Reads as: riskier than 54.5% 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
2.61
3.24
3.28
2.90–3.77
RN
0.31
0.38
0.39
0.25–0.58
Weekend total
2.48
3.11
3.11
—
Weekday total
2.66
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.1
2.61
0.31
0.65
1.65
2.48
0.0%
2025Q3
92
44.2
2.59
0.21
0.67
1.71
2.49
0.0%
2025Q2
91
46.9
2.61
0.28
0.61
1.72
2.51
0.0%
2025Q1
90
47.5
2.59
0.27
0.54
1.79
2.52
0.0%
2024Q4
92
44.4
2.68
0.40
0.51
1.78
2.62
0.0%
2024Q3
92
46.5
2.53
0.44
0.40
1.69
2.50
0.0%
2024Q2
91
42.8
2.62
0.36
0.54
1.72
2.58
0.0%
2024Q1
91
42.4
2.74
0.36
0.71
1.66
2.70
0.0%
2023Q4
92
41.7
2.53
0.17
0.69
1.66
2.50
0.0%
2023Q3
92
45.1
2.28
0.31
0.54
1.43
2.19
0.0%
2023Q2
91
43.2
2.36
0.24
0.59
1.53
2.35
0.0%
2023Q1
90
42.7
2.05
0.25
0.46
1.33
2.00
0.0%
2022Q4
92
36.3
2.19
0.44
0.43
1.32
2.20
0.0%
2022Q3
92
27.6
2.60
0.60
0.44
1.55
2.56
0.0%
2022Q2
91
29.1
2.62
0.72
0.36
1.53
2.69
0.0%
2022Q1
90
31.3
2.46
0.75
0.34
1.37
2.53
0.0%
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
25
D × 19E × 2F × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-01-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-02-01
2024-12-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-01
2024-12-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-02-01
2024-12-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-02-01
2024-12-12
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-02-01
2024-12-12
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-02-01
2024-12-12
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
2025-02-01
2024-12-12
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2025-02-01
2024-12-12
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2025-02-01
2024-08-10
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
2024-08-30
2024-08-10
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.
D
2024-08-30
2024-08-10
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-08-30
2024-07-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-29
2023-08-15
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-08-28
2023-07-06
Health · complaint
F0679
Provide activities to meet all resident's needs.
E
2023-07-31
2023-07-06
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
2023-07-31
2022-05-05
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-06-10
2022-05-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-06-10
2022-05-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-06-10
2022-05-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-06-10
2022-05-05
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2022-06-10
2022-05-05
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2022-06-10
2022-05-05
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-06-10
2022-05-05
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
2022-06-10
2019-05-09
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2019-07-09
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
15
Owner
Role
Pct
From
Status
Source
25675 MAIN REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
MALLETT, CHRISTOPHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2013-01-01
current
pecos_ownership
SPRENGER, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2014-01-01
current
pecos_ownership
SPRENGER, TIMOTHY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2013-01-01
current
pecos_ownership
PARSONS, BENJAMIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2013-01-01
current
pecos_ownership
BUNNER, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2011-11-18
current
pecos_ownership
CONTINUING HEALTHCARE SOLUTIONS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-05-01
current
pecos_ownership
PARSONS, BENJAMIN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
BENJAMIN PARSONS
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-01-01
ended 2026-05-18
pecos_ownership
CONTINUING HEALTHCARE SOLUTIONS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-11-18
ended 2026-05-18
pecos_ownership
CHRISTOPHER MALLETT
CORPORATE OFFICER
25%
2013-01-01
ended 2026-05-18
pecos_ownership
MARK SPRENGER
CORPORATE DIRECTOR
25%
2014-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY SPRENGER
CORPORATE DIRECTOR
25%
2013-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN PARSONS
CORPORATE OFFICER
20%
2013-01-01
ended 2026-05-18
pecos_ownership
MICHAEL BUNNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2011-11-18
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
$606,808
—
$296,450
—
—
2
propco
2023-12-31
$299,023
—
$299,023
—
—
1
—
2022-12-31
$273,956
—
$273,956
—
—
1
—
2021-12-31
$226,833
—
$226,833
—
—
1
—
2020-12-31
$237,564
—
$237,564
—
—
1
—
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 39071
acs median gross
0
$555
2024-12-31
CENSUS_ACS5
county 39071
fmr
0
$736
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
1
$627
2024-12-31
CENSUS_ACS5
county 39071
fmr
1
$845
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
county 39071
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
3
$908
2024-12-31
CENSUS_ACS5
county 39071
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
4
$1,076
2024-12-31
CENSUS_ACS5
county 39071
fmr
4
$1,492
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
5
$1,154
2024-12-31
CENSUS_ACS5
county 39071
acs median gross
$780
2024-12-31
CENSUS_ACS5
county 39071
acs recent mover gross
$791
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
1
$716
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
2
$770
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
3
$874
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
4
$1,013
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
$767
2024-12-31
CENSUS_ACS5
zcta 45133
acs recent mover gross
$735
2024-12-31
CENSUS_ACS5
zip 45133
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
4
$1,490
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.