Reads as: riskier than 16.6% 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
10
2025Q4 HPRD
This facility
NC median
National median
National p25–p75
Total nurse
8.90
3.08
3.28
2.90–3.77
RN
2.32
0.30
0.39
0.25–0.58
Weekend total
7.75
2.93
3.11
—
Weekday total
9.36
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
6.9
8.90
2.32
1.85
4.73
7.75
36.6%
2025Q2
91
7.6
6.62
1.57
1.34
3.70
6.34
50.6%
2025Q1
90
8.3
6.27
1.58
0.87
3.82
6.67
45.0%
2024Q4
92
5.1
6.23
2.02
0.76
3.45
5.14
21.3%
2024Q3
92
4.7
5.99
1.30
1.22
3.48
5.89
0.5%
2024Q2
91
5.7
4.51
1.22
1.06
2.23
4.76
24.1%
2023Q3
92
3.6
8.44
2.97
1.28
4.19
8.79
3.5%
2023Q1
90
4.4
9.42
2.57
2.15
4.69
8.85
3.8%
2022Q4
92
3.7
8.43
2.67
1.35
4.41
6.88
2.0%
2022Q1
90
3.8
5.68
1.46
1.13
3.09
4.90
16.8%
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
11
C × 1D × 5E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-07
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-01
2025-04-07
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
2025-05-01
2025-04-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-01
2024-02-21
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.
D
2024-03-15
2024-02-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-15
2024-02-21
Health
F0732
Post nurse staffing information every day.
C
2024-03-15
2024-02-21
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2024-03-15
2024-02-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-15
2024-02-21
Health
F0814
Dispose of garbage and refuse properly.
D
2024-03-15
2024-02-21
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2024-03-15
2022-09-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-10-12
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
63
Owner
Role
Pct
From
Status
Source
BKD FM HOLDING COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-07-29
current
pecos_ownership
AMERICAN RETIREMENT CORPORATION
ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
ARC MANAGMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-04-01
current
pecos_ownership
ARCLP-CHARLOTTE LLC
ADP OF THE SNF
—
1996-05-26
current
pecos_ownership
ASHER, JORDAN
ADP OF THE SNF
—
2020-02-24
current
pecos_ownership
BOWMAN, KEVIN
MANAGING CONTROL - GOVERNING BODY
—
2021-10-01
current
pecos_ownership
BROOKDALE SENIOR LIVING COMMUNITIES INC
DIRECT OWNERSHIP INTEREST
—
2023-12-15
current
pecos_ownership
BROOKDALE SENIOR LIVING INC
ADP OF THE SNF
—
2006-07-26
current
pecos_ownership
CLONTZ, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-13
current
pecos_ownership
CLONTZ, STEPHANIE
ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
DRAYTON, CLAUDIA
ADP OF THE SNF
—
2024-06-18
current
pecos_ownership
FEBC-ALT HOLDINGS INC
ADP OF THE SNF
—
2023-12-15
current
pecos_ownership
FEBC-ALT INVESTORS LLC
ADP OF THE SNF
—
2023-12-15
current
pecos_ownership
FIORAVANTI, MARK
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
FREED, VICTORIA
ADP OF THE SNF
—
2019-10-29
current
pecos_ownership
HALL, GEORGE
ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
HALL, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-26
current
pecos_ownership
HAUSMAN, JOSHUA
ADP OF THE SNF
—
2025-04-24
current
pecos_ownership
JONES LANG LASALLE INCORPORATED
ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
JONES LANG LASALLE MULTIFAMILY LLC
5% OR GREATER SECURITY INTEREST
—
2017-08-31
current
pecos_ownership
KAESTNER, HENRY
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
KAESTNER, HENRY
MANAGING CONTROL - GOVERNING BODY
—
2022-03-21
current
pecos_ownership
KAESTNER, HENRY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
KUSSOW, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-23
current
pecos_ownership
KUSSOW, DAWN
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
LA MARRE, KEVIN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
LA MARRE, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-22
current
pecos_ownership
LBMC PC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
LEWIS, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
MACE, ELIZABETH
ADP OF THE SNF
—
2024-06-18
current
pecos_ownership
MUNOZ, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
current
pecos_ownership
RUTTER, DOUG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
STENGLE, NIKOLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-08
current
pecos_ownership
WALTERS FINANCIAL SERVICES INC
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
WARREN, DENISE
ADP OF THE SNF
—
2021-10-04
current
pecos_ownership
WHITE, CHADWICK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-09
current
pecos_ownership
WHITE, CHADWICK
INDIRECT OWNERSHIP INTEREST
—
2025-04-30
current
pecos_ownership
WIELANSKY, LEE
ADP OF THE SNF
—
2015-04-23
current
pecos_ownership
CHADWICK WHITE
INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
ANNA MUNOZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-09
ended 2026-05-18
pecos_ownership
CLAUDIA DRAYTON
ADP OF THE SNF
—
2024-06-18
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-23
ended 2026-05-18
pecos_ownership
DENISE WARREN
ADP OF THE SNF
—
2021-10-04
ended 2026-05-18
pecos_ownership
DOUG RUTTER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
ELIZABETH MACE
ADP OF THE SNF
—
2024-06-18
ended 2026-05-18
pecos_ownership
GEORGE HALL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-26
ended 2026-05-18
pecos_ownership
GEORGE HALL
ADP OF THE SNF
—
2025-09-06
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
MANAGING CONTROL - GOVERNING BODY
—
2022-03-21
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
JORDAN ASHER
ADP OF THE SNF
—
2020-02-24
ended 2026-05-18
pecos_ownership
JOSHUA HAUSMAN
ADP OF THE SNF
—
2025-04-24
ended 2026-05-18
pecos_ownership
KEVIN BOWMAN
MANAGING CONTROL - GOVERNING BODY
—
2021-10-01
ended 2026-05-18
pecos_ownership
KEVIN LA MARRE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-22
ended 2026-05-18
pecos_ownership
LAURA LEWIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
LEE WIELANSKY
ADP OF THE SNF
—
2015-04-23
ended 2026-05-18
pecos_ownership
MARK FIORAVANTI
ADP OF THE SNF
—
2025-04-13
ended 2026-05-18
pecos_ownership
NIKOLAS STENGLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-08
ended 2026-05-18
pecos_ownership
STEPHANIE CLONTZ
ADP OF THE SNF
—
2025-09-06
ended 2026-05-18
pecos_ownership
STEPHANIE CLONTZ
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-13
ended 2026-05-18
pecos_ownership
VICTORIA FREED
ADP OF THE SNF
—
2019-10-29
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
$1,156,368
—
$1,156,368
—
—
2
—
2023-12-31
$1,057,040
—
$1,057,040
—
—
2
—
2022-12-31
$985,935
—
$985,935
—
—
2
—
2021-12-31
$1,070,764
—
$1,070,764
—
—
2
—
2020-12-31
$929,710
—
$929,710
—
—
2
—
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 37119
acs median gross
0
$1,489
2024-12-31
CENSUS_ACS5
county 37119
fmr
0
$1,469
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
county 37119
fmr
1
$1,538
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
county 37119
fmr
2
$1,686
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
3
$1,792
2024-12-31
CENSUS_ACS5
county 37119
fmr
3
$2,076
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
4
$2,139
2024-12-31
CENSUS_ACS5
county 37119
fmr
4
$2,637
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
5
$2,796
2024-12-31
CENSUS_ACS5
county 37119
acs median gross
$1,627
2024-12-31
CENSUS_ACS5
county 37119
acs recent mover gross
$1,783
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
0
$1,440
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
1
$1,374
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
2
$1,662
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
3
$1,922
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
4
$2,385
2024-12-31
CENSUS_ACS5
zcta 28226
acs median gross
$1,622
2024-12-31
CENSUS_ACS5
zcta 28226
acs recent mover gross
$1,755
2024-12-31
CENSUS_ACS5
zip 28226
payment standard 110
0
$1,650
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 90
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 28226
safmr
0
$1,500
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 110
1
$1,727
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 90
1
$1,413
2025-10-01
HUD_USER_SAFMR
zip 28226
safmr
1
$1,570
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 110
2
$1,892
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 90
2
$1,548
2025-10-01
HUD_USER_SAFMR
zip 28226
safmr
2
$1,720
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 110
3
$2,332
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 90
3
$1,908
2025-10-01
HUD_USER_SAFMR
zip 28226
safmr
3
$2,120
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 110
4
$2,959
2025-10-01
HUD_USER_SAFMR
zip 28226
payment standard 90
4
$2,421
2025-10-01
HUD_USER_SAFMR
zip 28226
safmr
4
$2,690
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.