330 EXCHANGE STREET SOUTH, SAINT PAUL, MN 55102 · CCN 245524
Composite
48.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
73
Model
v1.2
Reads as: riskier than 48.7% 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 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
4.55
3.49
3.28
2.90–3.77
RN
0.44
0.65
0.39
0.25–0.58
Weekend total
4.51
3.32
3.11
—
Weekday total
4.57
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.0
4.55
0.44
1.08
3.03
4.51
14.4%
2025Q3
92
31.9
4.19
0.50
0.98
2.71
4.19
11.4%
2025Q2
91
31.1
4.45
0.57
1.03
2.85
4.36
13.9%
2025Q1
90
30.8
4.83
0.52
1.30
3.00
4.58
21.6%
2024Q4
92
33.3
4.23
0.44
1.17
2.62
4.12
18.6%
2024Q3
92
36.9
3.79
0.39
1.04
2.36
3.80
19.4%
2024Q2
91
38.8
3.82
0.58
0.97
2.27
3.44
20.6%
2024Q1
91
37.7
3.85
0.53
0.96
2.35
3.65
15.9%
2023Q4
92
39.6
3.55
0.50
0.82
2.23
3.23
18.9%
2023Q3
92
42.3
3.56
0.48
0.79
2.29
3.38
17.3%
2023Q2
91
43.1
3.43
0.35
0.72
2.35
3.19
3.9%
2023Q1
90
43.9
3.30
0.45
0.65
2.20
3.07
4.0%
2022Q4
92
46.3
3.44
0.65
0.49
2.30
3.25
10.4%
2022Q3
92
50.1
3.28
0.58
0.47
2.23
3.13
9.7%
2022Q2
91
53.3
3.34
0.61
0.52
2.21
3.26
8.0%
2022Q1
90
54.8
3.51
0.71
0.56
2.25
3.46
9.1%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-02-18
2026-01-28
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-02-18
2026-01-28
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-18
2024-12-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-09
2024-12-11
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2025-01-09
2024-12-11
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-01-09
2024-12-11
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-01-09
2024-12-11
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2025-01-09
2024-12-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-09
2024-10-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-11-08
2024-10-03
Health · complaint
F0730
Observe each nurse aide's job performance and give regular training.
C
2024-11-08
2024-10-03
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F
2024-11-08
2024-10-03
Health · complaint
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
2024-11-08
2024-10-03
Health · complaint
F0843
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
C
2024-11-08
2024-10-03
Health · complaint
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-11-08
2024-10-03
Health · complaint
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
2024-11-08
2024-10-03
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.
D
2024-11-08
2024-02-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-23
2024-02-01
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-23
2024-02-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-23
2024-02-01
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
C
2024-02-23
2024-02-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-02-23
2024-02-01
Health · complaint
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-02-23
2024-02-01
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-02-23
2023-10-04
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-17
2023-10-04
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
2023-11-17
2023-10-04
Health · complaint
F0679
Provide activities to meet all resident's needs.
E
2023-11-17
2023-10-04
Health · complaint
F0680
Ensure the activities program is directed by a qualified professional.
E
2023-11-17
2023-10-04
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
2023-11-17
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
8
Owner
Role
Pct
From
Status
Source
KANNANGARA, DONNA MARIE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-01
current
pecos_ownership
DONACIK, RONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
DONACIK, RONALD
CORPORATE OFFICER
—
2024-10-10
current
pecos_ownership
SHARMA, HIMANSHU
ADP OF THE SNF
—
2000-01-01
current
pecos_ownership
DONNA MARIE KANNANGARA
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-01
ended 2026-05-18
pecos_ownership
HIMANSHU SHARMA
OPERATIONAL/MANAGERIAL CONTROL
—
2000-01-01
ended 2026-05-18
pecos_ownership
RONALD DONACIK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
RONALD DONACIK
CORPORATE OFFICER
—
2024-10-10
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
34
Geo
Kind
BR
Amount
As of
Source
county 27123
acs median gross
0
$1,074
2024-12-31
CENSUS_ACS5
county 27123
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
1
$1,173
2024-12-31
CENSUS_ACS5
county 27123
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
2
$1,438
2024-12-31
CENSUS_ACS5
county 27123
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
3
$1,776
2024-12-31
CENSUS_ACS5
county 27123
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
4
$1,911
2024-12-31
CENSUS_ACS5
county 27123
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27123
acs median gross
5
$1,813
2024-12-31
CENSUS_ACS5
county 27123
acs median gross
$1,329
2024-12-31
CENSUS_ACS5
county 27123
acs recent mover gross
$1,347
2024-12-31
CENSUS_ACS5
zcta 55102
acs median gross
0
$1,142
2024-12-31
CENSUS_ACS5
zcta 55102
acs median gross
1
$1,163
2024-12-31
CENSUS_ACS5
zcta 55102
acs median gross
2
$1,658
2024-12-31
CENSUS_ACS5
zcta 55102
acs median gross
3
$1,870
2024-12-31
CENSUS_ACS5
zcta 55102
acs median gross
$1,319
2024-12-31
CENSUS_ACS5
zcta 55102
acs recent mover gross
$1,247
2024-12-31
CENSUS_ACS5
zip 55102
payment standard 110
0
$1,419
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 90
0
$1,161
2025-10-01
HUD_USER_SAFMR
zip 55102
safmr
0
$1,290
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 110
1
$1,595
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 90
1
$1,305
2025-10-01
HUD_USER_SAFMR
zip 55102
safmr
1
$1,450
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 55102
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 110
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 90
3
$2,106
2025-10-01
HUD_USER_SAFMR
zip 55102
safmr
3
$2,340
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 110
4
$2,882
2025-10-01
HUD_USER_SAFMR
zip 55102
payment standard 90
4
$2,358
2025-10-01
HUD_USER_SAFMR
zip 55102
safmr
4
$2,620
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.