Reads as: riskier than 51.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
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
MN median
National median
National p25–p75
Total nurse
3.22
3.49
3.28
2.90–3.77
RN
0.83
0.65
0.39
0.25–0.58
Weekend total
3.15
3.32
3.11
—
Weekday total
3.25
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.3
3.22
0.83
0.29
2.10
3.15
7.0%
2025Q3
92
30.6
3.25
0.64
0.44
2.17
3.23
16.3%
2025Q2
91
30.3
3.13
0.72
0.40
2.00
3.12
18.5%
2025Q1
90
27.8
2.88
0.75
0.43
1.70
2.87
10.4%
2024Q4
92
27.2
2.76
0.74
0.59
1.44
2.72
3.3%
2024Q3
92
28.1
2.85
0.88
0.47
1.51
2.83
5.2%
2024Q2
91
27.4
2.82
0.54
0.69
1.59
2.76
11.5%
2024Q1
91
23.8
2.93
0.48
0.80
1.65
2.91
8.0%
2023Q4
92
24.4
3.10
0.65
0.70
1.75
3.16
4.6%
2023Q3
92
29.2
3.02
0.57
0.71
1.73
2.93
7.6%
2023Q2
91
25.3
2.82
0.65
0.68
1.49
2.80
0.0%
2023Q1
90
27.0
2.87
0.77
0.70
1.40
2.75
0.8%
2022Q4
92
26.7
2.83
0.87
0.55
1.42
2.78
6.6%
2022Q3
92
23.3
2.89
0.62
0.71
1.56
2.93
0.8%
2022Q2
91
24.5
2.89
0.79
0.73
1.38
2.88
0.0%
2022Q1
90
24.5
3.10
0.60
0.89
1.62
3.16
1.1%
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.
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
32
C × 1D × 24E × 4F × 2J × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-14
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
—
2026-04-14
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
—
2026-04-14
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
—
2026-04-14
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
—
2026-04-14
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
—
2026-04-14
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
—
2026-04-14
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
—
2026-04-14
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
—
2026-04-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
—
2026-04-14
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
—
2026-04-14
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
—
2026-04-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
—
2026-04-14
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
—
2026-04-14
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
—
2026-04-14
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
—
2026-04-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
—
2026-04-14
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
—
2026-04-14
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.
D
—
2026-04-14
Health
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F
—
2026-04-14
Health
F0880
Provide and implement an infection prevention and control program.
D
—
2026-04-14
Health
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
D
—
2026-04-14
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
D
—
2025-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-18
2025-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-18
2023-12-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-01-26
2023-12-06
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-01-26
2023-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-01-26
2023-12-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-01-26
2023-12-06
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-01-26
2023-12-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-01-26
2023-12-06
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-01-26
2023-12-06
Health
F0924
Put firmly secured handrails on each side of hallways.
D
2024-01-26
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
NSHC WISCONSIN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-28
current
pecos_ownership
BAUMANN, TROY
CORPORATE OFFICER
—
2016-12-30
current
pecos_ownership
BAUMANN, TROY
ADP OF THE SNF
—
2016-12-18
current
pecos_ownership
BAUMANN, TROY
INDIRECT OWNERSHIP INTEREST
—
2017-02-01
current
pecos_ownership
BELONGIA, CHRISTINA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2024-12-31
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-22
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
CONTINUUM THERAPY PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
FRANTA, PETER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
GEE, DARREN
ADP OF THE SNF
—
2021-11-30
current
pecos_ownership
GPH LA CRESENT LLC
ADP OF THE SNF
—
2017-02-01
current
pecos_ownership
GREER, LAUREN
ADP OF THE SNF
—
2023-11-29
current
pecos_ownership
HOEHN, JEFFREY
ADP OF THE SNF
—
2017-02-01
current
pecos_ownership
HOEHN, JEFFREY
CORPORATE OFFICER
—
2016-12-30
current
pecos_ownership
LADNER, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
current
pecos_ownership
NORTH SHORE HEALTHCARE LLC
ADP OF THE SNF
—
2017-02-01
current
pecos_ownership
NSH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
NSH REHAB LLC
ADP OF THE SNF
—
2025-06-13
current
pecos_ownership
NSHC WISCONSIN LLC
ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
PATZER, COLLEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
current
pecos_ownership
PURTELL, BRIAN
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
NSHC WISCONSIN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-30
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
CORPORATE OFFICER
50%
2016-12-30
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
INDIRECT OWNERSHIP INTEREST
50%
2017-02-01
ended 2026-05-18
pecos_ownership
TROY BAUMANN
INDIRECT OWNERSHIP INTEREST
50%
2017-02-01
ended 2026-05-18
pecos_ownership
TROY BAUMANN
CORPORATE OFFICER
50%
2016-12-30
ended 2026-05-18
pecos_ownership
BRIAN PURTELL
ADP OF THE SNF
—
2018-06-01
ended 2026-05-18
pecos_ownership
CHRISTINA BELONGIA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
ended 2026-05-18
pecos_ownership
COLLEEN PATZER
ADP OF THE SNF
—
2023-02-14
ended 2026-05-18
pecos_ownership
DARREN GEE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-30
ended 2026-05-18
pecos_ownership
HEATHER LADNER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
ended 2026-05-18
pecos_ownership
LAUREN GREER
ADP OF THE SNF
—
2023-11-29
ended 2026-05-18
pecos_ownership
NSHC WISCONSIN LLC
ADP OF THE SNF
—
2025-05-14
ended 2026-05-18
pecos_ownership
PETER FRANTA
ADP OF THE SNF
—
2023-02-01
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
2024-12-31
$287,792
—
$287,792
—
—
1
—
2023-12-31
$266,129
—
—
—
—
1
—
2022-12-31
$257,930
—
—
—
—
1
—
2021-12-31
$139,359
—
—
—
—
1
—
2020-12-31
$143,361
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 27055
fmr
0
$804
2025-10-01
HUD_USER_FMR
county 27055
acs median gross
1
$579
2024-12-31
CENSUS_ACS5
county 27055
fmr
1
$889
2025-10-01
HUD_USER_FMR
county 27055
acs median gross
2
$914
2024-12-31
CENSUS_ACS5
county 27055
fmr
2
$1,166
2025-10-01
HUD_USER_FMR
county 27055
acs median gross
3
$949
2024-12-31
CENSUS_ACS5
county 27055
fmr
3
$1,515
2025-10-01
HUD_USER_FMR
county 27055
acs median gross
4
$965
2024-12-31
CENSUS_ACS5
county 27055
fmr
4
$1,903
2025-10-01
HUD_USER_FMR
county 27055
acs median gross
5
$3,029
2024-12-31
CENSUS_ACS5
county 27055
acs median gross
$879
2024-12-31
CENSUS_ACS5
county 27055
acs recent mover gross
$884
2024-12-31
CENSUS_ACS5
zcta 55947
acs median gross
1
$1,043
2024-12-31
CENSUS_ACS5
zcta 55947
acs median gross
2
$895
2024-12-31
CENSUS_ACS5
zcta 55947
acs median gross
3
$1,000
2024-12-31
CENSUS_ACS5
zcta 55947
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 55947
acs median gross
$883
2024-12-31
CENSUS_ACS5
zcta 55947
acs recent mover gross
$735
2024-12-31
CENSUS_ACS5
zip 55947
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 55947
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 55947
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 55947
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 55947
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 110
4
$2,024
2025-10-01
HUD_USER_SAFMR
zip 55947
payment standard 90
4
$1,656
2025-10-01
HUD_USER_SAFMR
zip 55947
safmr
4
$1,840
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.