Reads as: riskier than 32.8% 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 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
MS median
National median
National p25–p75
Total nurse
3.66
3.68
3.28
2.90–3.77
RN
0.55
0.34
0.39
0.25–0.58
Weekend total
3.26
3.30
3.11
—
Weekday total
3.82
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.5
3.66
0.55
0.80
2.31
3.26
2.4%
2025Q3
92
94.9
3.58
0.43
0.85
2.31
3.16
2.3%
2025Q2
91
92.0
3.84
0.45
0.87
2.53
3.27
1.3%
2025Q1
90
89.2
3.70
0.41
0.93
2.36
3.15
0.6%
2024Q4
92
87.5
3.94
0.43
1.02
2.49
3.44
0.8%
2024Q3
92
92.8
3.65
0.39
0.89
2.37
3.22
1.6%
2024Q2
91
91.6
3.79
0.40
0.81
2.58
3.19
0.3%
2024Q1
91
91.3
3.48
0.35
0.82
2.31
2.89
1.4%
2023Q4
92
91.3
3.21
0.33
0.80
2.09
2.73
0.9%
2023Q3
92
93.9
3.25
0.39
0.78
2.07
2.76
2.2%
2023Q2
91
93.3
3.16
0.35
0.79
2.01
2.59
3.2%
2023Q1
90
92.4
3.21
0.38
0.79
2.04
2.70
1.6%
2022Q4
92
96.7
2.89
0.30
0.73
1.87
2.52
1.3%
2022Q3
92
89.1
3.11
0.38
0.76
1.97
2.64
0.8%
2022Q2
91
83.7
3.31
0.42
0.77
2.13
2.82
0.1%
2022Q1
90
86.8
3.56
0.39
0.84
2.33
3.04
0.3%
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-01-07
2025-07-29
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2025-08-18
2025-05-15
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
2025-06-02
2025-05-15
Health
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.
D
2025-06-02
2025-05-15
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-06-02
2025-05-15
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
2025-06-02
2025-05-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-02
2025-05-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-06-02
2025-05-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-02
2024-10-24
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.
D
2024-11-25
2023-11-16
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-01-01
2023-11-16
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-01-01
2023-11-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-01
2023-11-16
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
2024-01-01
2022-09-01
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-10-04
2022-09-01
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
2022-10-04
2022-09-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-10-04
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
28
Owner
Role
Pct
From
Status
Source
JEFFERSON BOYD AND JOJUANA SUMMIT TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-01-01
current
pecos_ownership
ACCOUNT MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
ADMINISTRATIVE SYSTEMS INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
BEASLEY, KARI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-07
current
pecos_ownership
BEEBE, BOBBY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
CARTER, ALLISON
ADP OF THE SNF
—
2010-02-10
current
pecos_ownership
CARTER, ALLISON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-10
current
pecos_ownership
ELTON G BEEBE SR IRREVOCABLE FAMILY MORTAGE TRUST
ADP OF THE SNF
—
2026-01-23
current
pecos_ownership
FLIPPIN, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
FOUR GENERATIONS HOLDINGS LLC
ADP OF THE SNF
—
2026-01-23
current
pecos_ownership
HAYES, KEVIN
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
JEFFERSON BOYD AND JOJUANA SUMMIT TR
ADP OF THE SNF
—
2026-01-20
current
pecos_ownership
NUTRITION SYSTEMS CONSULTING INC
ADP OF THE SNF
—
2010-02-28
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2015-11-15
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2018-10-31
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
REGIONAL CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
REGIONAL SERVICES, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
SWEENEY, CAROL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-11
current
pecos_ownership
TRISTAR REHAB INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
ALLISON CARTER
ADP OF THE SNF
—
2010-02-10
ended 2026-05-18
pecos_ownership
ALLISON CARTER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-10
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
CAROL SWEENEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-11
ended 2026-05-18
pecos_ownership
DAVID FLIPPIN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
ended 2026-05-18
pecos_ownership
KARI BEASLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-07
ended 2026-05-18
pecos_ownership
KEVIN HAYES
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
ended 2026-05-18
pecos_ownership
TONI PARKINSON
CORPORATE OFFICER
—
2015-11-15
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 28095
acs median gross
0
$445
2024-12-31
CENSUS_ACS5
county 28095
fmr
0
$727
2025-10-01
HUD_USER_FMR
county 28095
acs median gross
1
$644
2024-12-31
CENSUS_ACS5
county 28095
fmr
1
$768
2025-10-01
HUD_USER_FMR
county 28095
acs median gross
2
$812
2024-12-31
CENSUS_ACS5
county 28095
fmr
2
$842
2025-10-01
HUD_USER_FMR
county 28095
acs median gross
3
$744
2024-12-31
CENSUS_ACS5
county 28095
fmr
3
$1,012
2025-10-01
HUD_USER_FMR
county 28095
acs median gross
4
$919
2024-12-31
CENSUS_ACS5
county 28095
fmr
4
$1,115
2025-10-01
HUD_USER_FMR
county 28095
acs median gross
$768
2024-12-31
CENSUS_ACS5
county 28095
acs recent mover gross
$831
2024-12-31
CENSUS_ACS5
zcta 39730
acs median gross
1
$544
2024-12-31
CENSUS_ACS5
zcta 39730
acs median gross
2
$726
2024-12-31
CENSUS_ACS5
zcta 39730
acs median gross
3
$737
2024-12-31
CENSUS_ACS5
zcta 39730
acs median gross
$728
2024-12-31
CENSUS_ACS5
zcta 39730
acs recent mover gross
$927
2024-12-31
CENSUS_ACS5
zip 39730
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 39730
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 39730
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 110
2
$924
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 90
2
$756
2025-10-01
HUD_USER_SAFMR
zip 39730
safmr
2
$840
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 110
3
$1,243
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 90
3
$1,017
2025-10-01
HUD_USER_SAFMR
zip 39730
safmr
3
$1,130
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 39730
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 39730
safmr
4
$1,420
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.