
0%
2022-07-01
ended 2026-05-18
pecos_ownership
TIMOTHY LUITHLE
CONTRACTED MANAGING EMPLOYEE
0%
2024-01-01
ended 2026-05-18
pecos_ownership
TRICIA BERGIEN
CORPORATE OFFICER
0%
2016-11-16
ended 2026-05-18
pecos_ownership
KEVIN RYMANOWSKI
CORPORATE OFFICER
—
2008-01-01
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
$493,414
—
—
$10,876
$35,990
1
—
2024-06-30
$445,176
—
—
$6,931
$36,265
1
—
2023-06-30
$375,582
—
—
$7,896
$36,063
1
—
2022-06-30
$359,757
—
—
$8,953
$37,123
1
—
2021-06-30
$360,604
—
—
$8,686
$34,187
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32
Geo
Kind
BR
Amount
As of
Source
county 27107
acs median gross
0
$596
2024-12-31
CENSUS_ACS5
county 27107
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 27107
acs median gross
1
$554
2024-12-31
CENSUS_ACS5
county 27107
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 27107
acs median gross
2
$844
2024-12-31
CENSUS_ACS5
county 27107
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 27107
acs median gross
3
$927
2024-12-31
CENSUS_ACS5
county 27107
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 27107
acs median gross
4
$929
2024-12-31
CENSUS_ACS5
county 27107
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 27107
acs median gross
$774
2024-12-31
CENSUS_ACS5
county 27107
acs recent mover gross
$863
2024-12-31
CENSUS_ACS5
zcta 56510
acs median gross
1
$449
2024-12-31
CENSUS_ACS5
zcta 56510
acs median gross
2
$827
2024-12-31
CENSUS_ACS5
zcta 56510
acs median gross
3
$853
2024-12-31
CENSUS_ACS5
zcta 56510
acs median gross
$748
2024-12-31
CENSUS_ACS5
zcta 56510
acs recent mover gross
$848
2024-12-31
CENSUS_ACS5
zip 56510
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 56510
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 56510
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 56510
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 56510
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 110
4
$1,419
2025-10-01
HUD_USER_SAFMR
zip 56510
payment standard 90
4
$1,161
2025-10-01
HUD_USER_SAFMR
zip 56510
safmr
4
$1,290
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.