Reads as: riskier than 92.4% 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
15
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
2.92
3.33
3.28
2.90–3.77
RN
0.35
0.43
0.39
0.25–0.58
Weekend total
2.64
3.03
3.11
—
Weekday total
3.02
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
115.3
2.92
0.35
0.82
1.75
2.64
0.0%
2025Q3
92
96.8
3.13
0.34
0.83
1.96
2.92
0.0%
2025Q2
91
98.0
3.19
0.35
0.77
2.06
3.14
0.0%
2025Q1
90
103.4
3.03
0.36
0.80
1.86
2.88
0.0%
2024Q4
92
112.3
2.98
0.39
0.80
1.80
2.85
0.0%
2024Q3
92
111.7
2.78
0.34
0.76
1.68
2.63
0.0%
2024Q2
91
105.6
3.05
0.34
0.84
1.87
2.88
0.0%
2024Q1
91
103.8
3.13
0.38
0.86
1.89
2.92
0.0%
2023Q4
92
102.6
3.12
0.37
0.79
1.97
2.91
0.0%
2023Q3
92
101.8
3.12
0.40
0.85
1.87
2.89
0.0%
2023Q2
91
106.5
2.91
0.38
0.91
1.63
2.64
0.0%
2023Q1
90
108.5
3.01
0.38
0.84
1.79
2.66
0.0%
2022Q4
92
109.8
2.60
0.35
0.55
1.70
2.02
0.0%
2022Q3
92
111.7
2.65
0.35
0.65
1.65
2.13
0.0%
2022Q1
90
126.3
2.60
0.38
0.89
1.34
2.09
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-06-27
2024-08-07
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-10-01
2024-08-07
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2024-10-01
2024-08-07
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-10-01
2024-08-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-01
2024-08-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-10-01
2024-08-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-01
2024-08-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-01
2024-08-07
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-10-01
2024-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-10-01
2024-08-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-10-01
2024-05-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-06-21
2024-05-24
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2024-06-21
2022-04-19
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-06-01
2022-04-19
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2022-06-01
2022-04-19
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-06-01
2022-04-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-06-01
2022-04-19
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-06-01
2022-04-19
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
2022-06-01
2022-04-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-06-01
2019-10-25
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-12-21
2019-10-25
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2019-12-21
2019-10-25
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2019-12-21
2019-10-25
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
2019-12-21
2019-10-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-12-21
2019-10-25
Health
F0679
Provide activities to meet all resident's needs.
D
2019-12-21
2019-10-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2020-01-20
2019-10-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-12-21
2019-10-25
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2019-12-15
2019-10-25
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-12-21
2019-10-25
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2020-01-20
2019-10-25
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.
D
2019-12-21
2019-10-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-01-20
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
26
Owner
Role
Pct
From
Status
Source
ABRAHAM, MARIE
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
BREEN, JULIANNE
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
BURKE, JERRY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
CLARK, RUSSELL
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
CONNOR, ANNE
CORPORATE OFFICER
—
2022-02-13
current
pecos_ownership
KANE, JEFF
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
MILLS, DEBORAH
CORPORATE DIRECTOR
—
2010-01-01
current
pecos_ownership
OHMANN, ROBERT
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
PITCHER, PATRICIA
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
RUTTER, JEREMY
CORPORATE OFFICER
—
2021-11-01
current
pecos_ownership
VOCE, LINDA
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
WILLIAMS, JAY
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
WILLIAMS, ROGER
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
JAY WILLIAMS
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
JEFF KANE
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
JERRY BURKE
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
LINDA VOCE
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
MARIE ABRAHAM
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
ROBERT OHMANN
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
ROGER WILLIAMS
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
ANNE CONNOR
CORPORATE OFFICER
—
2022-02-13
ended 2026-05-18
pecos_ownership
DEBORAH MILLS
CORPORATE DIRECTOR
—
2010-01-01
ended 2026-05-18
pecos_ownership
JEREMY RUTTER
CORPORATE OFFICER
—
2021-11-01
ended 2026-05-18
pecos_ownership
JULIANNE BREEN
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
PATRICIA PITCHER
CORPORATE DIRECTOR
—
2021-04-01
ended 2026-05-18
pecos_ownership
RUSSELL CLARK
CORPORATE DIRECTOR
—
2022-07-01
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
2024-12-31
$95,252
—
—
—
—
2
—
2023-12-31
$124,911
—
—
—
—
2
—
2022-12-31
$163,968
—
—
—
—
1
—
2021-12-31
$223,100
—
—
—
—
1
—
2020-12-31
$217,587
—
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 36065
acs median gross
0
$619
2024-12-31
CENSUS_ACS5
county 36065
fmr
0
$899
2025-10-01
HUD_USER_FMR
county 36065
acs median gross
1
$757
2024-12-31
CENSUS_ACS5
county 36065
fmr
1
$926
2025-10-01
HUD_USER_FMR
county 36065
acs median gross
2
$984
2024-12-31
CENSUS_ACS5
county 36065
fmr
2
$1,172
2025-10-01
HUD_USER_FMR
county 36065
acs median gross
3
$1,054
2024-12-31
CENSUS_ACS5
county 36065
fmr
3
$1,405
2025-10-01
HUD_USER_FMR
county 36065
acs median gross
4
$1,133
2024-12-31
CENSUS_ACS5
county 36065
fmr
4
$1,623
2025-10-01
HUD_USER_FMR
county 36065
acs median gross
5
$1,083
2024-12-31
CENSUS_ACS5
county 36065
acs median gross
$944
2024-12-31
CENSUS_ACS5
county 36065
acs recent mover gross
$1,003
2024-12-31
CENSUS_ACS5
zcta 13323
acs median gross
1
$868
2024-12-31
CENSUS_ACS5
zcta 13323
acs median gross
2
$1,396
2024-12-31
CENSUS_ACS5
zcta 13323
acs median gross
3
$1,174
2024-12-31
CENSUS_ACS5
zcta 13323
acs median gross
4
$981
2024-12-31
CENSUS_ACS5
zcta 13323
acs median gross
$1,080
2024-12-31
CENSUS_ACS5
zcta 13323
acs recent mover gross
$1,111
2024-12-31
CENSUS_ACS5
zip 13323
payment standard 110
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 90
0
$972
2025-10-01
HUD_USER_SAFMR
zip 13323
safmr
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 13323
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 110
2
$1,551
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 90
2
$1,269
2025-10-01
HUD_USER_SAFMR
zip 13323
safmr
2
$1,410
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 13323
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 110
4
$2,145
2025-10-01
HUD_USER_SAFMR
zip 13323
payment standard 90
4
$1,755
2025-10-01
HUD_USER_SAFMR
zip 13323
safmr
4
$1,950
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.