1858 N PROSPECT AVE, MILWAUKEE, WI 53202 · CCN 525539
Composite
24.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
27
Model
v1.2
Reads as: riskier than 24.4% 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
7 chains
US BANK NATIONAL ASSOCIATION
24 facilities
connection
Owner fleet enforcement cluster
60% fined
KARE TECHNOLOGIES LLC
10 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
4.88
3.60
3.28
2.90–3.77
RN
0.97
0.64
0.39
0.25–0.58
Weekend total
4.74
3.49
3.11
—
Weekday total
4.94
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
22.6
4.88
0.97
0.80
3.12
4.74
13.0%
2025Q3
92
21.9
4.77
0.98
0.84
2.95
4.70
6.5%
2025Q2
91
21.3
4.82
1.03
0.84
2.96
4.82
5.2%
2025Q1
90
22.7
4.68
0.98
0.81
2.89
4.67
8.0%
2024Q4
92
23.2
4.56
0.96
0.80
2.80
4.50
9.6%
2024Q3
92
23.5
5.20
0.98
0.76
3.46
5.07
10.5%
2024Q2
91
23.1
4.67
0.99
0.80
2.88
4.55
8.5%
2024Q1
91
22.6
4.95
0.88
0.94
3.14
4.88
4.3%
2023Q4
92
20.7
5.17
1.09
0.88
3.20
5.08
8.0%
2023Q3
92
22.4
4.57
0.92
0.89
2.76
4.46
6.4%
2023Q2
91
21.5
4.87
1.07
0.81
2.99
4.82
8.1%
2023Q1
90
23.1
4.56
1.05
0.74
2.77
4.64
6.5%
2022Q4
92
22.8
4.45
0.82
0.86
2.77
4.47
4.0%
2022Q3
92
20.3
5.00
0.84
1.17
2.99
4.84
5.7%
2022Q2
91
20.6
5.27
0.84
1.06
3.36
5.15
5.8%
2022Q1
90
20.6
4.91
0.84
1.02
3.04
4.80
4.7%
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
14
D × 8E × 1F × 4G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-04-30
2025-06-03
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-07
2025-06-03
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-07-07
2025-06-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-29
2025-06-03
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-08-29
2025-06-03
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-07-03
2025-06-03
Health
F0908
Keep all essential equipment working safely.
F
2025-08-29
2024-04-24
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-05-24
2023-02-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-27
2023-02-21
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-04-17
2023-02-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-03-27
2023-02-21
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-03-27
2023-02-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-03-27
2023-02-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-27
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
75
Owner
Role
Pct
From
Status
Source
ANDERSON, CASSANDRA
ADP OF THE SNF
—
2022-03-14
current
pecos_ownership
ANDERSON, RENEE
CORPORATE OFFICER
—
2011-07-01
current
pecos_ownership
ARMBRUSTER, KATHY
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
ARNDT, BETTY
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
BEAL, POLLY
ADP OF THE SNF
—
2014-05-02
current
pecos_ownership
BECKLEY MILNER, DIANE
ADP OF THE SNF
—
2018-05-01
current
pecos_ownership
BEHAVIORAL SOLUTIONS INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BRIGHTON HOSPICE WISCONSIN LLC
ADP OF THE SNF
—
2023-08-07
current
pecos_ownership
BURKE, ERIN
ADP OF THE SNF
—
2019-11-04
current
pecos_ownership
BUTLER, HELENE
ADP OF THE SNF
—
1999-05-24
current
pecos_ownership
COBURN, MATTHEW
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
COMMUNITY FOOT AND ANKLE CLINIC INC
ADP OF THE SNF
—
2019-02-26
current
pecos_ownership
COPPERNOLL, LEE
ADP OF THE SNF
—
2018-05-01
current
pecos_ownership
DAVIS CLINICAL CONSULTING
ADP OF THE SNF
—
2024-12-30
current
pecos_ownership
DIETITIANS ON DEMAND CORPORATE SOLUTIONS, LLC
ADP OF THE SNF
—
2022-01-31
current
pecos_ownership
EAGER, DAVID
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
EXUM-PRYOR, LAKESHIA
ADP OF THE SNF
—
2018-07-23
current
pecos_ownership
FRY, WILLIAM
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
GESZVAIN, MELISSA
ADP OF THE SNF
—
2019-09-03
current
pecos_ownership
GUARDIAN PHARMACY OF MADISON, LLC
ADP OF THE SNF
—
2023-08-01
current
pecos_ownership
GUNTER, MATTHEW
ADP OF THE SNF
—
2024-06-01
current
pecos_ownership
HEARING CARE AT HOME LLC
ADP OF THE SNF
—
2022-12-08
current
pecos_ownership
HENDERSON, ANTONIO
ADP OF THE SNF
—
2020-06-22
current
pecos_ownership
HILDEBRAND, KIRSTEN
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
HOMETOWN HOSPICE & HOMECARE INC
ADP OF THE SNF
—
2014-09-17
current
pecos_ownership
INTEGRATED THERAPY MANAGMENT PARTNERS, LLC
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
KARE TECHNOLOGIES LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
KELNHOFER, ALAN
ADP OF THE SNF
—
2025-01-12
current
pecos_ownership
LEGACY HOSPICE CARES LLC
ADP OF THE SNF
—
2022-04-13
current
pecos_ownership
LEMMINGER, DAN
CORPORATE OFFICER
—
2011-10-03
current
pecos_ownership
LOYD, MATTHEW
ADP OF THE SNF
—
2021-01-18
current
pecos_ownership
LOYD, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-16
current
pecos_ownership
LUTHER, ANNE
ADP OF THE SNF
—
2007-08-29
current
pecos_ownership
MADISON MEDICAL AFFILIATES INC
ADP OF THE SNF
—
2013-12-05
current
pecos_ownership
MASS, OMAR
ADP OF THE SNF
—
2022-02-14
current
pecos_ownership
MOON, JUDITH
ADP OF THE SNF
—
2015-05-02
current
pecos_ownership
PATRINOS, DANIEL
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
PETITT, DOROTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-18
current
pecos_ownership
PREFERRED DENTISTRY ASSOCIATES, LLC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
SAINT JOHN'S COMMUNITIES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1994-07-01
current
pecos_ownership
SALTNESS, RACHEL
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
SCHREINER, RICHARD
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
THE MEDICAL COLLEGE OF WISCONSIN INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
THE MEDICAL COLLEGE OF WISCONSIN INC
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
US BANK NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST
—
2015-12-09
current
pecos_ownership
WHITESIDE, CAZMER
ADP OF THE SNF
—
2024-05-13
current
pecos_ownership
RENEE ANDERSON
CORPORATE OFFICER
100%
2011-07-01
ended 2026-05-18
pecos_ownership
ALAN KELNHOFER
ADP OF THE SNF
—
2025-01-12
ended 2026-05-18
pecos_ownership
ANNE LUTHER
ADP OF THE SNF
—
2007-08-29
ended 2026-05-18
pecos_ownership
ANTONIO HENDERSON
ADP OF THE SNF
—
2020-06-22
ended 2026-05-18
pecos_ownership
BETTY ARNDT
ADP OF THE SNF
—
2022-05-01
ended 2026-05-18
pecos_ownership
CASSANDRA ANDERSON
ADP OF THE SNF
—
2022-03-14
ended 2026-05-18
pecos_ownership
CAZMER WHITESIDE
ADP OF THE SNF
—
2024-05-13
ended 2026-05-18
pecos_ownership
DAN LEMMINGER
ADP OF THE SNF
—
2011-10-03
ended 2026-05-18
pecos_ownership
DANIEL PATRINOS
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
DAVID EAGER
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
DIANE BECKLEY MILNER
ADP OF THE SNF
—
2018-05-01
ended 2026-05-18
pecos_ownership
DOROTHY PETITT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-18
ended 2026-05-18
pecos_ownership
ERIN BURKE
ADP OF THE SNF
—
2019-11-04
ended 2026-05-18
pecos_ownership
HELENE BUTLER
ADP OF THE SNF
—
1999-05-24
ended 2026-05-18
pecos_ownership
JUDITH MOON
ADP OF THE SNF
—
2015-05-02
ended 2026-05-18
pecos_ownership
KATHY ARMBRUSTER
ADP OF THE SNF
—
2016-10-01
ended 2026-05-18
pecos_ownership
KIRSTEN HILDEBRAND
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
LAKESHIA EXUM-PRYOR
ADP OF THE SNF
—
2018-07-23
ended 2026-05-18
pecos_ownership
LEE COPPERNOLL
ADP OF THE SNF
—
2018-05-01
ended 2026-05-18
pecos_ownership
MATTHEW COBURN
ADP OF THE SNF
—
2021-05-01
ended 2026-05-18
pecos_ownership
MATTHEW GUNTER
ADP OF THE SNF
—
2024-06-01
ended 2026-05-18
pecos_ownership
MATTHEW LOYD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-16
ended 2026-05-18
pecos_ownership
MATTHEW LOYD
ADP OF THE SNF
—
2021-01-18
ended 2026-05-18
pecos_ownership
MELISSA GESZVAIN
ADP OF THE SNF
—
2019-09-03
ended 2026-05-18
pecos_ownership
OMAR MASS
ADP OF THE SNF
—
2022-02-14
ended 2026-05-18
pecos_ownership
POLLY BEAL
ADP OF THE SNF
—
2014-05-02
ended 2026-05-18
pecos_ownership
RACHEL SALTNESS
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
RICHARD SCHREINER
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
WILLIAM FRY
ADP OF THE SNF
—
2024-05-01
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
$967,887
—
—
—
—
1
—
2023-12-31
$858,529
—
—
—
—
1
—
2022-12-31
$684,028
—
—
—
—
1
—
2021-12-31
$610,385
—
—
—
$572,301
1
—
2020-12-31
$603,861
—
—
—
—
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 55079
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 55079
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
1
$927
2024-12-31
CENSUS_ACS5
county 55079
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
2
$1,130
2024-12-31
CENSUS_ACS5
county 55079
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
3
$1,280
2024-12-31
CENSUS_ACS5
county 55079
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
4
$1,384
2024-12-31
CENSUS_ACS5
county 55079
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55079
acs median gross
5
$1,458
2024-12-31
CENSUS_ACS5
county 55079
acs median gross
$1,101
2024-12-31
CENSUS_ACS5
county 55079
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
0
$927
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
1
$1,156
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
2
$1,929
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
3
$1,962
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
4
$1,190
2024-12-31
CENSUS_ACS5
zcta 53202
acs median gross
$1,259
2024-12-31
CENSUS_ACS5
zcta 53202
acs recent mover gross
$1,461
2024-12-31
CENSUS_ACS5
zip 53202
payment standard 110
0
$1,694
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 90
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 53202
safmr
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 110
1
$1,848
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 90
1
$1,512
2025-10-01
HUD_USER_SAFMR
zip 53202
safmr
1
$1,680
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 110
2
$2,211
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 90
2
$1,809
2025-10-01
HUD_USER_SAFMR
zip 53202
safmr
2
$2,010
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 110
3
$2,728
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 90
3
$2,232
2025-10-01
HUD_USER_SAFMR
zip 53202
safmr
3
$2,480
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 110
4
$2,948
2025-10-01
HUD_USER_SAFMR
zip 53202
payment standard 90
4
$2,412
2025-10-01
HUD_USER_SAFMR
zip 53202
safmr
4
$2,680
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.