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.
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 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
1
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
4.43
3.24
3.28
2.90–3.77
RN
0.68
0.38
0.39
0.25–0.58
Weekend total
4.36
3.11
3.11
—
Weekday total
4.46
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.3
4.43
0.68
1.28
2.48
4.36
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.
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
Owner
Role
Pct
From
Status
Source
ANDERSON, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
current
pecos_ownership
COLLERAN, BRIAN
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
current
pecos_ownership
KHANDELWAL, SHOBHA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
KRYSTOWSKI, JOHN
CORPORATE OFFICER
—
2025-05-15
current
pecos_ownership
COLLERAN FAM TR DATED 01-01-2018
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2025-05-15
ended 2026-05-18
pecos_ownership
FOUNDATIONS HEALTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-05-15
ended 2026-05-18
pecos_ownership
AMANDA ANDERSON
ADP OF THE SNF
—
2025-05-15
ended 2026-05-18
pecos_ownership
BRIAN COLLERAN
ADP OF THE SNF
—
2025-05-15
ended 2026-05-18
pecos_ownership
JOHN KRYSTOWSKI
ADP OF THE SNF
—
2025-05-15
ended 2026-05-18
pecos_ownership
SHOBHA KHANDELWAL
ADP OF THE SNF
—
2025-05-15
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
36
Geo
Kind
BR
Amount
As of
Source
county 39103
acs median gross
0
$848
2024-12-31
CENSUS_ACS5
county 39103
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39103
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 39103
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39103
acs median gross
2
$1,151
2024-12-31
CENSUS_ACS5
county 39103
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39103
acs median gross
3
$1,337
2024-12-31
CENSUS_ACS5
county 39103
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39103
acs median gross
4
$1,563
2024-12-31
CENSUS_ACS5
county 39103
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39103
acs median gross
5
$1,319
2024-12-31
CENSUS_ACS5
county 39103
acs median gross
$1,143
2024-12-31
CENSUS_ACS5
county 39103
acs recent mover gross
$1,368
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
0
$919
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
1
$921
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
2
$1,167
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
3
$1,638
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
4
$1,461
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
5
$1,652
2024-12-31
CENSUS_ACS5
zcta 44256
acs median gross
$1,191
2024-12-31
CENSUS_ACS5
zcta 44256
acs recent mover gross
$1,518
2024-12-31
CENSUS_ACS5
zip 44256
payment standard 110
0
$1,144
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 90
0
$936
2025-10-01
HUD_USER_SAFMR
zip 44256
safmr
0
$1,040
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 110
1
$1,298
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 90
1
$1,062
2025-10-01
HUD_USER_SAFMR
zip 44256
safmr
1
$1,180
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 110
2
$1,562
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 90
2
$1,278
2025-10-01
HUD_USER_SAFMR
zip 44256
safmr
2
$1,420
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 110
3
$2,013
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 90
3
$1,647
2025-10-01
HUD_USER_SAFMR
zip 44256
safmr
3
$1,830
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 110
4
$2,145
2025-10-01
HUD_USER_SAFMR
zip 44256
payment standard 90
4
$1,755
2025-10-01
HUD_USER_SAFMR
zip 44256
safmr
4
$1,950
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.