CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 12:30 UTC
Screener / 235039
D

Mission Point Nursing & Physical Rehabilitation Ce

snfMI
3400 Wilson Avenue, Grandville, MI 49418 · CCN 235039 · chain MISSION POINT MANAGEMENT SERVICES LLC
Composite
87.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
114
Model
v1.2
Reads as: riskier than 87.0% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk96.494.90.300.230822.25in index
financial risk92.180.20.300.230821.25in index
staffing risk60.760.70.250.192311.67in index
chow risk58.256.60.150.11546.72in index
billing conduct11.310.00.300.23082.61in index
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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+27.6 vs natlMALI HARI18 facilities
connectionOwner fleet risk far above national+21.9 vs natlMISSION POINT MANAGEMENT SERVICES LLC13 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct10.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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.
chow risk88.2Fv0.6default · in composite
financial risk80.2Fv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · in compositeR23/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.
p chow 12m0.0v0.1default · in compositeR22/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.
regulatory risk94.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk60.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk78.9Dv0.1supersededPre-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.
financial risk58.9Cv0.2supersededPre-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.
financial risk74.4Dv0.3supersededPre-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.
financial risk78.6Dv0.4supersededPre-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.
regulatory risk94.9Fv0.1supersededPre-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.
regulatory risk94.9Fv0.2supersededPre-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.
staffing risk60.7Cv0.1supersededPre-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.
staffing risk60.7Cv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)4.57-1.40
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.80-0.29
Deficiencies, last 12 months0.00-0.17
Chain size (log)2.64+0.16
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.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months0.00+1.43
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Chain size (log)2.64-0.33
Staffing trend, last 4 quarters-0.59-0.30
Never sold on record0.00-0.28
Ownership changes, last 5 years1.00+0.23
Current owner tenure (years)4.57-0.23
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 HPRDThis facilityMI medianNational medianNational p25–p75
Total nurse3.123.523.282.90–3.77
RN0.410.470.390.25–0.58
Weekend total3.073.323.11
Weekday total3.143.613.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49291.13.120.410.721.993.070.0%
2025Q39279.63.320.320.972.033.300.0%
2025Q29176.43.280.281.051.943.250.0%
2025Q19073.73.320.360.922.033.232.9%
2024Q49271.83.720.291.032.393.6511.1%
2024Q39266.43.440.280.942.223.2515.4%
2024Q29157.23.580.371.002.213.2822.6%
2024Q19162.63.190.250.981.962.9625.3%
2023Q49277.43.540.280.792.463.2615.2%
2023Q39284.63.410.120.802.492.6025.6%
2023Q29186.73.430.160.942.333.1874.7%
2023Q19082.52.910.200.771.942.7656.8%
2022Q49275.82.610.390.611.612.4925.2%
2022Q39283.33.010.550.561.912.779.5%
2022Q29182.33.320.450.762.113.120.0%
2022Q19078.84.170.361.312.503.860.0%
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.

Penalties

2
DateTypeFineSource
2023-11-30Fine$198,188CMS provider data
2023-11-30Payment DenialCMS provider data
Total fines on record: $198,188

Deficiencies

69
D × 36E × 23F × 4G × 4J × 2
deficiencies by survey year
3819232425
SurveyTypeTagDeficiencyScopeCorrected
2025-05-22HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-06-13
2025-05-22HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-06-13
2025-05-22HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-06-13
2025-05-22HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-06-13
2025-05-22HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-06-13
2025-05-22HealthF0688Provide 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.D2025-06-13
2025-05-22HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-06-13
2025-05-22HealthF0880Provide and implement an infection prevention and control program.F2025-06-13
2024-10-29Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-10-15
2024-07-17HealthF0584Honor 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.D2024-08-13
2024-07-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-13
2024-07-17HealthF0688Provide 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.D2024-08-13
2024-07-17HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-08-13
2024-07-17Health · complaintF0742Provide 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.D2024-08-13
2024-07-17HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2024-08-13
2024-07-17HealthF0880Provide and implement an infection prevention and control program.D2024-08-13
2024-07-17HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-08-13
2024-05-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-11
2024-02-05Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2024-04-30
2024-02-05Health · complaintF0585Honor 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.D2024-04-30
2024-02-05Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2024-03-04
2024-02-05Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-03-04
2024-02-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-04-30
2024-02-05Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2024-04-30
2024-02-05Health · complaintF0688Provide 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.E2024-03-04
2024-02-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-04-30
2024-02-05Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-04-30
2024-02-05Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-03-04
2024-02-05Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2024-04-30
2024-02-05Health · complaintF0880Provide and implement an infection prevention and control program.E2024-04-30
2024-02-05Health · complaintF0881Implement a program that monitors antibiotic use.D2024-04-30
2023-11-30Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2024-04-30
2023-11-30Health · complaintF0585Honor 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.D2024-04-30
2023-11-30Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2023-12-28
2023-11-30Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-12-28
2023-11-30Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-04-30
2023-11-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-04-30
2023-11-30Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-12-28
2023-11-30Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.E2024-03-04
2023-11-30Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-04-30
2023-11-30Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-03-04
2023-11-30Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2024-04-30
2023-11-30Health · complaintF0880Provide and implement an infection prevention and control program.F2024-04-30
2023-11-30Health · complaintF0881Implement a program that monitors antibiotic use.D2024-04-30
2023-09-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-09-29
2023-09-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-09-29
2023-09-08Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2023-09-29
2023-09-08Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-09-29
2023-07-20Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-07-21
2023-07-20Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-07-21
2023-07-20Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2023-09-29
2023-05-05HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2023-07-21
2023-05-05HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-05-30
2023-05-05HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2023-05-30
2023-05-05HealthF0610Respond appropriately to all alleged violations.D2023-05-30
2023-05-05HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2023-05-30
2023-05-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-05-30
2023-05-05HealthF0679Provide activities to meet all resident's needs.E2023-07-21
2023-05-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-05-30
2023-05-05HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-05-30
2023-05-05HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2023-05-30
2023-05-05HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-07-21
2023-05-05HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-05-30
2023-05-05HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-05-30
2023-05-05HealthF0760Ensure that residents are free from significant medication errors.D2023-05-30
2023-05-05HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2023-09-29
2023-05-05HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-05-30
2023-05-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-05-30
2023-05-05HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2023-05-30
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

7
OwnerRolePctFromStatusSource
MALI, HARI5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-12-31currentpecos_ownership
FOSTER, EMILYW-2 MANAGING EMPLOYEE2021-12-31currentpecos_ownership
MISSION POINT MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2021-12-31currentpecos_ownership
VANDERWALL, CONNIEW-2 MANAGING EMPLOYEE2021-12-31currentpecos_ownership
HARI MALI5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-12-31ended 2026-05-18pecos_ownership
CONNIE VANDERWALLW-2 MANAGING EMPLOYEE2021-12-31ended 2026-05-18pecos_ownership
EMILY FOSTERW-2 MANAGING EMPLOYEE2021-12-31ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2021-12-31MISSION POINT OF GRANDVILLE LLCSUNSET MANOR INCchow

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids120OPTALIS GRAND RAPIDS OPCO LLC
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
GeoKindBRAmountAs ofSource
county 26081acs median gross0$1,0412024-12-31CENSUS_ACS5
county 26081fmr0$1,2322025-10-01HUD_USER_FMR
county 26081acs median gross1$1,0552024-12-31CENSUS_ACS5
county 26081fmr1$1,2782025-10-01HUD_USER_FMR
county 26081acs median gross2$1,2842024-12-31CENSUS_ACS5
county 26081fmr2$1,5312025-10-01HUD_USER_FMR
county 26081acs median gross3$1,5242024-12-31CENSUS_ACS5
county 26081fmr3$1,9802025-10-01HUD_USER_FMR
county 26081acs median gross4$1,8532024-12-31CENSUS_ACS5
county 26081fmr4$2,1892025-10-01HUD_USER_FMR
county 26081acs median gross5$1,8262024-12-31CENSUS_ACS5
county 26081acs median gross$1,2432024-12-31CENSUS_ACS5
county 26081acs recent mover gross$1,4832024-12-31CENSUS_ACS5
zcta 49418acs median gross0$1,0682024-12-31CENSUS_ACS5
zcta 49418acs median gross1$1,2112024-12-31CENSUS_ACS5
zcta 49418acs median gross2$1,2352024-12-31CENSUS_ACS5
zcta 49418acs median gross3$1,8472024-12-31CENSUS_ACS5
zcta 49418acs median gross4$2,0872024-12-31CENSUS_ACS5
zcta 49418acs median gross5$2,5152024-12-31CENSUS_ACS5
zcta 49418acs median gross$1,2612024-12-31CENSUS_ACS5
zcta 49418acs recent mover gross$1,3272024-12-31CENSUS_ACS5
zip 49418payment standard 1100$1,3312025-10-01HUD_USER_SAFMR
zip 49418payment standard 900$1,0892025-10-01HUD_USER_SAFMR
zip 49418safmr0$1,2102025-10-01HUD_USER_SAFMR
zip 49418payment standard 1101$1,4302025-10-01HUD_USER_SAFMR
zip 49418payment standard 901$1,1702025-10-01HUD_USER_SAFMR
zip 49418safmr1$1,3002025-10-01HUD_USER_SAFMR
zip 49418payment standard 1102$1,7052025-10-01HUD_USER_SAFMR
zip 49418payment standard 902$1,3952025-10-01HUD_USER_SAFMR
zip 49418safmr2$1,5502025-10-01HUD_USER_SAFMR
zip 49418payment standard 1103$2,2002025-10-01HUD_USER_SAFMR
zip 49418payment standard 903$1,8002025-10-01HUD_USER_SAFMR
zip 49418safmr3$2,0002025-10-01HUD_USER_SAFMR
zip 49418payment standard 1104$2,4532025-10-01HUD_USER_SAFMR
zip 49418payment standard 904$2,0072025-10-01HUD_USER_SAFMR
zip 49418safmr4$2,2302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.