115 E Arndt St, Fond du Lac, WI 54935 · CCN 525270
Composite
35.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 35.2% 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
WI median
National median
National p25–p75
Total nurse
2.94
3.60
3.28
2.90–3.77
RN
0.25
0.64
0.39
0.25–0.58
Weekend total
2.90
3.49
3.11
—
Weekday total
2.96
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.2
2.94
0.25
0.60
2.09
2.90
7.9%
2025Q3
92
43.7
3.27
0.32
0.66
2.29
3.13
6.5%
2025Q2
91
42.7
3.28
0.33
0.73
2.23
3.12
6.1%
2025Q1
90
44.6
3.06
0.24
0.77
2.05
2.96
3.8%
2024Q4
92
43.5
3.13
0.21
0.77
2.15
2.95
2.5%
2024Q3
92
44.5
3.13
0.19
0.67
2.27
2.81
2.4%
2024Q2
91
43.8
3.35
0.21
0.77
2.37
3.05
0.0%
2024Q1
91
45.0
3.20
0.13
0.80
2.28
2.90
0.0%
2023Q4
92
44.9
3.14
0.15
0.82
2.17
2.86
0.8%
2023Q3
92
43.1
3.02
0.03
0.95
2.04
2.75
1.9%
2023Q2
91
45.0
2.56
0.04
0.63
1.90
2.43
0.6%
2023Q1
90
45.7
2.45
0.07
0.60
1.79
2.33
6.1%
2022Q4
92
41.7
2.47
0.02
0.75
1.70
2.50
5.9%
2022Q3
92
39.3
2.90
0.03
0.97
1.89
2.83
3.4%
2022Q2
91
43.9
2.84
0.10
1.00
1.74
2.81
5.9%
2022Q1
90
42.7
2.86
0.13
0.97
1.75
2.74
3.6%
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.
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
2026-05-13
2026-04-22
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-05-13
2026-02-11
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
2026-02-16
2026-01-05
Health · complaint
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2026-01-23
2026-01-05
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.
D
2026-01-06
2026-01-05
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-23
2025-07-17
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-07-22
2025-07-17
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-08-04
2025-07-17
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-07-22
2025-07-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-18
2025-07-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-07-18
2025-07-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-18
2025-07-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-08-06
2025-07-17
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-08-11
2025-07-17
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-07-18
2025-03-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-14
2025-03-14
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-14
2024-06-05
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
2024-07-05
2024-06-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-05
2024-06-05
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-07-05
2024-06-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-05
2024-05-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-05-02
2024-05-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-05-02
2023-11-02
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-03
2023-10-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-03
2023-10-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-11-03
2023-10-19
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
J
2023-11-03
2023-05-17
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-06-16
2023-05-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-16
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
13
Owner
Role
Pct
From
Status
Source
CROSSROADS FOND DU LAC REALTY
—
100%
2023-01-01
current
hcris_a_8_1
REBEL, IGOR
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-12-01
current
pecos_ownership
RHODE, ROSALINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-22
current
pecos_ownership
RHODE, ROSALINDA
ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
TOPPER, AARON
DIRECT OWNERSHIP INTEREST
—
2017-12-01
current
pecos_ownership
WEBER, LISA
ADP OF THE SNF
—
2025-12-30
current
pecos_ownership
WEBER, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-01
current
pecos_ownership
AARON TOPPER
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2017-12-01
ended 2026-05-18
pecos_ownership
IGOR REBEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-12-01
ended 2026-05-18
pecos_ownership
LISA WEBER
ADP OF THE SNF
—
2025-12-30
ended 2026-05-18
pecos_ownership
LISA WEBER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-01
ended 2026-05-18
pecos_ownership
ROSALINDA RHODE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-22
ended 2026-05-18
pecos_ownership
ROSALINDA RHODE
ADP OF THE SNF
—
2025-12-29
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
$530,643
$359,643
—
—
—
2
—
2023-12-31
$294,031
$146,531
—
—
—
2
propco
2022-12-31
$31,500
—
$31,500
—
—
1
—
2021-12-31
$30,000
—
$30,000
—
—
1
—
2020-12-31
$30,000
—
$30,000
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 55039
acs median gross
0
$584
2024-12-31
CENSUS_ACS5
county 55039
fmr
0
$811
2025-10-01
HUD_USER_FMR
county 55039
acs median gross
1
$783
2024-12-31
CENSUS_ACS5
county 55039
fmr
1
$946
2025-10-01
HUD_USER_FMR
county 55039
acs median gross
2
$1,024
2024-12-31
CENSUS_ACS5
county 55039
fmr
2
$1,176
2025-10-01
HUD_USER_FMR
county 55039
acs median gross
3
$1,187
2024-12-31
CENSUS_ACS5
county 55039
fmr
3
$1,522
2025-10-01
HUD_USER_FMR
county 55039
acs median gross
4
$1,333
2024-12-31
CENSUS_ACS5
county 55039
fmr
4
$1,665
2025-10-01
HUD_USER_FMR
county 55039
acs median gross
5
$583
2024-12-31
CENSUS_ACS5
county 55039
acs median gross
$960
2024-12-31
CENSUS_ACS5
county 55039
acs recent mover gross
$1,107
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
0
$577
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
1
$783
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
2
$960
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
3
$1,153
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
4
$1,355
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
5
$405
2024-12-31
CENSUS_ACS5
zcta 54935
acs median gross
$885
2024-12-31
CENSUS_ACS5
zcta 54935
acs recent mover gross
$1,098
2024-12-31
CENSUS_ACS5
zip 54935
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 54935
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 54935
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 54935
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 54935
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 110
4
$1,771
2025-10-01
HUD_USER_SAFMR
zip 54935
payment standard 90
4
$1,449
2025-10-01
HUD_USER_SAFMR
zip 54935
safmr
4
$1,610
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.