Reads as: riskier than 79.2% 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
NC median
National median
National p25–p75
Total nurse
3.04
3.08
3.28
2.90–3.77
RN
0.28
0.30
0.39
0.25–0.58
Weekend total
2.92
2.93
3.11
—
Weekday total
3.09
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.9
3.04
0.28
0.73
2.03
2.92
60.1%
2025Q3
92
81.8
3.64
0.51
0.95
2.18
3.58
56.6%
2025Q2
91
72.6
3.21
0.30
0.96
1.95
3.12
47.9%
2025Q1
90
69.3
2.90
0.38
0.82
1.70
2.81
46.4%
2024Q4
92
67.5
2.88
0.28
0.81
1.78
2.90
41.6%
2024Q3
92
65.4
2.97
0.28
0.89
1.80
2.92
34.0%
2024Q2
91
63.0
3.11
0.30
0.86
1.95
3.05
41.4%
2024Q1
91
65.0
3.46
0.36
0.88
2.22
3.51
61.9%
2023Q4
92
59.4
3.48
0.40
0.89
2.19
3.48
60.7%
2023Q3
92
60.3
2.95
0.41
0.76
1.79
2.80
51.9%
2023Q2
91
59.6
3.02
0.49
0.76
1.77
2.73
57.8%
2023Q1
90
54.0
3.52
0.74
0.83
1.94
3.10
52.4%
2022Q4
92
55.9
3.55
0.68
0.78
2.10
3.17
51.2%
2022Q3
92
54.0
3.29
0.89
0.62
1.78
2.88
46.2%
2022Q2
91
54.5
3.13
0.82
0.62
1.69
2.96
27.4%
2022Q1
90
60.8
2.91
0.63
0.59
1.69
2.77
25.4%
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.
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-06-02
2025-06-05
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-06-28
2025-06-05
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-06-28
2024-04-02
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2024-04-26
2024-04-02
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-04-26
2024-04-02
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-04-26
2024-02-16
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2023-07-31
2024-02-16
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-04-02
2024-02-16
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
2024-04-02
2024-02-16
Health · complaint
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
2024-04-02
2024-02-16
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2024-04-02
2024-02-16
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-04-02
2022-06-16
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2022-07-13
2022-06-16
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-07-13
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
18
Owner
Role
Pct
From
Status
Source
BOICE, GALE
CORPORATE OFFICER
—
2018-03-05
current
pecos_ownership
BOICE, GALE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-18
current
pecos_ownership
BURNETTE, JAYNE
ADP OF THE SNF
—
2025-06-16
current
pecos_ownership
BURNETTE, JAYNE
MANAGING CONTROL - GOVERNING BODY
—
2025-04-24
current
pecos_ownership
DETAR, DEWEY
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
HILL, ROBERT
INDIRECT OWNERSHIP INTEREST
—
2011-01-01
current
pecos_ownership
JOHNSON, DIANNE
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
PRINCIPLE LONG TERM CARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2011-01-28
current
pecos_ownership
ROBERT HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2011-01-01
ended 2026-05-18
pecos_ownership
STEPHEN HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2011-01-01
ended 2026-05-18
pecos_ownership
RAYMOND HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2011-01-01
ended 2026-05-18
pecos_ownership
DEWEY DETAR
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
ended 2026-05-18
pecos_ownership
DIANNE JOHNSON
CORPORATE OFFICER
—
2011-01-01
ended 2026-05-18
pecos_ownership
GALE BOICE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-18
ended 2026-05-18
pecos_ownership
GALE BOICE
ADP OF THE SNF
—
2018-03-05
ended 2026-05-18
pecos_ownership
JAYNE BURNETTE
ADP OF THE SNF
—
2025-06-16
ended 2026-05-18
pecos_ownership
JAYNE BURNETTE
MANAGING CONTROL - GOVERNING BODY
—
2025-04-24
ended 2026-05-18
pecos_ownership
PRINCIPLE IT SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2011-01-28
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
2024-09-30
$1,812,572
—
$588,382
$1,273
$57,769
10
—
2023-09-30
$1,696,426
—
$543,618
$1,962
$56,628
10
—
2022-09-30
$1,491,264
—
$440,616
$2,998
$47,383
10
—
2021-09-30
$1,723,333
—
$437,394
$11,352
$117,240
10
—
2020-09-30
$1,590,551
—
$409,459
$17,487
$75,765
10
—
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 37113
acs median gross
0
$605
2024-12-31
CENSUS_ACS5
county 37113
fmr
0
$681
2025-10-01
HUD_USER_FMR
county 37113
acs median gross
1
$676
2024-12-31
CENSUS_ACS5
county 37113
fmr
1
$830
2025-10-01
HUD_USER_FMR
county 37113
acs median gross
2
$812
2024-12-31
CENSUS_ACS5
county 37113
fmr
2
$987
2025-10-01
HUD_USER_FMR
county 37113
acs median gross
3
$888
2024-12-31
CENSUS_ACS5
county 37113
fmr
3
$1,183
2025-10-01
HUD_USER_FMR
county 37113
acs median gross
4
$955
2024-12-31
CENSUS_ACS5
county 37113
fmr
4
$1,325
2025-10-01
HUD_USER_FMR
county 37113
acs median gross
$803
2024-12-31
CENSUS_ACS5
county 37113
acs recent mover gross
$1,297
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
0
$619
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
1
$670
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
2
$811
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
3
$884
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
4
$1,107
2024-12-31
CENSUS_ACS5
zcta 28734
acs median gross
$793
2024-12-31
CENSUS_ACS5
zcta 28734
acs recent mover gross
$1,288
2024-12-31
CENSUS_ACS5
zip 28734
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 28734
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 28734
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 28734
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 110
3
$1,353
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 90
3
$1,107
2025-10-01
HUD_USER_SAFMR
zip 28734
safmr
3
$1,230
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 28734
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 28734
safmr
4
$1,380
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.