Reads as: riskier than 56.3% 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
3.28
3.08
3.28
2.90–3.77
RN
0.51
0.30
0.39
0.25–0.58
Weekend total
3.10
2.93
3.11
—
Weekday total
3.35
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.4
3.28
0.51
0.64
2.12
3.10
0.0%
2025Q3
92
84.9
3.28
0.66
0.55
2.08
3.04
0.0%
2025Q2
91
81.0
3.36
0.69
0.51
2.17
3.13
0.0%
2025Q1
90
81.3
3.34
0.76
0.52
2.07
3.08
0.1%
2024Q4
92
82.9
3.35
0.67
0.53
2.15
2.97
0.2%
2024Q3
92
81.9
3.38
0.64
0.57
2.17
2.96
0.0%
2024Q2
91
85.7
3.58
0.83
0.67
2.08
3.04
0.0%
2024Q1
91
85.9
3.32
0.73
0.68
1.90
2.93
4.3%
2023Q4
92
84.2
3.30
0.50
0.84
1.96
3.10
24.3%
2023Q3
92
83.1
3.36
0.56
0.85
1.95
2.98
24.6%
2023Q2
91
76.6
3.56
0.44
0.77
2.35
2.97
22.1%
2023Q1
90
78.3
3.25
0.55
0.78
1.92
2.62
4.4%
2022Q4
92
80.0
3.18
0.62
0.74
1.82
2.77
0.2%
2022Q3
92
79.7
3.16
0.71
0.59
1.86
2.96
0.8%
2022Q2
91
86.7
3.29
0.67
0.61
2.01
2.98
0.7%
2022Q1
90
88.5
3.30
0.59
0.63
2.08
2.83
5.9%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
15
B × 2D × 11E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-07
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-05-08
2025-05-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-08
2024-02-27
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
2024-03-20
2024-02-27
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-03-11
2024-02-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-25
2024-02-27
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-03-21
2024-02-27
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-03-21
2024-02-27
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
2024-03-20
2024-02-27
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-06
2024-02-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-01
2024-02-27
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-03-06
2023-12-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-03
2023-12-07
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-01-03
2022-12-08
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
2023-02-01
2022-12-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-02-01
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
16
Owner
Role
Pct
From
Status
Source
HOLL, BLAIR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
CORPORATE OFFICER
—
2016-02-01
current
pecos_ownership
LANE, TIMOTHY
ADP OF THE SNF
—
2024-09-19
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-02
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
QAZI, MOHAMMAD
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
QAZI, MOHAMMAD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-03
current
pecos_ownership
STOBB, DAVID
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
ANIS KHAN
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL ACQUISITION HOLDING CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE HOLDINGS, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
CORPORATE DIRECTOR
100%
2016-02-01
ended 2026-05-18
pecos_ownership
BLAIR HOLL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY LANE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-19
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
$484,978
—
$484,978
—
—
3
—
2023-09-30
$446,654
—
$446,654
—
—
3
—
2022-09-30
$455,918
—
$455,918
—
—
3
—
2021-09-30
$402,796
—
—
—
$88,082
3
—
2020-09-30
$345,279
—
—
—
$78,843
3
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 37021
acs median gross
0
$1,125
2024-12-31
CENSUS_ACS5
county 37021
fmr
0
$1,227
2025-10-01
HUD_USER_FMR
county 37021
acs median gross
1
$1,235
2024-12-31
CENSUS_ACS5
county 37021
fmr
1
$1,429
2025-10-01
HUD_USER_FMR
county 37021
acs median gross
2
$1,412
2024-12-31
CENSUS_ACS5
county 37021
fmr
2
$1,567
2025-10-01
HUD_USER_FMR
county 37021
acs median gross
3
$1,459
2024-12-31
CENSUS_ACS5
county 37021
fmr
3
$1,905
2025-10-01
HUD_USER_FMR
county 37021
acs median gross
4
$2,654
2024-12-31
CENSUS_ACS5
county 37021
fmr
4
$2,629
2025-10-01
HUD_USER_FMR
county 37021
acs median gross
5
$2,777
2024-12-31
CENSUS_ACS5
county 37021
acs median gross
$1,362
2024-12-31
CENSUS_ACS5
county 37021
acs recent mover gross
$1,794
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
0
$1,300
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
1
$1,410
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
2
$1,695
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
3
$1,620
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
4
$2,723
2024-12-31
CENSUS_ACS5
zcta 28803
acs median gross
$1,556
2024-12-31
CENSUS_ACS5
zcta 28803
acs recent mover gross
$1,771
2024-12-31
CENSUS_ACS5
zip 28803
payment standard 110
0
$2,090
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 90
0
$1,710
2025-10-01
HUD_USER_SAFMR
zip 28803
safmr
0
$1,900
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 110
1
$2,442
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 90
1
$1,998
2025-10-01
HUD_USER_SAFMR
zip 28803
safmr
1
$2,220
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 110
2
$2,673
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 90
2
$2,187
2025-10-01
HUD_USER_SAFMR
zip 28803
safmr
2
$2,430
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 110
3
$3,245
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 90
3
$2,655
2025-10-01
HUD_USER_SAFMR
zip 28803
safmr
3
$2,950
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 110
4
$4,488
2025-10-01
HUD_USER_SAFMR
zip 28803
payment standard 90
4
$3,672
2025-10-01
HUD_USER_SAFMR
zip 28803
safmr
4
$4,080
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.