Reads as: riskier than 32.3% 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
MO median
National median
National p25–p75
Total nurse
2.82
2.41
3.28
2.90–3.77
RN
0.24
0.25
0.39
0.25–0.58
Weekend total
2.75
2.24
3.11
—
Weekday total
2.85
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.6
2.82
0.24
0.61
1.98
2.75
0.0%
2025Q3
92
34.1
2.73
0.29
0.52
1.91
2.63
0.8%
2025Q2
91
35.1
2.80
0.28
0.55
1.97
2.65
1.0%
2025Q1
90
35.0
2.86
0.33
0.54
1.99
2.67
0.1%
2024Q4
92
32.7
3.02
0.48
0.42
2.11
2.76
0.1%
2024Q3
92
31.1
3.04
0.34
0.61
2.09
2.97
1.5%
2024Q2
91
32.5
2.97
0.40
0.48
2.09
2.77
0.0%
2024Q1
91
32.5
2.52
0.40
0.43
1.68
2.37
1.0%
2023Q4
92
33.8
2.73
0.34
0.52
1.87
2.44
1.4%
2023Q3
92
36.0
2.63
0.35
0.42
1.86
2.46
0.8%
2023Q2
91
31.0
2.90
0.37
0.66
1.86
2.47
0.3%
2023Q1
90
33.0
2.85
0.35
0.75
1.75
2.37
0.9%
2022Q4
92
30.5
3.13
0.33
0.87
1.93
2.77
0.4%
2022Q3
92
35.5
2.84
0.34
0.69
1.81
2.49
4.6%
2022Q2
91
34.4
2.86
0.37
0.66
1.82
2.50
6.3%
2022Q1
90
31.3
3.06
0.37
0.83
1.86
2.66
4.2%
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-27
2025-11-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-12-26
2024-05-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-28
2024-05-21
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-06-28
2024-01-25
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-28
2024-01-25
Health
F0610
Respond appropriately to all alleged violations.
D
2024-06-28
2024-01-25
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2024-03-08
2024-01-25
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
2024-03-08
2024-01-25
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-03-08
2024-01-25
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.
E
2024-04-28
2024-01-25
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-08
2024-01-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-04-28
2024-01-25
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
2024-04-28
2024-01-25
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
2024-04-28
2024-01-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-08
2024-01-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-08
2024-01-25
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2024-03-08
2021-05-27
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2021-08-03
2021-05-27
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2021-08-03
2021-05-27
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2021-08-03
2021-05-27
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2021-08-03
2021-05-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-08-03
2021-05-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2021-08-03
2021-05-27
Health
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.
F
2021-09-02
2021-05-27
Health
F0881
Implement a program that monitors antibiotic use.
E
2021-08-03
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
19
Owner
Role
Pct
From
Status
Source
CLARENCE NURSING HOME DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
CHINN, TIM
CORPORATE DIRECTOR
—
2019-04-23
current
pecos_ownership
LANGHAMMER, CARL
CORPORATE DIRECTOR
—
2014-08-22
current
pecos_ownership
MADDEX, DONNIE
CORPORATE DIRECTOR
—
2020-05-26
current
pecos_ownership
MAUPIN, RICK
CORPORATE DIRECTOR
—
2018-04-17
current
pecos_ownership
MCDOWELL, JAMES
ADP OF THE SNF
—
2025-02-03
current
pecos_ownership
MCDOWELL, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-25
current
pecos_ownership
MCKENZIE, MIKE
CORPORATE DIRECTOR
—
2025-02-25
current
pecos_ownership
MEFFORD, ANGIE
CORPORATE DIRECTOR
—
2021-01-26
current
pecos_ownership
WALKER, MARK
ADP OF THE SNF
—
2008-01-02
current
pecos_ownership
MARK WALKER
OPERATIONAL/MANAGERIAL CONTROL
100%
2008-01-02
ended 2026-05-18
pecos_ownership
ANGIE MEFFORD
CORPORATE DIRECTOR
17%
2021-01-26
ended 2026-05-18
pecos_ownership
CARL LANGHAMMER
CORPORATE DIRECTOR
17%
2014-08-22
ended 2026-05-18
pecos_ownership
DONNIE MADDEX
CORPORATE DIRECTOR
17%
2020-05-26
ended 2026-05-18
pecos_ownership
MIKE MCKENZIE
CORPORATE DIRECTOR
17%
2025-02-25
ended 2026-05-18
pecos_ownership
RICK MAUPIN
CORPORATE DIRECTOR
17%
2018-04-17
ended 2026-05-18
pecos_ownership
TIM CHINN
CORPORATE DIRECTOR
17%
2019-04-23
ended 2026-05-18
pecos_ownership
JAMES MCDOWELL
ADP OF THE SNF
—
2025-02-03
ended 2026-05-18
pecos_ownership
JAMES MCDOWELL
TRUSTEE OF THE SNF
—
2021-08-25
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 29205
fmr
0
$660
2025-10-01
HUD_USER_FMR
county 29205
acs median gross
1
$398
2024-12-31
CENSUS_ACS5
county 29205
fmr
1
$703
2025-10-01
HUD_USER_FMR
county 29205
acs median gross
2
$638
2024-12-31
CENSUS_ACS5
county 29205
fmr
2
$888
2025-10-01
HUD_USER_FMR
county 29205
acs median gross
3
$768
2024-12-31
CENSUS_ACS5
county 29205
fmr
3
$1,189
2025-10-01
HUD_USER_FMR
county 29205
acs median gross
4
$921
2024-12-31
CENSUS_ACS5
county 29205
fmr
4
$1,429
2025-10-01
HUD_USER_FMR
county 29205
acs median gross
5
$694
2024-12-31
CENSUS_ACS5
county 29205
acs median gross
$625
2024-12-31
CENSUS_ACS5
county 29205
acs recent mover gross
$555
2024-12-31
CENSUS_ACS5
zcta 63437
acs median gross
1
$397
2024-12-31
CENSUS_ACS5
zcta 63437
acs median gross
2
$638
2024-12-31
CENSUS_ACS5
zcta 63437
acs median gross
3
$740
2024-12-31
CENSUS_ACS5
zcta 63437
acs median gross
4
$950
2024-12-31
CENSUS_ACS5
zcta 63437
acs median gross
$647
2024-12-31
CENSUS_ACS5
zip 63437
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 63437
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 63437
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 63437
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 110
3
$1,309
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 90
3
$1,071
2025-10-01
HUD_USER_SAFMR
zip 63437
safmr
3
$1,190
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 63437
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 63437
safmr
4
$1,430
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.