Reads as: riskier than 36.5% 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
OK median
National median
National p25–p75
Total nurse
2.41
2.78
3.28
2.90–3.77
RN
0.10
0.18
0.39
0.25–0.58
Weekend total
2.26
2.72
3.11
—
Weekday total
2.47
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
83.0
2.41
0.10
0.58
1.72
2.26
0.0%
2025Q3
92
78.1
2.49
0.11
0.62
1.76
2.33
0.0%
2025Q2
91
79.3
2.65
0.10
0.66
1.89
2.40
0.0%
2025Q1
90
76.3
2.63
0.10
0.70
1.83
2.41
0.0%
2024Q4
92
69.6
2.48
0.09
0.71
1.69
2.34
0.0%
2024Q3
92
70.6
2.41
0.12
0.66
1.63
2.32
0.0%
2024Q2
91
72.0
0.78
0.04
0.21
0.53
0.86
0.0%
2024Q1
91
72.7
2.50
0.05
0.65
1.79
2.29
0.0%
2023Q4
92
74.2
2.46
0.10
0.68
1.69
2.29
0.0%
2023Q3
92
73.7
2.56
0.10
0.69
1.78
2.52
0.0%
2023Q2
91
72.5
2.24
0.05
0.67
1.53
2.18
0.0%
2023Q1
90
68.0
2.03
0.03
0.35
1.65
1.91
0.0%
2022Q4
92
67.8
2.09
0.07
0.29
1.73
2.04
0.0%
2022Q3
92
68.5
2.04
0.07
0.31
1.65
2.04
0.0%
2022Q2
91
58.9
2.60
0.12
0.86
1.62
2.37
0.0%
2022Q1
90
53.2
2.44
0.08
0.76
1.61
2.21
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
24
D × 15E × 8F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-09
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2025-05-09
2025-04-09
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
2025-05-09
2025-04-09
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
D
2025-05-09
2025-04-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-09
2023-12-14
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-01-30
2023-12-14
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-01-30
2023-12-14
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-01-30
2023-12-14
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-01-30
2023-12-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-01-30
2023-12-14
Health
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
2024-01-30
2023-12-14
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2024-01-30
2023-12-14
Health
F0732
Post nurse staffing information every day.
D
2024-01-30
2023-12-14
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-01-30
2023-12-14
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-01-30
2023-12-14
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-01-30
2022-08-04
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-09-06
2022-08-04
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-09-06
2022-08-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-09-06
2022-08-04
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2022-09-06
2022-08-04
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2022-09-06
2022-08-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-09-06
2022-08-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2022-09-06
2022-08-04
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2022-09-06
2022-08-04
Health
F0881
Implement a program that monitors antibiotic use.
E
2022-09-06
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
30
Owner
Role
Pct
From
Status
Source
BEDLAM PROPERTIES HO LLC
ADP OF THE SNF
—
2025-02-14
current
pecos_ownership
BEDLAM PROPERTIES HO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
BYERS, JACK
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
GILBERT, PAUL
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
GRANT RHODES REVOCABLE TRUST DATED JANUARY 30, 2018
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
GRANT RHODES REVOCABLE TRUST DATED JANUARY 30, 2018
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
JACK L BYERS REVOCABLE TRUST DATED JANUARY 26, 2017
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
LIETZKE, MARK
ADP OF THE SNF
—
2022-02-01
current
pecos_ownership
MATRIX PROVIDER SOLUTIONS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
MATRIX PROVIDER SOLUTIONS LLC
ADP OF THE SNF
—
2025-02-14
current
pecos_ownership
PEARSON, ARTHUR
ADP OF THE SNF
—
2022-11-21
current
pecos_ownership
RHODES, JONATHAN
ADP OF THE SNF
—
2022-02-01
current
pecos_ownership
SNH PROPCO
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
SNH PROPCO
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
SNOW FAMILY TRUST DATED JUNE 29, 2012
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
SNOW, AUDREY
ADP OF THE SNF
—
2022-02-01
current
pecos_ownership
SNOW, LARRY
CORPORATE OFFICER
—
2022-02-01
current
pecos_ownership
YOUNG, BRIDGETTE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
YOUNG, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
JACK BYERS
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2022-02-01
ended 2026-05-18
pecos_ownership
JONATHAN RHODES
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2022-02-01
ended 2026-05-18
pecos_ownership
AUDREY SNOW
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2022-02-01
ended 2026-05-18
pecos_ownership
BRIDGETTE YOUNG
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2022-02-01
ended 2026-05-18
pecos_ownership
JEFFREY YOUNG
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2022-02-01
ended 2026-05-18
pecos_ownership
LARRY SNOW
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2022-02-01
ended 2026-05-18
pecos_ownership
ARTHUR PEARSON
ADP OF THE SNF
—
2022-11-21
ended 2026-05-18
pecos_ownership
MARK LIETZKE
ADP OF THE SNF
—
2022-02-01
ended 2026-05-18
pecos_ownership
PAUL GILBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
ended 2026-05-18
pecos_ownership
SNH PROPCO
Corporation, partnership or other organization has financial interest in provider
—
2022-02-01
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
$560,543
$108,090
—
—
—
3
propco
2023-12-31
$533,028
$129,291
—
—
—
3
propco
2022-12-31
$423,502
$126,134
—
—
—
3
propco
2022-01-31
$129,051
$6,718
—
—
—
4
—
2021-06-30
$221,231
$11,517
—
—
—
4
—
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 40001
acs median gross
0
$428
2024-12-31
CENSUS_ACS5
county 40001
fmr
0
$655
2025-10-01
HUD_USER_FMR
county 40001
acs median gross
1
$391
2024-12-31
CENSUS_ACS5
county 40001
fmr
1
$714
2025-10-01
HUD_USER_FMR
county 40001
acs median gross
2
$672
2024-12-31
CENSUS_ACS5
county 40001
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40001
acs median gross
3
$724
2024-12-31
CENSUS_ACS5
county 40001
fmr
3
$1,161
2025-10-01
HUD_USER_FMR
county 40001
acs median gross
4
$1,038
2024-12-31
CENSUS_ACS5
county 40001
fmr
4
$1,252
2025-10-01
HUD_USER_FMR
county 40001
acs median gross
$667
2024-12-31
CENSUS_ACS5
county 40001
acs recent mover gross
$913
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
0
$427
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
1
$408
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
2
$678
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
3
$778
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
4
$742
2024-12-31
CENSUS_ACS5
zcta 74960
acs median gross
$676
2024-12-31
CENSUS_ACS5
zcta 74960
acs recent mover gross
$850
2024-12-31
CENSUS_ACS5
zip 74960
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 74960
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 74960
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 110
2
$1,045
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 90
2
$855
2025-10-01
HUD_USER_SAFMR
zip 74960
safmr
2
$950
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 74960
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 110
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 74960
payment standard 90
4
$1,134
2025-10-01
HUD_USER_SAFMR
zip 74960
safmr
4
$1,260
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.