CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 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 2026-08-05 18:06 UTC
Screener / 525321
D

Rivers Edge Nursing and Rehab

snfWI
1000 N. Wisconsin Ave., Muscoda, WI 53573 · CCN 525321 · chain BEDROCK HC WI LLC
Composite
91.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
58
Model
v1.2
Reads as: riskier than 91.3% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.596.20.300.230822.50in index
financial risk86.273.00.300.230819.89in index
staffing risk61.061.00.250.192311.73in index
billing conduct31.532.30.300.23087.27in index
chow risk55.753.90.150.11546.43in 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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+32.4 vs natlCHOPP MARTIN8 facilities
connectionOwner fleet risk far above national+32.4 vs natlCHOPP PNINA8 facilities
connectionOwner fleet risk far above national+31.7 vs natlCHOPP SOLOMON8 facilities
connectionOwner fleet enforcement cluster63% finedCHOPP MARTIN8 facilities
connectionOwner fleet enforcement cluster63% finedCHOPP PNINA8 facilities
connectionOwner fleet enforcement cluster63% finedCHOPP SOLOMON8 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 typeScoreGradeModelStatusRegistry model notes
billing conduct32.3Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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.
chow risk82.9Fv0.6default · in composite
financial risk73.0Dv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.2v0.1default · 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 risk96.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk61.0Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk84.3Fv0.1supersededPre-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 risk64.3Cv0.2supersededPre-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 risk65.5Dv0.3supersededPre-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 risk73.3Dv0.4supersededPre-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 risk96.1Fv0.1supersededPre-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 risk96.1Fv0.2supersededPre-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 risk61.0Cv0.1supersededPre-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 risk61.0Cv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)6.83-1.18
For-profit ownership1.00+0.69
Deficiencies, last 12 months26.00+0.46
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Occupancy0.64+0.18
Contract staffing share0.02-0.06
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months26.00-3.39
For-profit ownership1.00-0.69
Occupancy0.64+0.47
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)6.83-0.19
Fine amount, 12m (log)0.00+0.18
Staffing trend, last 4 quarters0.32+0.12
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 facilityWI medianNational medianNational p25–p75
Total nurse3.113.603.282.90–3.77
RN0.660.640.390.25–0.58
Weekend total2.993.493.11
Weekday total3.163.653.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49236.93.110.660.511.952.992.4%
2025Q39241.12.970.370.691.912.947.9%
2025Q29141.22.510.170.801.542.360.8%
2025Q19044.12.730.160.861.712.6540.1%
2024Q49246.12.800.070.791.942.6951.8%
2024Q39247.52.690.240.591.852.6063.9%
2024Q29143.32.690.150.591.952.6544.4%
2024Q19141.42.740.110.681.942.6038.7%
2023Q49238.22.910.270.652.002.7740.5%
2023Q39236.53.430.240.822.363.2961.4%
2023Q29140.53.130.230.812.092.9555.4%
2023Q19041.22.680.310.431.942.5642.1%
2022Q49244.53.260.280.732.243.0768.7%
2022Q39247.32.880.200.472.202.6854.3%
2022Q29148.42.780.400.511.882.4040.8%
2022Q19043.42.910.530.521.862.5940.0%
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

5
fines by year
$113.6k$56.8k2425
DateTypeFineSource
2025-07-09Payment DenialCMS provider data
2025-03-27Payment DenialCMS provider data
2024-12-16Fine$16,801CMS provider data
2024-07-10Fine$96,776CMS provider data
2024-07-10Payment DenialCMS provider data
Total fines on record: $113,577

Deficiencies

109
C × 1D × 80E × 11F × 11G × 3J × 3
deficiencies by survey year
502523242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-21Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-12
2026-01-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-12
2026-01-21Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2026-02-12
2026-01-21Health · complaintF0760Ensure that residents are free from significant medication errors.D2026-02-12
2025-12-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-09
2025-12-01HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-12-17
2025-12-01HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-12-17
2025-12-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-17
2025-12-01Health · complaintF0610Respond appropriately to all alleged violations.D2025-12-17
2025-12-01HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-12-17
2025-12-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-17
2025-12-01HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-17
2025-12-01HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-12-17
2025-12-01HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-12-17
2025-12-01HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2025-12-17
2025-12-01HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-12-17
2025-12-01HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-12-17
2025-12-01HealthF0880Provide and implement an infection prevention and control program.F2025-12-17
2025-08-25Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-09-15
2025-08-25Health · complaintF0610Respond appropriately to all alleged violations.D2025-09-15
2025-08-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-09-15
2025-08-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-09-15
2025-08-25Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-09-15
2025-08-25Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-09-15
2025-07-30Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-08-27
2025-07-30Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-08-27
2025-07-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.F2025-08-09
2025-07-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-09
2025-07-09Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-08-09
2025-07-09Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-09
2025-07-09Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-08-09
2025-07-09Health · complaintF0732Post nurse staffing information every day.C2025-08-09
2025-07-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-08-09
2025-07-09Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-08-09
2025-07-09Health · complaintF0880Provide and implement an infection prevention and control program.D2025-08-09
2025-04-21Health · complaintF0584Honor 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.E2025-05-20
2025-04-21Health · complaintF0585Honor 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.D2025-05-20
2025-04-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-05-20
2025-04-21Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-23
2025-04-21Health · complaintF0687Provide appropriate foot care.D2025-05-23
2025-04-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-05-23
2025-04-21Health · complaintF0700Try 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.E2025-05-23
2025-04-21Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-05-20
2025-04-21Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-05-20
2025-04-21Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-05-20
2025-04-21Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-20
2025-03-27Health · complaintF0585Honor 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.D2025-04-20
2025-03-27Health · complaintF0610Respond appropriately to all alleged violations.D2025-05-12
2025-03-27Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-05-05
2025-01-29Health · complaintF0555Honor the resident's right to choose his or her attending physician.D2025-02-17
2025-01-29Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-17
2025-01-29Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-02-17
2025-01-29Health · complaintF0610Respond appropriately to all alleged violations.D2025-02-17
2025-01-29Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-02-17
2024-12-16Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-01-16
2024-12-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-16
2024-12-16Health · complaintF0610Respond appropriately to all alleged violations.D2025-01-16
2024-12-16Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2025-01-16
2024-12-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-16
2024-12-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-11-04
2024-12-16Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2025-01-16
2024-12-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-16
2024-12-16Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-01-16
2024-12-16Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-01-16
2024-12-16Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-01-16
2024-12-16Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-16
2024-12-16Health · complaintF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D2025-01-16
2024-12-16Health · complaintF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D2025-01-16
2024-12-16Health · complaintF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D2025-01-16
2024-08-26Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-09-18
2024-08-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-18
2024-07-25HealthF0551Give the resident's representative the ability to exercise the resident's rights.D2024-08-20
2024-07-25HealthF0585Honor 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.D2024-08-20
2024-07-25HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-08-20
2024-07-25HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-08-20
2024-07-25HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-08-20
2024-07-25HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-08-20
2024-07-25HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-08-20
2024-07-25HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2024-08-20
2024-07-25HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2024-08-20
2024-07-25HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F2024-08-20
2024-07-25HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-08-20
2024-07-25HealthF0760Ensure that residents are free from significant medication errors.D2024-08-20
2024-07-25HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2024-08-20
2024-07-25HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-08-20
2024-07-25HealthF0880Provide and implement an infection prevention and control program.F2024-08-20
2024-07-25HealthF0881Implement a program that monitors antibiotic use.G2024-08-20
2024-07-25HealthF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.D2024-08-20
2024-07-10Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-08-07
2024-07-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-08-07
2024-07-10Health · complaintF0610Respond appropriately to all alleged violations.D2024-08-07
2024-07-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-08-07
2024-07-10Health · 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.F2024-08-07
2024-01-02Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-01-23
2024-01-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-01-23
2023-09-12Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-09-15
2023-09-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-10-06
2023-09-12Health · complaintF0610Respond appropriately to all alleged violations.D2023-10-06
2023-09-12Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-10-06
2023-06-28Health · complaintF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2023-07-26
2023-06-28Health · complaintF0825Provide or get specialized rehabilitative services as required for a resident.E2023-07-26
2023-04-06HealthF0641Ensure each resident receives an accurate assessment.D2023-05-05
2023-04-06HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-05-05
2023-04-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-05-05
2023-04-06HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-05-05
2023-04-06HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-05-05
2023-04-06HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-05-05
2023-04-06HealthF0761Ensure 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.D2023-05-05
2023-04-06HealthF0880Provide and implement an infection prevention and control program.D2023-05-05
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

21
OwnerRolePctFromStatusSource
BEDROCK HCS AT RIVERDALE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-10-01currentpecos_ownership
BEDROCK HC WI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, LYNN5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, MARTIN5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, PNINA5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, RACHEL5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, SARAH5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
CHOPP, SOLOMON5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
NICHOLS, KENNETHCORPORATE OFFICER2019-10-01currentpecos_ownership
OPAL HEALTHCARE NJ LLCOPERATIONAL/MANAGERIAL CONTROL2019-10-01currentpecos_ownership
PRAGER, AVROHOM5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
PRAGER, SHULAMIT5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-10-01currentpecos_ownership
KENNETH NICHOLSCORPORATE OFFICER100%2019-10-01ended 2026-05-18pecos_ownership
SHULAMIT PRAGERCORPORATE OFFICER100%2019-10-01ended 2026-05-18pecos_ownership
MARTIN CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST18%2019-10-01ended 2026-05-18pecos_ownership
PNINA CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST18%2019-10-01ended 2026-05-18pecos_ownership
LYNN CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST17%2019-10-01ended 2026-05-18pecos_ownership
AVROHOM PRAGER5% OR GREATER INDIRECT OWNERSHIP INTEREST13%2019-10-01ended 2026-05-18pecos_ownership
SOLOMON CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2019-10-01ended 2026-05-18pecos_ownership
RACHEL CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2019-10-01ended 2026-05-18pecos_ownership
SARAH CHOPP5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2019-10-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-10-01BEDROCK HCS AT RIVERDALE LLCDYCORA TRANSITIONAL HEALTH RIVERDALE LLCchow

Comparable trades — WI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-05-28Complete Care at Hales Corners62HALES CORNERS CARE AND REHAB CENTER LLC
2025-05-28Complete Care at Care Age110CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC
2025-04-24Edenbrook Sheboygan121SHEBOYGAN SNF OPERATIONS, LLC
2025-02-28Complete Care at Jefferson Meadows LLC102ST CLARE CARE AND REHAB CENTER LLC
2025-02-28Complete Care at Christian Home LLC50CHRISTIAN HOME CARE AND REHAB CENTER LLC
2025-02-01COLONIAL HEALTH SERVICES70NSH COLBY LLC
2024-12-14CAREVIEW HEALTH AND REHAB OF MINOCQUA72CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC
2024-11-01Wood Aven Health and Rehabilitation82RIVER HAWK HEALTHCARE LLC
2024-07-01Samaritan Nursing and Rehab131SAMARITAN NURSING AND REHAB LLC
2024-05-01DOVE HEALTHCARE - SPOONER50SPOONER REHABILITATION AND NURSING CENTER LLC
2024-04-16MIDDLE RIVER HEALTH AND REHABILITATION CENTER86MIDDLE RIVER REHABILITATION LLC
2024-01-25Serenity Spring Senior Living at Scandia Village50SISTER 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
GeoKindBRAmountAs ofSource
county 55043acs median gross0$6372024-12-31CENSUS_ACS5
county 55043fmr0$7452025-10-01HUD_USER_FMR
county 55043acs median gross1$6442024-12-31CENSUS_ACS5
county 55043fmr1$7622025-10-01HUD_USER_FMR
county 55043acs median gross2$8192024-12-31CENSUS_ACS5
county 55043fmr2$9732025-10-01HUD_USER_FMR
county 55043acs median gross3$9062024-12-31CENSUS_ACS5
county 55043fmr3$1,2132025-10-01HUD_USER_FMR
county 55043acs median gross4$1,1732024-12-31CENSUS_ACS5
county 55043fmr4$1,5942025-10-01HUD_USER_FMR
county 55043acs median gross5$1,2722024-12-31CENSUS_ACS5
county 55043acs median gross$8132024-12-31CENSUS_ACS5
county 55043acs recent mover gross$7842024-12-31CENSUS_ACS5
zcta 53573acs median gross1$6892024-12-31CENSUS_ACS5
zcta 53573acs median gross2$7962024-12-31CENSUS_ACS5
zcta 53573acs median gross3$7372024-12-31CENSUS_ACS5
zcta 53573acs median gross4$1,2752024-12-31CENSUS_ACS5
zcta 53573acs median gross$7732024-12-31CENSUS_ACS5
zcta 53573acs recent mover gross$7952024-12-31CENSUS_ACS5
zip 53573payment standard 1100$8032025-10-01HUD_USER_SAFMR
zip 53573payment standard 900$6572025-10-01HUD_USER_SAFMR
zip 53573safmr0$7302025-10-01HUD_USER_SAFMR
zip 53573payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 53573payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 53573safmr1$7702025-10-01HUD_USER_SAFMR
zip 53573payment standard 1102$1,0672025-10-01HUD_USER_SAFMR
zip 53573payment standard 902$8732025-10-01HUD_USER_SAFMR
zip 53573safmr2$9702025-10-01HUD_USER_SAFMR
zip 53573payment standard 1103$1,3312025-10-01HUD_USER_SAFMR
zip 53573payment standard 903$1,0892025-10-01HUD_USER_SAFMR
zip 53573safmr3$1,2102025-10-01HUD_USER_SAFMR
zip 53573payment standard 1104$1,7162025-10-01HUD_USER_SAFMR
zip 53573payment standard 904$1,4042025-10-01HUD_USER_SAFMR
zip 53573safmr4$1,5602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.