CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,950 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-07 16:32 UTC
Screener / 275073
B

FAITH LUTHERAN HOME

snfMT
1000 6TH AVE N, WOLF POINT, MT 59201 · CCN 275073
Composite
57.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
60
Model
v1.2
Reads as: riskier than 57.1% 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.

Composite explanation

3
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk67.961.80.300.428629.10in index
chow risk90.055.00.150.214319.29in index
staffing risk7.27.30.250.35712.57in 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.

Component scores and registry models

9
Score typeScoreGradeModelStatusRegistry model notes
chow risk55.0Cv0.1-posdefault · in compositeChange-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.
p adverse action 12m0.8v0.1default · in compositeR23/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 12m2.4v0.1default · in compositeR22/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 risk61.8Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk7.3Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk61.6Cv0.1supersededPre-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 risk61.6Cv0.2supersededPre-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 risk7.3Av0.1supersededPre-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 risk7.3Av0.2supersededPre-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)
2.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Total nurse staffing (HPRD)4.57-0.30
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months1.00-0.15
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)
0.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)4.57-0.57
Staffing trend, last 4 quarters1.00+0.44
No PBJ staffing report0.00+0.39
Occupancy0.66+0.36
Fine amount, 12m (log)0.00+0.18
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 HPRDThis facilityMT medianNational medianNational p25–p75
Total nurse4.573.253.282.90–3.77
RN1.250.620.390.25–0.58
Weekend total4.163.123.11
Weekday total4.733.343.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49239.84.571.250.153.174.160.0%
2025Q39239.94.871.170.223.484.380.0%
2025Q29142.24.451.050.153.254.010.0%
2025Q19044.13.380.860.142.382.802.5%
2024Q49242.33.570.880.142.543.2914.9%
2024Q39244.13.800.870.232.703.3530.7%
2024Q29146.03.540.830.142.573.2524.1%
2024Q19146.03.540.850.142.553.2720.2%
2023Q49248.13.280.800.142.343.1117.5%
2023Q39249.53.110.760.132.222.7810.3%
2023Q29146.20.170.000.000.170.22100.0%
2023Q19042.73.680.890.172.623.4413.4%
2022Q49245.93.510.820.152.533.3318.2%
2022Q39241.83.490.880.152.463.2114.6%
2022Q29137.94.070.810.422.843.8318.7%
2022Q19036.94.351.000.353.003.9216.5%
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

1
DateTypeFineSource
2024-05-08Fine$22,825CMS provider data
Total fines on record: $22,825

Deficiencies

25
D × 13E × 4F × 7G × 1
deficiencies by survey year
126232425
SurveyTypeTagDeficiencyScopeCorrected
2025-11-19Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-06-04
2025-04-23HealthF0585Honor 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.D2025-05-15
2025-04-23HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.F2025-05-15
2025-04-23HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-05-15
2025-04-23HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-05-15
2025-04-23HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-05-15
2025-04-23HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-05-15
2025-04-23HealthF0880Provide and implement an infection prevention and control program.F2025-05-15
2025-04-23HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2025-05-15
2025-03-13Health · complaintF0540Meet the legal definition of a skilled nursing facility or nursing facility.F2025-04-11
2025-03-13Health · complaintF0837Establish 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.F2025-04-11
2025-03-13Health · complaintF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2025-04-11
2024-12-03Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-12-26
2024-12-03Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-12-26
2024-12-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-12-26
2024-05-08HealthF0583Keep residents' personal and medical records private and confidential.E2024-06-07
2024-05-08Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-06-07
2024-05-08HealthF0688Provide 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.E2024-06-07
2024-05-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-06-07
2024-05-08HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-06-13
2024-05-08HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2024-06-07
2023-05-23HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-06-15
2023-05-23HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-06-15
2023-05-23HealthF0688Provide 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.D2023-06-15
2023-05-23HealthF0880Provide and implement an infection prevention and control program.F2023-06-15
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

0
No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — MT snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-03-01NORTHERN MONTANA CARE CENTER135NORTHERN MONTANA CARE CENTER INC
2023-10-01RIVER RIDGE REHABILITATION AND NURSING LLC129RIVER RIDGE REHABILITATION AND NURSING LLC
2023-08-31ASPEN MEADOWS HEALTH AND REHABILITATION CENTER90ASPEN MEADOWS SNF OPERATIONS, LLC
2023-08-31LIVINGSTON HEALTH & REHABILITATION CENTER115LIVINGSTON SNF OPERATIONS LLC
2023-08-31POLSON HEALTH & REHABILITATION CENTER70POLSON SNF OPERATIONS LLC
2023-08-31MISSOULA HEALTH & REHABILITATION CENTER53MISSOULA SNF OPERATIONS LLC
2023-08-31LAUREL HEALTH & REHABILITATION CENTER79LAUREL SNF OPERATIONS LLC
2023-08-31HOT SPRINGS HEALTH & REHABILITATION CENTER40HOT SPRINGS SNF OPERATIONS LLC
2023-07-01KALISPELL REHABILITATION AND NURSING LLC140KALISPELL REHABILITATION AND NURSING LLC
2023-07-01NORTHERN PINES REHABILITATION AND NURSING41NORTHERN PINES REHABILITATION AND NURSING
2023-07-01BILLINGS REHABILITATION AND NURSING LLC100BILLINGS REHABILITATION AND NURSING LLC
2023-07-01VALLE VISTA REHABILITATION AND NURSING LLC101VALLE VISTA REHABILITATION AND NURSING 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

33
GeoKindBRAmountAs ofSource
county 30085acs median gross0$7702024-12-31CENSUS_ACS5
county 30085fmr0$9092025-10-01HUD_USER_FMR
county 30085acs median gross1$5322024-12-31CENSUS_ACS5
county 30085fmr1$9152025-10-01HUD_USER_FMR
county 30085acs median gross2$7312024-12-31CENSUS_ACS5
county 30085fmr2$1,2012025-10-01HUD_USER_FMR
county 30085acs median gross3$7182024-12-31CENSUS_ACS5
county 30085fmr3$1,4402025-10-01HUD_USER_FMR
county 30085acs median gross4$3782024-12-31CENSUS_ACS5
county 30085fmr4$1,9422025-10-01HUD_USER_FMR
county 30085acs median gross5$1,1392024-12-31CENSUS_ACS5
county 30085acs median gross$7052024-12-31CENSUS_ACS5
zcta 59201acs median gross1$5402024-12-31CENSUS_ACS5
zcta 59201acs median gross2$9042024-12-31CENSUS_ACS5
zcta 59201acs median gross3$7402024-12-31CENSUS_ACS5
zcta 59201acs median gross4$3972024-12-31CENSUS_ACS5
zcta 59201acs median gross5$1,1832024-12-31CENSUS_ACS5
zcta 59201acs median gross$7322024-12-31CENSUS_ACS5
zip 59201payment standard 1100$1,0892025-10-01HUD_USER_SAFMR
zip 59201payment standard 900$8912025-10-01HUD_USER_SAFMR
zip 59201safmr0$9902025-10-01HUD_USER_SAFMR
zip 59201payment standard 1101$1,1442025-10-01HUD_USER_SAFMR
zip 59201payment standard 901$9362025-10-01HUD_USER_SAFMR
zip 59201safmr1$1,0402025-10-01HUD_USER_SAFMR
zip 59201payment standard 1102$1,4852025-10-01HUD_USER_SAFMR
zip 59201payment standard 902$1,2152025-10-01HUD_USER_SAFMR
zip 59201safmr2$1,3502025-10-01HUD_USER_SAFMR
zip 59201payment standard 1103$2,0352025-10-01HUD_USER_SAFMR
zip 59201payment standard 903$1,6652025-10-01HUD_USER_SAFMR
zip 59201safmr3$1,8502025-10-01HUD_USER_SAFMR
zip 59201payment standard 1104$2,3762025-10-01HUD_USER_SAFMR
zip 59201payment standard 904$1,9442025-10-01HUD_USER_SAFMR
zip 59201safmr4$2,1602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.