Reads as: riskier than 38.4% 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
16
2025Q4 HPRD
This facility
TN median
National median
National p25–p75
Total nurse
3.43
3.28
3.28
2.90–3.77
RN
0.28
0.34
0.39
0.25–0.58
Weekend total
3.17
3.10
3.11
—
Weekday total
3.53
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
157.1
3.43
0.28
1.08
2.07
3.17
0.0%
2025Q3
92
157.9
3.47
0.22
1.17
2.08
3.18
0.0%
2025Q2
91
154.5
3.21
0.10
0.99
2.12
3.06
0.0%
2025Q1
90
156.5
3.33
0.14
0.95
2.24
3.12
0.0%
2024Q4
92
149.3
3.25
0.15
1.00
2.10
3.12
0.0%
2024Q3
92
165.6
3.32
0.22
0.94
2.16
3.18
0.0%
2024Q2
91
172.5
3.18
0.20
0.88
2.11
3.09
0.0%
2024Q1
91
168.4
2.89
0.17
0.77
1.95
2.88
0.0%
2023Q4
92
163.9
3.16
0.19
0.84
2.13
3.08
0.0%
2023Q3
92
158.1
3.41
0.16
0.85
2.40
3.40
2.1%
2023Q2
91
141.2
3.08
0.15
0.93
2.00
2.97
18.3%
2023Q1
90
151.3
3.11
0.09
1.00
2.03
3.08
20.9%
2022Q4
92
160.0
2.93
0.06
0.95
1.92
2.73
30.1%
2022Q3
92
158.6
3.11
0.08
0.90
2.14
3.04
27.6%
2022Q2
91
162.5
2.90
0.14
1.02
1.74
2.57
36.8%
2022Q1
90
163.4
2.79
0.23
0.87
1.69
2.42
36.1%
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.
Ensure each resident receives an accurate assessment.
D
2025-09-11
2025-09-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-11
2025-09-04
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-09-11
2025-03-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-22
2025-03-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-22
2024-09-05
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2024-09-24
2024-09-05
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-09-24
2024-09-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-09-24
2024-09-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
G
2024-09-24
2024-09-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-24
2024-09-05
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2024-09-24
2024-09-05
Health · complaint
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
2024-09-24
2024-09-05
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
2024-09-24
2024-09-05
Health
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
2024-09-24
2024-09-05
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.
E
2024-09-24
2024-09-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-24
2024-09-05
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-09-24
2024-09-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-24
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
15
Owner
Role
Pct
From
Status
Source
MIDTOWN PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
MIDTOWN PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
CLEARVIEW HEALTHCARE MANAGEMENT TN LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-01
current
pecos_ownership
CLEARVIEW HEALTHCARE MANAGEMENT TN LLC
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
HC FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
SHNZ HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
VUJANOVIC, MICK
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
VUJANOVIC, MICK
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
CLEARVIEW TN SNF HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-01
ended 2026-05-18
pecos_ownership
MIDTOWN PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ZANZIPER FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2020-01-01
ended 2026-05-18
pecos_ownership
SWEET HOME MANAGEMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2021-12-01
ended 2026-05-18
pecos_ownership
CHRISTINE LANDON
W-2 MANAGING EMPLOYEE
—
2023-10-01
ended 2026-04-01
pecos_ownership
MICK VUJANOVIC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
MICK VUJANOVIC
ADP OF THE SNF
—
2025-01-16
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
$4,371,973
$2,462,070
—
$258,820
—
5
propco
2023-12-31
$4,856,232
$2,000,943
—
$1,489,546
—
5
propco
2022-12-31
$5,206,224
$2,253,376
—
$1,456,621
—
5
propco
2021-12-31
$5,157,554
$2,195,313
—
$1,275,092
—
5
—
2020-12-31
$5,241,733
—
—
$1,426,058
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 47157
acs median gross
0
$932
2024-12-31
CENSUS_ACS5
county 47157
fmr
0
$1,060
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
1
$1,052
2024-12-31
CENSUS_ACS5
county 47157
fmr
1
$1,154
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
2
$1,163
2024-12-31
CENSUS_ACS5
county 47157
fmr
2
$1,274
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
3
$1,396
2024-12-31
CENSUS_ACS5
county 47157
fmr
3
$1,683
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
4
$1,640
2024-12-31
CENSUS_ACS5
county 47157
fmr
4
$1,959
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
5
$1,777
2024-12-31
CENSUS_ACS5
county 47157
acs median gross
$1,232
2024-12-31
CENSUS_ACS5
county 47157
acs recent mover gross
$1,412
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
0
$895
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
1
$963
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
2
$1,246
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
3
$1,711
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
4
$2,800
2024-12-31
CENSUS_ACS5
zcta 38104
acs median gross
$1,112
2024-12-31
CENSUS_ACS5
zcta 38104
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zip 38104
payment standard 110
0
$1,342
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 90
0
$1,098
2025-10-01
HUD_USER_SAFMR
zip 38104
safmr
0
$1,220
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 38104
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 38104
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 38104
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 110
4
$2,486
2025-10-01
HUD_USER_SAFMR
zip 38104
payment standard 90
4
$2,034
2025-10-01
HUD_USER_SAFMR
zip 38104
safmr
4
$2,260
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.