Reads as: riskier than 25.8% 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
OH median
National median
National p25–p75
Total nurse
2.96
3.24
3.28
2.90–3.77
RN
0.46
0.38
0.39
0.25–0.58
Weekend total
2.75
3.11
3.11
—
Weekday total
3.05
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.4
2.96
0.46
0.80
1.71
2.75
4.7%
2025Q3
92
104.6
2.83
0.52
0.80
1.51
2.57
10.7%
2025Q2
91
102.7
3.00
0.57
0.84
1.60
2.77
9.1%
2025Q1
90
102.7
3.09
0.51
0.79
1.79
2.86
9.6%
2024Q4
92
104.7
2.92
0.62
0.63
1.68
2.69
9.0%
2024Q3
92
105.7
2.88
0.54
0.65
1.69
2.68
7.1%
2024Q2
91
108.6
2.81
0.49
0.72
1.61
2.67
13.8%
2024Q1
91
106.0
2.81
0.39
0.79
1.63
2.64
13.3%
2023Q4
92
106.6
2.66
0.43
0.76
1.48
2.55
0.0%
2023Q3
92
108.5
2.23
0.36
0.63
1.24
2.07
0.0%
2023Q2
91
106.6
2.87
0.38
0.97
1.52
2.67
0.0%
2023Q1
90
107.3
2.95
0.36
0.87
1.72
2.69
0.5%
2022Q4
92
104.2
2.96
0.37
0.94
1.65
2.78
0.3%
2022Q3
92
102.9
2.84
0.23
0.95
1.66
2.62
0.0%
2022Q2
91
104.4
2.49
0.33
0.73
1.42
2.22
24.4%
2022Q1
90
102.9
2.81
0.37
0.87
1.58
2.50
20.0%
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
9
D × 9
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-10
2025-08-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-09
2025-03-06
Health
F0679
Provide activities to meet all resident's needs.
D
2025-03-20
2024-10-16
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
2024-10-29
2024-10-16
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-10-29
2024-10-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-29
2022-09-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-11-07
2019-09-12
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-10-09
2019-09-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-10-09
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
49
Owner
Role
Pct
From
Status
Source
BLUESKY HEALTHCARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2005-04-14
current
pecos_ownership
HEATHER KNOLL RP LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
HEATHER KNOLL RP LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
SPRENGER, NICOLE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2005-04-14
current
pecos_ownership
SPRENGER, TRACEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2005-04-14
current
pecos_ownership
MALANOWSKI, KENNETH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2005-04-14
current
pecos_ownership
HUTSENPILLER, WENDIE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-04-14
current
pecos_ownership
CITRIN COOPERMAN AND COMPANY, LLP
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
CMS & CO. MANAGEMENT SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-01
current
pecos_ownership
CMS & CO. MANAGEMENT SERVICES, INC.
ADP OF THE SNF
—
2025-09-10
current
pecos_ownership
COURTOCK, MELISSA
ADP OF THE SNF
—
2002-12-02
current
pecos_ownership
DELTA HEALTH CARE CONSULTANTS, INC.
ADP OF THE SNF
—
2008-01-01
current
pecos_ownership
EPPERLY, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-20
current
pecos_ownership
FOX, EMILY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
current
pecos_ownership
GOLLINGER, KRISTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2000-11-13
current
pecos_ownership
HEATHER KNOLL RENTAL PROPERTIES LLC
ADP OF THE SNF
—
2005-04-14
current
pecos_ownership
HUNTINGTON
ADP OF THE SNF
—
2001-10-01
current
pecos_ownership
KUHN, SHANNON
ADP OF THE SNF
—
2024-12-31
current
pecos_ownership
MALANOWKI, BRANDON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
current
pecos_ownership
MALANOWSKI, KENNETH
ADP OF THE SNF
—
2008-07-01
current
pecos_ownership
MARINO-FREETAGE, JAIME
ADP OF THE SNF
—
2011-03-01
current
pecos_ownership
MCQUEEN, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-22
current
pecos_ownership
MICALE, JACOB
ADP OF THE SNF
—
2023-02-20
current
pecos_ownership
MILLER, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
PATYAK, MICHAEL
ADP OF THE SNF
—
2022-03-21
current
pecos_ownership
SAWULSKI, JENNIFER
ADP OF THE SNF
—
2008-07-01
current
pecos_ownership
SKIDMORE, JODI
ADP OF THE SNF
—
2008-07-01
current
pecos_ownership
WELLSPRING STAFFING, INC.
ADP OF THE SNF
—
2021-10-15
current
pecos_ownership
HEATHER KNOLL RP LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
HEATHER KNOLL RP LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
HEATHER KNOLL RP LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
NICOLE SPRENGER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2005-04-14
ended 2026-05-18
pecos_ownership
TRACEY SPRENGER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2005-04-14
ended 2026-05-18
pecos_ownership
KENNETH MALANOWSKI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2005-04-14
ended 2026-05-18
pecos_ownership
WENDIE HUTSENPILLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-04-14
ended 2026-05-18
pecos_ownership
AMANDA MCQUEEN
ADP OF THE SNF
—
2023-12-22
ended 2026-05-18
pecos_ownership
BRANDON MALANOWKI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
ended 2026-05-18
pecos_ownership
EMILY FOX
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
ended 2026-05-18
pecos_ownership
JACOB MICALE
ADP OF THE SNF
—
2023-02-20
ended 2026-05-18
pecos_ownership
JAIME MARINO-FREETAGE
ADP OF THE SNF
—
2011-03-01
ended 2026-05-18
pecos_ownership
JENNIFER SAWULSKI
ADP OF THE SNF
—
2008-07-01
ended 2026-05-18
pecos_ownership
JODI SKIDMORE
ADP OF THE SNF
—
2008-07-01
ended 2026-05-18
pecos_ownership
KENNETH MALANOWSKI
ADP OF THE SNF
—
2008-07-01
ended 2026-05-18
pecos_ownership
KIMBERLY MILLER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
ended 2026-05-18
pecos_ownership
KRISTEN GOLLINGER
OPERATIONAL/MANAGERIAL CONTROL
—
2000-11-13
ended 2026-05-18
pecos_ownership
MELISSA COURTOCK
OPERATIONAL/MANAGERIAL CONTROL
—
2002-12-02
ended 2026-05-18
pecos_ownership
MICHAEL PATYAK
ADP OF THE SNF
—
2022-03-21
ended 2026-05-18
pecos_ownership
ROBERT EPPERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-20
ended 2026-05-18
pecos_ownership
SHANNON KUHN
ADP OF THE SNF
—
2024-12-31
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
$1,370,807
—
$527,961
—
—
2
propco
2023-12-31
$1,333,702
—
$496,421
—
—
2
propco
2022-12-31
$1,289,113
—
—
—
—
2
propco
2021-12-31
$1,340,372
—
—
—
—
2
propco
2020-12-31
$1,373,001
—
—
—
—
2
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 39153
acs median gross
0
$844
2024-12-31
CENSUS_ACS5
county 39153
fmr
0
$904
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
county 39153
fmr
1
$985
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
2
$1,080
2024-12-31
CENSUS_ACS5
county 39153
fmr
2
$1,268
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
county 39153
fmr
3
$1,547
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
4
$1,245
2024-12-31
CENSUS_ACS5
county 39153
fmr
4
$1,681
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
5
$1,119
2024-12-31
CENSUS_ACS5
county 39153
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 39153
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zcta 44278
acs median gross
1
$971
2024-12-31
CENSUS_ACS5
zcta 44278
acs median gross
2
$1,119
2024-12-31
CENSUS_ACS5
zcta 44278
acs median gross
3
$1,343
2024-12-31
CENSUS_ACS5
zcta 44278
acs median gross
4
$1,428
2024-12-31
CENSUS_ACS5
zcta 44278
acs median gross
$1,081
2024-12-31
CENSUS_ACS5
zcta 44278
acs recent mover gross
$1,081
2024-12-31
CENSUS_ACS5
zip 44278
payment standard 110
0
$1,001
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 90
0
$819
2025-10-01
HUD_USER_SAFMR
zip 44278
safmr
0
$910
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 44278
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 44278
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 110
3
$1,716
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 90
3
$1,404
2025-10-01
HUD_USER_SAFMR
zip 44278
safmr
3
$1,560
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 110
4
$1,870
2025-10-01
HUD_USER_SAFMR
zip 44278
payment standard 90
4
$1,530
2025-10-01
HUD_USER_SAFMR
zip 44278
safmr
4
$1,700
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.