Composite
89.5 / 100 percentile
Screener / 525262
D
Rock River Nursing & Rehab
snfWISFF: SFF
430 WILCOX ST, FORT ATKINSON, WI 53538 · CCN 525262 · chain BEDROCK HC WI LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
87
Model
v1.2
Reads as: riskier than 89.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals8Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies118Licensure0Ownership13Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.2 | 97.2 | 0.30 | 0.2308 | 22.66 | in index |
| financial risk | 83.2 | 69.9 | 0.30 | 0.2308 | 19.20 | in index |
| billing conduct | 47.9 | 38.5 | 0.30 | 0.2308 | 11.05 | in index |
| chow risk | 83.6 | 64.5 | 0.15 | 0.1154 | 9.65 | in index |
| staffing risk | 19.0 | 19.1 | 0.25 | 0.1923 | 3.65 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +39.1 vs natl | OPAL HEALTHCARE WI LLC | 5 facilities |
| connection | Owner fleet risk far above national | +32.4 vs natl | CHOPP MARTIN | 8 facilities |
| connection | Owner fleet risk far above national | +32.4 vs natl | CHOPP PNINA | 8 facilities |
| connection | Owner fleet risk far above national | +31.7 vs natl | CHOPP SOLOMON | 8 facilities |
| connection | Owner fleet enforcement cluster | 63% fined | CHOPP MARTIN | 8 facilities |
| connection | Owner fleet enforcement cluster | 63% fined | CHOPP PNINA | 8 facilities |
| connection | Owner fleet enforcement cluster | 63% fined | CHOPP SOLOMON | 8 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | OPAL HEALTHCARE WI LLC | 5 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 38.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 54.4 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 74.6 | D | v0.6 | default · in composite | |
| financial risk | 69.9 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.4 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.3 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 97.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 19.1 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.3 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 76.3 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 60.6 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 71.7 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 97.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 97.2 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 19.1 | A | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 19.1 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Occupancy | 0.24 | +1.31 | |
| Current owner tenure (years) | 6.83 | -1.18 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.93 | -0.18 | |
| Contract staffing share | 0.00 | -0.10 |
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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.24 | +2.12 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.73 | +0.31 | |
| Total nurse staffing (HPRD) | 3.93 | -0.30 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.83 | -0.19 |
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 | 3.93 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.67 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.74 | 3.49 | 3.11 | — |
| Weekday total | 4.01 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 21.3 | 3.93 | 0.67 | 0.91 | 2.36 | 3.74 | 0.0% |
| 2025Q3 | 92 | 22.9 | 3.93 | 0.60 | 0.83 | 2.50 | 3.54 | 0.0% |
| 2025Q2 | 91 | 28.5 | 2.76 | 0.28 | 0.80 | 1.67 | 2.69 | 0.2% |
| 2025Q1 | 90 | 34.1 | 2.66 | 0.25 | 0.76 | 1.65 | 2.54 | 0.4% |
| 2024Q4 | 92 | 40.8 | 3.21 | 0.37 | 0.96 | 1.87 | 3.16 | 24.4% |
| 2024Q3 | 92 | 56.0 | 2.60 | 0.20 | 0.77 | 1.64 | 2.49 | 40.4% |
| 2024Q2 | 91 | 50.5 | 2.90 | 0.28 | 0.77 | 1.86 | 2.86 | 38.3% |
| 2024Q1 | 91 | 52.0 | 3.20 | 0.33 | 0.86 | 2.00 | 3.08 | 30.4% |
| 2023Q4 | 92 | 53.0 | 2.89 | 0.36 | 0.71 | 1.82 | 2.74 | 36.4% |
| 2023Q3 | 92 | 55.0 | 3.01 | 0.40 | 0.56 | 2.05 | 2.90 | 39.8% |
| 2023Q2 | 91 | 56.2 | 3.21 | 0.44 | 0.65 | 2.11 | 3.03 | 47.6% |
| 2023Q1 | 90 | 54.4 | 3.09 | 0.48 | 0.62 | 1.99 | 2.92 | 41.9% |
| 2022Q4 | 92 | 58.4 | 3.59 | 0.50 | 0.73 | 2.36 | 3.45 | 52.9% |
| 2022Q3 | 92 | 55.3 | 1.71 | 0.26 | 0.25 | 1.20 | 1.49 | 5.3% |
| 2022Q2 | 91 | 55.3 | 1.36 | 0.31 | 0.23 | 0.82 | 1.06 | 3.8% |
| 2022Q1 | 90 | 53.7 | 1.93 | 0.42 | 0.42 | 1.09 | 1.84 | 26.6% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-23 | Payment Denial | — | CMS provider data |
| 2024-04-25 | Fine | $119,141 | CMS provider data |
| 2024-04-25 | Payment Denial | — | CMS provider data |
| 2023-10-16 | Fine | $17,243 | CMS provider data |
| 2023-10-16 | Payment Denial | — | CMS provider data |
Total fines on record: $136,384
Deficiencies
118C × 2D × 73E × 17F × 16G × 5J × 4K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-10 |
| 2025-12-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-01-13 |
| 2025-12-04 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-01-13 |
| 2025-12-04 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-01-13 |
| 2025-07-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | 2025-08-28 |
| 2025-07-23 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2025-08-28 |
| 2025-04-17 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-23 |
| 2025-04-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-05-23 |
| 2025-04-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-05-23 |
| 2025-04-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-23 |
| 2025-04-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-05-23 |
| 2025-04-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-23 |
| 2025-04-17 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-05-23 |
| 2025-04-17 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-05-23 |
| 2025-04-17 | Health | F0926 | Have policies on smoking. | E | 2025-05-23 |
| 2025-01-15 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-05-23 |
| 2025-01-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0837 | Establish 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. | F | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0946 | Provide training in compliance and ethics. | F | 2025-02-13 |
| 2025-01-15 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2025-02-13 |
| 2024-09-11 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | C | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-18 |
| 2024-09-11 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-10-18 |
| 2024-07-24 | Health · complaint | F0837 | Establish 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. | F | 2024-08-15 |
| 2024-06-12 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-16 |
| 2024-06-12 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-07-16 |
| 2024-06-12 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-07-16 |
| 2024-06-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-16 |
| 2024-06-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-21 |
| 2024-06-12 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-07-16 |
| 2024-06-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-16 |
| 2024-04-25 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-23 |
| 2024-04-25 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-05-23 |
| 2024-04-25 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-05-23 |
| 2024-04-25 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2024-04-09 |
| 2024-04-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-21 |
| 2024-04-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-05-23 |
| 2024-04-25 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-23 |
| 2024-04-25 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-05-23 |
| 2024-04-25 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-05-23 |
| 2024-04-25 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-05-23 |
| 2024-04-25 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-05-23 |
| 2024-04-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-16 |
| 2024-03-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-19 |
| 2024-03-07 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-03-19 |
| 2024-02-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-12 |
| 2023-12-12 | Health · complaint | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-12 |
| 2023-12-12 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-12 |
| 2023-10-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-12 |
| 2023-10-16 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | F | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2023-11-10 |
| 2023-10-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-10 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHOPP, PNINA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2019-10-01 | current | pecos_ownership |
| CHOPP, MARTIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2019-10-01 | current | pecos_ownership |
| CHOPP, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2019-10-01 | current | pecos_ownership |
| BREWER, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-08 | current | pecos_ownership |
| OPAL HEALTHCARE WI LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| OPAL HEALTHCARE WI LLC | ADP OF THE SNF | — | 2025-03-31 | current | pecos_ownership |
| RAMANUJAM, SANDEEP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | current | pecos_ownership |
| BEDROCK HC WI LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| PNINA CHOPP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| MARTIN CHOPP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON CHOPP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| ANTHONY BREWER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-08 | ended 2026-05-18 | pecos_ownership |
| SANDEEP RAMANUJAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-10-01 | — | BEDROCK HCS AT ATKINSON LLC | DYCORA TRANSITIONAL HEALTH-FORT ATKINSON LLC | chow |
Comparable trades — WI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55055 | acs median gross | 0 | $659 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | fmr | 0 | $797 | 2025-10-01 | HUD_USER_FMR |
| county 55055 | acs median gross | 1 | $813 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | fmr | 1 | $917 | 2025-10-01 | HUD_USER_FMR |
| county 55055 | acs median gross | 2 | $1,078 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | fmr | 2 | $1,156 | 2025-10-01 | HUD_USER_FMR |
| county 55055 | acs median gross | 3 | $1,316 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | fmr | 3 | $1,530 | 2025-10-01 | HUD_USER_FMR |
| county 55055 | acs median gross | 4 | $1,327 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | fmr | 4 | $1,536 | 2025-10-01 | HUD_USER_FMR |
| county 55055 | acs median gross | 5 | $1,431 | 2024-12-31 | CENSUS_ACS5 |
| county 55055 | acs median gross | $1,035 | 2024-12-31 | CENSUS_ACS5 | |
| county 55055 | acs recent mover gross | $1,123 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53538 | acs median gross | 0 | $652 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53538 | acs median gross | 1 | $717 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53538 | acs median gross | 2 | $1,055 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53538 | acs median gross | 3 | $1,268 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53538 | acs median gross | 4 | $596 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53538 | acs median gross | $955 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53538 | acs recent mover gross | $588 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53538 | payment standard 110 | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 90 | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | safmr | 0 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 110 | 1 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 90 | 1 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | safmr | 1 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 110 | 3 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 90 | 3 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | safmr | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 110 | 4 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | payment standard 90 | 4 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53538 | safmr | 4 | $1,540 | 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.