Reads as: riskier than 92.8% 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
OH median
National median
National p25–p75
Total nurse
3.34
3.24
3.28
2.90–3.77
RN
0.54
0.38
0.39
0.25–0.58
Weekend total
3.16
3.11
3.11
—
Weekday total
3.41
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.9
3.34
0.54
0.63
2.17
3.16
0.0%
2025Q3
92
47.6
2.46
0.44
0.64
1.39
2.31
0.0%
2025Q2
91
52.8
2.65
0.15
0.79
1.71
2.44
0.0%
2025Q1
90
51.4
2.71
0.21
0.76
1.74
2.77
6.3%
2024Q4
92
50.3
2.81
0.08
1.13
1.61
2.79
5.8%
2024Q3
92
50.4
2.70
0.09
1.01
1.60
2.57
7.1%
2024Q2
91
50.8
2.44
0.11
0.81
1.52
2.46
2.3%
2024Q1
91
46.5
2.55
0.21
0.79
1.55
2.53
11.0%
2023Q4
92
44.2
2.58
0.19
0.83
1.55
2.64
20.1%
2023Q3
92
38.1
2.54
0.16
0.70
1.68
2.42
14.5%
2023Q2
91
30.0
3.11
0.41
0.78
1.92
3.17
25.4%
2023Q1
90
23.6
3.24
0.27
0.83
2.13
3.17
25.5%
2022Q4
92
22.1
3.31
0.35
0.77
2.19
3.34
37.0%
2022Q3
92
23.1
3.13
0.20
0.85
2.08
3.10
30.9%
2022Q2
91
27.4
3.36
0.15
0.89
2.33
3.36
40.0%
2022Q1
90
35.3
3.35
0.19
1.00
2.15
3.33
57.0%
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
30
C × 1D × 19E × 5F × 4G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-16
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
2026-04-08
2025-12-11
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-01-14
2025-12-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-14
2025-12-11
Health · complaint
F0908
Keep all essential equipment working safely.
E
2026-01-14
2025-07-01
Health · complaint
F0579
Provide information about how to apply for and use Medicare and Medicaid benefits.
D
2025-07-19
2025-07-01
Health
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
2025-07-19
2025-07-01
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-07-19
2025-07-01
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-07-19
2025-07-01
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-19
2025-07-01
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-07-19
2025-07-01
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.
D
2025-07-19
2025-07-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-19
2025-07-01
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-07-19
2025-04-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-07
2025-04-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-07
2025-04-16
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-07
2025-01-20
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2025-02-07
2025-01-20
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-02-07
2025-01-20
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-02-07
2024-11-27
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-12-20
2024-11-27
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-12-20
2024-11-27
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-12-20
2024-08-26
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-09-17
2024-08-26
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
2024-09-17
2023-12-29
Health · complaint
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
2024-01-17
2022-08-26
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-11-11
2022-08-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-11-11
2022-08-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-11-11
2022-08-26
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2022-11-11
2022-08-26
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
C
2022-10-14
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
12
Owner
Role
Pct
From
Status
Source
BERGSTEN, PAUL
CORPORATE OFFICER
—
2017-03-01
current
pecos_ownership
BERGSTEN, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2016-03-01
current
pecos_ownership
DAPORE, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-01
current
pecos_ownership
HAUNGS, MARCI
W-2 MANAGING EMPLOYEE
—
2022-10-28
current
pecos_ownership
HC CONSULTING MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-01
current
pecos_ownership
TESCHNER, CARRIE
W-2 MANAGING EMPLOYEE
—
2017-03-01
current
pecos_ownership
HILLSTONE HEALTHCARE INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-09-01
ended 2026-05-18
pecos_ownership
PAUL BERGSTEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
60%
2017-03-01
ended 2026-05-18
pecos_ownership
MATTHEW DAPORE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2017-03-01
ended 2026-05-18
pecos_ownership
CARRIE TESCHNER
W-2 MANAGING EMPLOYEE
—
2017-03-01
ended 2026-05-18
pecos_ownership
MARCI HAUNGS
W-2 MANAGING EMPLOYEE
—
2022-10-28
ended 2026-05-18
pecos_ownership
PAUL BERGSTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-03-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$660,546
—
—
—
—
5
—
2023-12-31
$327,540
—
—
$18,900
—
4
—
2022-12-31
$101,261
—
—
—
—
1
—
2021-12-31
$124,113
—
—
—
—
1
—
2020-12-31
$109,869
—
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 39061
acs median gross
0
$888
2024-12-31
CENSUS_ACS5
county 39061
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
1
$885
2024-12-31
CENSUS_ACS5
county 39061
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
2
$1,136
2024-12-31
CENSUS_ACS5
county 39061
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
3
$1,432
2024-12-31
CENSUS_ACS5
county 39061
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
4
$1,645
2024-12-31
CENSUS_ACS5
county 39061
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
5
$1,941
2024-12-31
CENSUS_ACS5
county 39061
acs median gross
$1,075
2024-12-31
CENSUS_ACS5
county 39061
acs recent mover gross
$1,331
2024-12-31
CENSUS_ACS5
zcta 45242
acs median gross
1
$1,588
2024-12-31
CENSUS_ACS5
zcta 45242
acs median gross
2
$1,811
2024-12-31
CENSUS_ACS5
zcta 45242
acs median gross
3
$1,890
2024-12-31
CENSUS_ACS5
zcta 45242
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 45242
acs median gross
$1,782
2024-12-31
CENSUS_ACS5
zcta 45242
acs recent mover gross
$2,074
2024-12-31
CENSUS_ACS5
zip 45242
payment standard 110
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 90
0
$1,296
2025-10-01
HUD_USER_SAFMR
zip 45242
safmr
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 110
1
$1,738
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 90
1
$1,422
2025-10-01
HUD_USER_SAFMR
zip 45242
safmr
1
$1,580
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 110
2
$2,233
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 90
2
$1,827
2025-10-01
HUD_USER_SAFMR
zip 45242
safmr
2
$2,030
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 110
3
$2,948
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 90
3
$2,412
2025-10-01
HUD_USER_SAFMR
zip 45242
safmr
3
$2,680
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 110
4
$3,256
2025-10-01
HUD_USER_SAFMR
zip 45242
payment standard 90
4
$2,664
2025-10-01
HUD_USER_SAFMR
zip 45242
safmr
4
$2,960
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.