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 22:28 UTC
Screener / 725008
A

CHAMPION CREEK HEALTH AND REHABILITATION

snfOH
6045 WOOSTER PIKE, MEDINA, OH 44256 · CCN 725008 · chain FOUNDATIONS HEALTH LLC
Composite
0.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
99
Model
v1.2
Reads as: riskier than 0.2% 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.

Composite explanation

2
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk9.79.80.250.62506.06in index
chow risk0.515.00.150.37500.19in 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

6
Score typeScoreGradeModelStatusRegistry model notes
chow risk15.0Av0.1-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 12m0.2v0.1default · 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 12m14.1v0.1default · 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.
staffing risk9.8Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
staffing risk9.8Av0.1supersededPre-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 risk9.8Av0.2supersededPre-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)
14.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.30+1.16
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Chain size (log)4.16+0.48
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.43-0.28
Ownership changes, last 5 years0.00+0.20
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
64.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.30+1.90
Deficiencies, last 12 months0.00+1.43
Chain size (log)4.16-1.22
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)4.43-0.51
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
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

1
2025Q4 HPRDThis facilityOH medianNational medianNational p25–p75
Total nurse4.433.243.282.90–3.77
RN0.680.380.390.25–0.58
Weekend total4.363.113.11
Weekday total4.463.293.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49229.34.430.681.282.484.360.0%
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

0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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

12
OwnerRolePctFromStatusSource
ANDERSON, AMANDAOPERATIONAL/MANAGERIAL CONTROL2025-05-15currentpecos_ownership
COLLERAN, BRIANADP OF THE SNF2025-05-15currentpecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLCADP OF THE SNF2025-04-15currentpecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLCOPERATIONAL/MANAGERIAL CONTROL2025-05-15currentpecos_ownership
KHANDELWAL, SHOBHAADP OF THE SNF2025-05-15currentpecos_ownership
KRYSTOWSKI, JOHNCORPORATE OFFICER2025-05-15currentpecos_ownership
COLLERAN FAM TR DATED 01-01-20185% OR GREATER INDIRECT OWNERSHIP INTEREST100%2025-05-15ended 2026-05-18pecos_ownership
FOUNDATIONS HEALTH LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-05-15ended 2026-05-18pecos_ownership
AMANDA ANDERSONADP OF THE SNF2025-05-15ended 2026-05-18pecos_ownership
BRIAN COLLERANADP OF THE SNF2025-05-15ended 2026-05-18pecos_ownership
JOHN KRYSTOWSKIADP OF THE SNF2025-05-15ended 2026-05-18pecos_ownership
SHOBHA KHANDELWALADP OF THE SNF2025-05-15ended 2026-05-18pecos_ownership
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 — OH snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-12-31SAPPHIRE REHABILITATION AND CARE CENTER113SAPPHIRE OPCO LLC
2024-12-31MAJESTIC CARE OF POINT PLACE82POINT PLACE OH HEALTH & REHAB OPCO LLC
2024-12-31MAJESTIC CARE OF NEW LEXINGTON82NEW LEXINGTON OH HEALTH & REHAB OPCO LLC
2024-12-31Atrium Nursing and Rehabilitation99ATRIUM OPCO LLC
2024-12-31Inniswood Health and Rehabilitation99FHS INNISWOOD, INC.
2024-12-31COMMUNITY SKILLED HEALTHCARE110CS OPCO LLC
2024-12-31MAJESTIC CARE OF PERRYSBURG75PERRYSBURG OH HEALTH & REHAB OPCO LLC
2024-12-31GRAFTON OAKS NURSING CENTER99GO OPCO LLC
2024-12-31MAJESTIC CARE OF KENT74KENT OH HEALTH & REHAB OPCO LLC
2024-12-30Chardon Woods161CHARDON WOODS OF JOURNEY LLC
2024-12-16The Pavilion at Canal Fulton for Nursing and Rehab60PAVILION AT CANAL FULTON LLC
2024-12-02BENNINGTON GLEN NURSING & REHABILITATION CENTER79FHS BENNINGTON INC
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

36
GeoKindBRAmountAs ofSource
county 39103acs median gross0$8482024-12-31CENSUS_ACS5
county 39103fmr0$9332025-10-01HUD_USER_FMR
county 39103acs median gross1$9012024-12-31CENSUS_ACS5
county 39103fmr1$1,0582025-10-01HUD_USER_FMR
county 39103acs median gross2$1,1512024-12-31CENSUS_ACS5
county 39103fmr2$1,2792025-10-01HUD_USER_FMR
county 39103acs median gross3$1,3372024-12-31CENSUS_ACS5
county 39103fmr3$1,6462025-10-01HUD_USER_FMR
county 39103acs median gross4$1,5632024-12-31CENSUS_ACS5
county 39103fmr4$1,7602025-10-01HUD_USER_FMR
county 39103acs median gross5$1,3192024-12-31CENSUS_ACS5
county 39103acs median gross$1,1432024-12-31CENSUS_ACS5
county 39103acs recent mover gross$1,3682024-12-31CENSUS_ACS5
zcta 44256acs median gross0$9192024-12-31CENSUS_ACS5
zcta 44256acs median gross1$9212024-12-31CENSUS_ACS5
zcta 44256acs median gross2$1,1672024-12-31CENSUS_ACS5
zcta 44256acs median gross3$1,6382024-12-31CENSUS_ACS5
zcta 44256acs median gross4$1,4612024-12-31CENSUS_ACS5
zcta 44256acs median gross5$1,6522024-12-31CENSUS_ACS5
zcta 44256acs median gross$1,1912024-12-31CENSUS_ACS5
zcta 44256acs recent mover gross$1,5182024-12-31CENSUS_ACS5
zip 44256payment standard 1100$1,1442025-10-01HUD_USER_SAFMR
zip 44256payment standard 900$9362025-10-01HUD_USER_SAFMR
zip 44256safmr0$1,0402025-10-01HUD_USER_SAFMR
zip 44256payment standard 1101$1,2982025-10-01HUD_USER_SAFMR
zip 44256payment standard 901$1,0622025-10-01HUD_USER_SAFMR
zip 44256safmr1$1,1802025-10-01HUD_USER_SAFMR
zip 44256payment standard 1102$1,5622025-10-01HUD_USER_SAFMR
zip 44256payment standard 902$1,2782025-10-01HUD_USER_SAFMR
zip 44256safmr2$1,4202025-10-01HUD_USER_SAFMR
zip 44256payment standard 1103$2,0132025-10-01HUD_USER_SAFMR
zip 44256payment standard 903$1,6472025-10-01HUD_USER_SAFMR
zip 44256safmr3$1,8302025-10-01HUD_USER_SAFMR
zip 44256payment standard 1104$2,1452025-10-01HUD_USER_SAFMR
zip 44256payment standard 904$1,7552025-10-01HUD_USER_SAFMR
zip 44256safmr4$1,9502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.