Reads as: riskier than 58.7% 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
CO median
National median
National p25–p75
Total nurse
3.62
3.19
3.28
2.90–3.77
RN
0.48
0.57
0.39
0.25–0.58
Weekend total
3.43
3.02
3.11
—
Weekday total
3.70
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.5
3.62
0.48
0.97
2.16
3.43
0.0%
2025Q3
92
94.5
3.64
0.55
0.92
2.17
3.39
0.0%
2025Q2
91
96.9
3.63
0.53
0.93
2.18
3.42
0.0%
2025Q1
90
98.6
3.54
0.44
0.97
2.13
3.31
0.0%
2024Q4
92
99.4
3.36
0.36
0.97
2.03
3.11
0.0%
2024Q3
92
95.5
3.49
0.42
0.97
2.10
3.27
0.0%
2024Q2
91
92.3
3.56
0.45
0.95
2.16
3.37
0.0%
2024Q1
91
91.0
3.72
0.55
0.96
2.21
3.50
0.0%
2023Q4
92
97.0
3.48
0.54
0.85
2.09
3.31
0.0%
2023Q3
92
95.5
3.32
0.55
0.71
2.05
3.15
0.0%
2023Q2
91
92.4
3.21
0.56
0.77
1.88
2.91
0.0%
2023Q1
90
92.6
3.23
0.54
0.77
1.92
2.97
0.0%
2022Q4
92
89.0
3.22
0.54
0.76
1.91
2.96
0.0%
2022Q3
92
90.1
3.19
0.63
0.73
1.83
2.98
0.0%
2022Q2
91
88.8
3.36
0.60
0.74
2.03
3.19
0.0%
2022Q1
90
89.4
3.33
0.71
0.78
1.84
3.07
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
12
D × 8E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-10
2025-12-09
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-01-07
2025-05-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-06-14
2025-05-01
Health
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
2025-06-14
2025-05-01
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
E
2025-06-14
2025-05-01
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-14
2025-05-01
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-06-14
2025-05-01
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
2025-06-14
2025-05-01
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-06-14
2023-09-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-26
2022-06-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-07-30
2022-06-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-07-30
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
48
Owner
Role
Pct
From
Status
Source
DENVER HEALTH CARE MEDICAL INVESTORS
Individual has financial interest in both related organization and provider
50%
2022-10-01
current
hcris_a_8_1
DENVER HEALTHCARE MEDICAL INVESTORS
Individual has financial interest in both related organization and provider
50%
2023-10-01
current
hcris_a_8_1
CROSS, CINDY
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
DENVER HEALTHCARE OPERATIONS, LLC
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
DENVER HEALTHCARE OPERATIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
ESFAHANI, REZA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-22
current
pecos_ownership
ESFAHANI, REZA
ADP OF THE SNF
—
2025-03-07
current
pecos_ownership
FLETCHER, TODD
CORPORATE OFFICER
—
2020-11-02
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
KADIMA, LILLY
MANAGING CONTROL - GOVERNING BODY
—
2020-07-12
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
MAULDIN, MONICA
MANAGING CONTROL - GOVERNING BODY
—
2023-07-10
current
pecos_ownership
MAULDIN, MONICA
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
current
pecos_ownership
PRESTON, FORREST
INDIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
PRESTON, FORREST
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
SCHMIDT, DEREK
OPERATIONAL/MANAGERIAL CONTROL
—
2012-10-18
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
WEETER, JERRY
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
WEETER, JERRY
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
ZIEGLER, JAMES
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
DENVER HEALTH CARE MED INV
Individual has financial interest in both related organization and provider
50%
2019-10-01
ended 2020-09-30
hcris_a_8_1
DENVER HEALTH CARE MED INV
Individual has financial interest in both related organization and provider
50%
2020-10-01
ended 2021-09-30
hcris_a_8_1
DENVER HEALTH CARE MEDICAL INVESTORS
Individual has financial interest in both related organization and provider
50%
2021-10-01
ended 2022-09-30
hcris_a_8_1
JERRY WEETER
DIRECT OWNERSHIP INTEREST
50%
—
ended 2026-05-18
pecos_ownership
FORREST PRESTON
5% OR GREATER DIRECT OWNERSHIP INTEREST
49%
—
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
2005-10-01
ended 2026-05-18
pecos_ownership
DEREK SCHMIDT
OPERATIONAL/MANAGERIAL CONTROL
—
2012-10-18
ended 2026-05-18
pecos_ownership
FORREST PRESTON
CORPORATE OFFICER
—
2005-10-01
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2000-08-31
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-01
ended 2026-05-18
pecos_ownership
JERRY WEETER
ADP OF THE SNF
—
2000-08-31
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2005-10-01
ended 2026-05-18
pecos_ownership
LILLY KADIMA
MANAGING CONTROL - GOVERNING BODY
—
2020-07-12
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE OFFICER
—
2005-10-01
ended 2026-05-18
pecos_ownership
MONICA MAULDIN
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
MONICA MAULDIN
MANAGING CONTROL - GOVERNING BODY
—
2023-07-10
ended 2026-05-18
pecos_ownership
REZA ESFAHANI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-22
ended 2026-05-18
pecos_ownership
REZA ESFAHANI
ADP OF THE SNF
—
2025-03-07
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE OFFICER
—
2005-10-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
CORPORATE OFFICER
—
2020-11-02
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
2024-09-30
$1,747,040
$325,741
—
—
—
8
propco
2023-09-30
$1,673,877
$301,696
—
—
—
9
propco
2022-09-30
$1,765,714
$383,054
—
—
—
9
propco
2021-09-30
$1,795,770
$343,941
—
—
—
9
propco
2020-09-30
$1,597,235
$337,736
—
—
—
9
propco
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 08005
acs median gross
0
$1,660
2024-12-31
CENSUS_ACS5
county 08005
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
1
$1,577
2024-12-31
CENSUS_ACS5
county 08005
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
2
$1,978
2024-12-31
CENSUS_ACS5
county 08005
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
3
$2,412
2024-12-31
CENSUS_ACS5
county 08005
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
4
$2,786
2024-12-31
CENSUS_ACS5
county 08005
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
5
$2,710
2024-12-31
CENSUS_ACS5
county 08005
acs median gross
$1,891
2024-12-31
CENSUS_ACS5
county 08005
acs recent mover gross
$2,014
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
0
$1,583
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
1
$1,474
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
2
$1,852
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
3
$2,477
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
4
$2,678
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
5
$2,375
2024-12-31
CENSUS_ACS5
zcta 80012
acs median gross
$1,753
2024-12-31
CENSUS_ACS5
zcta 80012
acs recent mover gross
$1,802
2024-12-31
CENSUS_ACS5
zip 80012
payment standard 110
0
$1,782
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 90
0
$1,458
2025-10-01
HUD_USER_SAFMR
zip 80012
safmr
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 80012
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 110
2
$2,266
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 90
2
$1,854
2025-10-01
HUD_USER_SAFMR
zip 80012
safmr
2
$2,060
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 110
3
$2,970
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 90
3
$2,430
2025-10-01
HUD_USER_SAFMR
zip 80012
safmr
3
$2,700
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 110
4
$3,311
2025-10-01
HUD_USER_SAFMR
zip 80012
payment standard 90
4
$2,709
2025-10-01
HUD_USER_SAFMR
zip 80012
safmr
4
$3,010
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.