Reads as: riskier than 62.9% 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
MA median
National median
National p25–p75
Total nurse
3.88
3.39
3.28
2.90–3.77
RN
0.33
0.39
0.39
0.25–0.58
Weekend total
3.67
3.26
3.11
—
Weekday total
3.96
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
103.5
3.88
0.33
1.09
2.46
3.67
0.0%
2025Q3
92
101.3
3.85
0.43
0.88
2.54
3.62
0.0%
2025Q2
91
102.9
3.95
0.47
0.89
2.59
3.75
2.9%
2025Q1
90
102.2
4.03
0.52
0.91
2.60
3.75
6.7%
2024Q4
92
104.4
3.81
0.31
1.09
2.41
3.63
6.5%
2024Q3
92
109.1
3.61
0.26
1.12
2.23
3.40
12.1%
2024Q2
91
109.4
3.63
0.36
1.06
2.21
3.44
10.0%
2024Q1
91
113.2
3.51
0.40
0.97
2.15
3.16
12.3%
2023Q4
92
109.7
3.65
0.47
0.96
2.21
3.29
13.2%
2023Q3
92
100.4
3.85
0.45
0.99
2.41
3.61
17.2%
2023Q2
91
103.0
3.92
0.48
1.05
2.40
3.67
25.9%
2023Q1
90
105.8
3.58
0.46
1.03
2.10
3.31
23.5%
2022Q4
92
103.5
3.31
0.41
0.97
1.94
3.08
18.7%
2022Q3
92
101.9
3.29
0.53
0.77
1.98
3.07
17.6%
2022Q2
91
99.4
2.91
0.49
0.61
1.81
2.78
1.7%
2022Q1
90
94.7
2.97
0.46
0.75
1.75
2.88
1.5%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-05-18
2025-12-10
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2025-12-26
2025-12-10
Health
F0760
Ensure that residents are free from significant medication errors.
E
2025-12-26
2025-12-10
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.
D
2025-12-26
2025-12-10
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2025-12-26
2025-08-14
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2025-09-05
2024-12-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
H
2025-01-02
2024-12-04
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
G
2025-01-02
2024-12-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-01-02
2024-12-04
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
H
2025-01-02
2024-12-04
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-01-02
2024-12-04
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-01-02
2024-12-04
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2025-01-02
2024-12-04
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.
D
2025-01-02
2024-12-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-02
2024-12-04
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2025-01-02
2024-12-04
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
E
2025-01-02
2024-12-04
Health · complaint
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
E
2025-01-02
2024-12-04
Health · complaint
F0840
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
D
2025-01-02
2024-12-04
Health · complaint
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
H
2025-01-02
2024-12-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-02
2024-12-04
Health · complaint
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2025-01-02
2024-12-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-02
2023-11-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-12-12
2023-11-22
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
2023-12-12
2023-11-22
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
2023-12-12
2023-11-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-12-12
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
39
Owner
Role
Pct
From
Status
Source
MERRIMACK VALLEY R/E INV
Individual has financial interest in both related organization and provider
100%
2024-04-01
current
hcris_a_8_1
MERRIMACK VALLEY R/E INV
Individual has financial interest in both related organization and provider
100%
2023-04-01
current
hcris_a_8_1
CROSS, CINDY
CORPORATE OFFICER
—
2015-08-06
current
pecos_ownership
FAUSTIN, MOSELINE
ADP OF THE SNF
—
2025-02-12
current
pecos_ownership
FAUSTIN, MOSELINE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-22
current
pecos_ownership
FINKEL, NOAH
ADP OF THE SNF
—
2025-03-05
current
pecos_ownership
FINKEL, NOAH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
2015-08-06
current
pecos_ownership
JANIAK, ANDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-24
current
pecos_ownership
LAY, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-06
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-02-12
current
pecos_ownership
LONG, ZOFIA
MANAGING CONTROL - GOVERNING BODY
—
1999-07-01
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
current
pecos_ownership
PRESTON, FORREST
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-06
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2004-07-12
current
pecos_ownership
SWANKER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2015-08-06
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-06
current
pecos_ownership
FORREST PRESTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-08-06
ended 2026-05-18
pecos_ownership
MERRIMACK VALLEY R/E INV
Individual has financial interest in both related organization and provider
100%
2022-04-01
ended 2023-03-31
hcris_a_8_1
MERRIMACK VALLEY R/E INV
Individual has financial interest in both related organization and provider
100%
2021-04-01
ended 2022-03-31
hcris_a_8_1
MERRIMACK VALLEY R/E INV
Individual has financial interest in both related organization and provider
100%
2020-04-01
ended 2021-03-31
hcris_a_8_1
ANDREA JANIAK
MANAGING CONTROL - GOVERNING BODY
—
2022-08-24
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
2015-08-06
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2004-07-12
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-06
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2015-08-06
ended 2026-05-18
pecos_ownership
LISA LAY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
ended 2026-05-18
pecos_ownership
MOSELINE FAUSTIN
MANAGING CONTROL - GOVERNING BODY
—
2023-05-22
ended 2026-05-18
pecos_ownership
MOSELINE FAUSTIN
ADP OF THE SNF
—
2025-02-12
ended 2026-05-18
pecos_ownership
NOAH FINKEL
ADP OF THE SNF
—
2025-03-05
ended 2026-05-18
pecos_ownership
NOAH FINKEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
2015-08-06
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
ZOFIA LONG
MANAGING CONTROL - GOVERNING BODY
—
1999-07-01
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
2025-03-31
$1,484,820
$3,411
—
—
—
4
propco
2024-03-31
$955,596
—
—
—
$238,078
5
propco
2023-03-31
$683,206
—
—
—
$113,828
5
propco
2022-03-31
$701,155
$3,881
—
—
—
5
propco
2021-03-31
$790,013
—
—
—
$103,581
5
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
29
Geo
Kind
BR
Amount
As of
Source
county 25017
acs median gross
0
$1,773
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
1
$1,807
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
2
$2,336
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
3
$2,612
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
4
$2,955
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
5
$2,755
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
$2,201
2024-12-31
CENSUS_ACS5
county 25017
acs recent mover gross
$2,657
2024-12-31
CENSUS_ACS5
zcta 01862
acs median gross
0
$1,078
2024-12-31
CENSUS_ACS5
zcta 01862
acs median gross
1
$1,664
2024-12-31
CENSUS_ACS5
zcta 01862
acs median gross
2
$2,336
2024-12-31
CENSUS_ACS5
zcta 01862
acs median gross
3
$2,081
2024-12-31
CENSUS_ACS5
zcta 01862
acs median gross
$2,142
2024-12-31
CENSUS_ACS5
zcta 01862
acs recent mover gross
$2,193
2024-12-31
CENSUS_ACS5
zip 01862
payment standard 110
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 90
0
$1,530
2025-10-01
HUD_USER_SAFMR
zip 01862
safmr
0
$1,700
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 110
1
$2,068
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 90
1
$1,692
2025-10-01
HUD_USER_SAFMR
zip 01862
safmr
1
$1,880
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 110
2
$2,717
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 90
2
$2,223
2025-10-01
HUD_USER_SAFMR
zip 01862
safmr
2
$2,470
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 110
3
$3,256
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 90
3
$2,664
2025-10-01
HUD_USER_SAFMR
zip 01862
safmr
3
$2,960
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 110
4
$3,597
2025-10-01
HUD_USER_SAFMR
zip 01862
payment standard 90
4
$2,943
2025-10-01
HUD_USER_SAFMR
zip 01862
safmr
4
$3,270
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.