Reads as: riskier than 12.7% 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
3.42
2.85
3.28
2.90–3.77
RN
0.29
0.40
0.39
0.25–0.58
Weekend total
3.22
2.71
3.11
—
Weekday total
3.51
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.3
3.42
0.29
0.79
2.34
3.22
0.0%
2025Q3
92
39.3
3.33
0.26
0.85
2.23
2.94
0.0%
2025Q2
91
40.3
3.03
0.36
0.75
1.92
2.84
0.1%
2025Q1
90
44.1
2.50
0.37
0.60
1.53
2.24
0.0%
2024Q4
92
39.1
2.68
0.38
0.61
1.69
2.58
1.5%
2024Q3
92
37.0
2.75
0.50
0.42
1.83
2.66
0.8%
2024Q2
91
39.8
2.62
0.38
0.48
1.75
2.50
1.1%
2024Q1
91
44.0
2.54
0.28
0.64
1.63
2.30
0.6%
2023Q4
92
41.7
2.66
0.31
0.68
1.67
2.43
1.1%
2023Q3
92
42.7
2.76
0.27
0.62
1.87
2.46
0.9%
2023Q2
91
42.8
2.52
0.30
0.63
1.59
2.15
0.7%
2023Q1
90
42.9
2.73
0.39
0.54
1.80
2.27
0.5%
2022Q4
92
39.9
3.04
0.59
0.47
1.98
2.65
0.0%
2022Q3
92
40.0
2.78
0.62
0.56
1.61
2.49
0.3%
2022Q2
91
36.8
3.00
0.73
0.53
1.74
2.78
0.0%
2022Q1
90
37.4
3.04
0.91
0.54
1.59
2.68
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
5
D × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-27
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-06
2026-03-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-11
2026-03-27
Health
F0791
Provide or obtain dental services for each resident.
D
2026-04-11
2025-06-02
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
2025-06-13
2025-06-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-13
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
36
Owner
Role
Pct
From
Status
Source
RPH ACQUISITIONS LLC
Other (financial or non-financial)
100%
2023-01-01
current
hcris_a_8_1
RUSH MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-08-01
current
pecos_ownership
WHITE RIVER LODGE LLC
Other (financial or non-financial)
100%
2024-01-01
current
hcris_a_8_1
WHITE RIVER LODGE LLC
Other (financial or non-financial)
100%
2023-01-01
current
hcris_a_8_1
BACON, MARK
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
BURKETT, KIPLAND
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
BYRNE, JOHN
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
HAWORTH, ALBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
JARMAN, RONALD
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
JENKINS, TANGIE
W-2 MANAGING EMPLOYEE
—
2022-03-21
current
pecos_ownership
KINDER, ASHLEY
CORPORATE OFFICER
—
2020-05-01
current
pecos_ownership
MARSH, DAWN
CORPORATE OFFICER
—
1994-04-15
current
pecos_ownership
MOHR, GERALD
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
PENN, CHRISTINA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
REAL PROPERTY HEALTH FACILITIES CORP
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
SMITH, BRADLEY
W-2 MANAGING EMPLOYEE
—
2017-06-29
current
pecos_ownership
SMYTH, CHAD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-30
current
pecos_ownership
SPURLIN, MARK
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
WILKINSON, PAUL
CORPORATE DIRECTOR
—
2017-06-29
current
pecos_ownership
WHITE RIVER LODGE
Other (financial or non-financial)
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
WHITE RIVER LODGE
Other (financial or non-financial)
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
WHITE RIVER LODGE
Other (financial or non-financial)
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ASHLEY KINDER
CORPORATE OFFICER
0%
2020-05-01
ended 2026-05-18
pecos_ownership
CHAD SMYTH
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-03-30
ended 2026-05-18
pecos_ownership
DAWN MARSH
CORPORATE OFFICER
0%
1994-04-15
ended 2026-05-18
pecos_ownership
GERALD MOHR
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
JOHN BYRNE
CORPORATE DIRECTOR
0%
2017-06-29
ended 2026-05-18
pecos_ownership
KIPLAND BURKETT
CORPORATE DIRECTOR
0%
2017-06-29
ended 2026-05-18
pecos_ownership
MARK BACON
CORPORATE DIRECTOR
0%
2017-06-29
ended 2026-05-18
pecos_ownership
MARK SPURLIN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RONALD JARMAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
ALBERT HAWORTH
CORPORATE OFFICER
—
2021-05-01
ended 2026-05-18
pecos_ownership
BRADLEY SMITH
CORPORATE OFFICER
—
2017-06-29
ended 2026-05-18
pecos_ownership
CHRISTINA PENN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
PAUL WILKINSON
CORPORATE DIRECTOR
—
2017-06-29
ended 2026-05-18
pecos_ownership
TANGIE JENKINS
W-2 MANAGING EMPLOYEE
—
2022-03-21
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
$561,643
$137,879
$423,764
—
—
6
propco
2023-12-31
$609,790
$113,537
$496,253
—
—
7
propco
2022-12-31
$541,615
$94,856
$446,759
—
—
6
propco
2021-12-31
$615,833
$91,354
$524,479
—
—
6
propco
2020-12-31
$528,291
$99,972
$428,319
—
—
6
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 18093
acs median gross
0
$552
2024-12-31
CENSUS_ACS5
county 18093
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
1
$569
2024-12-31
CENSUS_ACS5
county 18093
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
2
$880
2024-12-31
CENSUS_ACS5
county 18093
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
3
$942
2024-12-31
CENSUS_ACS5
county 18093
fmr
3
$1,146
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
4
$1,194
2024-12-31
CENSUS_ACS5
county 18093
fmr
4
$1,447
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
$845
2024-12-31
CENSUS_ACS5
county 18093
acs recent mover gross
$868
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
1
$572
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
3
$920
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
$835
2024-12-31
CENSUS_ACS5
zcta 47421
acs recent mover gross
$833
2024-12-31
CENSUS_ACS5
zip 47421
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
4
$1,650
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
4
$1,350
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
4
$1,500
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.