Reads as: riskier than 53.7% 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
IN median
National median
National p25–p75
Total nurse
2.77
2.85
3.28
2.90–3.77
RN
0.16
0.40
0.39
0.25–0.58
Weekend total
2.57
2.71
3.11
—
Weekday total
2.85
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.3
2.77
0.16
0.78
1.83
2.57
0.0%
2025Q3
92
44.7
2.85
0.09
0.93
1.83
2.77
0.0%
2025Q2
91
44.8
2.82
0.11
0.81
1.90
2.65
0.0%
2025Q1
90
47.7
2.86
0.17
0.73
1.96
2.59
0.0%
2024Q4
92
51.2
2.76
0.18
0.73
1.85
2.51
0.0%
2024Q3
92
53.1
2.69
0.17
0.72
1.80
2.44
0.0%
2024Q2
91
52.1
2.64
0.19
0.73
1.72
2.33
0.0%
2024Q1
91
50.3
2.75
0.22
0.73
1.80
2.47
0.1%
2023Q4
92
48.3
2.68
0.25
0.65
1.77
2.55
0.0%
2023Q3
92
44.9
2.71
0.29
0.81
1.60
2.48
0.0%
2023Q2
91
46.0
2.69
0.29
0.89
1.51
2.38
0.1%
2023Q1
90
49.2
2.40
0.25
0.86
1.29
2.14
0.0%
2022Q4
92
51.5
2.47
0.20
0.91
1.36
2.16
0.0%
2022Q3
92
51.3
2.54
0.20
0.89
1.45
2.34
0.0%
2022Q2
91
51.6
2.22
0.24
0.65
1.34
2.12
0.0%
2022Q1
90
51.9
2.46
0.29
0.81
1.36
2.40
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
6
D × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-08-30
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-09-22
2024-08-30
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2024-09-22
2024-08-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-09-22
2024-08-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-22
2023-09-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-10-07
2023-09-12
Health
F0679
Provide activities to meet all resident's needs.
D
2023-10-07
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
44
Owner
Role
Pct
From
Status
Source
AMERICAN SENIOR COMMUNITIES LLC
ADP OF THE SNF
—
2015-07-01
current
pecos_ownership
BABCOCK, PAUL
CORPORATE OFFICER
—
2020-09-30
current
pecos_ownership
CAINE, VIRGINIA
CORPORATE OFFICER
—
1994-01-10
current
pecos_ownership
CHIES, STEVEN
MANAGING CONTROL - GOVERNING BODY
—
2016-03-17
current
pecos_ownership
DICE, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
DRUMMER, CARL
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
HANBERG, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-15
current
pecos_ownership
HANBERG, STEVEN
ADP OF THE SNF
—
2026-03-31
current
pecos_ownership
HANIFY, THOMAS
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HARRIS, LISA
CORPORATE OFFICER
—
2003-12-22
current
pecos_ownership
HORN, BRENDA
CORPORATE DIRECTOR
—
2023-12-01
current
pecos_ownership
JACKSON, BLAKE
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
JACKSON, ETHAN
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
JACKSON, MARK
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
JACKSON, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2024-05-14
current
pecos_ownership
JACKSON, WESSLEY
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
JUSTICE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
KELSEY, DONNA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-18
current
pecos_ownership
LAZARD, ROBERT
CORPORATE DIRECTOR
—
2021-01-29
current
pecos_ownership
MANTRAVADI, GEETA
CORPORATE DIRECTOR
—
2021-07-21
current
pecos_ownership
MEYERS, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-23
current
pecos_ownership
PAYNE, MONICA
CORPORATE DIRECTOR
—
2021-08-09
current
pecos_ownership
SHANE, ANDREW
ADP OF THE SNF
—
2023-02-01
current
pecos_ownership
STITLE, STEPHEN
MANAGING CONTROL - GOVERNING BODY
—
2016-03-16
current
pecos_ownership
VAN CAMP, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
WIEDEMAN, EVAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-24
current
pecos_ownership
WIEDEMAN, EVAN
ADP OF THE SNF
—
2026-03-31
current
pecos_ownership
WRIGHT, THERESSA
MANAGING CONTROL - GOVERNING BODY
—
2021-05-21
current
pecos_ownership
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-07-01
ended 2026-05-18
pecos_ownership
AMERICAN SENIOR COMMUNITIES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2003-01-01
ended 2026-05-18
pecos_ownership
BRENDA HORN
CORPORATE DIRECTOR
—
2023-12-01
ended 2026-05-18
pecos_ownership
CARL DRUMMER
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
EVAN WIEDEMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-24
ended 2026-05-18
pecos_ownership
GEETA MANTRAVADI
CORPORATE DIRECTOR
—
2021-07-21
ended 2026-05-18
pecos_ownership
LISA HARRIS
CORPORATE OFFICER
—
2003-12-22
ended 2026-05-18
pecos_ownership
MARK DICE
CONTRACTED MANAGING EMPLOYEE
—
2023-06-01
ended 2026-05-18
pecos_ownership
MELISSA MEYERS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-23
ended 2026-05-18
pecos_ownership
MONICA PAYNE
CORPORATE DIRECTOR
—
2021-08-09
ended 2026-05-18
pecos_ownership
PAUL BABCOCK
CORPORATE OFFICER
—
2020-09-30
ended 2026-05-18
pecos_ownership
ROBERT LAZARD
CORPORATE DIRECTOR
—
2021-01-29
ended 2026-05-18
pecos_ownership
STEVEN HANBERG
CONTRACTED MANAGING EMPLOYEE
—
2018-11-15
ended 2026-05-18
pecos_ownership
STEVEN VAN CAMP
CONTRACTED MANAGING EMPLOYEE
—
2019-09-06
ended 2026-05-18
pecos_ownership
THOMAS HANIFY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
VIRGINIA CAINE
CORPORATE OFFICER
—
1994-01-10
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
$368,380
—
—
—
—
13
—
2023-12-31
$327,699
—
—
—
—
13
—
2022-12-31
$378,739
—
—
—
—
13
—
2021-12-31
$349,494
—
—
—
—
14
—
2020-12-31
$336,884
—
—
—
—
14
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 18039
acs median gross
0
$854
2024-12-31
CENSUS_ACS5
county 18039
fmr
0
$968
2025-10-01
HUD_USER_FMR
county 18039
acs median gross
1
$838
2024-12-31
CENSUS_ACS5
county 18039
fmr
1
$992
2025-10-01
HUD_USER_FMR
county 18039
acs median gross
2
$1,030
2024-12-31
CENSUS_ACS5
county 18039
fmr
2
$1,183
2025-10-01
HUD_USER_FMR
county 18039
acs median gross
3
$1,236
2024-12-31
CENSUS_ACS5
county 18039
fmr
3
$1,553
2025-10-01
HUD_USER_FMR
county 18039
acs median gross
4
$1,325
2024-12-31
CENSUS_ACS5
county 18039
fmr
4
$1,581
2025-10-01
HUD_USER_FMR
county 18039
acs median gross
5
$1,204
2024-12-31
CENSUS_ACS5
county 18039
acs median gross
$1,047
2024-12-31
CENSUS_ACS5
county 18039
acs recent mover gross
$1,119
2024-12-31
CENSUS_ACS5
zcta 46517
acs median gross
1
$829
2024-12-31
CENSUS_ACS5
zcta 46517
acs median gross
2
$900
2024-12-31
CENSUS_ACS5
zcta 46517
acs median gross
3
$1,179
2024-12-31
CENSUS_ACS5
zcta 46517
acs median gross
$938
2024-12-31
CENSUS_ACS5
zcta 46517
acs recent mover gross
$1,142
2024-12-31
CENSUS_ACS5
zip 46517
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 46517
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 46517
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 46517
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 46517
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 46517
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 46517
safmr
4
$1,420
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.