Reads as: riskier than 58.6% 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
IN median
National median
National p25–p75
Total nurse
2.74
2.85
3.28
2.90–3.77
RN
0.30
0.40
0.39
0.25–0.58
Weekend total
2.54
2.71
3.11
—
Weekday total
2.82
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
133.7
2.74
0.30
0.54
1.90
2.54
0.0%
2025Q3
92
127.0
2.74
0.36
0.48
1.89
2.48
0.0%
2025Q2
91
120.5
2.82
0.39
0.45
1.98
2.65
2.8%
2025Q1
90
128.7
2.82
0.33
0.51
1.99
2.60
8.6%
2024Q4
92
129.2
2.74
0.31
0.46
1.96
2.53
8.7%
2024Q3
92
124.2
2.73
0.35
0.41
1.96
2.54
9.6%
2024Q2
91
123.6
2.72
0.39
0.41
1.91
2.50
7.9%
2024Q1
91
123.5
2.79
0.30
0.55
1.95
2.61
10.5%
2023Q4
92
123.1
2.78
0.26
0.53
2.00
2.63
10.0%
2023Q3
92
123.9
2.89
0.24
0.54
2.11
2.73
13.6%
2023Q2
91
120.5
2.86
0.23
0.58
2.06
2.62
12.0%
2023Q1
90
120.5
2.93
0.24
0.51
2.17
2.76
20.3%
2022Q4
92
113.5
3.16
0.22
0.62
2.32
2.98
29.9%
2022Q3
92
107.9
3.19
0.17
0.56
2.46
2.64
30.0%
2022Q2
91
101.8
2.69
0.21
0.47
2.00
2.28
19.7%
2022Q1
90
103.0
3.12
0.40
0.44
2.29
2.64
6.9%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2026-04-17
2026-03-25
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-17
2026-03-25
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-04-17
2026-03-25
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-04-17
2026-03-25
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-04-17
2026-03-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-17
2025-07-01
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-07-14
2025-02-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-21
2025-02-25
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
2025-03-21
2025-02-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-21
2025-02-25
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-03-21
2025-02-25
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2025-03-21
2025-02-25
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-03-21
2025-02-25
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
2025-03-21
2025-02-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-21
2024-01-10
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-02-29
2024-01-10
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-02-29
2024-01-10
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-02-29
2024-01-10
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-02-29
2024-01-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-02-29
2024-01-10
Health
F0687
Provide appropriate foot care.
D
2024-02-29
2024-01-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-29
2024-01-10
Health
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
2024-02-29
2024-01-10
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-02-29
2024-01-10
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-02-29
2024-01-10
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
2024-02-29
2024-01-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-02-29
2024-01-10
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
2024-02-29
2024-01-10
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
2024-02-29
2024-01-10
Health
F0814
Dispose of garbage and refuse properly.
C
2024-02-29
2024-01-10
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-02-29
2024-01-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-29
2023-08-29
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-18
2023-08-29
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2023-09-18
2023-06-20
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-07-18
2023-06-20
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-18
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
39
Owner
Role
Pct
From
Status
Source
AMERICAN SENIOR COMMUNITIES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2005-04-01
current
pecos_ownership
AMERICAN SENIOR COMMUNITIES LLC
ADP OF THE SNF
—
2026-02-09
current
pecos_ownership
BABCOCK, PAUL
CORPORATE OFFICER
—
2020-09-30
current
pecos_ownership
CAINE, VIRGINIA
CORPORATE OFFICER
—
1994-01-10
current
pecos_ownership
COUCH, GINA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-11
current
pecos_ownership
COUCH, GINA
ADP OF THE SNF
—
2026-02-09
current
pecos_ownership
DICE, MARK
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
DRUMMER, CARL
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
FEHRIBACH, GREGORY
CORPORATE DIRECTOR
—
2004-12-14
current
pecos_ownership
FERGUSON, NIKKI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-11
current
pecos_ownership
HANIFY, THOMAS
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HARRIS, LISA
CORPORATE OFFICER
—
2003-12-22
current
pecos_ownership
LAZARD, ROBERT
CORPORATE DIRECTOR
—
2021-01-29
current
pecos_ownership
MANTRAVADI, GEETA
CORPORATE DIRECTOR
—
2021-07-21
current
pecos_ownership
MUKES-GAITHER, BEVERLY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PAYNE, MONICA
CORPORATE DIRECTOR
—
2021-08-09
current
pecos_ownership
SOLITO, LEO
ADP OF THE SNF
—
2026-02-09
current
pecos_ownership
SOLITO, LEO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
VAN CAMP, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2005-04-01
ended 2026-05-18
pecos_ownership
BEVERLY MUKES-GAITHER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
CARL DRUMMER
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
GEETA MANTRAVADI
CORPORATE DIRECTOR
—
2021-07-21
ended 2026-05-18
pecos_ownership
GINA COUCH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-11
ended 2026-05-18
pecos_ownership
GINA COUCH
ADP OF THE SNF
—
2026-02-09
ended 2026-05-18
pecos_ownership
GREGORY FEHRIBACH
CORPORATE DIRECTOR
—
2004-12-14
ended 2026-05-18
pecos_ownership
LEO SOLITO
ADP OF THE SNF
—
2026-02-09
ended 2026-05-18
pecos_ownership
LEO SOLITO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
LISA HARRIS
CORPORATE OFFICER
—
2003-12-22
ended 2026-05-18
pecos_ownership
MARK DICE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
MONICA PAYNE
CORPORATE DIRECTOR
—
2021-08-09
ended 2026-05-18
pecos_ownership
NIKKI FERGUSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-11
ended 2026-05-18
pecos_ownership
PAUL BABCOCK
CORPORATE OFFICER
—
2020-09-30
ended 2026-05-18
pecos_ownership
ROBERT LAZARD
CORPORATE DIRECTOR
—
2021-01-29
ended 2026-05-18
pecos_ownership
STEVEN VAN CAMP
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
THOMAS HANIFY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
TURTLE CREEK MANAGEMENT INC.
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
TURTLE CREEK MANAGEMENT INC.
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
VIRGINIA CAINE
CORPORATE OFFICER
—
1994-01-10
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
$1,188,405
—
—
—
—
13
—
2023-12-31
$1,127,612
—
—
—
—
13
—
2022-12-31
$1,097,010
—
—
—
—
14
propco
2021-12-31
$1,091,810
—
—
—
—
15
propco
2020-12-31
$1,095,096
—
—
—
—
14
—
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 18097
acs median gross
0
$948
2024-12-31
CENSUS_ACS5
county 18097
fmr
0
$1,118
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
1
$1,018
2024-12-31
CENSUS_ACS5
county 18097
fmr
1
$1,267
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
2
$1,178
2024-12-31
CENSUS_ACS5
county 18097
fmr
2
$1,473
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
3
$1,369
2024-12-31
CENSUS_ACS5
county 18097
fmr
3
$1,907
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 18097
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
5
$1,573
2024-12-31
CENSUS_ACS5
county 18097
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 18097
acs recent mover gross
$1,328
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
0
$1,506
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
1
$1,166
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
2
$1,406
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
3
$1,543
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
4
$1,774
2024-12-31
CENSUS_ACS5
zcta 46220
acs median gross
$1,376
2024-12-31
CENSUS_ACS5
zcta 46220
acs recent mover gross
$1,679
2024-12-31
CENSUS_ACS5
zip 46220
payment standard 110
0
$1,408
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 90
0
$1,152
2025-10-01
HUD_USER_SAFMR
zip 46220
safmr
0
$1,280
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 110
1
$1,595
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 90
1
$1,305
2025-10-01
HUD_USER_SAFMR
zip 46220
safmr
1
$1,450
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 110
2
$1,859
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 90
2
$1,521
2025-10-01
HUD_USER_SAFMR
zip 46220
safmr
2
$1,690
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 110
3
$2,409
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 90
3
$1,971
2025-10-01
HUD_USER_SAFMR
zip 46220
safmr
3
$2,190
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 110
4
$2,948
2025-10-01
HUD_USER_SAFMR
zip 46220
payment standard 90
4
$2,412
2025-10-01
HUD_USER_SAFMR
zip 46220
safmr
4
$2,680
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.