Reads as: riskier than 48.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
46% fined
ELLIOTT BENJAMIN
11 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 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
14
2025Q4 HPRD
This facility
MI median
National median
National p25–p75
Total nurse
3.90
3.52
3.28
2.90–3.77
RN
0.53
0.47
0.39
0.25–0.58
Weekend total
3.94
3.32
3.11
—
Weekday total
3.88
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.3
3.90
0.53
0.51
2.86
3.94
0.0%
2025Q3
92
27.9
4.07
0.67
0.45
2.95
4.04
0.0%
2025Q2
91
25.8
4.43
0.88
0.45
3.09
4.48
0.0%
2025Q1
90
26.0
4.50
0.82
0.44
3.23
4.33
0.0%
2024Q4
92
29.2
3.94
0.56
0.42
2.97
3.81
0.0%
2024Q3
92
28.8
4.02
0.76
0.38
2.87
3.86
0.0%
2024Q2
91
25.5
4.50
0.70
0.45
3.36
4.28
0.0%
2023Q3
92
30.7
3.99
0.91
0.34
2.75
3.84
0.0%
2023Q2
91
30.1
4.21
1.06
0.25
2.90
3.99
0.0%
2023Q1
90
26.8
4.43
1.04
0.27
3.11
4.29
0.0%
2022Q4
92
26.7
4.12
0.75
0.36
3.01
4.01
0.0%
2022Q3
92
28.7
3.63
0.68
0.21
2.75
3.65
0.0%
2022Q2
91
29.2
3.81
0.78
0.37
2.65
3.69
0.0%
2022Q1
90
27.5
4.36
0.94
0.53
2.89
4.03
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
—
2026-03-25
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-04-21
2026-03-25
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-04-21
2026-03-25
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2026-04-21
2026-03-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-04-21
2026-03-25
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2026-04-21
2025-08-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-03
2025-02-13
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2025-03-24
2025-02-13
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-03-24
2025-02-13
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
2025-03-24
2025-02-13
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
2025-03-24
2025-02-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-03-24
2024-07-08
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-08-26
2024-07-08
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2024-08-26
2024-07-08
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
2024-08-26
2024-07-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-08-26
2024-07-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-08-26
2024-07-08
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-08-26
2024-07-08
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
2024-08-26
2024-07-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-08-26
2024-07-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-26
2024-07-08
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-08-26
2024-07-08
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2024-08-26
2024-07-08
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2024-08-26
2024-07-08
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-08-26
2024-07-08
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-08-26
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
51
Owner
Role
Pct
From
Status
Source
BLOEM, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
COTLEAR STUART, HAIM BERNARDO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-03
current
pecos_ownership
DIXON, KATHY
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
ELLIOT, BENJAMIN
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
HOPPE, RUTH
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
KING, JENNIFER
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
KONOPACKI, PAUL
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
KORTH-WHITE, KIRSTEN
ADP OF THE SNF
—
2023-11-30
current
pecos_ownership
LANPHIER, EDWARD
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
MENGEBIER, DAVID
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
MUNSON HEALTHCARE
ADP OF THE SNF
—
2015-02-01
current
pecos_ownership
NELSON, TIMOTHY
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
current
pecos_ownership
NESS, EDWIN
MANAGING CONTROL - GOVERNING BODY
—
2015-02-01
current
pecos_ownership
PAGE, ANDREW
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
POSTMA, BRIAN
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
RECCHIA, DINO
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
ROBERTS, OWEN
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ROWLAND, CLAUDIA
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
SANDERS, MARY
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
SCHULTZ, VINCENT
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
TAKANO, SAKURA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
THOMAS, KRISTINE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
VERYSER, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
WOOD, ELAINE
ADP OF THE SNF
—
2015-02-01
current
pecos_ownership
ZENNER, BRUCE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
KIRSTEN KORTH-WHITE
CORPORATE DIRECTOR
100%
2023-11-30
ended 2026-05-18
pecos_ownership
ANDREW PAGE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN ELLIOT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
BRIAN POSTMA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
BRUCE ZENNER
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
DAVID MENGEBIER
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
DINO RECCHIA
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
EDWIN NESS
MANAGING CONTROL - GOVERNING BODY
—
2015-02-01
ended 2026-05-18
pecos_ownership
ELAINE WOOD
MANAGING CONTROL - GOVERNING BODY
—
2015-02-01
ended 2026-05-18
pecos_ownership
HAIM BERNARDO COTLEAR STUART
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-03
ended 2026-05-18
pecos_ownership
JENNIFER KING
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
KATHY DIXON
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
KENNETH BLOEM
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
KIMBERLY MORLEY
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
KIRSTEN KORTH-WHITE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-23
ended 2026-05-18
pecos_ownership
KRISTINE THOMAS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
MARY SANDERS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
MATTHEW BULLOCH
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS CEGLAREK
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
OWEN ROBERTS
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
PAUL KONOPACKI
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
RUTH HOPPE
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
SAKURA TAKANO
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
THOMAS VERYSER
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY NELSON
ADP OF THE SNF
—
2013-01-01
ended 2026-05-18
pecos_ownership
VINCENT SCHULTZ
ADP OF THE SNF
—
2024-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
34
Geo
Kind
BR
Amount
As of
Source
county 26039
acs median gross
0
$683
2024-12-31
CENSUS_ACS5
county 26039
fmr
0
$716
2025-10-01
HUD_USER_FMR
county 26039
acs median gross
1
$589
2024-12-31
CENSUS_ACS5
county 26039
fmr
1
$875
2025-10-01
HUD_USER_FMR
county 26039
acs median gross
2
$912
2024-12-31
CENSUS_ACS5
county 26039
fmr
2
$1,038
2025-10-01
HUD_USER_FMR
county 26039
acs median gross
3
$869
2024-12-31
CENSUS_ACS5
county 26039
fmr
3
$1,245
2025-10-01
HUD_USER_FMR
county 26039
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
county 26039
fmr
4
$1,472
2025-10-01
HUD_USER_FMR
county 26039
acs median gross
$862
2024-12-31
CENSUS_ACS5
county 26039
acs recent mover gross
$718
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
0
$683
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
1
$559
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
2
$927
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
3
$861
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 49738
acs median gross
$870
2024-12-31
CENSUS_ACS5
zcta 49738
acs recent mover gross
$716
2024-12-31
CENSUS_ACS5
zip 49738
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 49738
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 110
1
$990
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 90
1
$810
2025-10-01
HUD_USER_SAFMR
zip 49738
safmr
1
$900
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 110
2
$1,177
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 90
2
$963
2025-10-01
HUD_USER_SAFMR
zip 49738
safmr
2
$1,070
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 49738
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 110
4
$1,672
2025-10-01
HUD_USER_SAFMR
zip 49738
payment standard 90
4
$1,368
2025-10-01
HUD_USER_SAFMR
zip 49738
safmr
4
$1,520
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.