Reads as: riskier than 41.5% 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
15
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
4.09
3.13
3.28
2.90–3.77
RN
1.59
0.49
0.39
0.25–0.58
Weekend total
3.76
2.93
3.11
—
Weekday total
4.22
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
35.2
4.09
1.59
0.01
2.50
3.76
3.3%
2025Q3
92
34.3
4.09
1.66
0.02
2.42
3.73
0.0%
2025Q2
91
35.0
4.20
1.65
0.01
2.54
3.81
0.0%
2025Q1
90
34.2
4.35
1.66
0.02
2.67
3.96
0.0%
2024Q4
92
34.9
4.18
1.59
0.00
2.58
3.90
0.0%
2024Q3
92
35.1
4.31
1.59
0.06
2.66
3.96
0.0%
2024Q2
91
35.0
4.38
1.56
0.11
2.71
3.96
0.0%
2024Q1
91
35.9
4.46
1.54
0.14
2.77
4.20
0.0%
2023Q4
92
34.6
4.32
1.54
0.14
2.65
4.07
0.0%
2023Q2
91
35.0
4.36
1.60
0.09
2.67
4.06
0.0%
2023Q1
90
34.8
4.17
1.42
0.21
2.54
3.88
0.0%
2022Q4
92
34.8
4.21
1.51
0.16
2.54
3.99
0.0%
2022Q3
92
33.4
4.39
1.50
0.24
2.64
4.14
0.0%
2022Q2
91
34.5
4.29
1.42
0.27
2.60
3.99
0.0%
2022Q1
90
34.0
4.42
1.51
0.24
2.67
4.15
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.
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
8
D × 4E × 1F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-25
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-26
2025-04-25
Health
F0761
Ensure 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.
E
2025-04-26
2025-04-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-26
2025-04-25
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-04-26
2024-09-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-09-23
2024-05-02
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
2024-05-03
2023-09-28
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-09-29
2023-06-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-09
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
46
Owner
Role
Pct
From
Status
Source
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2004-05-05
current
pecos_ownership
BREEMS, TIM
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
BUIKEMA, PAUL
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
DAMSTRA, EDWARD
CORPORATE DIRECTOR
—
2022-04-02
current
pecos_ownership
DE YOUNG, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
DEGRAFF, DAVE
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
FEENSTRA, THEODORE
CORPORATE DIRECTOR
—
2022-04-02
current
pecos_ownership
JABAAY, PATRICIA
CORPORATE DIRECTOR
—
2022-04-02
current
pecos_ownership
KATS, STEVEN
CORPORATE DIRECTOR
—
2025-04-11
current
pecos_ownership
KOLDENHOVEN, ARNOLD
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
LEO, GARY
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
PETROELJE, ROB
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
PUDWILL, CASEY
ADP OF THE SNF
—
2025-06-09
current
pecos_ownership
PUDWILL, CASEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-27
current
pecos_ownership
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
ADP OF THE SNF
—
2012-08-23
current
pecos_ownership
VAN ESSEN, DARREN
CORPORATE DIRECTOR
—
2022-04-02
current
pecos_ownership
VAN SOLKEMA, KEVIN
CORPORATE DIRECTOR
—
2025-04-11
current
pecos_ownership
VANDERGENUGTEN, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2012-02-01
current
pecos_ownership
VOSS, DAVID
CORPORATE DIRECTOR
—
2022-04-02
current
pecos_ownership
WOO, ERIC
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
YONKER, KYLE
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
YUNEZ, KARIM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
YUNEZ, KARIM
ADP OF THE SNF
—
2025-06-09
current
pecos_ownership
ZANDSTRA, JOHANNA
ADP OF THE SNF
—
2012-08-21
current
pecos_ownership
ARNOLD KOLDENHOVEN
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
DARREN VAN ESSEN
CORPORATE DIRECTOR
0%
2022-04-02
ended 2026-05-18
pecos_ownership
DAVE DEGRAFF
CORPORATE DIRECTOR
0%
2025-04-01
ended 2026-05-18
pecos_ownership
DAVID VOSS
CORPORATE DIRECTOR
0%
2022-04-02
ended 2026-05-18
pecos_ownership
EDWARD DAMSTRA
CORPORATE DIRECTOR
0%
2022-04-02
ended 2026-05-18
pecos_ownership
ERIC WOO
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
GARY LEO
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
JOHANNA ZANDSTRA
CORPORATE OFFICER
0%
2012-08-21
ended 2026-05-18
pecos_ownership
KEVIN VAN SOLKEMA
CORPORATE DIRECTOR
0%
2025-04-11
ended 2026-05-18
pecos_ownership
KYLE YONKER
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
PATRICIA JABAAY
CORPORATE DIRECTOR
0%
2022-04-02
ended 2026-05-18
pecos_ownership
PAUL BUIKEMA
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
ROB PETROELJE
CORPORATE DIRECTOR
0%
2025-04-01
ended 2026-05-18
pecos_ownership
STEVEN KATS
CORPORATE DIRECTOR
0%
2025-04-11
ended 2026-05-18
pecos_ownership
THEODORE FEENSTRA
CORPORATE DIRECTOR
0%
2022-04-02
ended 2026-05-18
pecos_ownership
TIM BREEMS
CORPORATE DIRECTOR
0%
2025-04-01
ended 2026-05-18
pecos_ownership
BARRY VANDERGENUGTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2012-02-01
ended 2026-05-18
pecos_ownership
CASEY PUDWILL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-27
ended 2026-05-18
pecos_ownership
CASEY PUDWILL
ADP OF THE SNF
—
2025-06-09
ended 2026-05-18
pecos_ownership
KARIM YUNEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
KARIM YUNEZ
ADP OF THE SNF
—
2025-06-09
ended 2026-05-18
pecos_ownership
WILLIAM DE YOUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$567,338
—
—
—
—
1
—
2023-12-31
$582,599
—
—
—
—
1
—
2022-12-31
$541,306
—
—
—
—
1
—
2021-12-31
$329,341
—
—
—
—
1
—
2020-12-31
$263,260
—
—
—
—
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 17043
acs median gross
0
$1,453
2024-12-31
CENSUS_ACS5
county 17043
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17043
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
county 17043
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17043
acs median gross
2
$1,729
2024-12-31
CENSUS_ACS5
county 17043
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17043
acs median gross
3
$2,196
2024-12-31
CENSUS_ACS5
county 17043
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17043
acs median gross
4
$2,571
2024-12-31
CENSUS_ACS5
county 17043
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17043
acs median gross
5
$2,886
2024-12-31
CENSUS_ACS5
county 17043
acs median gross
$1,688
2024-12-31
CENSUS_ACS5
county 17043
acs recent mover gross
$1,871
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
0
$1,612
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
1
$1,538
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
2
$1,934
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
3
$2,434
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
4
$2,891
2024-12-31
CENSUS_ACS5
zcta 60126
acs median gross
$1,983
2024-12-31
CENSUS_ACS5
zcta 60126
acs recent mover gross
$2,577
2024-12-31
CENSUS_ACS5
zip 60126
payment standard 110
0
$2,156
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 90
0
$1,764
2025-10-01
HUD_USER_SAFMR
zip 60126
safmr
0
$1,960
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 110
1
$2,299
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 90
1
$1,881
2025-10-01
HUD_USER_SAFMR
zip 60126
safmr
1
$2,090
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 60126
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 110
3
$3,344
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 90
3
$2,736
2025-10-01
HUD_USER_SAFMR
zip 60126
safmr
3
$3,040
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 110
4
$3,872
2025-10-01
HUD_USER_SAFMR
zip 60126
payment standard 90
4
$3,168
2025-10-01
HUD_USER_SAFMR
zip 60126
safmr
4
$3,520
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.