Reads as: riskier than 38.0% 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 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
15
2025Q4 HPRD
This facility
WI median
National median
National p25–p75
Total nurse
7.27
3.60
3.28
2.90–3.77
RN
2.93
0.64
0.39
0.25–0.58
Weekend total
7.04
3.49
3.11
—
Weekday total
7.35
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
11.3
7.27
2.93
0.00
4.34
7.04
8.9%
2025Q2
91
13.4
7.23
1.96
0.44
4.83
7.14
11.2%
2025Q1
90
11.0
6.86
1.51
0.92
4.43
6.57
15.1%
2024Q4
92
9.6
7.35
1.66
1.14
4.56
6.87
18.5%
2024Q3
92
10.3
6.54
1.97
0.46
4.12
6.34
14.5%
2024Q2
91
11.3
6.53
2.34
0.46
3.73
5.83
19.3%
2024Q1
91
12.2
6.53
2.06
0.83
3.64
5.37
17.5%
2023Q4
92
10.4
6.81
1.89
1.14
3.79
6.27
11.9%
2023Q3
92
11.6
5.47
1.77
0.50
3.20
5.39
18.5%
2023Q2
91
10.6
6.35
2.09
0.44
3.81
5.88
20.5%
2023Q1
90
11.0
5.84
2.04
0.35
3.45
6.16
14.8%
2022Q4
92
9.3
6.78
2.75
0.03
3.99
5.95
0.0%
2022Q3
92
11.2
4.96
2.25
0.01
2.71
5.13
0.0%
2022Q2
91
11.5
5.12
2.21
0.20
2.70
5.08
2.1%
2022Q1
90
13.6
5.76
2.27
0.96
2.54
5.92
23.4%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-02-17
2025-01-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-02-15
2024-05-30
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-14
2024-05-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-19
2024-03-12
Health · complaint
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-04-01
2023-06-07
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-24
2023-06-07
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-06-26
2023-06-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-26
2023-06-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-06-26
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
56
Owner
Role
Pct
From
Status
Source
MERCY HEALTH CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-01-01
current
pecos_ownership
AREVALO, CARLOS
CORPORATE DIRECTOR
—
2024-10-16
current
pecos_ownership
BEA, JAVON
CORPORATE DIRECTOR
—
2012-01-23
current
pecos_ownership
BEA, JAVON
CORPORATE OFFICER
—
—
current
pecos_ownership
BENNING, JOANNA
CORPORATE OFFICER
—
2015-03-15
current
pecos_ownership
BRINKERHOFF, ROBERT
CORPORATE OFFICER
—
2024-02-19
current
pecos_ownership
BUDD, THOMAS
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
CRANLEY, EDWARD
CORPORATE OFFICER
—
2014-11-30
current
pecos_ownership
DORSEY, JOHN
CORPORATE OFFICER
—
2012-08-20
current
pecos_ownership
GOELZER, MARK
CORPORATE DIRECTOR
—
—
current
pecos_ownership
GOELZER, MARK
ADP OF THE SNF
—
2025-05-07
current
pecos_ownership
GOELZER, MARK
CORPORATE OFFICER
—
2016-01-01
current
pecos_ownership
HALLATT, JENNIFER
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
JOST, WESLEY
CORPORATE DIRECTOR
—
2016-09-01
current
pecos_ownership
KILLPACK, TYLER
CORPORATE OFFICER
—
2023-08-01
current
pecos_ownership
KUS, KATHERINE
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
KUS, KATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2011-04-01
current
pecos_ownership
MALAS, JOSEPH
CORPORATE OFFICER
—
2025-06-01
current
pecos_ownership
MERCY HEALTH CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
OLIA, ALI
CORPORATE OFFICER
—
2021-11-01
current
pecos_ownership
OLSON, BRADLEY
CORPORATE OFFICER
—
2023-09-25
current
pecos_ownership
PALCHES, KATHI
ADP OF THE SNF
—
1999-11-08
current
pecos_ownership
POOL, THOMAS
CORPORATE DIRECTOR
—
1998-09-16
current
pecos_ownership
SANKEY, KARA
CORPORATE OFFICER
—
2023-01-17
current
pecos_ownership
SCACCIA, KIMBERLY
CORPORATE OFFICER
—
2020-04-21
current
pecos_ownership
SCHACK, KATHERINE
CORPORATE DIRECTOR
—
2017-03-22
current
pecos_ownership
SYVERSON, DAVID
CORPORATE DIRECTOR
—
2002-11-21
current
pecos_ownership
UDY, LADD
CORPORATE OFFICER
—
2018-11-10
current
pecos_ownership
WHITAKER, AMY
CORPORATE OFFICER
—
2023-01-17
current
pecos_ownership
ALI OLIA
CORPORATE OFFICER
0%
2021-11-01
ended 2026-05-18
pecos_ownership
AMY WHITAKER
CORPORATE OFFICER
0%
2023-01-17
ended 2026-05-18
pecos_ownership
BRADLEY OLSON
CORPORATE OFFICER
0%
2023-09-25
ended 2026-05-18
pecos_ownership
CARLOS AREVALO
CORPORATE DIRECTOR
0%
2024-10-16
ended 2026-05-18
pecos_ownership
DAVID SYVERSON
CORPORATE DIRECTOR
0%
2002-11-21
ended 2026-05-18
pecos_ownership
EDWARD CRANLEY
CORPORATE OFFICER
0%
2014-11-30
ended 2026-05-18
pecos_ownership
JAVON BEA
CORPORATE OFFICER
0%
—
ended 2026-05-18
pecos_ownership
JAVON BEA
CORPORATE DIRECTOR
0%
2012-01-23
ended 2026-05-18
pecos_ownership
JENNIFER HALLATT
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
JOANNA BENNING
CORPORATE OFFICER
0%
2015-03-15
ended 2026-05-18
pecos_ownership
JOHN DORSEY
CORPORATE OFFICER
0%
2012-08-20
ended 2026-05-18
pecos_ownership
KARA SANKEY
CORPORATE OFFICER
0%
2023-01-17
ended 2026-05-18
pecos_ownership
KIMBERLY SCACCIA
CORPORATE OFFICER
0%
2020-04-21
ended 2026-05-18
pecos_ownership
LADD UDY
CORPORATE OFFICER
0%
2018-11-10
ended 2026-05-18
pecos_ownership
MARK GOELZER
CORPORATE OFFICER
0%
2016-01-01
ended 2026-05-18
pecos_ownership
MARK GOELZER
CORPORATE DIRECTOR
0%
—
ended 2026-05-18
pecos_ownership
ROBERT BRINKERHOFF
CORPORATE OFFICER
0%
2024-02-19
ended 2026-05-18
pecos_ownership
THOMAS BUDD
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
THOMAS POOL
CORPORATE DIRECTOR
0%
1998-09-16
ended 2026-05-18
pecos_ownership
TYLER KILLPACK
CORPORATE OFFICER
0%
2023-08-01
ended 2026-05-18
pecos_ownership
JOSEPH MALAS
CORPORATE OFFICER
—
2025-06-01
ended 2026-05-18
pecos_ownership
KATHERINE KUS
OPERATIONAL/MANAGERIAL CONTROL
—
2011-04-01
ended 2026-05-18
pecos_ownership
KATHERINE KUS
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
KATHERINE SCHACK
CORPORATE DIRECTOR
—
2017-03-22
ended 2026-05-18
pecos_ownership
KATHI PALCHES
ADP OF THE SNF
—
1999-11-08
ended 2026-05-18
pecos_ownership
MARK GOELZER
ADP OF THE SNF
—
2025-05-07
ended 2026-05-18
pecos_ownership
WESLEY JOST
CORPORATE DIRECTOR
—
2016-09-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
28
Geo
Kind
BR
Amount
As of
Source
county 55105
acs median gross
0
$929
2024-12-31
CENSUS_ACS5
county 55105
fmr
0
$900
2025-10-01
HUD_USER_FMR
county 55105
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 55105
fmr
1
$955
2025-10-01
HUD_USER_FMR
county 55105
acs median gross
2
$1,068
2024-12-31
CENSUS_ACS5
county 55105
fmr
2
$1,246
2025-10-01
HUD_USER_FMR
county 55105
acs median gross
3
$1,261
2024-12-31
CENSUS_ACS5
county 55105
fmr
3
$1,596
2025-10-01
HUD_USER_FMR
county 55105
acs median gross
4
$1,242
2024-12-31
CENSUS_ACS5
county 55105
fmr
4
$1,650
2025-10-01
HUD_USER_FMR
county 55105
acs median gross
5
$1,369
2024-12-31
CENSUS_ACS5
county 55105
acs median gross
$1,037
2024-12-31
CENSUS_ACS5
county 55105
acs recent mover gross
$1,282
2024-12-31
CENSUS_ACS5
zip 53547
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 53547
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 53547
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 110
2
$1,375
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 90
2
$1,125
2025-10-01
HUD_USER_SAFMR
zip 53547
safmr
2
$1,250
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 53547
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 53547
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 53547
safmr
4
$1,660
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.