706 West Central Avenue, Winfield, IA 52659 · CCN 165327
Composite
3.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
46
Model
v1.2
Reads as: riskier than 3.8% 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 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
IA median
National median
National p25–p75
Total nurse
3.49
3.15
3.28
2.90–3.77
RN
0.58
0.46
0.39
0.25–0.58
Weekend total
3.45
2.96
3.11
—
Weekday total
3.50
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
35.6
3.49
0.58
0.44
2.47
3.45
0.0%
2025Q3
92
36.4
3.40
0.57
0.45
2.38
3.36
0.0%
2025Q2
91
36.3
3.28
0.59
0.37
2.32
3.22
0.0%
2025Q1
90
36.7
3.10
0.56
0.36
2.18
3.08
0.0%
2024Q4
92
34.6
3.23
0.63
0.36
2.25
3.20
0.0%
2024Q3
92
34.5
3.28
0.63
0.37
2.29
3.21
0.0%
2024Q2
91
31.3
3.54
0.72
0.41
2.41
3.40
0.0%
2024Q1
91
31.8
3.60
0.72
0.39
2.49
3.46
0.0%
2023Q4
92
34.9
3.29
0.67
0.24
2.37
3.17
0.0%
2023Q3
92
33.4
3.54
0.67
0.31
2.56
3.46
0.0%
2023Q2
91
34.3
3.37
0.64
0.32
2.42
3.07
0.0%
2023Q1
90
35.4
3.35
0.59
0.39
2.38
3.05
0.0%
2022Q4
92
35.0
3.06
0.54
0.44
2.09
2.96
0.0%
2022Q3
92
32.4
3.28
0.46
0.47
2.35
3.28
1.0%
2022Q2
91
31.2
3.08
0.57
0.35
2.16
2.95
10.8%
2022Q1
90
32.9
3.04
0.69
0.32
2.03
3.07
9.5%
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
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
1
E × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-09
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-16
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
51
Owner
Role
Pct
From
Status
Source
FIRST PRESBYTERIAN CHURCH
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
—
current
pecos_ownership
ANDERSON, MATHEW
CORPORATE OFFICER
—
2007-08-01
current
pecos_ownership
BCG HOLDINGS INC
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BUFFINGTON, CYNTHIA
CORPORATE DIRECTOR
—
2018-09-01
current
pecos_ownership
CATTAIL BCG LLC
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
CATTAIL CONSULTING LLC
ADP OF THE SNF
—
2022-09-30
current
pecos_ownership
CATTAIL INC
ADP OF THE SNF
—
2025-10-07
current
pecos_ownership
CEDAR RAPIDS BANK & TRUST
5% OR GREATER MORTGAGE INTEREST
—
2015-12-22
current
pecos_ownership
CONNOP, RHONDA
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
EBERLY, SCOTT
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
EBERLY, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-01
current
pecos_ownership
ECSI INC
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
EDWARDS, KLAY
CORPORATE OFFICER
—
2002-08-01
current
pecos_ownership
FRAISE, BRITTNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
GARRIS, KATHY
CORPORATE OFFICER
—
2003-08-01
current
pecos_ownership
IOWA HEALTH CARE ASSOCIATION
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
KALONA COOPERATIVE TECHNOLOGY COMPANY
ADP OF THE SNF
—
2023-12-06
current
pecos_ownership
KANN, MONTE
CORPORATE DIRECTOR
—
2016-09-01
current
pecos_ownership
KONGABLE, RANDALL
CORPORATE DIRECTOR
—
2020-08-01
current
pecos_ownership
KONGABLE, WILMA
CORPORATE DIRECTOR
—
2001-08-01
current
pecos_ownership
MCCALL, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-02
current
pecos_ownership
MILLENNIUM REHAB & CONSULTING INC
ADP OF THE SNF
—
2012-10-01
current
pecos_ownership
NELSON, JOHN
CORPORATE DIRECTOR
—
2018-09-01
current
pecos_ownership
PILOT GROVE SAVINGS BANK
5% OR GREATER MORTGAGE INTEREST
—
2011-03-18
current
pecos_ownership
PM ACQUISITION LLC
ADP OF THE SNF
—
2017-07-01
current
pecos_ownership
PRIOR, MICHAEL
CORPORATE OFFICER
—
2008-08-01
current
pecos_ownership
PYKE, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
current
pecos_ownership
REMICK, LINDSAY
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
REMICK, LINDSAY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-01
current
pecos_ownership
ROLLER, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-29
current
pecos_ownership
TDT CPA'S AND ADVISORS PC
ADP OF THE SNF
—
2012-08-01
current
pecos_ownership
CYNTHIA BUFFINGTON
CORPORATE DIRECTOR
11%
2018-09-01
ended 2026-05-18
pecos_ownership
JOHN NELSON
CORPORATE DIRECTOR
11%
2018-09-01
ended 2026-05-18
pecos_ownership
KATHY GARRIS
CORPORATE OFFICER
11%
2003-08-01
ended 2026-05-18
pecos_ownership
KLAY EDWARDS
CORPORATE OFFICER
11%
2002-08-01
ended 2026-05-18
pecos_ownership
MATHEW ANDERSON
CORPORATE OFFICER
11%
2007-08-01
ended 2026-05-18
pecos_ownership
MICHAEL PRIOR
CORPORATE OFFICER
11%
2008-08-01
ended 2026-05-18
pecos_ownership
MONTE KANN
CORPORATE DIRECTOR
11%
2016-09-01
ended 2026-05-18
pecos_ownership
WILMA KONGABLE
CORPORATE DIRECTOR
11%
2001-08-01
ended 2026-05-18
pecos_ownership
ANDREW ROLLER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-29
ended 2026-05-18
pecos_ownership
ANGELA MCCALL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-02
ended 2026-05-18
pecos_ownership
BRITTNEY FRAISE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
CATTAIL INC
ADP OF THE SNF
—
2025-10-06
ended 2026-05-18
pecos_ownership
LINDSAY REMICK
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-01
ended 2026-05-18
pecos_ownership
LINDSAY REMICK
ADP OF THE SNF
—
2025-10-06
ended 2026-05-18
pecos_ownership
MELISSA PYKE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
ended 2026-05-18
pecos_ownership
RANDALL KONGABLE
CORPORATE DIRECTOR
—
2020-08-01
ended 2026-05-18
pecos_ownership
RHONDA CONNOP
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
SCOTT EBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-01
ended 2026-05-18
pecos_ownership
SCOTT EBERLY
ADP OF THE SNF
—
2025-10-06
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
31
Geo
Kind
BR
Amount
As of
Source
county 19087
acs median gross
0
$384
2024-12-31
CENSUS_ACS5
county 19087
fmr
0
$647
2025-10-01
HUD_USER_FMR
county 19087
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
county 19087
fmr
1
$716
2025-10-01
HUD_USER_FMR
county 19087
acs median gross
2
$852
2024-12-31
CENSUS_ACS5
county 19087
fmr
2
$939
2025-10-01
HUD_USER_FMR
county 19087
acs median gross
3
$1,082
2024-12-31
CENSUS_ACS5
county 19087
fmr
3
$1,242
2025-10-01
HUD_USER_FMR
county 19087
acs median gross
4
$925
2024-12-31
CENSUS_ACS5
county 19087
fmr
4
$1,360
2025-10-01
HUD_USER_FMR
county 19087
acs median gross
$820
2024-12-31
CENSUS_ACS5
county 19087
acs recent mover gross
$863
2024-12-31
CENSUS_ACS5
zcta 52659
acs median gross
1
$515
2024-12-31
CENSUS_ACS5
zcta 52659
acs median gross
2
$703
2024-12-31
CENSUS_ACS5
zcta 52659
acs median gross
3
$1,074
2024-12-31
CENSUS_ACS5
zcta 52659
acs median gross
$702
2024-12-31
CENSUS_ACS5
zip 52659
payment standard 110
0
$704
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 90
0
$576
2025-10-01
HUD_USER_SAFMR
zip 52659
safmr
0
$640
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 52659
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 52659
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 52659
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 110
4
$1,452
2025-10-01
HUD_USER_SAFMR
zip 52659
payment standard 90
4
$1,188
2025-10-01
HUD_USER_SAFMR
zip 52659
safmr
4
$1,320
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.