Reads as: riskier than 27.7% 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
2.87
3.24
3.28
2.90–3.77
RN
0.48
0.38
0.39
0.25–0.58
Weekend total
2.88
3.11
3.11
—
Weekday total
2.86
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
69.8
2.87
0.48
0.54
1.85
2.88
0.0%
2025Q3
92
69.7
2.82
0.53
0.48
1.80
2.77
0.0%
2025Q2
91
69.4
2.93
0.62
0.43
1.88
2.89
0.0%
2025Q1
90
69.5
2.75
0.50
0.50
1.74
2.73
0.0%
2024Q4
92
70.5
2.80
0.48
0.52
1.79
2.86
0.0%
2024Q3
92
70.3
2.82
0.55
0.47
1.80
2.82
0.0%
2024Q2
91
69.0
2.87
0.70
0.34
1.83
2.90
0.0%
2024Q1
91
69.2
2.89
0.62
0.42
1.85
2.91
0.0%
2023Q4
92
66.9
2.92
0.59
0.47
1.86
2.92
0.0%
2023Q3
92
70.9
2.78
0.54
0.47
1.78
2.80
0.0%
2023Q2
91
70.1
2.85
0.42
0.60
1.82
2.86
0.0%
2023Q1
90
69.4
2.93
0.39
0.66
1.88
2.96
0.0%
2022Q4
92
68.5
2.92
0.30
0.78
1.85
2.86
0.1%
2022Q3
92
69.0
2.91
0.31
0.76
1.84
2.89
0.0%
2022Q2
91
70.4
2.91
0.35
0.69
1.87
2.85
0.0%
2022Q1
90
66.3
3.07
0.39
0.73
1.95
3.11
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
24
C × 2D × 19E × 1G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-10-14
2025-03-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-06-27
2023-08-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-07
2023-08-17
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-09-07
2023-08-17
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
2023-09-07
2023-08-17
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2023-09-07
2020-02-20
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2020-03-22
2020-02-20
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2020-03-22
2020-02-20
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2020-03-22
2020-02-20
Health
F0730
Observe each nurse aide's job performance and give regular training.
C
2020-03-16
2020-02-20
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2020-03-22
2020-02-20
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2020-03-22
2020-02-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2020-03-22
2020-02-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-22
2018-12-19
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2019-01-22
2018-12-19
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2019-01-22
2018-12-19
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
2019-01-22
2018-12-19
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2019-01-22
2018-12-19
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2019-01-22
2018-12-19
Health
F0679
Provide activities to meet all resident's needs.
E
2019-01-22
2018-12-19
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
D
2019-01-22
2018-12-19
Health
F0732
Post nurse staffing information every day.
C
2019-01-22
2018-12-19
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-01-22
2018-12-19
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
2019-01-22
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
COLLERAN, BRIAN
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
ELBADAWY, EMAD
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
KRYSTOWSKI, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
current
pecos_ownership
WAKELING, ALEXIS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-10
current
pecos_ownership
COLLERAN FAM TR DATED 01-01-2018
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2018-06-01
ended 2026-05-18
pecos_ownership
FOUNDATIONS HEALTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-08-02
ended 2026-05-18
pecos_ownership
ALEXIS WAKELING
ADP OF THE SNF
—
2023-02-10
ended 2026-05-18
pecos_ownership
BRIAN COLLERAN
ADP OF THE SNF
—
2019-01-01
ended 2026-05-18
pecos_ownership
EMAD ELBADAWY
ADP OF THE SNF
—
2018-06-01
ended 2026-05-18
pecos_ownership
JOHN KRYSTOWSKI
ADP OF THE SNF
—
2018-06-01
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$236,251
—
$236,251
—
—
1
—
2023-12-31
$184,901
—
$184,901
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 39093
acs median gross
0
$599
2024-12-31
CENSUS_ACS5
county 39093
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
1
$734
2024-12-31
CENSUS_ACS5
county 39093
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 39093
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
county 39093
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
4
$1,175
2024-12-31
CENSUS_ACS5
county 39093
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
5
$1,391
2024-12-31
CENSUS_ACS5
county 39093
acs median gross
$966
2024-12-31
CENSUS_ACS5
county 39093
acs recent mover gross
$1,070
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
1
$1,702
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
2
$1,933
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
3
$2,113
2024-12-31
CENSUS_ACS5
zcta 44011
acs median gross
$1,796
2024-12-31
CENSUS_ACS5
zip 44011
payment standard 110
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
0
$1,170
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
0
$1,300
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
1
$1,617
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
1
$1,323
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
1
$1,470
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
2
$1,958
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
2
$1,602
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
2
$1,780
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
3
$2,519
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
3
$2,061
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
3
$2,290
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 110
4
$2,695
2025-10-01
HUD_USER_SAFMR
zip 44011
payment standard 90
4
$2,205
2025-10-01
HUD_USER_SAFMR
zip 44011
safmr
4
$2,450
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.