Reads as: riskier than 76.1% 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
NC median
National median
National p25–p75
Total nurse
3.66
3.08
3.28
2.90–3.77
RN
0.65
0.30
0.39
0.25–0.58
Weekend total
3.24
2.93
3.11
—
Weekday total
3.83
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.0
3.66
0.65
0.86
2.16
3.24
0.0%
2025Q3
92
80.4
3.90
0.67
0.94
2.29
3.50
0.0%
2025Q2
91
82.7
3.64
0.64
0.90
2.09
3.32
0.0%
2025Q1
90
82.9
3.50
0.50
0.97
2.03
3.16
0.0%
2024Q4
92
82.6
3.45
0.56
0.87
2.02
3.06
0.0%
2024Q3
92
65.7
3.71
0.59
0.76
2.35
3.33
0.0%
2024Q2
91
70.4
3.43
0.61
0.79
2.03
2.82
0.0%
2024Q1
91
74.0
3.40
0.62
0.80
1.99
3.09
0.0%
2023Q4
92
81.8
3.60
0.52
0.94
2.15
3.32
0.0%
2023Q3
92
82.4
3.27
0.53
0.89
1.85
2.75
0.0%
2023Q2
91
81.9
2.94
0.49
0.84
1.60
2.56
0.0%
2023Q1
90
80.9
3.00
0.52
0.71
1.76
2.61
0.0%
2022Q4
92
63.5
3.10
0.39
0.80
1.90
2.57
0.0%
2022Q3
92
52.6
3.04
0.31
0.82
1.91
2.63
0.0%
2022Q2
91
62.1
3.19
0.20
1.04
1.95
2.88
0.0%
2022Q1
90
60.5
3.39
0.19
1.02
2.17
2.95
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.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-05-03
2025-05-12
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-06-13
2025-05-12
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-06-13
2025-05-12
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-06-13
2025-05-12
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2025-06-13
2024-07-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-07-19
2024-07-01
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
2024-07-19
2024-02-16
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
H
2024-03-11
2024-02-16
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-03-11
2024-02-16
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-03-11
2024-02-16
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2024-03-11
2024-02-16
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
2024-03-11
2024-02-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-03-11
2024-02-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-30
2024-02-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-03-11
2024-02-16
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
2024-03-11
2024-02-16
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-11
2024-02-16
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
H
2024-03-11
2024-02-16
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.
E
2024-03-11
2024-02-16
Health
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2024-03-11
2024-02-16
Health · complaint
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2024-03-11
2024-02-16
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-11
2024-02-16
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-03-11
2024-02-16
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-03-11
2024-02-16
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2024-03-11
2022-06-30
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2022-07-28
2022-06-30
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
2022-07-28
2022-06-30
Health
F0732
Post nurse staffing information every day.
B
2022-07-28
2022-06-30
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
2022-07-28
2022-06-30
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-07-28
2022-06-30
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2022-07-28
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
UNITED HEALTH SERVICES OF NORTH CAROLINA INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2022-05-31
current
pecos_ownership
OLARTE-HELBING, MARISSA
W-2 MANAGING EMPLOYEE
—
2019-08-26
current
pecos_ownership
PRUITT, NEIL
CORPORATE OFFICER
—
2008-03-14
current
pecos_ownership
PRUITTHEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-25
current
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
100%
2008-03-14
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-05-31
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-05-31
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
38%
2022-05-31
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2022-05-31
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
27%
2022-05-31
ended 2026-05-18
pecos_ownership
NWP 2020 CHILD TR FBO NEIL L PRUITT JR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-05-31
ended 2026-05-18
pecos_ownership
MARISSA OLARTE-HELBING
W-2 MANAGING EMPLOYEE
0%
2019-08-26
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
2025-06-30
$3,246,349
$1,293,989
$370,435
$794,564
$490,835
9
—
2024-06-30
$3,744,695
$947,098
$343,275
$921,262
$1,120,313
9
—
2023-06-30
$2,469,849
$806,595
$303,477
$766,584
$260,222
9
—
2022-06-30
$2,045,888
$364,872
$332,203
$638,256
$374,940
8
—
2021-06-30
$2,946,943
$878,454
$323,497
$1,011,394
$427,375
7
—
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 37179
fmr
0
$1,469
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
1
$979
2024-12-31
CENSUS_ACS5
county 37179
fmr
1
$1,538
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
2
$1,205
2024-12-31
CENSUS_ACS5
county 37179
fmr
2
$1,686
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
3
$1,651
2024-12-31
CENSUS_ACS5
county 37179
fmr
3
$2,076
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
4
$2,141
2024-12-31
CENSUS_ACS5
county 37179
fmr
4
$2,637
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
5
$2,776
2024-12-31
CENSUS_ACS5
county 37179
acs median gross
$1,496
2024-12-31
CENSUS_ACS5
county 37179
acs recent mover gross
$1,949
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
0
$919
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
1
$843
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
2
$1,182
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
3
$1,646
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
4
$2,062
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
5
$2,699
2024-12-31
CENSUS_ACS5
zcta 28110
acs median gross
$1,376
2024-12-31
CENSUS_ACS5
zcta 28110
acs recent mover gross
$2,000
2024-12-31
CENSUS_ACS5
zip 28110
payment standard 110
0
$1,485
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 90
0
$1,215
2025-10-01
HUD_USER_SAFMR
zip 28110
safmr
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 28110
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 28110
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 110
3
$2,101
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 90
3
$1,719
2025-10-01
HUD_USER_SAFMR
zip 28110
safmr
3
$1,910
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 28110
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 28110
safmr
4
$2,420
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.