224 Park Avenue, Frankfort, MI 49635 · CCN 235460 · chain MUNSON HEALTHCARE
Composite
8.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
35
Model
v1.2
Reads as: riskier than 8.4% 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.
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
16
2025Q4 HPRD
This facility
MI median
National median
National p25–p75
Total nurse
5.74
3.52
3.28
2.90–3.77
RN
0.99
0.47
0.39
0.25–0.58
Weekend total
5.71
3.32
3.11
—
Weekday total
5.75
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
25.0
5.74
0.99
0.68
4.06
5.71
0.0%
2025Q3
92
25.7
5.32
1.26
0.51
3.56
5.30
0.0%
2025Q2
91
27.7
5.22
1.25
0.42
3.56
5.15
0.7%
2025Q1
90
29.9
4.87
1.07
0.44
3.36
4.84
2.4%
2024Q4
92
28.8
5.10
0.95
0.54
3.61
5.07
3.2%
2024Q3
92
25.8
4.88
1.03
0.60
3.25
4.80
4.6%
2024Q2
91
24.5
5.50
1.09
0.69
3.71
5.54
3.9%
2024Q1
91
24.5
5.44
1.10
0.69
3.64
5.44
8.5%
2023Q4
92
24.5
5.48
1.17
0.69
3.62
5.41
13.6%
2023Q3
92
21.1
5.07
1.30
0.78
2.99
4.89
10.1%
2023Q2
91
21.9
5.18
1.29
0.68
3.22
5.01
9.7%
2023Q1
90
22.4
6.02
1.42
0.52
4.09
5.96
13.5%
2022Q4
92
23.9
5.77
1.31
0.52
3.94
5.82
18.0%
2022Q3
92
22.6
5.91
1.32
0.47
4.12
5.67
10.3%
2022Q2
91
24.3
5.64
1.25
0.53
3.86
5.56
7.3%
2022Q1
90
22.3
5.75
1.66
0.23
3.86
5.61
15.1%
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-04
2024-06-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-08-03
2024-02-28
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-04-07
2024-02-28
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-07
2024-02-28
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-04-07
2024-02-28
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-04-07
2024-02-28
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-04-07
2024-02-28
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
2024-04-07
2024-02-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-04-07
2024-02-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-07
2024-02-28
Health
F0880
Provide and implement an infection prevention and control program.
C
2024-04-07
2024-02-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-04-07
2023-03-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-04-18
2023-03-09
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.
D
2023-05-17
2023-03-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-05-17
2023-03-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-05-17
2023-03-09
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2023-04-18
2023-03-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-31
2023-03-09
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F
2023-04-18
2023-03-09
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2023-04-18
2023-03-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-04-18
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
52
Owner
Role
Pct
From
Status
Source
BLOEM, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
BULLOCH, MATTHEW
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
CEGLAREK, NICHOLAS
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
DIXON, KATHY
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
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
LANGLOIS, MARK
ADP OF THE SNF
—
2018-08-01
current
pecos_ownership
LARAIA, KATHLEEN
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
MARINOFF, PETER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
MENGEBIER, DAVID
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
MORLEY, KIMBERLY
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
MUNSON HEALTHCARE
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
MUNSON HEALTHCARE
ADP OF THE SNF
—
2010-02-28
current
pecos_ownership
NELSON, TIMOTHY
ADP OF THE SNF
—
2013-01-01
current
pecos_ownership
NESS, EDWIN
ADP OF THE SNF
—
2004-07-01
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
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
ROBERTS, OWEN
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
SANDERS, MARY
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
SCHULTZ, VINCENT
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
TAKANO, SAKURA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
THOMAS, KRISTINE
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
TOMASZEWSKI, KELLY
ADP OF THE SNF
—
2023-02-15
current
pecos_ownership
VERYSER, THOMAS
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
WOOD, ELAINE
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
ZENNER, BRUCE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ANDREW PAGE
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
BRIAN POSTMA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
BRUCE ZENNER
MANAGING CONTROL - GOVERNING BODY
—
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
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
EDWIN NESS
ADP OF THE SNF
—
2004-07-01
ended 2026-05-18
pecos_ownership
ELAINE WOOD
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
JENNIFER KING
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
KATHLEEN LARAIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
KATHY DIXON
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
KELLY TOMASZEWSKI
ADP OF THE SNF
—
2023-02-15
ended 2026-05-18
pecos_ownership
KENNETH BLOEM
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
KIMBERLY MORLEY
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
KRISTINE THOMAS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
MARK LANGLOIS
ADP OF THE SNF
—
2018-08-01
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
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
OWEN ROBERTS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
PETER MARINOFF
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
RUTH HOPPE
MANAGING CONTROL - GOVERNING BODY
—
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
MANAGING CONTROL - GOVERNING BODY
—
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
MANAGING CONTROL - GOVERNING BODY
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 26019
acs median gross
0
$1,025
2024-12-31
CENSUS_ACS5
county 26019
fmr
0
$904
2025-10-01
HUD_USER_FMR
county 26019
acs median gross
1
$827
2024-12-31
CENSUS_ACS5
county 26019
fmr
1
$937
2025-10-01
HUD_USER_FMR
county 26019
acs median gross
2
$985
2024-12-31
CENSUS_ACS5
county 26019
fmr
2
$1,224
2025-10-01
HUD_USER_FMR
county 26019
acs median gross
3
$1,149
2024-12-31
CENSUS_ACS5
county 26019
fmr
3
$1,586
2025-10-01
HUD_USER_FMR
county 26019
acs median gross
4
$1,528
2024-12-31
CENSUS_ACS5
county 26019
fmr
4
$1,720
2025-10-01
HUD_USER_FMR
county 26019
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 26019
acs recent mover gross
$1,167
2024-12-31
CENSUS_ACS5
zcta 49635
acs median gross
1
$936
2024-12-31
CENSUS_ACS5
zcta 49635
acs median gross
2
$925
2024-12-31
CENSUS_ACS5
zcta 49635
acs median gross
3
$1,113
2024-12-31
CENSUS_ACS5
zcta 49635
acs median gross
$978
2024-12-31
CENSUS_ACS5
zcta 49635
acs recent mover gross
$1,550
2024-12-31
CENSUS_ACS5
zip 49635
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 49635
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 49635
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 49635
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 49635
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 49635
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 49635
safmr
4
$1,560
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.