Reads as: riskier than 5.3% 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
14
2025Q4 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
4.77
3.03
3.28
2.90–3.77
RN
0.35
0.44
0.39
0.25–0.58
Weekend total
4.66
2.87
3.11
—
Weekday total
4.82
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.4
4.77
0.35
1.55
2.87
4.66
0.0%
2025Q3
92
42.0
4.99
0.47
1.53
2.99
4.88
0.0%
2025Q2
91
42.1
4.90
0.50
1.49
2.91
4.83
0.0%
2024Q4
92
40.0
6.95
0.55
1.95
4.44
6.19
0.0%
2024Q3
92
39.9
5.32
0.59
1.49
3.24
5.16
0.0%
2024Q2
91
35.9
5.63
0.66
1.53
3.44
5.36
0.0%
2024Q1
91
41.4
5.45
0.68
1.34
3.43
5.07
0.0%
2023Q4
92
35.7
5.54
0.71
1.40
3.43
5.27
0.0%
2023Q3
92
36.9
5.60
0.68
1.60
3.32
5.42
0.0%
2023Q2
91
36.2
5.37
0.48
1.75
3.14
5.16
0.0%
2022Q4
92
34.9
5.96
0.66
1.56
3.74
5.70
0.0%
2022Q3
92
36.4
5.46
0.63
1.58
3.25
5.25
0.0%
2022Q2
91
37.8
5.41
0.51
1.66
3.24
5.09
0.0%
2022Q1
90
33.6
5.56
0.54
1.74
3.28
5.35
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
17
C × 1D × 10E × 3F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-07-31
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-08-23
2024-07-31
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-08-23
2024-07-31
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F
2024-08-23
2024-07-31
Health · complaint
F0620
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
C
2024-08-23
2024-07-31
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-08-23
2024-07-31
Health · complaint
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-08-23
2024-07-31
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-08-23
2024-07-31
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-08-23
2024-07-31
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.
D
2024-08-23
2024-07-31
Health · complaint
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
2024-08-23
2024-07-31
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-08-23
2024-07-31
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-08-23
2024-07-31
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-08-23
2024-07-31
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-08-23
2022-10-24
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-11-24
2021-06-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-21
2021-06-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-07-21
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
59
Owner
Role
Pct
From
Status
Source
AHLVERS, CAROL
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
ANDREWS, MARK
W-2 MANAGING EMPLOYEE
—
2004-05-25
current
pecos_ownership
BARON, REGAN
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
BLECHA, DEBRA
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
BOLIG, JEFF
CORPORATE DIRECTOR
—
2021-03-01
current
pecos_ownership
ELDRIDGE, KAREN
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ERKMANN, CATHERINE
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
FOGEL, LARRY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
FRIEL, MICHELLE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GRAMS, JON
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GREYSTONE MANAGEMENT SERVICES COMPANY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-04-21
current
pecos_ownership
HAASE, BRIAN
CORPORATE DIRECTOR
—
2018-01-24
current
pecos_ownership
HAWKEN, MIKE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
JACOBSON, DAN
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
LANAHAN, MICHAEL
W-2 MANAGING EMPLOYEE
—
2004-05-25
current
pecos_ownership
MCKEAN, DANIEL
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
MOORMAN, DOUG
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
O'TOOLE, PEGGY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PAYNE, MICHAEL
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
SCHMIDT, ANDREW
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
SIEVE, GREG
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SKOCH, MICHAEL
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
STEINHOFF, PAUL
W-2 MANAGING EMPLOYEE
—
2004-05-25
current
pecos_ownership
SURMACZEWICZ, CHESTER
CORPORATE DIRECTOR
—
2009-06-03
current
pecos_ownership
THOMAS, LESLIE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
URBAN, TIM
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
WAY, RADD
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
WHITAKER, MARY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WILSON, WILLIAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ZACCARDI, JANE
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
ANDREW SCHMIDT
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
BRIAN HAASE
OTHER
—
2018-01-24
ended 2026-05-18
pecos_ownership
CAROL AHLVERS
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
CATHERINE ERKMANN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
CHESTER SURMACZEWICZ
CORPORATE DIRECTOR
—
2009-06-03
ended 2026-05-18
pecos_ownership
DAN JACOBSON
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
DANIEL MCKEAN
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
DEBRA BLECHA
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
DOUG MOORMAN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
GREG SIEVE
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
JANE ZACCARDI
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
JEFF BOLIG
CORPORATE DIRECTOR
—
2021-03-01
ended 2026-05-18
pecos_ownership
JON GRAMS
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
KAREN ELDRIDGE
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
LARRY FOGEL
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
LESLIE THOMAS
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MARK ANDREWS
W-2 MANAGING EMPLOYEE
—
2004-05-25
ended 2026-05-18
pecos_ownership
MARY WHITAKER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL LANAHAN
W-2 MANAGING EMPLOYEE
—
2004-05-25
ended 2026-05-18
pecos_ownership
MICHAEL PAYNE
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
MICHAEL SKOCH
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHELLE FRIEL
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MIKE HAWKEN
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
PAUL STEINHOFF
W-2 MANAGING EMPLOYEE
—
2004-05-25
ended 2026-05-18
pecos_ownership
PEGGY O'TOOLE
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
RADD WAY
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
REGAN BARON
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
TIM URBAN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
WILLIAM WILSON
CORPORATE DIRECTOR
—
2022-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
0
$1,120
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
1
$1,162
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
2
$1,408
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
3
$1,801
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
4
$1,954
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
5
$1,630
2024-12-31
CENSUS_ACS5
zcta 66062
acs median gross
$1,359
2024-12-31
CENSUS_ACS5
zcta 66062
acs recent mover gross
$1,241
2024-12-31
CENSUS_ACS5
zip 66062
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 66062
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 110
1
$1,518
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 90
1
$1,242
2025-10-01
HUD_USER_SAFMR
zip 66062
safmr
1
$1,380
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 66062
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 110
3
$2,233
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 90
3
$1,827
2025-10-01
HUD_USER_SAFMR
zip 66062
safmr
3
$2,030
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 66062
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 66062
safmr
4
$2,420
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.