Reads as: riskier than 56.7% 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 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
11
2025Q4 HPRD
This facility
DE median
National median
National p25–p75
Total nurse
4.32
3.64
3.28
2.90–3.77
RN
0.96
0.51
0.39
0.25–0.58
Weekend total
4.19
3.58
3.11
—
Weekday total
4.36
3.69
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.0
4.32
0.96
0.69
2.66
4.19
0.0%
2025Q3
92
43.5
4.12
0.91
0.61
2.59
3.96
0.0%
2025Q2
91
43.2
4.25
0.87
0.74
2.63
4.08
0.0%
2025Q1
90
42.9
4.12
0.77
0.75
2.60
4.05
0.0%
2024Q4
92
43.2
3.98
0.75
0.73
2.50
3.97
0.0%
2024Q3
92
43.4
3.96
0.81
0.66
2.49
3.93
0.0%
2024Q2
91
43.8
3.96
0.74
0.72
2.49
3.87
0.0%
2024Q1
91
43.8
4.21
0.81
0.73
2.67
4.06
0.0%
2023Q4
92
42.7
4.28
0.85
0.72
2.71
4.13
0.0%
2023Q3
92
43.6
4.19
0.82
0.75
2.63
3.96
0.0%
2023Q2
91
38.3
4.60
0.83
0.82
2.96
4.55
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.
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-04-30
2025-03-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-30
2024-02-26
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-04-01
2024-02-26
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-04-01
2024-02-26
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-01
2024-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-07-05
2024-02-26
Health · complaint
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2024-04-01
2024-02-26
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
2024-04-01
2024-02-26
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-04-01
2024-02-26
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-01
2022-05-27
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
2022-07-05
2022-05-27
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
2022-07-05
2022-05-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-05
2022-05-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-07-05
2022-05-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-07-05
2022-05-27
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2022-07-05
2022-05-27
Health
F0732
Post nurse staffing information every day.
C
2022-07-05
2022-05-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-07-05
2022-05-27
Health
F0814
Dispose of garbage and refuse properly.
E
2022-07-05
2022-05-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-07-05
2022-05-27
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2022-07-05
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
14
Owner
Role
Pct
From
Status
Source
DIVERSIFIED HEALTHCARE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-01-01
ended 2026-05-18
pecos_ownership
SNH PROJ LINCOLN TRS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
SNH TRS LICENSEE HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
SNH TRS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
BLACKROCK INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2022-01-01
ended 2026-05-18
pecos_ownership
VANGUARD GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2022-01-01
ended 2026-05-18
pecos_ownership
STATE STREET CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER BILOTTO
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JACQUELYN ANDERSON
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
LESLIE JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
0%
2022-07-18
ended 2026-05-18
pecos_ownership
MATTHEW BROWN
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JANET BELLES
CONTRACTED MANAGING EMPLOYEE
—
2022-01-01
ended 2026-05-18
pecos_ownership
JENNIFER CLARK
CORPORATE OFFICER
—
2022-01-01
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
33
Geo
Kind
BR
Amount
As of
Source
county 10003
acs median gross
0
$1,239
2024-12-31
CENSUS_ACS5
county 10003
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
1
$1,241
2024-12-31
CENSUS_ACS5
county 10003
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
2
$1,487
2024-12-31
CENSUS_ACS5
county 10003
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
3
$1,714
2024-12-31
CENSUS_ACS5
county 10003
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
4
$1,851
2024-12-31
CENSUS_ACS5
county 10003
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
5
$1,864
2024-12-31
CENSUS_ACS5
county 10003
acs median gross
$1,448
2024-12-31
CENSUS_ACS5
county 10003
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 19803
acs median gross
1
$1,226
2024-12-31
CENSUS_ACS5
zcta 19803
acs median gross
2
$1,718
2024-12-31
CENSUS_ACS5
zcta 19803
acs median gross
3
$2,081
2024-12-31
CENSUS_ACS5
zcta 19803
acs median gross
4
$2,474
2024-12-31
CENSUS_ACS5
zcta 19803
acs median gross
$1,722
2024-12-31
CENSUS_ACS5
zip 19803
payment standard 110
0
$1,859
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 90
0
$1,521
2025-10-01
HUD_USER_SAFMR
zip 19803
safmr
0
$1,690
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 110
1
$2,024
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 90
1
$1,656
2025-10-01
HUD_USER_SAFMR
zip 19803
safmr
1
$1,840
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 110
2
$2,409
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 90
2
$1,971
2025-10-01
HUD_USER_SAFMR
zip 19803
safmr
2
$2,190
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 110
3
$2,893
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 90
3
$2,367
2025-10-01
HUD_USER_SAFMR
zip 19803
safmr
3
$2,630
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 19803
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 19803
safmr
4
$2,930
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.