Reads as: riskier than 61.3% 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
OH median
National median
National p25–p75
Total nurse
3.00
3.24
3.28
2.90–3.77
RN
0.59
0.38
0.39
0.25–0.58
Weekend total
2.79
3.11
3.11
—
Weekday total
3.09
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.0
3.00
0.59
0.49
1.92
2.79
1.1%
2025Q3
92
54.7
3.25
0.41
0.72
2.13
3.08
2.1%
2025Q2
91
56.8
3.44
0.41
0.73
2.30
3.21
15.4%
2025Q1
90
57.6
3.20
0.38
0.70
2.12
3.04
12.7%
2024Q4
92
54.3
1.76
0.47
0.41
0.89
1.71
36.6%
2024Q3
92
53.1
2.75
0.27
0.61
1.87
2.73
9.8%
2024Q2
91
53.2
2.88
0.27
0.70
1.91
2.73
18.2%
2024Q1
91
52.4
2.93
0.37
0.70
1.86
2.71
0.0%
2023Q4
92
47.3
2.92
0.27
0.74
1.91
2.87
9.6%
2023Q3
92
47.4
2.79
0.23
0.81
1.74
2.63
0.0%
2023Q2
91
49.1
2.84
0.28
0.74
1.82
2.69
0.0%
2023Q1
90
52.7
2.43
0.26
0.63
1.54
2.37
0.1%
2022Q4
92
56.8
2.23
0.15
0.64
1.44
2.28
5.5%
2022Q3
92
49.8
0.35
0.05
0.09
0.21
1.25
4.9%
2022Q2
91
48.0
2.76
0.24
0.74
1.77
2.64
5.0%
2022Q1
90
51.4
2.73
0.22
0.67
1.84
2.59
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
26
C × 3D × 12E × 5F × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-09-18
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
C
2024-10-07
2024-09-18
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-11-07
2024-09-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-07
2024-09-18
Health
F0730
Observe each nurse aide's job performance and give regular training.
C
2024-10-07
2024-09-18
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-11-07
2023-08-02
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2023-08-18
2023-08-02
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2023-08-18
2023-06-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-12
2023-06-29
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-12
2022-11-03
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
2022-11-29
2022-11-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-11-29
2022-11-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-11-29
2022-11-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-11-29
2022-11-03
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-11-29
2022-11-03
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
2022-11-29
2022-11-03
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F
2022-11-29
2022-11-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-11-29
2022-11-03
Health
F0814
Dispose of garbage and refuse properly.
C
2022-11-29
2022-11-03
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2022-11-29
2022-11-03
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2022-11-29
2019-10-09
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2019-11-06
2019-10-09
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
2019-11-06
2019-10-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-11-06
2019-10-09
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-11-06
2019-10-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-11-06
2019-10-09
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2019-11-06
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
5
Owner
Role
Pct
From
Status
Source
EMBASSY HEALTHCARE HOLDINGS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-09-01
ended 2026-05-18
pecos_ownership
EAGLE OHIO OPERATIONS HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
62%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GEORGE REPCHICK
CORPORATE OFFICER
50%
2021-09-01
ended 2026-05-18
pecos_ownership
GSR DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-09-01
ended 2026-05-18
pecos_ownership
AARON HANDLER
CORPORATE OFFICER
—
2021-09-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-12-31
$233,535
—
$233,535
—
—
2
—
2021-12-31
$86,040
—
$86,040
—
—
2
—
2021-08-31
$159,157
—
—
—
—
1
—
2020-12-31
$353,129
—
—
—
—
2
propco
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
36
Geo
Kind
BR
Amount
As of
Source
county 39085
acs median gross
0
$833
2024-12-31
CENSUS_ACS5
county 39085
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
1
$914
2024-12-31
CENSUS_ACS5
county 39085
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
2
$1,133
2024-12-31
CENSUS_ACS5
county 39085
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
3
$1,409
2024-12-31
CENSUS_ACS5
county 39085
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
4
$1,289
2024-12-31
CENSUS_ACS5
county 39085
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
5
$1,180
2024-12-31
CENSUS_ACS5
county 39085
acs median gross
$1,113
2024-12-31
CENSUS_ACS5
county 39085
acs recent mover gross
$1,173
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
0
$411
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
1
$830
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
2
$1,054
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
3
$1,315
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
4
$1,172
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
5
$1,092
2024-12-31
CENSUS_ACS5
zcta 44077
acs median gross
$1,056
2024-12-31
CENSUS_ACS5
zcta 44077
acs recent mover gross
$1,080
2024-12-31
CENSUS_ACS5
zip 44077
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 44077
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 110
1
$1,122
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 90
1
$918
2025-10-01
HUD_USER_SAFMR
zip 44077
safmr
1
$1,020
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 44077
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 110
3
$1,738
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 90
3
$1,422
2025-10-01
HUD_USER_SAFMR
zip 44077
safmr
3
$1,580
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 44077
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 44077
safmr
4
$1,690
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.