Reads as: riskier than 52.2% 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
IA median
National median
National p25–p75
Total nurse
3.11
3.15
3.28
2.90–3.77
RN
0.20
0.46
0.39
0.25–0.58
Weekend total
2.98
2.96
3.11
—
Weekday total
3.16
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.9
3.11
0.20
0.60
2.31
2.98
2.2%
2025Q3
92
34.0
3.08
0.16
0.62
2.29
2.94
0.0%
2025Q2
91
30.8
3.04
0.21
0.65
2.19
2.79
4.2%
2025Q1
90
36.9
2.75
0.15
0.64
1.95
2.56
7.7%
2024Q4
92
36.3
3.22
0.42
0.64
2.16
3.00
21.5%
2024Q3
92
34.1
2.90
0.32
0.56
2.01
2.61
12.2%
2024Q2
91
34.8
2.91
0.43
0.53
1.96
2.47
0.0%
2024Q1
91
36.6
2.81
0.29
0.52
2.00
2.75
0.0%
2023Q4
92
35.7
2.60
0.37
0.53
1.69
2.71
0.0%
2023Q3
92
34.4
2.94
0.41
0.59
1.93
3.17
0.0%
2023Q2
91
37.6
2.55
0.39
0.48
1.68
2.43
1.4%
2023Q1
90
35.4
2.85
0.42
0.56
1.88
2.77
4.5%
2022Q4
92
32.7
2.83
0.61
0.36
1.87
2.69
4.8%
2022Q3
92
31.1
2.37
0.54
0.17
1.65
2.00
0.0%
2022Q2
91
34.3
2.66
0.43
0.45
1.79
2.42
22.3%
2022Q1
90
37.1
2.71
0.39
0.43
1.89
2.55
16.1%
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.
Assess the resident when there is a significant change in condition
D
2025-09-22
2025-09-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-09-22
2025-09-04
Health
F0732
Post nurse staffing information every day.
E
2025-09-22
2025-09-04
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2025-09-22
2025-09-04
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-22
2025-09-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-22
2025-09-04
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2025-09-22
2024-09-15
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-10-10
2024-09-15
Health · complaint
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-10-10
2024-09-15
Health · complaint
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
2024-10-10
2024-09-15
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-10-10
2024-07-19
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-20
2024-07-19
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
L
2024-07-20
2024-05-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-05-22
2023-10-05
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-10-13
2023-10-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-13
2023-10-05
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-10-13
2023-10-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-10-13
2023-10-05
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
C
2023-10-13
2023-10-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-13
2023-10-05
Health
F0814
Dispose of garbage and refuse properly.
C
2023-10-13
2023-10-05
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
C
2023-10-13
2023-07-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-16
2023-07-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-08-16
2023-07-19
Health · complaint
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
2023-08-16
2023-07-19
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2023-08-16
2023-07-19
Health · complaint
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-08-16
2023-07-19
Health · complaint
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2023-08-16
2023-07-19
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-08-16
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
10
Owner
Role
Pct
From
Status
Source
TEALWOOD ENTERPRISE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-01-01
current
pecos_ownership
GROFF, HOWARD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2008-09-03
current
pecos_ownership
SHERIDAN, GAIL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2008-09-03
current
pecos_ownership
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
LENEAVE, TED
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
SPURGIN, KASSIDY
W-2 MANAGING EMPLOYEE
—
2023-01-01
current
pecos_ownership
GAIL SHERIDAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2008-09-03
ended 2026-05-18
pecos_ownership
HOWARD GROFF
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2008-09-03
ended 2026-05-18
pecos_ownership
KASSIDY SPURGIN
W-2 MANAGING EMPLOYEE
—
2023-01-01
ended 2026-05-18
pecos_ownership
TED LENEAVE
CORPORATE OFFICER
—
2019-10-01
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
$183,937
—
$183,937
—
—
1
—
2023-12-31
$218,486
—
$218,486
—
—
1
—
2022-12-31
$254,993
—
$254,993
—
—
1
—
2021-12-31
$260,177
—
$260,177
—
—
1
—
2020-12-31
$214,976
—
—
—
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 19023
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 19023
acs median gross
1
$486
2024-12-31
CENSUS_ACS5
county 19023
fmr
1
$700
2025-10-01
HUD_USER_FMR
county 19023
acs median gross
2
$847
2024-12-31
CENSUS_ACS5
county 19023
fmr
2
$919
2025-10-01
HUD_USER_FMR
county 19023
acs median gross
3
$877
2024-12-31
CENSUS_ACS5
county 19023
fmr
3
$1,102
2025-10-01
HUD_USER_FMR
county 19023
acs median gross
4
$983
2024-12-31
CENSUS_ACS5
county 19023
fmr
4
$1,367
2025-10-01
HUD_USER_FMR
county 19023
acs median gross
$812
2024-12-31
CENSUS_ACS5
county 19023
acs recent mover gross
$784
2024-12-31
CENSUS_ACS5
zcta 50670
acs median gross
1
$375
2024-12-31
CENSUS_ACS5
zcta 50670
acs median gross
2
$1,150
2024-12-31
CENSUS_ACS5
zcta 50670
acs median gross
$931
2024-12-31
CENSUS_ACS5
zip 50670
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 50670
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 110
1
$858
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 90
1
$702
2025-10-01
HUD_USER_SAFMR
zip 50670
safmr
1
$780
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 50670
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 50670
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 50670
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 50670
safmr
4
$1,490
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.