Reads as: riskier than 24.9% 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 lease_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
FL median
National median
National p25–p75
Total nurse
3.36
3.42
3.28
2.90–3.77
RN
0.57
0.45
0.39
0.25–0.58
Weekend total
3.24
3.31
3.11
—
Weekday total
3.41
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
98.4
3.36
0.57
0.62
2.18
3.24
0.0%
2025Q3
92
101.5
3.28
0.57
0.57
2.13
3.13
0.0%
2025Q2
91
101.0
3.26
0.49
0.65
2.12
3.12
0.0%
2025Q1
90
96.7
3.42
0.47
0.76
2.19
3.31
0.0%
2024Q4
92
97.0
3.37
0.46
0.75
2.16
3.28
0.0%
2024Q3
92
98.8
3.38
0.47
0.74
2.16
3.27
0.0%
2024Q2
91
98.7
3.35
0.45
0.75
2.15
3.21
0.0%
2024Q1
91
99.6
3.32
0.49
0.68
2.15
3.19
0.0%
2023Q4
92
98.1
3.38
0.51
0.69
2.19
3.29
0.0%
2023Q3
92
95.8
3.42
0.49
0.72
2.20
3.29
0.0%
2023Q2
91
93.3
3.45
0.49
0.75
2.21
3.24
0.0%
2023Q1
90
100.0
3.30
0.41
0.71
2.18
3.06
1.3%
2022Q4
92
97.2
3.40
0.50
0.67
2.23
3.15
4.4%
2022Q3
92
88.0
3.51
0.36
0.87
2.27
3.29
3.9%
2022Q2
91
91.6
3.60
0.41
0.91
2.29
3.40
4.7%
2022Q1
90
96.8
3.58
0.47
0.70
2.41
3.33
10.1%
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
15
D × 15
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-18
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-03-09
2025-12-18
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-09
2025-02-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-11
2024-09-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-10-09
2024-06-20
Health
F0610
Respond appropriately to all alleged violations.
D
2024-07-20
2024-06-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-20
2024-06-20
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-07-20
2024-06-20
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-07-20
2024-06-20
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
2024-07-20
2024-06-20
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-20
2023-04-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-05-06
2023-04-06
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-05-06
2023-04-06
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-05-06
2023-04-06
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.
D
2023-05-06
2023-04-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-05-06
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
12
Owner
Role
Pct
From
Status
Source
FUND I INVESTMENTS LIMITED PARTNERSHIP
5% OR GREATER DIRECT OWNERSHIP INTEREST
96%
1995-08-23
current
pecos_ownership
CRHC LLC
GENERAL PARTNERSHIP INTEREST
—
2017-01-01
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
1995-08-23
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
LIMITED PARTNERSHIP INTEREST
—
1995-08-23
current
pecos_ownership
HCF INC
LIMITED PARTNERSHIP INTEREST
—
1995-08-23
current
pecos_ownership
LANGLAIS, HEATHER
W-2 MANAGING EMPLOYEE
—
2021-10-18
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1990-03-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-21
current
pecos_ownership
FORREST PRESTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
1995-08-23
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1995-08-23
ended 2026-05-18
pecos_ownership
HEATHER LANGLAIS
W-2 MANAGING EMPLOYEE
—
2021-10-18
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-21
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,772,371
$399,508
—
—
$697,911
7
—
2023-12-31
$1,758,668
$385,523
—
—
$814,761
7
—
2022-12-31
$1,699,615
$396,238
$325,006
—
$684,507
7
—
2021-12-31
$1,967,320
$443,344
$349,621
—
$811,800
7
—
2020-12-31
$2,155,738
$416,473
—
—
$146,202
7
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 12099
acs median gross
0
$1,584
2024-12-31
CENSUS_ACS5
county 12099
fmr
0
$1,788
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
1
$1,688
2024-12-31
CENSUS_ACS5
county 12099
fmr
1
$1,901
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
2
$1,878
2024-12-31
CENSUS_ACS5
county 12099
fmr
2
$2,254
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
3
$2,281
2024-12-31
CENSUS_ACS5
county 12099
fmr
3
$2,920
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
4
$2,678
2024-12-31
CENSUS_ACS5
county 12099
fmr
4
$3,388
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
5
$3,061
2024-12-31
CENSUS_ACS5
county 12099
acs median gross
$1,916
2024-12-31
CENSUS_ACS5
county 12099
acs recent mover gross
$2,333
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
0
$1,391
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
1
$1,240
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
2
$1,665
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
3
$1,689
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
4
$2,345
2024-12-31
CENSUS_ACS5
zcta 33407
acs median gross
$1,608
2024-12-31
CENSUS_ACS5
zcta 33407
acs recent mover gross
$1,953
2024-12-31
CENSUS_ACS5
zip 33407
payment standard 110
0
$1,892
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 90
0
$1,548
2025-10-01
HUD_USER_SAFMR
zip 33407
safmr
0
$1,720
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 110
1
$2,013
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 90
1
$1,647
2025-10-01
HUD_USER_SAFMR
zip 33407
safmr
1
$1,830
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 110
2
$2,387
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 90
2
$1,953
2025-10-01
HUD_USER_SAFMR
zip 33407
safmr
2
$2,170
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 110
3
$3,091
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 90
3
$2,529
2025-10-01
HUD_USER_SAFMR
zip 33407
safmr
3
$2,810
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 110
4
$3,586
2025-10-01
HUD_USER_SAFMR
zip 33407
payment standard 90
4
$2,934
2025-10-01
HUD_USER_SAFMR
zip 33407
safmr
4
$3,260
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.