Reads as: riskier than 14.3% 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
IA median
National median
National p25–p75
Total nurse
3.35
3.15
3.28
2.90–3.77
RN
0.37
0.46
0.39
0.25–0.58
Weekend total
3.34
2.96
3.11
—
Weekday total
3.36
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.0
3.35
0.37
0.64
2.35
3.34
10.2%
2025Q3
92
81.1
3.38
0.33
0.68
2.36
3.13
7.2%
2025Q2
91
82.1
3.23
0.38
0.56
2.28
3.06
8.5%
2025Q1
90
79.2
3.33
0.36
0.59
2.38
3.27
11.0%
2024Q4
92
71.7
3.38
0.27
0.46
2.65
3.18
2.6%
2024Q3
92
67.9
3.38
0.32
0.56
2.50
3.29
8.0%
2024Q2
91
65.9
3.55
0.34
0.48
2.73
3.47
5.5%
2024Q1
91
67.6
3.50
0.24
0.57
2.68
3.25
4.1%
2023Q4
92
66.6
3.54
0.32
0.50
2.71
3.36
4.3%
2023Q3
92
64.6
3.37
0.48
0.34
2.55
3.09
4.5%
2023Q2
91
62.5
3.27
0.43
0.43
2.41
3.14
9.2%
2023Q1
90
62.3
3.37
0.49
0.40
2.48
3.15
13.6%
2022Q4
92
60.9
3.75
0.44
0.51
2.81
3.49
10.7%
2022Q3
92
61.2
3.53
0.39
0.44
2.70
3.45
16.0%
2022Q2
91
53.1
3.54
0.54
0.37
2.63
3.12
21.8%
2022Q1
90
57.0
3.61
0.28
0.55
2.78
2.93
43.0%
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
9
D × 7E × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-04-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-11
2023-05-25
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-16
2023-05-25
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-06-16
2023-05-25
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-06-16
2023-05-25
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-06-16
2023-05-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-06-16
2023-05-25
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-06-16
2023-05-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-16
2023-05-25
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-06-16
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
41
Owner
Role
Pct
From
Status
Source
ATKINSON, LUCILLE
CORPORATE DIRECTOR
—
1999-01-01
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BROGHAMMER, TIMOTHY
CORPORATE DIRECTOR
—
2004-01-01
current
pecos_ownership
BROGHAMMER, TIMOTHY
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
CATTAIL BCG LLC
DIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
CATTAIL INC
INDIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
CLARKE, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-04-06
current
pecos_ownership
CREATIVE PLANNING HOLD CO LLC
ADP OF THE SNF
—
2024-08-01
current
pecos_ownership
EBERLY, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-01
current
pecos_ownership
ECSI INC
DIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
FRAZIER, KAYLA
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
HENDRICKS, MARITA
CORPORATE DIRECTOR
—
2007-01-01
current
pecos_ownership
HENDRICKS, MARITA
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
IOWA HEALTH CARE ASSOCIATION
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
KLIMES, NICOLE
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-05
current
pecos_ownership
LEEFERS, WILLIAM
CORPORATE DIRECTOR
—
2005-04-01
current
pecos_ownership
LEEFERS, WILLIAM
CORPORATE OFFICER
—
2016-01-01
current
pecos_ownership
MILLENNIUM REHAB & CONSULTING INC
ADP OF THE SNF
—
2023-06-30
current
pecos_ownership
MILLER, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-03-21
current
pecos_ownership
NICOL, SCOTT
CORPORATE DIRECTOR
—
2013-04-01
current
pecos_ownership
PROFFITT, JOSEPH
CORPORATE DIRECTOR
—
2005-01-01
current
pecos_ownership
REDLINGER, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
1995-09-07
current
pecos_ownership
REED, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2009-01-29
current
pecos_ownership
REED, MELISSA
ADP OF THE SNF
—
2026-04-27
current
pecos_ownership
SCHIEL, BRIAN
ADP OF THE SNF
—
2023-05-02
current
pecos_ownership
SCHMIDT, JOHN
CORPORATE DIRECTOR
—
2002-04-01
current
pecos_ownership
SCHMIDT, JOHN
CORPORATE OFFICER
—
2016-01-01
current
pecos_ownership
STEMLER, KATHRYN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-22
current
pecos_ownership
WILLIAM BURKE LTD
ADP OF THE SNF
—
2015-08-12
current
pecos_ownership
MELISSA REED
W-2 MANAGING EMPLOYEE
100%
2011-11-28
ended 2026-05-18
pecos_ownership
JOHN SCHMIDT
CORPORATE DIRECTOR
14%
2002-04-01
ended 2026-05-18
pecos_ownership
JOHN SCHMIDT
CORPORATE OFFICER
14%
2016-01-01
ended 2026-05-18
pecos_ownership
JOSEPH PROFFITT
CORPORATE DIRECTOR
14%
2005-01-01
ended 2026-05-18
pecos_ownership
LUCILLE ATKINSON
CORPORATE DIRECTOR
14%
1999-01-01
ended 2026-05-18
pecos_ownership
MARITA HENDRICKS
CORPORATE OFFICER
14%
2011-04-01
ended 2026-05-18
pecos_ownership
MARITA HENDRICKS
CORPORATE DIRECTOR
14%
2007-01-01
ended 2026-05-18
pecos_ownership
SCOTT NICOL
CORPORATE DIRECTOR
14%
2013-04-01
ended 2026-05-18
pecos_ownership
TIMOTHY BROGHAMMER
CORPORATE OFFICER
14%
2011-04-01
ended 2026-05-18
pecos_ownership
TIMOTHY BROGHAMMER
CORPORATE DIRECTOR
14%
2004-01-01
ended 2026-05-18
pecos_ownership
WILLIAM LEEFERS
CORPORATE OFFICER
14%
2016-01-01
ended 2026-05-18
pecos_ownership
WILLIAM LEEFERS
CORPORATE DIRECTOR
14%
2005-04-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
32
Geo
Kind
BR
Amount
As of
Source
county 19103
acs median gross
0
$944
2024-12-31
CENSUS_ACS5
county 19103
fmr
0
$880
2025-10-01
HUD_USER_FMR
county 19103
acs median gross
1
$921
2024-12-31
CENSUS_ACS5
county 19103
fmr
1
$961
2025-10-01
HUD_USER_FMR
county 19103
acs median gross
2
$1,107
2024-12-31
CENSUS_ACS5
county 19103
fmr
2
$1,141
2025-10-01
HUD_USER_FMR
county 19103
acs median gross
3
$1,612
2024-12-31
CENSUS_ACS5
county 19103
fmr
3
$1,587
2025-10-01
HUD_USER_FMR
county 19103
acs median gross
4
$1,768
2024-12-31
CENSUS_ACS5
county 19103
fmr
4
$1,914
2025-10-01
HUD_USER_FMR
county 19103
acs median gross
$1,122
2024-12-31
CENSUS_ACS5
county 19103
acs recent mover gross
$1,198
2024-12-31
CENSUS_ACS5
zcta 52333
acs median gross
1
$710
2024-12-31
CENSUS_ACS5
zcta 52333
acs median gross
2
$1,073
2024-12-31
CENSUS_ACS5
zcta 52333
acs median gross
3
$1,608
2024-12-31
CENSUS_ACS5
zcta 52333
acs median gross
$1,185
2024-12-31
CENSUS_ACS5
zcta 52333
acs recent mover gross
$1,200
2024-12-31
CENSUS_ACS5
zip 52333
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 52333
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 110
1
$1,133
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 90
1
$927
2025-10-01
HUD_USER_SAFMR
zip 52333
safmr
1
$1,030
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 52333
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 110
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 90
3
$1,530
2025-10-01
HUD_USER_SAFMR
zip 52333
safmr
3
$1,700
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 110
4
$2,244
2025-10-01
HUD_USER_SAFMR
zip 52333
payment standard 90
4
$1,836
2025-10-01
HUD_USER_SAFMR
zip 52333
safmr
4
$2,040
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.