Reads as: riskier than 8.1% 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.
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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
HEALTHPRO HERITAGE LLC
12 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
WI median
National median
National p25–p75
Total nurse
4.80
3.60
3.28
2.90–3.77
RN
0.91
0.64
0.39
0.25–0.58
Weekend total
4.72
3.49
3.11
—
Weekday total
4.83
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
136.7
4.80
0.91
0.54
3.35
4.72
45.0%
2025Q3
92
140.9
4.96
0.85
0.57
3.54
4.78
41.2%
2025Q2
91
139.7
4.86
0.92
0.48
3.46
4.68
45.7%
2025Q1
90
132.5
4.83
0.88
0.56
3.39
4.65
42.5%
2024Q4
92
131.1
4.69
0.87
0.48
3.33
4.63
40.5%
2024Q3
92
129.3
4.53
0.76
0.61
3.17
4.40
39.1%
2024Q2
91
131.8
2.87
0.53
0.35
1.99
2.54
37.7%
2024Q1
91
122.0
4.42
0.85
0.58
2.98
4.37
32.8%
2023Q4
92
116.4
4.50
0.81
0.66
3.04
4.38
32.2%
2023Q3
92
113.2
4.40
0.86
0.55
2.99
4.33
22.9%
2023Q2
91
109.3
4.36
0.80
0.59
2.98
4.20
26.4%
2023Q1
90
106.9
4.26
0.71
0.63
2.92
4.09
23.5%
2022Q4
92
104.0
4.25
0.87
0.50
2.88
4.16
14.1%
2022Q3
92
103.3
4.54
0.97
0.40
3.17
4.30
12.3%
2022Q2
91
97.8
4.59
0.98
0.53
3.08
4.25
16.6%
2022Q1
90
94.6
4.32
0.90
0.56
2.87
4.12
9.2%
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
27
D × 16E × 7F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-11
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-08-11
2025-03-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-04-06
2025-03-06
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
2025-04-06
2025-03-06
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-04-06
2025-03-06
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2025-04-06
2025-03-06
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-03-26
2025-03-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-06
2025-03-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-06
2025-03-06
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
2025-04-06
2025-03-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-28
2025-03-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-06
2025-03-06
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-04-06
2024-07-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-19
2024-07-03
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-07-23
2024-07-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-25
2024-02-14
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2024-03-14
2024-02-14
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-03-14
2024-02-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-05
2024-02-14
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-11
2024-02-14
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-03-14
2024-02-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-15
2024-02-14
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-03-14
2022-11-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2022-12-26
2022-11-30
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2022-12-30
2022-11-30
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-12-30
2022-11-30
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2022-12-26
2022-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-12-22
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
19
Owner
Role
Pct
From
Status
Source
COUNTY OF SHEBOYGAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
CLINTON, KATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-11
current
pecos_ownership
FETTERER, JEREMY
ADP OF THE SNF
—
2007-09-04
current
pecos_ownership
HEALTHPRO HERITAGE LLC
TRUSTEE OF THE SNF
—
2025-01-01
current
pecos_ownership
HEALTHPRO HERITAGE LLC
ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
KOHAL, AMANDA
ADP OF THE SNF
—
2022-05-31
current
pecos_ownership
KRAUSE, ALAYNE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-22
current
pecos_ownership
LOEFFLER, CORTNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-18
current
pecos_ownership
LUNDE, MICHAEL
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
OPTUM 360 SERVICES, INC
ADP OF THE SNF
—
2025-12-22
current
pecos_ownership
OPTUM 360 SERVICES, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-11-06
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
1998-02-03
current
pecos_ownership
ALAYNE KRAUSE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-22
ended 2026-05-18
pecos_ownership
AMANDA KOHAL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-31
ended 2026-05-18
pecos_ownership
CORTNEY LOEFFLER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-18
ended 2026-05-18
pecos_ownership
JEREMY FETTERER
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-04
ended 2026-05-18
pecos_ownership
KATHERINE CLINTON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-11
ended 2026-05-18
pecos_ownership
MICHAEL LUNDE
ADP OF THE SNF
—
2020-01-01
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
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 55117
acs median gross
0
$677
2024-12-31
CENSUS_ACS5
county 55117
fmr
0
$769
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
1
$766
2024-12-31
CENSUS_ACS5
county 55117
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
2
$993
2024-12-31
CENSUS_ACS5
county 55117
fmr
2
$1,116
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
3
$1,015
2024-12-31
CENSUS_ACS5
county 55117
fmr
3
$1,351
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
4
$1,105
2024-12-31
CENSUS_ACS5
county 55117
fmr
4
$1,527
2025-10-01
HUD_USER_FMR
county 55117
acs median gross
5
$996
2024-12-31
CENSUS_ACS5
county 55117
acs median gross
$934
2024-12-31
CENSUS_ACS5
county 55117
acs recent mover gross
$1,063
2024-12-31
CENSUS_ACS5
zcta 53073
acs median gross
0
$659
2024-12-31
CENSUS_ACS5
zcta 53073
acs median gross
1
$746
2024-12-31
CENSUS_ACS5
zcta 53073
acs median gross
2
$968
2024-12-31
CENSUS_ACS5
zcta 53073
acs median gross
3
$940
2024-12-31
CENSUS_ACS5
zcta 53073
acs median gross
$915
2024-12-31
CENSUS_ACS5
zcta 53073
acs recent mover gross
$1,007
2024-12-31
CENSUS_ACS5
zip 53073
payment standard 110
0
$836
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 90
0
$684
2025-10-01
HUD_USER_SAFMR
zip 53073
safmr
0
$760
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 110
1
$968
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 90
1
$792
2025-10-01
HUD_USER_SAFMR
zip 53073
safmr
1
$880
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 53073
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 53073
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 53073
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 53073
safmr
4
$1,510
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.