Reads as: riskier than 33.8% 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
FL median
National median
National p25–p75
Total nurse
3.48
3.42
3.28
2.90–3.77
RN
0.33
0.45
0.39
0.25–0.58
Weekend total
3.31
3.31
3.11
—
Weekday total
3.54
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
107.0
3.48
0.33
0.91
2.24
3.31
0.0%
2025Q3
92
111.3
3.48
0.41
0.81
2.26
3.25
0.0%
2025Q2
91
110.3
3.48
0.40
0.78
2.31
3.26
0.0%
2025Q1
90
114.0
3.40
0.42
0.73
2.25
3.15
0.0%
2024Q4
92
111.3
3.46
0.43
0.76
2.27
3.27
0.0%
2024Q3
92
112.7
3.44
0.45
0.73
2.26
3.25
0.0%
2024Q2
91
112.4
3.40
0.51
0.67
2.22
3.18
0.0%
2024Q1
91
113.9
3.33
0.41
0.66
2.25
3.16
0.0%
2023Q4
92
109.6
3.42
0.50
0.76
2.17
3.35
0.0%
2023Q3
92
112.7
3.36
0.50
0.65
2.21
3.29
1.4%
2023Q2
91
111.5
3.37
0.49
0.66
2.23
3.23
0.3%
2023Q1
90
114.0
3.33
0.60
0.58
2.15
3.29
3.0%
2022Q4
92
112.9
3.26
0.78
0.39
2.10
3.19
6.7%
2022Q3
92
101.1
3.36
0.78
0.41
2.17
3.20
6.5%
2022Q2
91
93.0
3.45
0.77
0.49
2.19
3.43
2.9%
2022Q1
90
90.2
3.94
0.80
0.59
2.55
3.91
1.0%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-10-18
2025-09-18
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-10-18
2025-09-18
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
2026-01-16
2025-09-18
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
2025-10-18
2025-09-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-01-16
2025-09-18
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-10-18
2025-09-18
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2026-01-16
2025-05-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-06-20
2023-04-13
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-05-13
2023-04-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2023-05-13
2023-04-13
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
2023-05-13
2023-04-13
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-05-13
2023-04-13
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
2023-05-13
2021-06-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-07-17
2021-06-17
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
2021-07-17
2021-06-17
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.
D
2021-07-17
2021-06-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-07-17
2021-06-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-07-17
2021-06-17
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
2021-07-17
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
34
Owner
Role
Pct
From
Status
Source
CONGER, DAVID
ADP OF THE SNF
—
2025-02-27
current
pecos_ownership
CONGER, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2023-09-20
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
GELVIN, CHRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-01
current
pecos_ownership
GELVIN, CHRIS
ADP OF THE SNF
—
2025-02-27
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
LAY, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2012-09-26
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-24
current
pecos_ownership
PRESTON, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2005-01-03
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2012-09-26
current
pecos_ownership
PRESTON, FORREST
INDIRECT OWNERSHIP INTEREST
—
2015-08-24
current
pecos_ownership
SALAS, JULIE
MANAGING CONTROL - GOVERNING BODY
—
2023-08-14
current
pecos_ownership
SWANKER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-24
current
pecos_ownership
FORREST PRESTON
INDIRECT OWNERSHIP INTEREST
100%
2015-08-24
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
0%
2016-07-01
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
0%
2016-07-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
0%
2016-07-01
ended 2026-05-18
pecos_ownership
AARON PRESTON
MANAGING CONTROL - GOVERNING BODY
—
2005-01-03
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
ended 2026-05-18
pecos_ownership
CHRIS GELVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-01
ended 2026-05-18
pecos_ownership
CHRIS GELVIN
ADP OF THE SNF
—
2025-02-27
ended 2026-05-18
pecos_ownership
DAVID CONGER
ADP OF THE SNF
—
2025-02-27
ended 2026-05-18
pecos_ownership
DAVID CONGER
MANAGING CONTROL - GOVERNING BODY
—
2023-09-20
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2012-09-26
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-24
ended 2026-05-18
pecos_ownership
JULIE SALAS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-14
ended 2026-05-18
pecos_ownership
LISA LAY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
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
2025-01-31
$2,421,517
$657,264
—
—
$903,300
7
—
2024-01-31
$2,314,825
$727,863
—
—
$869,099
7
—
2023-01-31
$2,202,511
$603,776
—
—
$833,806
7
—
2022-01-31
$2,434,848
$625,522
$472,669
—
$973,606
7
—
2021-01-31
$2,922,097
$708,318
—
—
$373,735
6
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
34
Geo
Kind
BR
Amount
As of
Source
county 12081
acs median gross
0
$1,526
2024-12-31
CENSUS_ACS5
county 12081
fmr
0
$1,418
2025-10-01
HUD_USER_FMR
county 12081
acs median gross
1
$1,380
2024-12-31
CENSUS_ACS5
county 12081
fmr
1
$1,686
2025-10-01
HUD_USER_FMR
county 12081
acs median gross
2
$1,639
2024-12-31
CENSUS_ACS5
county 12081
fmr
2
$1,958
2025-10-01
HUD_USER_FMR
county 12081
acs median gross
3
$1,845
2024-12-31
CENSUS_ACS5
county 12081
fmr
3
$2,537
2025-10-01
HUD_USER_FMR
county 12081
acs median gross
4
$2,578
2024-12-31
CENSUS_ACS5
county 12081
fmr
4
$3,027
2025-10-01
HUD_USER_FMR
county 12081
acs median gross
5
$1,939
2024-12-31
CENSUS_ACS5
county 12081
acs median gross
$1,671
2024-12-31
CENSUS_ACS5
county 12081
acs recent mover gross
$2,078
2024-12-31
CENSUS_ACS5
zcta 34243
acs median gross
0
$1,452
2024-12-31
CENSUS_ACS5
zcta 34243
acs median gross
1
$1,893
2024-12-31
CENSUS_ACS5
zcta 34243
acs median gross
2
$2,034
2024-12-31
CENSUS_ACS5
zcta 34243
acs median gross
3
$2,477
2024-12-31
CENSUS_ACS5
zcta 34243
acs median gross
$2,115
2024-12-31
CENSUS_ACS5
zcta 34243
acs recent mover gross
$2,291
2024-12-31
CENSUS_ACS5
zip 34243
payment standard 110
0
$1,914
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 90
0
$1,566
2025-10-01
HUD_USER_SAFMR
zip 34243
safmr
0
$1,740
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 110
1
$2,277
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 90
1
$1,863
2025-10-01
HUD_USER_SAFMR
zip 34243
safmr
1
$2,070
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 110
2
$2,640
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 90
2
$2,160
2025-10-01
HUD_USER_SAFMR
zip 34243
safmr
2
$2,400
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 110
3
$3,421
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 90
3
$2,799
2025-10-01
HUD_USER_SAFMR
zip 34243
safmr
3
$3,110
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 110
4
$4,081
2025-10-01
HUD_USER_SAFMR
zip 34243
payment standard 90
4
$3,339
2025-10-01
HUD_USER_SAFMR
zip 34243
safmr
4
$3,710
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.