Reads as: riskier than 84.1% 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
NC median
National median
National p25–p75
Total nurse
2.96
3.08
3.28
2.90–3.77
RN
0.29
0.30
0.39
0.25–0.58
Weekend total
2.87
2.93
3.11
—
Weekday total
3.00
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
73.6
2.96
0.29
0.86
1.81
2.87
30.5%
2025Q3
92
70.7
3.11
0.34
0.76
2.01
3.03
32.1%
2025Q2
91
70.9
3.11
0.43
0.66
2.01
2.84
25.1%
2025Q1
90
69.4
1.66
0.33
0.16
1.17
1.20
0.0%
2024Q4
92
75.8
2.57
0.38
0.47
1.71
2.24
31.1%
2024Q3
92
79.6
3.14
0.38
0.75
2.01
2.93
42.2%
2024Q2
91
79.4
3.00
0.40
0.58
2.01
2.74
35.5%
2024Q1
91
75.3
2.96
0.37
0.49
2.10
2.59
32.4%
2023Q4
92
74.7
2.75
0.36
0.40
1.99
2.54
23.6%
2023Q3
92
75.6
2.95
0.45
0.51
2.00
2.63
33.0%
2023Q2
91
70.0
3.16
0.50
0.50
2.17
2.81
36.3%
2023Q1
90
67.5
3.77
0.34
0.74
2.68
3.36
49.3%
2022Q4
92
67.3
3.63
0.42
0.64
2.57
3.26
40.3%
2022Q3
92
63.7
3.43
0.56
0.57
2.29
3.07
31.5%
2022Q2
91
62.0
3.18
0.54
0.61
2.02
3.02
17.6%
2022Q1
90
59.3
3.30
0.64
0.46
2.20
3.35
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-25
2025-04-17
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-05-25
2025-04-17
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-05-25
2025-04-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-25
2025-04-17
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-25
2025-04-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-25
2025-04-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-25
2025-04-17
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2025-05-25
2025-04-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-25
2025-04-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-25
2024-01-26
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-03-12
2024-01-26
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2024-03-12
2024-01-26
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-03-12
2024-01-26
Health · complaint
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2024-03-12
2024-01-26
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-03-12
2024-01-26
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-12
2024-01-26
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-03-12
2024-01-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-05-29
2024-01-26
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-12
2024-01-26
Health · complaint
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
2024-03-12
2024-01-26
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.
C
2024-03-12
2024-01-26
Health · complaint
F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
D
2024-03-12
2024-01-26
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2024-03-12
2024-01-26
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-12
2024-01-26
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-03-12
2024-01-26
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-03-12
2024-01-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-03-12
2024-01-26
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-03-12
2022-07-15
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2022-08-13
2022-07-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-08-13
2022-07-15
Health
F0888
Ensure staff are vaccinated for COVID-19
G
2022-08-13
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
8
Owner
Role
Pct
From
Status
Source
JOHN M FAUST LIVING TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
26%
2019-01-09
ended 2026-05-18
pecos_ownership
LESLIE WALLSTEDT
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2017-09-13
ended 2026-05-18
pecos_ownership
JEFFREY HOLT
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-11
ended 2026-05-18
pecos_ownership
MARK HICKMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-11
ended 2026-05-18
pecos_ownership
MK MANAGEMENT SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-11
ended 2026-05-18
pecos_ownership
ROBERT BUCHANAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-11
ended 2026-05-18
pecos_ownership
SOPHIA BROWN
W-2 MANAGING EMPLOYEE
—
2020-12-14
ended 2026-05-18
pecos_ownership
SUZANNA BAKER
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-11
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 37173
acs median gross
0
$643
2024-12-31
CENSUS_ACS5
county 37173
fmr
0
$806
2025-10-01
HUD_USER_FMR
county 37173
acs median gross
1
$600
2024-12-31
CENSUS_ACS5
county 37173
fmr
1
$813
2025-10-01
HUD_USER_FMR
county 37173
acs median gross
2
$723
2024-12-31
CENSUS_ACS5
county 37173
fmr
2
$925
2025-10-01
HUD_USER_FMR
county 37173
acs median gross
3
$1,013
2024-12-31
CENSUS_ACS5
county 37173
fmr
3
$1,264
2025-10-01
HUD_USER_FMR
county 37173
acs median gross
4
$3,146
2024-12-31
CENSUS_ACS5
county 37173
fmr
4
$1,390
2025-10-01
HUD_USER_FMR
county 37173
acs median gross
$742
2024-12-31
CENSUS_ACS5
county 37173
acs recent mover gross
$623
2024-12-31
CENSUS_ACS5
zcta 28713
acs median gross
0
$675
2024-12-31
CENSUS_ACS5
zcta 28713
acs median gross
1
$599
2024-12-31
CENSUS_ACS5
zcta 28713
acs median gross
2
$719
2024-12-31
CENSUS_ACS5
zcta 28713
acs median gross
3
$1,054
2024-12-31
CENSUS_ACS5
zcta 28713
acs median gross
$732
2024-12-31
CENSUS_ACS5
zip 28713
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 28713
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 28713
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 28713
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 28713
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 110
4
$1,529
2025-10-01
HUD_USER_SAFMR
zip 28713
payment standard 90
4
$1,251
2025-10-01
HUD_USER_SAFMR
zip 28713
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.