Reads as: riskier than 80.9% 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 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
3.71
3.42
3.28
2.90–3.77
RN
0.61
0.45
0.39
0.25–0.58
Weekend total
3.82
3.31
3.11
—
Weekday total
3.67
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.8
3.71
0.61
0.43
2.67
3.82
0.0%
2025Q3
92
89.7
3.55
0.67
0.42
2.46
3.47
0.0%
2025Q2
91
92.0
3.54
0.73
0.51
2.30
3.40
0.0%
2025Q1
90
93.3
3.61
0.80
0.41
2.40
3.45
0.0%
2024Q4
92
85.6
3.36
0.77
0.68
1.92
3.31
11.4%
2024Q3
92
70.7
2.95
0.94
0.19
1.82
2.91
0.0%
2024Q2
91
71.4
3.03
0.82
0.31
1.91
2.93
4.0%
2024Q1
91
68.4
3.11
0.82
0.27
2.02
3.05
0.3%
2023Q4
92
68.5
3.38
0.53
0.63
2.22
3.31
25.1%
2023Q3
92
78.5
3.05
0.55
0.45
2.06
3.00
25.2%
2023Q2
91
76.3
3.20
0.50
0.55
2.15
3.16
51.9%
2023Q1
90
74.9
2.93
0.55
0.57
1.81
2.94
55.2%
2022Q4
92
71.2
2.65
0.58
0.43
1.64
2.59
39.1%
2022Q3
92
63.7
3.13
0.56
0.58
1.98
3.06
41.6%
2022Q2
91
68.0
3.26
0.47
0.74
2.05
3.13
52.4%
2022Q1
90
75.3
3.19
0.33
0.78
2.09
2.95
49.3%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-03-02
2026-02-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-03-02
2026-02-05
Health
F0679
Provide activities to meet all resident's needs.
E
2026-03-02
2026-02-05
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2026-03-02
2026-02-05
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
2026-03-02
2026-02-05
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
2026-03-02
2025-03-04
Health · complaint
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.
E
2025-04-02
2024-11-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-12-02
2024-11-06
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2024-12-02
2024-06-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-07-20
2024-06-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-07-20
2024-06-20
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2024-07-20
2023-10-05
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-11-05
2023-10-05
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-11-05
2023-10-05
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-05
2023-10-05
Health
F0679
Provide activities to meet all resident's needs.
E
2023-11-05
2023-10-05
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-11-05
2023-10-05
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-11-05
2023-10-05
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2023-11-05
2023-10-05
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-11-05
2023-10-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2023-11-05
2023-10-05
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-11-05
2023-10-05
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.
E
2023-11-05
2023-10-05
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-11-05
2023-08-01
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-08-31
2021-12-02
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-01-02
2021-12-02
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
2022-01-02
2021-12-02
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-01-02
2021-12-02
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
2022-01-02
2021-12-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-01-02
2021-12-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2022-01-02
2021-12-02
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-01-02
2021-12-02
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2022-01-02
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
8
Owner
Role
Pct
From
Status
Source
ALBEE PARENT LLC
DIRECT OWNERSHIP INTEREST
100%
2023-11-02
ended 2026-05-18
pecos_ownership
HERITAGE VENICE HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
100%
2023-11-02
ended 2026-05-18
pecos_ownership
ASPIRE MGT LLC
ADP OF THE SNF
—
2023-11-02
ended 2026-05-18
pecos_ownership
EPSILON HEALTH CARE PROPERTIES LLC
Other (financial or non-financial)
—
2020-07-01
ended 2021-06-30
hcris_a_8_1
KELLIE WILSON
ADP OF THE SNF
—
2024-12-04
ended 2026-05-18
pecos_ownership
NOCHUM FREUND
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-02
ended 2026-05-18
pecos_ownership
RICHARD HOUSTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
SHADRICK KRALIK
ADP OF THE SNF
—
2025-04-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$503,825
—
—
—
—
3
—
2023-12-31
$67,859
—
—
—
—
3
—
2023-11-01
$121,897
—
—
—
—
4
—
2023-06-30
$372,475
—
—
—
—
2
—
2022-06-30
$488,387
—
—
—
—
4
—
2021-06-30
$578,624
—
—
—
—
6
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
34
Geo
Kind
BR
Amount
As of
Source
county 12115
acs median gross
0
$1,579
2024-12-31
CENSUS_ACS5
county 12115
fmr
0
$1,418
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
1
$1,628
2024-12-31
CENSUS_ACS5
county 12115
fmr
1
$1,686
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
2
$1,789
2024-12-31
CENSUS_ACS5
county 12115
fmr
2
$1,958
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
3
$2,074
2024-12-31
CENSUS_ACS5
county 12115
fmr
3
$2,537
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
4
$2,216
2024-12-31
CENSUS_ACS5
county 12115
fmr
4
$3,027
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
5
$2,963
2024-12-31
CENSUS_ACS5
county 12115
acs median gross
$1,818
2024-12-31
CENSUS_ACS5
county 12115
acs recent mover gross
$2,167
2024-12-31
CENSUS_ACS5
zcta 34285
acs median gross
0
$1,526
2024-12-31
CENSUS_ACS5
zcta 34285
acs median gross
1
$1,144
2024-12-31
CENSUS_ACS5
zcta 34285
acs median gross
2
$1,698
2024-12-31
CENSUS_ACS5
zcta 34285
acs median gross
3
$1,548
2024-12-31
CENSUS_ACS5
zcta 34285
acs median gross
$1,465
2024-12-31
CENSUS_ACS5
zcta 34285
acs recent mover gross
$1,809
2024-12-31
CENSUS_ACS5
zip 34285
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 34285
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 110
1
$1,661
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 90
1
$1,359
2025-10-01
HUD_USER_SAFMR
zip 34285
safmr
1
$1,510
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 34285
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 110
3
$2,497
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 90
3
$2,043
2025-10-01
HUD_USER_SAFMR
zip 34285
safmr
3
$2,270
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 110
4
$2,981
2025-10-01
HUD_USER_SAFMR
zip 34285
payment standard 90
4
$2,439
2025-10-01
HUD_USER_SAFMR
zip 34285
safmr
4
$2,710
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.