CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 21:24 UTC
Screener / 06A192
A

CHEYENNE MANOR

snfCO
561 W 1ST ST N, CHEYENNE WELLS, CO 80810 · CCN 06A192
Composite
29.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
39
Model
v1.2
Reads as: riskier than 29.1% 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.

Composite explanation

3
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk100.0100.00.250.357135.71in index
chow risk15.024.40.150.21433.21in index
regulatory risk3.42.10.300.42861.46in index
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.

Component scores and registry models

9
Score typeScoreGradeModelStatusRegistry model notes
chow risk24.4Av0.1-posdefault · in compositeChange-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.
p adverse action 12m15.1v0.1default · in compositeR23/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.
p chow 12m8.2v0.1default · in compositeR22/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.
regulatory risk2.1Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk100.0Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk2.1Av0.1supersededPre-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.
regulatory risk2.1Av0.2supersededPre-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.
staffing risk100.0Fv0.1supersededPre-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.
staffing risk100.0Fv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
8.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
96.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Contract staffing share1.00+1.45
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Total nurse staffing (HPRD)0.09+0.59
Current owner tenure (years)25.00+0.57
Occupancy0.50+0.57
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
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.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
15.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Staffing trend, last 4 quarters-4.48-2.11
For-profit ownership0.00+1.62
Total nurse staffing (HPRD)0.09+1.32
Chain size (log)0.00+1.20
Occupancy0.50+1.05
Contract staffing share1.00+0.98
Deficiencies, last 12 months3.00+0.87
No PBJ staffing report0.00+0.39
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 HPRDThis facilityCO medianNational medianNational p25–p75
Total nurse0.093.193.282.90–3.77
RN0.000.570.390.25–0.58
Weekend total0.143.023.11
Weekday total0.063.273.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49219.50.090.000.000.090.14100.0%
2025Q39217.94.680.960.613.114.3830.8%
2025Q29118.64.660.960.633.064.3226.6%
2025Q19019.04.511.210.223.084.2825.4%
2024Q49219.74.571.060.343.174.2928.9%
2024Q29121.04.331.110.242.984.0726.8%
2024Q19116.94.111.220.242.653.8711.2%
2023Q49215.74.751.510.352.894.5013.8%
2023Q39214.64.861.210.393.254.708.8%
2023Q29113.84.881.200.423.254.6012.3%
2023Q19012.95.471.630.573.285.1926.6%
2022Q49213.04.881.360.562.964.7527.0%
2022Q39213.64.770.731.033.004.5728.6%
2022Q29115.64.001.020.802.183.910.0%
2022Q19018.23.881.230.701.953.490.0%
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

3
D × 2F × 1
SurveyTypeTagDeficiencyScopeCorrected
2025-10-29HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D2025-11-10
2025-10-29HealthF0610Respond appropriately to all alleged violations.D2025-11-10
2025-10-29HealthF0730Observe each nurse aide's job performance and give regular training.F2025-11-10
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

0
No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — CO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01FALCON HEIGHTS REHABILITATION AND NURSING LLC107FALCON HEIGHTS REHABILITATION AND NURSING LLC
2025-07-11Pueblo Heights Nursing and Rehabilitation120CONSTITUTION OPERATIONS LLC
2025-05-16CITY SCAPE REHABILITATION & CARE CENTER LLC60CITY SCAPE REHABILITATION & CARE CENTER LLC
2024-10-16STORYBROOK CARE & REHABILITATION60STORYBROOK CARE & REHABILITATION LLC
2024-10-01CASEY'S POND SENIOR LIVING66NORTHWEST COLORADO VISITING NURSE ASSOCIATION
2024-09-01POUDRE CANYON REHABILITATION AND NURSING, LLC83POUDRE CANYON REHABILITATION AND NURSING LLC
2024-09-01WELLSPRINGS CARE CENTER81WELLSPRINGS CARE CENTER LLC
2024-09-01SOUTH PLATTE REHABILITATION AND NURSING LLC78SOUTH PLATTE REHABILITATION AND NURSING LLC
2024-09-01WESTLAKE HEALTH AND REHABILITATION CENTER107LATHAM RIVER HEALTHCARE, INC.
2024-09-01THORNTON CARE CENTER101THORNTON CARE CENTER LLC
2024-09-01DURANGO HEALTH AND REHABILITATION133CHIMNEY ROCK HEALTHCARE INC
2024-09-01STERLING REHABILITATION AND NURSING, LLC63STERLING REHABILITATION AND NURSING LLC
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

27
GeoKindBRAmountAs ofSource
county 08017fmr0$7902025-10-01HUD_USER_FMR
county 08017fmr1$7962025-10-01HUD_USER_FMR
county 08017acs median gross2$9212024-12-31CENSUS_ACS5
county 08017fmr2$1,0442025-10-01HUD_USER_FMR
county 08017acs median gross3$1,3132024-12-31CENSUS_ACS5
county 08017fmr3$1,3432025-10-01HUD_USER_FMR
county 08017acs median gross4$5362024-12-31CENSUS_ACS5
county 08017fmr4$1,6372025-10-01HUD_USER_FMR
county 08017acs median gross$9262024-12-31CENSUS_ACS5
county 08017acs recent mover gross$9502024-12-31CENSUS_ACS5
zcta 80810acs median gross2$9542024-12-31CENSUS_ACS5
zcta 80810acs median gross$9432024-12-31CENSUS_ACS5
zip 80810payment standard 1100$8692025-10-01HUD_USER_SAFMR
zip 80810payment standard 900$7112025-10-01HUD_USER_SAFMR
zip 80810safmr0$7902025-10-01HUD_USER_SAFMR
zip 80810payment standard 1101$8802025-10-01HUD_USER_SAFMR
zip 80810payment standard 901$7202025-10-01HUD_USER_SAFMR
zip 80810safmr1$8002025-10-01HUD_USER_SAFMR
zip 80810payment standard 1102$1,1552025-10-01HUD_USER_SAFMR
zip 80810payment standard 902$9452025-10-01HUD_USER_SAFMR
zip 80810safmr2$1,0502025-10-01HUD_USER_SAFMR
zip 80810payment standard 1103$1,4852025-10-01HUD_USER_SAFMR
zip 80810payment standard 903$1,2152025-10-01HUD_USER_SAFMR
zip 80810safmr3$1,3502025-10-01HUD_USER_SAFMR
zip 80810payment standard 1104$1,8152025-10-01HUD_USER_SAFMR
zip 80810payment standard 904$1,4852025-10-01HUD_USER_SAFMR
zip 80810safmr4$1,6502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.