Reads as: riskier than 46.3% 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
16
2025Q4 HPRD
This facility
NH median
National median
National p25–p75
Total nurse
3.27
3.28
3.28
2.90–3.77
RN
0.65
0.52
0.39
0.25–0.58
Weekend total
3.21
3.14
3.11
—
Weekday total
3.29
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.4
3.27
0.65
0.69
1.93
3.21
0.0%
2025Q3
92
64.7
3.32
0.55
0.79
1.98
3.26
4.9%
2025Q2
91
67.3
3.10
0.37
0.89
1.84
3.02
4.0%
2025Q1
90
62.8
3.33
0.34
1.02
1.97
3.23
5.3%
2024Q4
92
58.4
3.46
0.51
0.88
2.08
3.39
3.8%
2024Q3
92
59.0
2.86
0.52
0.68
1.66
2.68
1.4%
2024Q2
91
60.2
2.85
0.54
0.77
1.54
2.68
4.0%
2024Q1
91
60.1
2.72
0.54
0.80
1.39
2.58
11.3%
2023Q4
92
64.9
2.54
0.55
0.61
1.39
2.38
6.9%
2023Q3
92
68.8
2.40
0.42
0.68
1.29
2.28
4.9%
2023Q2
91
72.4
2.64
0.54
0.77
1.34
2.35
6.2%
2023Q1
90
78.4
2.69
0.37
0.94
1.38
2.40
9.4%
2022Q4
92
80.5
2.74
0.24
1.15
1.36
2.46
11.5%
2022Q3
92
79.2
2.78
0.18
1.14
1.46
2.57
5.2%
2022Q2
91
74.8
2.60
0.27
0.87
1.45
2.46
4.6%
2022Q1
90
73.7
2.65
0.33
0.94
1.38
2.42
5.0%
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
27
B × 7D × 12E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-01
2025-02-21
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-04-01
2024-01-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-04
2024-01-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-02-27
2024-01-19
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
E
2024-02-20
2024-01-19
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.
E
2024-03-07
2024-01-19
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-02-26
2024-01-19
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
2024-02-23
2024-01-19
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
2024-02-29
2024-01-19
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-04
2024-01-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-03-08
2024-01-19
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2024-02-29
2023-11-01
Health · complaint
F0567
Honor the resident's right to manage his or her financial affairs.
B
2023-12-13
2023-11-01
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
B
2023-12-13
2023-07-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-28
2023-07-18
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-08-29
2023-07-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-26
2023-07-18
Health · complaint
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
2023-08-28
2023-01-09
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2023-03-03
2023-01-09
Health
F0583
Keep residents' personal and medical records private and confidential.
B
2023-02-16
2023-01-09
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-02-21
2023-01-09
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.
E
2023-03-09
2023-01-09
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
2023-02-03
2023-01-09
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
B
2023-01-11
2023-01-09
Health
F0881
Implement a program that monitors antibiotic use.
E
2023-02-03
2023-01-09
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2023-03-03
2023-01-09
Health
F0908
Keep all essential equipment working safely.
D
2023-03-02
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
13
Owner
Role
Pct
From
Status
Source
BLACK MOUNTAIN PEAK HEALTHCARE, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-25
current
pecos_ownership
PR NH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
current
pecos_ownership
RR NH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
current
pecos_ownership
603 HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
AWEH, NELSON
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
SLATTERY, JESSICA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
STEVENSON, SEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
PHILIP RAUSMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
ended 2026-05-18
pecos_ownership
ROBERT RAUSMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
ended 2026-05-18
pecos_ownership
SEAN STEVENSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-02-19
ended 2026-05-18
pecos_ownership
JESSICA SLATTERY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
ended 2026-05-18
pecos_ownership
NELSON AWEH
ADP OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
SEAN STEVENSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
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
$692,387
—
$307,208
$172,130
$185,465
5
—
2023-12-31
$1,349,884
—
$453,347
$313,747
$541,414
5
—
2022-12-31
$3,041,977
—
$563,056
$408,968
$2,033,377
5
—
2021-12-31
$3,084,259
—
$580,473
$374,208
$2,093,002
5
—
2020-12-31
$1,750,050
—
$467,520
$319,090
$925,129
9
—
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
25
Geo
Kind
BR
Amount
As of
Source
county 33003
acs median gross
1
$888
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
2
$1,250
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
3
$1,657
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
4
$1,632
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
5
$1,361
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
$1,195
2024-12-31
CENSUS_ACS5
county 33003
acs recent mover gross
$1,730
2024-12-31
CENSUS_ACS5
zcta 03894
acs median gross
1
$1,056
2024-12-31
CENSUS_ACS5
zcta 03894
acs median gross
2
$1,134
2024-12-31
CENSUS_ACS5
zcta 03894
acs median gross
$1,103
2024-12-31
CENSUS_ACS5
zip 03894
payment standard 110
0
$1,199
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 90
0
$981
2025-10-01
HUD_USER_SAFMR
zip 03894
safmr
0
$1,090
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 03894
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 03894
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 03894
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 110
4
$2,849
2025-10-01
HUD_USER_SAFMR
zip 03894
payment standard 90
4
$2,331
2025-10-01
HUD_USER_SAFMR
zip 03894
safmr
4
$2,590
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.