Reads as: riskier than 19.8% 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 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
SD median
National median
National p25–p75
Total nurse
3.34
2.96
3.28
2.90–3.77
RN
0.92
0.52
0.39
0.25–0.58
Weekend total
3.04
2.75
3.11
—
Weekday total
3.46
3.06
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.2
3.34
0.92
0.19
2.23
3.04
27.5%
2025Q3
92
33.6
3.40
0.89
0.14
2.37
3.02
34.3%
2025Q2
91
34.1
3.25
0.76
0.25
2.25
2.93
40.1%
2025Q1
90
34.9
3.11
0.69
0.37
2.04
2.93
48.5%
2024Q4
92
34.7
2.93
0.85
0.15
1.92
2.93
54.3%
2024Q3
92
32.9
3.01
0.79
0.24
1.98
2.95
44.8%
2024Q2
91
33.3
3.03
0.75
0.31
1.96
3.01
43.4%
2024Q1
91
33.1
3.10
0.76
0.30
2.04
2.97
52.3%
2023Q4
92
35.1
3.06
0.79
0.14
2.12
2.66
42.4%
2023Q3
92
34.5
3.32
1.00
0.16
2.16
2.94
0.2%
2023Q2
91
35.3
2.80
0.97
0.00
1.83
2.47
37.9%
2023Q1
90
34.6
2.73
0.76
0.00
1.97
2.68
49.0%
2022Q4
92
35.3
2.57
0.69
0.00
1.88
2.32
40.3%
2022Q3
92
36.7
2.56
0.54
0.07
1.95
2.26
28.2%
2022Q2
91
36.1
2.78
0.45
0.39
1.94
2.70
29.7%
2022Q1
90
34.2
3.04
0.46
0.50
2.07
2.95
41.5%
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-27
2025-08-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-09-27
2025-08-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-27
2025-08-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-27
2024-08-08
Health · complaint
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2024-08-30
2024-04-25
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
D
2024-06-09
2024-04-25
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2024-06-09
2024-04-25
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.
D
2024-06-09
2024-04-25
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
2024-06-09
2024-04-25
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-06-09
2024-04-25
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
2024-06-09
2024-04-25
Health
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
2024-06-09
2024-04-25
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2024-06-09
2024-04-25
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
2024-06-09
2024-04-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-09
2024-04-25
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-06-09
2024-04-25
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-06-09
2024-04-25
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2024-06-09
2024-04-25
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2024-06-09
2023-10-04
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F
2023-11-02
2023-10-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-11-02
2023-04-05
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
2023-05-20
2023-04-05
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
2023-05-20
2023-04-05
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.
F
2023-05-20
2023-04-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-05-20
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
13
Owner
Role
Pct
From
Status
Source
BETHESDA OF BERESFORD
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2009-11-19
current
pecos_ownership
CARING PROFESSIONALS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-14
current
pecos_ownership
CARING PROFESSIONALS INC
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
CHADWELL, DEAN
CORPORATE DIRECTOR
—
2023-05-01
current
pecos_ownership
HANSEN, CHRIS
ADP OF THE SNF
—
2021-04-14
current
pecos_ownership
ROHLFS, KARSTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
SAVEY, AMELIA
CORPORATE DIRECTOR
—
2023-05-01
current
pecos_ownership
SENGER, BRITNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-28
current
pecos_ownership
AMELIA SAVEY
CORPORATE DIRECTOR
0%
2023-05-01
ended 2026-05-18
pecos_ownership
DEAN CHADWELL
CORPORATE DIRECTOR
0%
2023-05-01
ended 2026-05-18
pecos_ownership
BRITNEY SENGER
ADP OF THE SNF
—
2021-06-28
ended 2026-05-18
pecos_ownership
CHRIS HANSEN
ADP OF THE SNF
—
2021-04-14
ended 2026-05-18
pecos_ownership
KARSTEN ROHLFS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
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
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
31
Geo
Kind
BR
Amount
As of
Source
county 46083
acs median gross
0
$942
2024-12-31
CENSUS_ACS5
county 46083
fmr
0
$865
2025-10-01
HUD_USER_FMR
county 46083
acs median gross
1
$1,077
2024-12-31
CENSUS_ACS5
county 46083
fmr
1
$986
2025-10-01
HUD_USER_FMR
county 46083
acs median gross
2
$1,293
2024-12-31
CENSUS_ACS5
county 46083
fmr
2
$1,156
2025-10-01
HUD_USER_FMR
county 46083
acs median gross
3
$1,419
2024-12-31
CENSUS_ACS5
county 46083
fmr
3
$1,586
2025-10-01
HUD_USER_FMR
county 46083
acs median gross
4
$1,754
2024-12-31
CENSUS_ACS5
county 46083
fmr
4
$1,939
2025-10-01
HUD_USER_FMR
county 46083
acs median gross
$1,260
2024-12-31
CENSUS_ACS5
county 46083
acs recent mover gross
$1,268
2024-12-31
CENSUS_ACS5
zcta 57004
acs median gross
1
$635
2024-12-31
CENSUS_ACS5
zcta 57004
acs median gross
2
$944
2024-12-31
CENSUS_ACS5
zcta 57004
acs median gross
3
$1,104
2024-12-31
CENSUS_ACS5
zcta 57004
acs median gross
$901
2024-12-31
CENSUS_ACS5
zip 57004
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 57004
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 57004
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 57004
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 57004
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 57004
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 57004
safmr
4
$1,560
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.