Reads as: riskier than 26.2% 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
15
2025Q4 HPRD
This facility
OK median
National median
National p25–p75
Total nurse
2.10
2.78
3.28
2.90–3.77
RN
0.11
0.18
0.39
0.25–0.58
Weekend total
2.41
2.72
3.11
—
Weekday total
1.98
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
49.4
2.10
0.11
0.75
1.25
2.41
0.0%
2025Q3
92
47.8
2.22
0.06
0.87
1.29
2.55
0.0%
2025Q2
91
42.1
2.29
0.07
1.04
1.18
2.71
0.0%
2025Q1
90
42.3
1.52
0.04
0.56
0.91
2.16
0.0%
2024Q4
92
41.0
2.20
0.15
0.66
1.39
2.52
0.0%
2024Q3
92
43.3
2.41
0.16
0.72
1.52
2.73
26.5%
2024Q2
91
44.3
2.87
0.12
0.84
1.90
3.01
0.0%
2024Q1
91
43.3
2.69
0.17
0.94
1.59
2.56
0.0%
2023Q4
92
46.3
2.49
0.11
0.93
1.46
2.28
0.0%
2023Q3
92
47.3
2.67
0.09
0.98
1.60
2.33
0.0%
2023Q1
90
46.4
2.41
0.18
0.68
1.56
2.48
33.9%
2022Q4
92
49.0
2.82
0.25
0.67
1.90
2.71
49.7%
2022Q3
92
46.5
3.23
0.21
0.86
2.16
3.04
60.2%
2022Q2
91
48.7
2.58
0.13
0.79
1.65
2.56
64.6%
2022Q1
90
48.0
2.06
0.19
0.70
1.17
1.84
25.5%
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
22
D × 13E × 9
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-10-23
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2024-12-05
2024-10-23
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
2024-12-05
2024-10-23
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
D
2024-12-05
2024-10-23
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2024-12-05
2024-10-23
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
2024-12-05
2024-10-23
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-12-05
2024-10-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-12-05
2024-10-23
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2024-12-05
2024-10-23
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-12-05
2024-10-23
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2024-12-05
2024-10-23
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2024-12-05
2024-10-23
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2024-12-05
2024-10-23
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2024-12-05
2023-09-19
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.
E
2023-10-20
2023-09-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-10-20
2023-09-19
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
2023-10-20
2023-09-19
Health · complaint
F0730
Observe each nurse aide's job performance and give regular training.
E
2023-10-20
2023-09-19
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-10-20
2023-09-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-10-20
2023-09-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-20
2022-10-13
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
2022-11-10
2022-10-13
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
2021-09-24
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
18
Owner
Role
Pct
From
Status
Source
UNDERWOOD, ADAMSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-04-01
current
pecos_ownership
CRANE, JUDY
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
CRANE, JUDY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
EMPIRE CAPITAL INVESTMENT, LLC
DIRECT OWNERSHIP INTEREST
—
2024-04-01
current
pecos_ownership
HALL, SONYA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
HOLLAWAY, CHRISTIAN
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
current
pecos_ownership
JUDY M CRANE LIVING TRUST
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
KHAN, MUNEER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
PARK HOME PROPERTY, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
VOYAGE MANAGEMENT OF OK, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
WRIGHT, MARY
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
CHRISTIAN HOLLAWAY
5% OR GREATER DIRECT OWNERSHIP INTEREST
51%
2024-04-01
ended 2026-05-18
pecos_ownership
ADAMSON UNDERWOOD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-04-01
ended 2026-05-18
pecos_ownership
JUDY CRANE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
JUDY CRANE
ADP OF THE SNF
—
2025-10-01
ended 2026-05-18
pecos_ownership
MARY WRIGHT
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
MUNEER KHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
SONYA HALL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$374,331
—
—
$44,151
$40,882
6
—
2023-12-31
$84,439
—
—
—
$16,135
1
—
2022-12-31
$472,378
—
—
—
$87,364
1
—
2021-12-31
$411,975
—
—
—
$85,054
1
—
2020-12-31
$362,288
—
—
—
$91,491
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 40109
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
county 40109
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 40109
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 40109
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
3
$1,363
2024-12-31
CENSUS_ACS5
county 40109
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 40109
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 40109
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
county 40109
acs recent mover gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
0
$791
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
1
$762
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
2
$1,007
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
3
$1,321
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
4
$1,478
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
$1,071
2024-12-31
CENSUS_ACS5
zcta 73008
acs recent mover gross
$1,102
2024-12-31
CENSUS_ACS5
zip 73008
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
1
$900
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
1
$1,000
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
4
$1,820
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.