Composite
74.3 / 100 percentile
Screener / 525069
C
Maplewood Center
snfWI
8615 W BELOIT RD, WEST ALLIS, WI 53227 · CCN 525069
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 74.3% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies78Licensure0Ownership20Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.2 | 98.6 | 0.30 | 0.2308 | 22.89 | in index |
| financial risk | 90.5 | 78.1 | 0.30 | 0.2308 | 20.88 | in index |
| billing conduct | 27.5 | 30.4 | 0.30 | 0.2308 | 6.35 | in index |
| chow risk | 54.8 | 53.0 | 0.15 | 0.1154 | 6.32 | in index |
| staffing risk | 7.3 | 7.4 | 0.25 | 0.1923 | 1.40 | 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
6| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 20 chains | CLIFTONLARSONALLEN LLP | 98 facilities |
| connection | Owner spans multiple chains | 5 chains | FAVORITE HEALTHCARE STAFFING LLC | 12 facilities |
| connection | Owner spans multiple chains | 4 chains | PHARMACY CORPORATION OF AMERICA | 5 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | OAK MEDICAL SC | 5 facilities |
| connection | Owner fleet enforcement cluster | 57% fined | REHAB SOLUTIONS GROUP LLC | 7 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | PRN HEALTH SERVICES INC | 6 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 | 30.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 81.0 | F | v0.6 | default · in composite | |
| financial risk | 78.1 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 3.9 | — | 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 | 0.2 | — | 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 | 98.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 7.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 92.2 | F | 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 | 72.2 | D | 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 | 74.0 | 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 | 77.2 | 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 | 98.6 | 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 | 98.6 | 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 | 7.4 | A | 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 | 7.4 | A | 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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
43.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 4.57 | -0.30 | |
| Occupancy | 0.78 | -0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
95.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| Total nurse staffing (HPRD) | 4.57 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | 0.43 | +0.18 | |
| Facility size (log beds) | 5.02 | -0.14 |
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 | 4.57 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.55 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 4.42 | 3.49 | 3.11 | — |
| Weekday total | 4.62 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 116.6 | 4.57 | 0.55 | 1.49 | 2.53 | 4.42 | 4.7% |
| 2025Q3 | 92 | 105.8 | 4.67 | 0.70 | 1.40 | 2.57 | 4.30 | 7.3% |
| 2025Q2 | 91 | 104.4 | 4.56 | 0.73 | 1.35 | 2.48 | 4.30 | 11.5% |
| 2025Q1 | 90 | 108.2 | 4.29 | 0.62 | 1.30 | 2.37 | 4.06 | 10.7% |
| 2024Q4 | 92 | 112.3 | 4.13 | 0.61 | 1.23 | 2.29 | 3.90 | 8.1% |
| 2024Q3 | 92 | 107.8 | 4.01 | 0.54 | 1.27 | 2.20 | 3.83 | 9.6% |
| 2024Q2 | 91 | 102.3 | 4.18 | 0.52 | 1.33 | 2.33 | 4.02 | 5.4% |
| 2024Q1 | 91 | 98.4 | 4.00 | 0.48 | 1.23 | 2.29 | 3.82 | 7.3% |
| 2023Q4 | 92 | 98.7 | 4.07 | 0.53 | 1.06 | 2.48 | 3.79 | 9.7% |
| 2023Q3 | 92 | 100.1 | 3.95 | 0.48 | 0.89 | 2.58 | 3.59 | 19.5% |
| 2023Q2 | 91 | 102.7 | 3.32 | 0.52 | 0.96 | 1.83 | 3.23 | 32.3% |
| 2023Q1 | 90 | 119.2 | 3.72 | 0.47 | 0.78 | 2.47 | 3.53 | 29.7% |
| 2022Q4 | 92 | 123.8 | 3.42 | 0.41 | 0.73 | 2.27 | 3.27 | 27.0% |
| 2022Q3 | 92 | 119.4 | 3.62 | 0.45 | 0.83 | 2.35 | 3.41 | 31.5% |
| 2022Q2 | 91 | 117.9 | 3.73 | 0.53 | 0.88 | 2.33 | 3.60 | 31.2% |
| 2022Q1 | 90 | 114.5 | 3.78 | 0.48 | 0.98 | 2.31 | 3.50 | 32.1% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-01 | Fine | $94,803 | CMS provider data |
| 2025-02-13 | Fine | $197,110 | CMS provider data |
| 2025-02-13 | Payment Denial | — | CMS provider data |
| 2024-01-13 | Fine | $14,053 | CMS provider data |
| 2023-10-12 | Fine | $49,485 | CMS provider data |
Total fines on record: $355,451
Deficiencies
78C × 2D × 40E × 15F × 11G × 5J × 3K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-09 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-08-06 |
| 2025-05-01 | Health · complaint | 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 | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2025-05-30 |
| 2025-05-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-30 |
| 2025-05-01 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-05-30 |
| 2025-05-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-30 |
| 2025-05-01 | Health | 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. | D | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-05-30 |
| 2025-05-01 | 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. | E | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2025-05-30 |
| 2025-05-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-30 |
| 2025-05-01 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-05-30 |
| 2025-05-01 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-05-30 |
| 2025-05-01 | 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. | E | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-05-30 |
| 2025-05-01 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-30 |
| 2025-05-01 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-05-30 |
| 2025-05-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-30 |
| 2025-05-01 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2025-05-30 |
| 2025-05-01 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2025-05-30 |
| 2025-05-01 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | 2025-05-30 |
| 2025-05-01 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2025-05-30 |
| 2025-05-01 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | 2025-05-30 |
| 2025-05-01 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2025-05-30 |
| 2025-05-01 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2025-05-30 |
| 2025-02-13 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0560 | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | E | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-05 |
| 2025-02-13 | 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 | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | K | 2025-03-05 |
| 2025-02-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-05 |
| 2024-11-12 | 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 | 2024-12-10 |
| 2024-11-12 | 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 | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-12-10 |
| 2024-11-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-10 |
| 2024-05-29 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-06-29 |
| 2024-05-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-29 |
| 2024-05-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-29 |
| 2024-04-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-04 |
| 2024-04-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-05-04 |
| 2024-04-04 | Health | 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 | 2024-05-04 |
| 2024-04-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-05-04 |
| 2024-04-04 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-04 |
| 2024-04-04 | 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 | 2024-05-04 |
| 2024-04-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-04 |
| 2024-04-04 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-05-04 |
| 2024-01-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-09 |
| 2024-01-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-09 |
| 2024-01-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-02-09 |
| 2024-01-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-09 |
| 2023-10-12 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-11-10 |
| 2023-10-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-10 |
| 2023-10-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-10 |
| 2023-10-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-10 |
| 2023-10-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-11-10 |
| 2023-10-12 | 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. | D | 2023-11-10 |
| 2023-10-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-10 |
| 2022-12-28 | 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. | E | 2023-02-07 |
| 2022-12-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-03-07 |
| 2022-12-28 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-03-07 |
| 2022-12-28 | Health | 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. | D | 2023-02-07 |
| 2022-12-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-03-07 |
| 2022-12-28 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-02-07 |
| 2022-12-28 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-02-07 |
| 2022-12-28 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-02-07 |
| 2022-12-28 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-02-07 |
| 2022-12-28 | 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. | E | 2023-02-07 |
| 2022-12-28 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-03-07 |
| 2022-12-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-07 |
| 2022-12-28 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2023-02-07 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| A.V. POWELL & ASSOCIATES, LLC | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| AFFELDT, DAVID | ADP OF THE SNF | — | 2014-10-24 | current | pecos_ownership |
| CLIFTONLARSONALLEN LLP | ADP OF THE SNF | — | 2016-03-21 | current | pecos_ownership |
| FAVORITE HEALTHCARE STAFFING LLC | ADP OF THE SNF | — | 2020-11-30 | current | pecos_ownership |
| KELLAR, RICHARD | CORPORATE DIRECTOR | — | 2014-10-24 | current | pecos_ownership |
| NEW HORIZON FOODS, LLC | ADP OF THE SNF | — | 2025-05-18 | current | pecos_ownership |
| NEW HORIZON FOODS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-15 | current | pecos_ownership |
| OAK MEDICAL SC | ADP OF THE SNF | — | 2025-04-08 | current | pecos_ownership |
| PHARMACY CORPORATION OF AMERICA | ADP OF THE SNF | — | 2019-01-31 | current | pecos_ownership |
| PRN HEALTH SERVICES, INC. | ADP OF THE SNF | — | 2021-07-31 | current | pecos_ownership |
| R.W. BAIRD | ADP OF THE SNF | — | 2015-01-12 | current | pecos_ownership |
| RABE, SUSAN | CORPORATE DIRECTOR | — | 2019-09-24 | current | pecos_ownership |
| RAED HAMED MD LLC | ADP OF THE SNF | — | 2017-08-01 | current | pecos_ownership |
| REHAB SOLUTIONS GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | current | pecos_ownership |
| REHAB SOLUTIONS GROUP, LLC | ADP OF THE SNF | — | 2025-05-19 | current | pecos_ownership |
| SALONPS WISCONSIN | ADP OF THE SNF | — | 2015-04-30 | current | pecos_ownership |
| SIKICH LLC | ADP OF THE SNF | — | 2025-04-18 | current | pecos_ownership |
| DAVID AFFELDT | CORPORATE OFFICER | 100% | 2014-10-24 | ended 2026-05-18 | pecos_ownership |
| RICHARD KELLAR | CORPORATE DIRECTOR | 100% | 2014-10-24 | ended 2026-05-18 | pecos_ownership |
| SUSAN RABE | CORPORATE DIRECTOR | — | 2019-09-24 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — WI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55079 | acs median gross | 0 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 1 | $927 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 2 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 3 | $1,280 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 4 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 5 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | acs median gross | $1,101 | 2024-12-31 | CENSUS_ACS5 | |
| county 55079 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53227 | acs median gross | 0 | $699 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53227 | acs median gross | 1 | $922 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53227 | acs median gross | 2 | $1,172 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53227 | acs median gross | 3 | $1,377 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53227 | acs median gross | $1,051 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53227 | acs recent mover gross | $1,035 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53227 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 110 | 2 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 90 | 2 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | safmr | 2 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 110 | 3 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 90 | 3 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | safmr | 3 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53227 | safmr | 4 | $1,830 | 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.