Reads as: riskier than 14.1% 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
4 chains
AMERGIS HEALTHCARE STAFFING INC
9 facilities
connection
Owner fleet enforcement cluster
50% fined
PRN HEALTH SERVICES INC
6 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
4.33
3.60
3.28
2.90–3.77
RN
0.76
0.64
0.39
0.25–0.58
Weekend total
4.29
3.49
3.11
—
Weekday total
4.34
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
96.0
4.33
0.76
0.61
2.96
4.29
4.1%
2025Q3
92
100.3
4.43
0.80
0.56
3.07
4.35
2.2%
2025Q2
91
100.0
4.47
0.90
0.49
3.09
4.33
0.0%
2025Q1
90
97.9
3.58
0.41
0.17
3.00
3.42
0.0%
2024Q4
92
100.7
3.50
0.37
0.20
2.93
3.38
1.2%
2024Q3
92
100.7
3.39
0.33
0.19
2.87
3.15
0.0%
2024Q2
91
100.5
3.78
0.52
0.32
2.94
3.60
0.0%
2024Q1
91
101.5
4.32
0.76
0.50
3.07
4.20
0.0%
2023Q4
92
95.3
4.26
0.77
0.46
3.03
4.12
0.0%
2023Q3
92
94.2
4.33
0.75
0.41
3.17
4.15
0.0%
2023Q2
91
93.4
4.28
0.82
0.42
3.04
4.08
0.0%
2023Q1
90
95.7
4.28
0.88
0.39
3.01
4.09
0.0%
2022Q4
92
105.1
4.08
0.86
0.45
2.77
4.00
10.1%
2022Q3
92
110.9
3.96
0.80
0.42
2.75
3.85
5.1%
2022Q2
91
107.9
4.15
0.75
0.43
2.97
4.11
4.5%
2022Q1
90
103.9
4.34
0.78
0.50
3.06
4.24
8.4%
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
8
D × 6E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-26
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
2026-04-06
2025-06-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-06-17
2025-04-02
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-04-25
2025-04-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-28
2025-04-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-25
2025-04-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-25
2025-04-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-25
2024-09-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-11
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
40
Owner
Role
Pct
From
Status
Source
ABEL, JACKIE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
ACKER, CHARLEEN
CORPORATE DIRECTOR
—
2017-03-01
current
pecos_ownership
AMERGIS HEALTHCARE STAFFING, INC
ADP OF THE SNF
—
2026-01-13
current
pecos_ownership
AMERGIS HEALTHCARE STAFFING, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
BRADY, NICOLE
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
DAVIS CLINICAL CONSULTING
ADP OF THE SNF
—
2025-12-23
current
pecos_ownership
DAVIS CLINICAL CONSULTING
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
EITING, CLAY
CORPORATE DIRECTOR
—
2024-03-01
current
pecos_ownership
FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.
ADP OF THE SNF
—
2025-12-23
current
pecos_ownership
FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2010-03-15
current
pecos_ownership
GAGE, MICHAEL
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
HIETPAS, PAT
ADP OF THE SNF
—
2018-03-01
current
pecos_ownership
KIENERT, KELSEY
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
KOHLMANN, JOELLEN
CORPORATE DIRECTOR
—
2024-03-01
current
pecos_ownership
LEMKE, KARMEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-02
current
pecos_ownership
MASHL, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-26
current
pecos_ownership
NEVILLE, RYAN
ADP OF THE SNF
—
2025-02-13
current
pecos_ownership
P&M HOLDING GROUP LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2011-01-01
current
pecos_ownership
P&M HOLDING GROUP LLP
ADP OF THE SNF
—
2026-01-13
current
pecos_ownership
PRN HEALTH SERVICES, INC.
ADP OF THE SNF
—
2026-01-13
current
pecos_ownership
PRN HEALTH SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
SABIN-WILSON, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-15
current
pecos_ownership
SCHROEDER, AMBER
ADP OF THE SNF
—
2022-07-19
current
pecos_ownership
VANDEHEY, PAULA
CORPORATE DIRECTOR
—
2024-03-01
current
pecos_ownership
AMBER SCHROEDER
ADP OF THE SNF
—
2022-07-19
ended 2026-05-18
pecos_ownership
CHARLEEN ACKER
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-01
ended 2026-05-18
pecos_ownership
CLAY EITING
CORPORATE DIRECTOR
—
2024-03-01
ended 2026-05-18
pecos_ownership
FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-03-15
ended 2026-05-18
pecos_ownership
FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC
ADP OF THE SNF
—
2025-12-23
ended 2026-05-18
pecos_ownership
JACKIE ABEL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
ended 2026-05-18
pecos_ownership
JOELLEN KOHLMANN
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
KARMEN LEMKE
CORPORATE DIRECTOR
—
2025-06-02
ended 2026-05-18
pecos_ownership
KELSEY KIENERT
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
LISA SABIN-WILSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-15
ended 2026-05-18
pecos_ownership
MEGAN MASHL
ADP OF THE SNF
—
2017-06-26
ended 2026-05-18
pecos_ownership
MICHAEL GAGE
ADP OF THE SNF
—
2019-03-01
ended 2026-05-18
pecos_ownership
NICOLE BRADY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-01
ended 2026-05-18
pecos_ownership
PAT HIETPAS
CORPORATE DIRECTOR
—
2018-03-01
ended 2026-05-18
pecos_ownership
PAULA VANDEHEY
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
RYAN NEVILLE
ADP OF THE SNF
—
2025-02-13
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$125,035
—
—
—
—
1
—
2023-12-31
$110,885
—
—
—
—
1
—
2022-12-31
$116,605
—
—
—
—
1
—
2021-12-31
$110,071
—
—
—
—
1
—
2020-12-31
$97,807
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 55087
acs median gross
0
$923
2024-12-31
CENSUS_ACS5
county 55087
fmr
0
$858
2025-10-01
HUD_USER_FMR
county 55087
acs median gross
1
$808
2024-12-31
CENSUS_ACS5
county 55087
fmr
1
$960
2025-10-01
HUD_USER_FMR
county 55087
acs median gross
2
$1,069
2024-12-31
CENSUS_ACS5
county 55087
fmr
2
$1,236
2025-10-01
HUD_USER_FMR
county 55087
acs median gross
3
$1,359
2024-12-31
CENSUS_ACS5
county 55087
fmr
3
$1,701
2025-10-01
HUD_USER_FMR
county 55087
acs median gross
4
$1,651
2024-12-31
CENSUS_ACS5
county 55087
fmr
4
$1,776
2025-10-01
HUD_USER_FMR
county 55087
acs median gross
5
$1,625
2024-12-31
CENSUS_ACS5
county 55087
acs median gross
$1,057
2024-12-31
CENSUS_ACS5
county 55087
acs recent mover gross
$1,200
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
0
$598
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
1
$834
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
2
$1,049
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
4
$2,078
2024-12-31
CENSUS_ACS5
zcta 54130
acs median gross
$1,058
2024-12-31
CENSUS_ACS5
zcta 54130
acs recent mover gross
$1,024
2024-12-31
CENSUS_ACS5
zip 54130
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 54130
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 54130
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 54130
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 54130
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 110
4
$1,936
2025-10-01
HUD_USER_SAFMR
zip 54130
payment standard 90
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 54130
safmr
4
$1,760
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.