Reads as: riskier than 98.0% 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
MA median
National median
National p25–p75
Total nurse
3.22
3.39
3.28
2.90–3.77
RN
0.61
0.39
0.39
0.25–0.58
Weekend total
3.23
3.26
3.11
—
Weekday total
3.22
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.2
3.22
0.61
0.37
2.24
3.23
1.0%
2025Q3
92
81.7
3.13
0.60
0.34
2.19
3.18
0.4%
2025Q2
91
82.2
3.09
0.59
0.34
2.16
3.03
0.0%
2025Q1
90
77.0
0.01
0.00
0.00
0.01
0.01
0.0%
2024Q4
92
78.0
3.16
0.58
0.30
2.27
3.04
0.1%
2024Q3
92
72.6
3.07
0.51
0.37
2.19
3.03
0.0%
2024Q2
91
70.5
3.17
0.50
0.39
2.27
3.13
0.0%
2024Q1
91
76.1
3.09
0.50
0.43
2.15
3.09
0.0%
2023Q4
92
78.8
2.92
0.49
0.37
2.06
2.88
0.0%
2023Q3
92
80.7
3.04
0.50
0.47
2.07
3.03
0.0%
2023Q2
91
80.8
3.12
0.48
0.44
2.20
3.11
0.0%
2023Q1
90
82.0
3.03
0.47
0.46
2.10
2.92
0.0%
2022Q4
92
83.0
2.93
0.45
0.56
1.93
2.81
0.0%
2022Q3
92
82.2
3.01
0.48
0.56
1.96
2.77
0.0%
2022Q2
91
80.0
3.27
0.48
0.58
2.21
2.97
0.0%
2022Q1
90
80.3
3.22
0.59
0.62
2.01
2.85
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-11-19
2025-07-10
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
K
2025-07-08
2025-04-30
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2025-06-14
2025-04-30
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-14
2025-04-30
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
2025-06-14
2025-04-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-14
2025-04-30
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
2025-06-14
2025-04-30
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-06-14
2025-04-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-14
2025-04-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-14
2025-04-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-06-14
2025-04-30
Health
F0687
Provide appropriate foot care.
D
2025-06-14
2025-04-30
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2025-06-14
2025-04-30
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-06-14
2025-04-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-14
2025-04-30
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-06-14
2025-04-30
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-06-14
2025-04-30
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
2025-06-14
2025-04-30
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.
E
2025-06-14
2025-04-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-07
2025-04-30
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-06-14
2025-04-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-14
2024-05-23
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-06-28
2024-05-23
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
2024-06-10
2024-05-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-06-10
2024-05-23
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2024-07-07
2023-12-15
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-02-09
2022-11-17
Health
F0610
Respond appropriately to all alleged violations.
D
2022-12-09
2022-11-17
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-12-09
2022-11-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-12-09
2022-11-17
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2022-12-09
2022-11-17
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-12-09
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
8
Owner
Role
Pct
From
Status
Source
FEASTER, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-03
current
pecos_ownership
HANSPARD, KENYA
ADP OF THE SNF
—
2025-05-21
current
pecos_ownership
HANSPARD, KENYA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-02
current
pecos_ownership
MARK, DELICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-28
current
pecos_ownership
DELICIA MARK
CORPORATE OFFICER
0%
2024-05-28
ended 2026-05-18
pecos_ownership
JOSEPH FEASTER
CORPORATE DIRECTOR
—
2024-04-03
ended 2026-05-18
pecos_ownership
KENYA HANSPARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-02
ended 2026-05-18
pecos_ownership
KENYA HANSPARD
ADP OF THE SNF
—
2025-05-21
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
31
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
0
$3,137
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
1
$1,514
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
2
$1,210
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
3
$1,636
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
4
$2,207
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
5
$2,362
2024-12-31
CENSUS_ACS5
zcta 02120
acs median gross
$1,649
2024-12-31
CENSUS_ACS5
zcta 02120
acs recent mover gross
$2,917
2024-12-31
CENSUS_ACS5
zip 02120
payment standard 110
0
$2,519
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 90
0
$2,061
2025-10-01
HUD_USER_SAFMR
zip 02120
safmr
0
$2,290
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 110
1
$2,651
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 90
1
$2,169
2025-10-01
HUD_USER_SAFMR
zip 02120
safmr
1
$2,410
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 110
2
$3,146
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 90
2
$2,574
2025-10-01
HUD_USER_SAFMR
zip 02120
safmr
2
$2,860
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 110
3
$3,773
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 90
3
$3,087
2025-10-01
HUD_USER_SAFMR
zip 02120
safmr
3
$3,430
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 110
4
$4,169
2025-10-01
HUD_USER_SAFMR
zip 02120
payment standard 90
4
$3,411
2025-10-01
HUD_USER_SAFMR
zip 02120
safmr
4
$3,790
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.