Reads as: riskier than 50.5% 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
NC median
National median
National p25–p75
Total nurse
3.76
3.08
3.28
2.90–3.77
RN
0.27
0.30
0.39
0.25–0.58
Weekend total
3.13
2.93
3.11
—
Weekday total
4.00
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.9
3.76
0.27
1.02
2.47
3.13
0.0%
2025Q3
92
114.7
3.54
0.32
0.71
2.50
3.00
0.0%
2025Q2
91
112.4
3.44
0.35
0.78
2.32
2.82
0.0%
2025Q1
90
109.3
3.33
0.34
0.84
2.14
2.78
0.1%
2024Q4
92
108.1
3.17
0.20
0.88
2.09
2.85
0.1%
2024Q3
92
105.8
3.34
0.22
0.94
2.18
2.84
0.1%
2024Q2
91
96.6
3.47
0.21
1.02
2.24
3.00
0.1%
2024Q1
91
94.8
3.49
0.20
0.94
2.34
2.99
0.1%
2023Q4
92
88.4
3.81
0.21
0.94
2.66
3.35
0.1%
2023Q3
92
86.5
4.16
0.18
0.99
2.98
3.58
0.0%
2023Q2
91
92.6
3.57
0.15
0.91
2.51
2.98
0.1%
2023Q1
90
88.6
3.75
0.18
0.93
2.65
3.20
0.1%
2022Q4
92
92.9
3.33
0.12
0.87
2.34
2.70
0.1%
2022Q3
92
94.3
3.66
0.12
0.98
2.55
3.10
0.1%
2022Q2
91
92.9
4.00
0.19
1.08
2.73
3.20
0.1%
2022Q1
90
90.4
3.88
0.25
1.21
2.42
3.02
0.1%
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
6
B × 1D × 4E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-05-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-05-12
2026-02-20
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-02-23
2026-02-20
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-23
2025-02-20
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
2025-02-27
2025-02-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-27
2024-01-19
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
B
2024-02-01
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
ARDENT HEALTH AND REHABILITATION CO
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2017-04-01
current
pecos_ownership
COLLINS-FRYE, KAIA
W-2 MANAGING EMPLOYEE
—
2020-10-16
current
pecos_ownership
SPRENGER, CHRISTOPHER
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2017-04-01
current
pecos_ownership
VILLAGE GREEN HEALTH & REHAB
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
VILLAGE GREEN HEALTH & REHAB
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
VILLAGE GREEN HEALTHCARE PROPERTIES LLC
5% OR GREATER MORTGAGE INTEREST
—
2017-04-01
current
pecos_ownership
CHRISTOPHER SPRENGER
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-04-01
ended 2026-05-18
pecos_ownership
KAIA COLLINS-FRYE
W-2 MANAGING EMPLOYEE
100%
2020-10-16
ended 2026-05-18
pecos_ownership
VILLAGE GREEN HEALTH & REHAB
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
VILLAGE GREEN HEALTHCARE PROPERTY
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
VILLAGE GREEN HEALTH & REHAB
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
$4,637,157
—
$912,042
$1,945,171
—
5
propco
2023-12-31
$4,093,431
—
$761,624
$1,627,515
—
4
propco
2022-12-31
$4,117,237
—
$636,259
$1,604,420
—
15
propco
2021-12-31
$3,834,402
—
$576,227
$1,783,454
—
18
propco
2020-12-31
$4,759,175
—
—
$949,152
$793,056
18
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2017-04-01
—
VILLAGE GREEN HEALTH AND REHABILITATION LLC
REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
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 37051
acs median gross
0
$1,067
2024-12-31
CENSUS_ACS5
county 37051
fmr
0
$1,090
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
1
$1,013
2024-12-31
CENSUS_ACS5
county 37051
fmr
1
$1,113
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
2
$1,140
2024-12-31
CENSUS_ACS5
county 37051
fmr
2
$1,251
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
3
$1,353
2024-12-31
CENSUS_ACS5
county 37051
fmr
3
$1,667
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
4
$1,682
2024-12-31
CENSUS_ACS5
county 37051
fmr
4
$2,068
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
5
$1,781
2024-12-31
CENSUS_ACS5
county 37051
acs median gross
$1,222
2024-12-31
CENSUS_ACS5
county 37051
acs recent mover gross
$1,454
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
0
$1,208
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
1
$1,140
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
2
$1,325
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
3
$1,357
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
4
$1,467
2024-12-31
CENSUS_ACS5
zcta 28304
acs median gross
$1,312
2024-12-31
CENSUS_ACS5
zcta 28304
acs recent mover gross
$1,502
2024-12-31
CENSUS_ACS5
zip 28304
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 28304
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 110
1
$1,408
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 90
1
$1,152
2025-10-01
HUD_USER_SAFMR
zip 28304
safmr
1
$1,280
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 28304
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 110
3
$2,112
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 90
3
$1,728
2025-10-01
HUD_USER_SAFMR
zip 28304
safmr
3
$1,920
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 110
4
$2,618
2025-10-01
HUD_USER_SAFMR
zip 28304
payment standard 90
4
$2,142
2025-10-01
HUD_USER_SAFMR
zip 28304
safmr
4
$2,380
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.