4118 Kalamazoo Ave SE, Grand Rapids, MI 49508 · CCN 235035 · chain COREWELL HEALTH
Composite
49.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
165
Model
v1.2
Reads as: riskier than 49.2% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
MI median
National median
National p25–p75
Total nurse
4.78
3.52
3.28
2.90–3.77
RN
0.92
0.47
0.39
0.25–0.58
Weekend total
4.57
3.32
3.11
—
Weekday total
4.86
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
141.8
4.78
0.92
0.95
2.92
4.57
9.2%
2025Q3
92
141.4
4.78
0.98
0.98
2.82
4.58
12.1%
2025Q2
91
142.1
4.57
0.86
0.92
2.79
4.29
13.3%
2025Q1
90
142.5
4.31
0.77
0.97
2.57
4.01
15.3%
2024Q4
92
137.6
4.42
0.78
1.08
2.55
4.25
19.3%
2024Q3
92
133.4
4.44
0.82
1.08
2.54
4.27
20.7%
2024Q2
91
132.6
4.79
0.83
1.09
2.88
4.41
19.0%
2024Q1
91
135.6
4.43
0.79
0.91
2.72
4.10
15.5%
2023Q4
92
136.3
4.29
0.73
0.82
2.73
4.01
16.4%
2023Q3
92
131.8
4.50
0.78
0.92
2.80
4.07
21.0%
2023Q2
91
127.9
4.14
0.77
0.85
2.52
3.67
22.9%
2023Q1
90
122.7
4.00
0.78
0.97
2.24
3.76
19.4%
2022Q4
92
117.4
3.28
0.69
0.77
1.83
3.20
10.4%
2022Q3
92
118.1
3.84
0.71
0.87
2.27
3.70
3.1%
2022Q2
91
123.0
4.06
0.78
0.76
2.52
3.81
1.8%
2022Q1
90
124.4
4.35
0.77
0.73
2.86
4.10
1.2%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
21
C × 1D × 17E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-10
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-10-10
2025-09-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-10-10
2025-04-29
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-30
2025-04-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-30
2025-03-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-11
2024-12-05
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-01-03
2024-12-05
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-01-03
2024-08-15
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-09-19
2024-08-15
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-09-19
2024-08-15
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-09-19
2024-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-19
2024-03-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-02
2023-11-07
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-30
2023-07-12
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-08-07
2023-07-12
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-08-07
2023-07-12
Health
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.
C
2023-08-07
2023-07-12
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
2023-08-07
2023-07-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-08-07
2023-07-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-07
2023-07-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-08-07
2023-07-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-07
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
39
Owner
Role
Pct
From
Status
Source
BEG, SIMIN
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
BOETTCHER, IRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BOSS, MICHELLE
ADP OF THE SNF
—
2020-01-19
current
pecos_ownership
BRAGG, TALAWNDA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BUCKLEY, JOHN
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
COREWELL HEALTH
ADP OF THE SNF
—
—
current
pecos_ownership
COX, MATTHEW
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
DOORNBOS, MARY
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
FERRELL-ROBINSON, LYNNETTE
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
FREESE DECKER, CHRISTINA
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
FREESE DECKER, CHRISTINA
CORPORATE OFFICER
—
2018-08-21
current
pecos_ownership
HOFMAN, RONALD
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
MARLOW, TAMILA
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
PAKKALA, KAREN
ADP OF THE SNF
—
2013-03-01
current
pecos_ownership
PINK, BILL
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
PORT, CHRISTOPHER
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
TORRES, JOHANNIE
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
WAALKES, ANNICA
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
WATSON, SAM
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
WILSON, MARK
CORPORATE DIRECTOR
—
2020-08-18
current
pecos_ownership
KAREN PAKKALA
CORPORATE OFFICER
100%
2013-03-01
ended 2026-05-18
pecos_ownership
ANNICA WAALKES
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
BILL PINK
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
CHRISTINA FREESE DECKER
CORPORATE OFFICER
0%
2018-08-21
ended 2026-05-18
pecos_ownership
CHRISTOPHER PORT
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
JOHANNIE TORRES
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
JOHN BUCKLEY
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
LYNNETTE FERRELL-ROBINSON
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
MARK WILSON
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
MARY DOORNBOS
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
MATTHEW COX
CORPORATE OFFICER
0%
2022-07-01
ended 2026-05-18
pecos_ownership
RONALD HOFMAN
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
SAM WATSON
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
SIMIN BEG
CORPORATE DIRECTOR
0%
2020-08-18
ended 2026-05-18
pecos_ownership
TALAWNDA BRAGG
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
CHRISTINA FREESE DECKER
ADP OF THE SNF
—
2025-06-05
ended 2026-05-18
pecos_ownership
IRIS BOETTCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHELLE BOSS
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-19
ended 2026-05-18
pecos_ownership
TAMILA MARLOW
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,348,339
—
$2,299,502
—
—
3
—
2023-12-31
$3,196,791
—
—
—
—
3
—
2022-12-31
$3,964,994
—
$3,795,896
—
$8,597
3
—
2021-12-31
$4,233,182
—
$3,993,586
—
—
3
—
2020-12-31
$3,879,853
—
$3,023,019
—
$426,414
3
—
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 26081
acs median gross
0
$1,041
2024-12-31
CENSUS_ACS5
county 26081
fmr
0
$1,232
2025-10-01
HUD_USER_FMR
county 26081
acs median gross
1
$1,055
2024-12-31
CENSUS_ACS5
county 26081
fmr
1
$1,278
2025-10-01
HUD_USER_FMR
county 26081
acs median gross
2
$1,284
2024-12-31
CENSUS_ACS5
county 26081
fmr
2
$1,531
2025-10-01
HUD_USER_FMR
county 26081
acs median gross
3
$1,524
2024-12-31
CENSUS_ACS5
county 26081
fmr
3
$1,980
2025-10-01
HUD_USER_FMR
county 26081
acs median gross
4
$1,853
2024-12-31
CENSUS_ACS5
county 26081
fmr
4
$2,189
2025-10-01
HUD_USER_FMR
county 26081
acs median gross
5
$1,826
2024-12-31
CENSUS_ACS5
county 26081
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
county 26081
acs recent mover gross
$1,483
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
0
$1,383
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
1
$1,041
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
2
$1,235
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
3
$1,808
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
4
$2,008
2024-12-31
CENSUS_ACS5
zcta 49508
acs median gross
$1,264
2024-12-31
CENSUS_ACS5
zcta 49508
acs recent mover gross
$1,762
2024-12-31
CENSUS_ACS5
zip 49508
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 49508
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 110
1
$1,419
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 90
1
$1,161
2025-10-01
HUD_USER_SAFMR
zip 49508
safmr
1
$1,290
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 49508
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 110
3
$2,200
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 90
3
$1,800
2025-10-01
HUD_USER_SAFMR
zip 49508
safmr
3
$2,000
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 110
4
$2,442
2025-10-01
HUD_USER_SAFMR
zip 49508
payment standard 90
4
$1,998
2025-10-01
HUD_USER_SAFMR
zip 49508
safmr
4
$2,220
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.