142 JENKINS MEMORIAL ROAD, WELLSTON, OH 45692 · CCN 365431
Composite
19.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
57
Model
v1.2
Reads as: riskier than 19.1% 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
OH median
National median
National p25–p75
Total nurse
3.31
3.24
3.28
2.90–3.77
RN
0.27
0.38
0.39
0.25–0.58
Weekend total
3.31
3.11
3.11
—
Weekday total
3.30
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
3.31
0.27
0.96
2.08
3.31
0.0%
2025Q3
92
44.2
3.34
0.30
0.95
2.09
3.29
0.0%
2025Q2
91
45.8
3.18
0.30
0.95
1.93
3.19
0.0%
2025Q1
90
44.3
3.35
0.41
0.88
2.07
3.32
0.0%
2024Q4
92
43.8
3.36
0.43
0.89
2.04
3.41
0.0%
2024Q3
92
45.0
3.10
0.54
0.78
1.78
3.15
0.0%
2024Q2
91
43.8
3.19
0.37
0.89
1.93
3.20
0.0%
2024Q1
91
45.2
3.12
0.38
0.84
1.90
3.08
0.0%
2023Q4
92
43.3
3.23
0.42
0.91
1.90
3.15
0.0%
2023Q3
92
43.7
3.27
0.34
0.96
1.97
3.05
0.0%
2023Q2
91
41.7
3.37
0.36
1.04
1.96
3.22
0.0%
2023Q1
90
43.6
3.09
0.42
0.90
1.78
2.97
0.0%
2022Q4
92
42.1
3.34
0.53
0.86
1.95
3.26
0.0%
2022Q3
92
43.7
3.15
0.27
1.07
1.81
3.05
0.0%
2022Q2
91
43.2
3.36
0.25
1.12
2.00
3.37
0.0%
2022Q1
90
41.2
3.56
0.33
1.11
2.11
3.47
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
23
D × 18E × 4G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-11-06
2025-08-06
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-11-06
2025-08-06
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-06
2025-02-06
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-03-14
2025-02-06
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-03-14
2025-02-06
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-03-14
2025-02-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-14
2025-02-06
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-03-14
2025-02-06
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-03-14
2025-02-06
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-03-14
2025-02-06
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
2025-03-14
2024-12-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-17
2019-11-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2019-12-18
2019-11-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2019-12-18
2019-11-15
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2019-12-18
2019-11-15
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2019-12-18
2019-11-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-12-18
2019-11-15
Health
F0679
Provide activities to meet all resident's needs.
E
2019-12-18
2019-11-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-12-18
2019-11-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-12-18
2019-11-15
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2019-12-18
2019-11-15
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.
E
2019-12-18
2019-11-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-12-18
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
22
Owner
Role
Pct
From
Status
Source
ERVIN, GREGORY
CORPORATE DIRECTOR
—
2002-10-15
current
pecos_ownership
FULKS, DAN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
FURBEE, MICHELE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
HAYES, RONALD
CORPORATE DIRECTOR
—
2003-10-01
current
pecos_ownership
HOLZAPFEL, BONNIE
CORPORATE DIRECTOR
—
2017-05-01
current
pecos_ownership
JUSCHKA, DIRK
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
MASSIE, MARTHA
CORPORATE DIRECTOR
—
2000-07-01
current
pecos_ownership
NICHOLS, DAVID
ADP OF THE SNF
—
2001-07-01
current
pecos_ownership
POTTER, WILLIAM
ADP OF THE SNF
—
2013-02-03
current
pecos_ownership
POTTER, WILLIAM
CORPORATE OFFICER
—
2013-02-04
current
pecos_ownership
SIMMONS, JEFF
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
WILLIAM POTTER
CORPORATE OFFICER
100%
2013-02-04
ended 2026-05-18
pecos_ownership
BONNIE HOLZAPFEL
CORPORATE DIRECTOR
—
2017-05-01
ended 2026-05-18
pecos_ownership
DAN FULKS
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
DAVID NICHOLS
CORPORATE OFFICER
—
2001-07-01
ended 2026-05-18
pecos_ownership
DIRK JUSCHKA
ADP OF THE SNF
—
2022-05-01
ended 2026-05-18
pecos_ownership
GREGORY ERVIN
CORPORATE DIRECTOR
—
2002-10-15
ended 2026-05-18
pecos_ownership
JEFF SIMMONS
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
MARTHA MASSIE
CORPORATE DIRECTOR
—
2000-07-01
ended 2026-05-18
pecos_ownership
MICHELE FURBEE
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
RONALD HAYES
CORPORATE DIRECTOR
—
2003-10-01
ended 2026-05-18
pecos_ownership
WILLIAM POTTER
ADP OF THE SNF
—
2013-02-03
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
31
Geo
Kind
BR
Amount
As of
Source
county 39079
fmr
0
$736
2025-10-01
HUD_USER_FMR
county 39079
acs median gross
1
$563
2024-12-31
CENSUS_ACS5
county 39079
fmr
1
$762
2025-10-01
HUD_USER_FMR
county 39079
acs median gross
2
$765
2024-12-31
CENSUS_ACS5
county 39079
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39079
acs median gross
3
$917
2024-12-31
CENSUS_ACS5
county 39079
fmr
3
$1,256
2025-10-01
HUD_USER_FMR
county 39079
acs median gross
4
$961
2024-12-31
CENSUS_ACS5
county 39079
fmr
4
$1,344
2025-10-01
HUD_USER_FMR
county 39079
acs median gross
$769
2024-12-31
CENSUS_ACS5
county 39079
acs recent mover gross
$797
2024-12-31
CENSUS_ACS5
zcta 45692
acs median gross
1
$325
2024-12-31
CENSUS_ACS5
zcta 45692
acs median gross
2
$733
2024-12-31
CENSUS_ACS5
zcta 45692
acs median gross
3
$1,011
2024-12-31
CENSUS_ACS5
zcta 45692
acs median gross
$714
2024-12-31
CENSUS_ACS5
zcta 45692
acs recent mover gross
$1,042
2024-12-31
CENSUS_ACS5
zip 45692
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 45692
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 45692
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 45692
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 45692
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 110
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 45692
payment standard 90
4
$1,215
2025-10-01
HUD_USER_SAFMR
zip 45692
safmr
4
$1,350
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.