Reads as: riskier than 16.6% 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
3.77
2.85
3.28
2.90–3.77
RN
0.30
0.40
0.39
0.25–0.58
Weekend total
3.71
2.71
3.11
—
Weekday total
3.80
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.4
3.77
0.30
1.16
2.31
3.71
22.8%
2025Q3
92
48.9
3.85
0.28
1.22
2.35
3.73
22.6%
2025Q2
91
48.5
4.08
0.29
1.23
2.56
3.87
22.4%
2025Q1
90
51.4
3.87
0.34
1.08
2.44
3.73
26.7%
2024Q4
92
50.8
4.17
0.39
1.29
2.49
3.77
23.3%
2024Q3
92
50.3
4.21
0.42
1.23
2.56
3.81
34.8%
2024Q2
91
50.9
4.05
0.43
1.18
2.43
3.61
30.8%
2024Q1
91
49.8
3.75
0.45
1.22
2.08
3.35
21.8%
2023Q4
92
48.5
4.04
0.60
1.13
2.30
3.69
25.5%
2023Q3
92
50.7
3.71
0.53
1.01
2.16
3.37
27.1%
2023Q2
91
48.7
3.54
0.38
1.15
2.02
3.29
28.5%
2023Q1
90
44.9
3.48
0.30
0.99
2.19
3.34
32.3%
2022Q4
92
41.8
3.58
0.31
1.02
2.25
3.45
29.9%
2022Q3
92
41.6
3.51
0.33
0.90
2.28
3.21
31.4%
2022Q2
91
40.4
3.41
0.27
0.95
2.19
3.26
37.5%
2022Q1
90
40.2
3.56
0.28
1.11
2.17
3.37
32.9%
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.
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
9
D × 8E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-11
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-03-06
2026-02-11
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
2026-03-06
2026-02-11
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
2026-03-06
2026-02-11
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2026-03-06
2025-01-14
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-01-28
2024-11-22
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-10-29
2024-06-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-05-30
2024-02-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-21
2023-09-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-28
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
11
Owner
Role
Pct
From
Status
Source
PULASKI MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-02-01
current
pecos_ownership
BARRY, THOMAS
CORPORATE OFFICER
—
2019-02-01
current
pecos_ownership
CUNNINGHAM, STEVEN
W-2 MANAGING EMPLOYEE
—
2019-02-01
current
pecos_ownership
MALOTT, GREGG
CORPORATE DIRECTOR
—
2019-02-01
current
pecos_ownership
MCKINLEY, JAMES
W-2 MANAGING EMPLOYEE
—
2019-02-01
current
pecos_ownership
RAFALSKI, ROSEMARIE
CORPORATE OFFICER
—
2019-02-01
current
pecos_ownership
GREGG MALOTT
CORPORATE DIRECTOR
100%
2019-02-01
ended 2026-05-18
pecos_ownership
JAMES MCKINLEY
W-2 MANAGING EMPLOYEE
100%
2019-02-01
ended 2026-05-18
pecos_ownership
ROSEMARIE RAFALSKI
CORPORATE OFFICER
100%
2019-02-01
ended 2026-05-18
pecos_ownership
STEVEN CUNNINGHAM
W-2 MANAGING EMPLOYEE
100%
2019-02-01
ended 2026-05-18
pecos_ownership
THOMAS BARRY
CORPORATE OFFICER
100%
2019-02-01
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
$94,701
—
—
—
—
4
—
2023-12-31
$110,433
—
—
—
—
4
—
2022-12-31
$113,938
—
—
—
—
4
—
2021-12-31
$110,254
—
—
—
—
4
—
2020-12-31
$113,322
—
—
—
—
4
—
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 18019
acs median gross
0
$1,051
2024-12-31
CENSUS_ACS5
county 18019
fmr
0
$966
2025-10-01
HUD_USER_FMR
county 18019
acs median gross
1
$912
2024-12-31
CENSUS_ACS5
county 18019
fmr
1
$1,047
2025-10-01
HUD_USER_FMR
county 18019
acs median gross
2
$1,135
2024-12-31
CENSUS_ACS5
county 18019
fmr
2
$1,272
2025-10-01
HUD_USER_FMR
county 18019
acs median gross
3
$1,335
2024-12-31
CENSUS_ACS5
county 18019
fmr
3
$1,625
2025-10-01
HUD_USER_FMR
county 18019
acs median gross
4
$1,395
2024-12-31
CENSUS_ACS5
county 18019
fmr
4
$1,891
2025-10-01
HUD_USER_FMR
county 18019
acs median gross
5
$2,724
2024-12-31
CENSUS_ACS5
county 18019
acs median gross
$1,129
2024-12-31
CENSUS_ACS5
county 18019
acs recent mover gross
$1,242
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
0
$1,147
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
1
$791
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
2
$1,182
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
3
$1,319
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
4
$1,600
2024-12-31
CENSUS_ACS5
zcta 47172
acs median gross
$1,195
2024-12-31
CENSUS_ACS5
zcta 47172
acs recent mover gross
$1,378
2024-12-31
CENSUS_ACS5
zip 47172
payment standard 110
0
$1,122
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 90
0
$918
2025-10-01
HUD_USER_SAFMR
zip 47172
safmr
0
$1,020
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 110
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 90
1
$990
2025-10-01
HUD_USER_SAFMR
zip 47172
safmr
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 47172
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 47172
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 110
4
$2,189
2025-10-01
HUD_USER_SAFMR
zip 47172
payment standard 90
4
$1,791
2025-10-01
HUD_USER_SAFMR
zip 47172
safmr
4
$1,990
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.