Reads as: riskier than 14.8% 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 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
3
2025Q4 HPRD
This facility
SC median
National median
National p25–p75
Total nurse
5.50
3.32
3.28
2.90–3.77
RN
0.45
0.33
0.39
0.25–0.58
Weekend total
5.25
3.05
3.11
—
Weekday total
5.60
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.0
5.50
0.45
1.71
3.34
5.25
0.0%
2025Q3
92
50.4
5.88
0.49
1.71
3.67
5.62
0.0%
2025Q2
91
49.8
6.26
0.55
1.79
3.92
5.86
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-11-09
2024-10-11
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-11-09
2024-10-11
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-11-09
2024-10-11
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-11-09
2024-10-11
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
G
2024-11-09
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
17
Owner
Role
Pct
From
Status
Source
HILLIARD, HEYWARD
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
JAGADEESHA, VINAY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
JAGADEESHA, VINAY
ADP OF THE SNF
—
2025-09-23
current
pecos_ownership
JAGADEESHA, VINAY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PATTERSON, BOBBY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
STATE OF SOUTH CAROLINA COMPTROLLER GENERAL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
YOUNG, SHONDA
ADP OF THE SNF
—
2025-09-23
current
pecos_ownership
YOUNG, SHONDA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
YOUNG, SHONDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BOBBY PATTERSON
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
HEYWARD HILLIARD
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
SHONDA YOUNG
ADP OF THE SNF
—
2025-09-23
ended 2026-05-18
pecos_ownership
SHONDA YOUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
SHONDA YOUNG
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
VINAY JAGADEESHA
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
VINAY JAGADEESHA
ADP OF THE SNF
—
2025-09-23
ended 2026-05-18
pecos_ownership
VINAY JAGADEESHA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-06-30
$2,986,938
—
$1,661,093
—
$413,270
8
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2025-01-01
—
STATE OF SOUTH CAROLINA COMPTROLLER GENERAL
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
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
35
Geo
Kind
BR
Amount
As of
Source
county 45041
acs median gross
0
$808
2024-12-31
CENSUS_ACS5
county 45041
fmr
0
$948
2025-10-01
HUD_USER_FMR
county 45041
acs median gross
1
$792
2024-12-31
CENSUS_ACS5
county 45041
fmr
1
$953
2025-10-01
HUD_USER_FMR
county 45041
acs median gross
2
$898
2024-12-31
CENSUS_ACS5
county 45041
fmr
2
$1,117
2025-10-01
HUD_USER_FMR
county 45041
acs median gross
3
$1,052
2024-12-31
CENSUS_ACS5
county 45041
fmr
3
$1,434
2025-10-01
HUD_USER_FMR
county 45041
acs median gross
4
$1,086
2024-12-31
CENSUS_ACS5
county 45041
fmr
4
$1,588
2025-10-01
HUD_USER_FMR
county 45041
acs median gross
5
$686
2024-12-31
CENSUS_ACS5
county 45041
acs median gross
$954
2024-12-31
CENSUS_ACS5
county 45041
acs recent mover gross
$1,092
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
0
$760
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
1
$879
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
2
$738
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
3
$1,036
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
4
$778
2024-12-31
CENSUS_ACS5
zcta 29506
acs median gross
$798
2024-12-31
CENSUS_ACS5
zcta 29506
acs recent mover gross
$874
2024-12-31
CENSUS_ACS5
zip 29506
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 29506
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 29506
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 29506
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 29506
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 110
4
$1,529
2025-10-01
HUD_USER_SAFMR
zip 29506
payment standard 90
4
$1,251
2025-10-01
HUD_USER_SAFMR
zip 29506
safmr
4
$1,390
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.