Reads as: riskier than 19.5% 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
MI median
National median
National p25–p75
Total nurse
3.93
3.52
3.28
2.90–3.77
RN
1.07
0.47
0.39
0.25–0.58
Weekend total
3.94
3.32
3.11
—
Weekday total
3.93
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.6
3.93
1.07
0.41
2.45
3.94
0.0%
2025Q3
92
90.7
3.74
0.94
0.47
2.32
3.67
0.0%
2025Q2
91
85.9
4.23
1.00
0.53
2.70
3.87
0.0%
2025Q1
90
88.9
3.86
0.94
0.54
2.38
3.74
0.0%
2024Q4
92
83.6
3.96
0.96
0.53
2.46
3.76
0.0%
2024Q3
92
86.5
3.77
1.03
0.43
2.32
3.38
0.0%
2024Q2
91
90.8
3.79
1.03
0.49
2.27
3.38
0.0%
2024Q1
91
93.3
3.83
1.04
0.51
2.28
3.52
0.0%
2023Q4
92
93.3
4.11
1.04
0.46
2.61
3.79
0.0%
2023Q3
92
91.0
3.91
0.99
0.20
2.72
3.56
0.0%
2023Q2
91
88.9
3.84
0.90
0.12
2.83
3.30
1.2%
2023Q1
90
83.5
4.36
0.93
0.33
3.09
3.77
15.3%
2022Q4
92
85.9
3.49
1.01
0.24
2.24
2.99
17.8%
2022Q3
92
85.9
3.46
1.03
0.23
2.20
2.87
18.9%
2022Q2
91
82.5
3.65
0.89
0.40
2.35
3.10
22.7%
2022Q1
90
83.9
3.59
0.86
0.60
2.13
3.23
17.7%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2026-03-25
2026-03-12
Health · complaint
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.
F
2026-03-25
2025-06-12
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-07-22
2025-06-12
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-07-22
2025-06-12
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-07-22
2025-06-12
Health
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.
E
2025-07-22
2025-06-12
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-22
2025-06-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-22
2025-06-12
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-07-22
2025-06-12
Health
F0679
Provide activities to meet all resident's needs.
D
2025-07-22
2025-06-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-22
2025-06-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-07-22
2025-06-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-29
2024-05-16
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
2024-06-25
2024-05-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-06-25
2024-05-16
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-06-25
2023-04-19
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-05-26
2023-04-19
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
2023-05-26
2023-04-19
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-05-26
2023-04-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-26
2023-04-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-05-26
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
71
Owner
Role
Pct
From
Status
Source
BRONSON HEALTH CARE GROUP INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-07-01
current
pecos_ownership
ALLEN, RICHARD
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
ARNAN, MARTINSON
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
BRONSON HEALTH CARE GROUP INC
ADP OF THE SNF
—
2016-08-31
current
pecos_ownership
CHEN-ZHANG, LYNN
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
COLEGROVE, LEIGH
ADP OF THE SNF
—
2021-10-11
current
pecos_ownership
COLEMAN, GENEVIEVE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
EAST, REBECCA
CORPORATE OFFICER
—
2015-02-01
current
pecos_ownership
FALAHEE, JAMES
CORPORATE OFFICER
—
2014-06-01
current
pecos_ownership
FALAHEE, JAMES
ADP OF THE SNF
—
—
current
pecos_ownership
GIBSON, SCOTT
CORPORATE DIRECTOR
—
2012-09-28
current
pecos_ownership
GOEL, ASHUTOSH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-21
current
pecos_ownership
GONZALEZ, JORGE
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
HERMSEN, KATHARINE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HOFFMAN, KELLIE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HUNT, BRENDA
CORPORATE DIRECTOR
—
2011-07-01
current
pecos_ownership
JOHNSON, CHERYL
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
KARRE, NELSON
CORPORATE DIRECTOR
—
2011-07-01
current
pecos_ownership
LIGGINS, JAMES
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
LINS, STEVEN
CORPORATE DIRECTOR
—
2011-07-01
current
pecos_ownership
LUBWAMA, GRACE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MANNS, BILL
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
NICHOLSON, ROBERT
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
NYBERG, NEIL
CORPORATE DIRECTOR
—
2011-07-01
current
pecos_ownership
ODAR, MICHAEL
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
PARFET, DONALD
CORPORATE DIRECTOR
—
2008-01-01
current
pecos_ownership
PATRICK, TIFFANY
OPERATIONAL/MANAGERIAL CONTROL
—
2026-04-06
current
pecos_ownership
SANCHEZ, HUGH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-21
current
pecos_ownership
SANGALI, CHRISTINE
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
SHARMA, NAMITA
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
STEWART, ERICK
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
WASHINGTON, LUTHER MARSHALL
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
WAY, MIKE
ADP OF THE SNF
—
—
current
pecos_ownership
WORGESS, RACHEL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
WORKMAN, WILLIAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BILL MANNS
CORPORATE OFFICER
0%
2020-01-01
ended 2026-05-18
pecos_ownership
BRENDA HUNT
CORPORATE DIRECTOR
0%
2011-07-01
ended 2026-05-18
pecos_ownership
CHERYL JOHNSON
CORPORATE OFFICER
0%
2021-01-01
ended 2026-05-18
pecos_ownership
DONALD PARFET
CORPORATE DIRECTOR
0%
2008-01-01
ended 2026-05-18
pecos_ownership
ERICK STEWART
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
GENEVIEVE COLEMAN
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
GRACE LUBWAMA
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
JAMES FALAHEE
CORPORATE OFFICER
0%
2014-06-01
ended 2026-05-18
pecos_ownership
JAMES LIGGINS
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
JORGE GONZALEZ
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
KATHARINE HERMSEN
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
KELLIE HOFFMAN
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
LUTHER MARSHALL WASHINGTON
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
LYNN CHEN-ZHANG
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
MARTINSON ARNAN
CORPORATE OFFICER
0%
2019-01-01
ended 2026-05-18
pecos_ownership
MICHAEL ODAR
CORPORATE DIRECTOR
0%
2016-07-01
ended 2026-05-18
pecos_ownership
MIKE WAY
CORPORATE OFFICER
0%
—
ended 2026-05-18
pecos_ownership
NAMITA SHARMA
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
NEIL NYBERG
CORPORATE DIRECTOR
0%
2011-07-01
ended 2026-05-18
pecos_ownership
NELSON KARRE
CORPORATE DIRECTOR
0%
2011-07-01
ended 2026-05-18
pecos_ownership
RACHEL WORGESS
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
RANDALL EBERTS
CORPORATE DIRECTOR
0%
2008-01-01
ended 2026-05-18
pecos_ownership
REBECCA EAST
CORPORATE OFFICER
0%
2015-02-01
ended 2026-05-18
pecos_ownership
RICHARD ALLEN
CORPORATE DIRECTOR
0%
2017-01-01
ended 2026-05-18
pecos_ownership
ROBERT NICHOLSON
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
SCOTT GIBSON
CORPORATE DIRECTOR
0%
2012-09-28
ended 2026-05-18
pecos_ownership
STEVEN LINS
CORPORATE DIRECTOR
0%
2011-07-01
ended 2026-05-18
pecos_ownership
SUSAN REINOEHL
CORPORATE OFFICER
0%
1995-01-01
ended 2026-05-18
pecos_ownership
WILLIAM WORKMAN
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
ASHUTOSH GOEL
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
CHRISTINE SANGALI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-21
ended 2026-05-18
pecos_ownership
HUGH SANCHEZ
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
JAMES FALAHEE
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
JODEE EWBANK
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
LEIGH COLEGROVE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-11
ended 2026-05-18
pecos_ownership
PATRICIA EATON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-21
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
$3,845,268
—
$931,563
—
$2,866,563
1
—
2023-12-31
$3,810,428
—
$1,601,307
—
$1,574,349
1
—
2022-12-31
$2,240,175
—
—
—
$1,652,796
1
—
2021-12-31
$3,318,761
—
$647,437
—
$2,148,478
1
—
2020-12-31
$2,970,966
—
$831,284
—
$1,618,695
1
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 26159
acs median gross
0
$510
2024-12-31
CENSUS_ACS5
county 26159
fmr
0
$701
2025-10-01
HUD_USER_FMR
county 26159
acs median gross
1
$617
2024-12-31
CENSUS_ACS5
county 26159
fmr
1
$774
2025-10-01
HUD_USER_FMR
county 26159
acs median gross
2
$871
2024-12-31
CENSUS_ACS5
county 26159
fmr
2
$1,016
2025-10-01
HUD_USER_FMR
county 26159
acs median gross
3
$1,164
2024-12-31
CENSUS_ACS5
county 26159
fmr
3
$1,338
2025-10-01
HUD_USER_FMR
county 26159
acs median gross
4
$1,104
2024-12-31
CENSUS_ACS5
county 26159
fmr
4
$1,396
2025-10-01
HUD_USER_FMR
county 26159
acs median gross
5
$1,096
2024-12-31
CENSUS_ACS5
county 26159
acs median gross
$870
2024-12-31
CENSUS_ACS5
county 26159
acs recent mover gross
$963
2024-12-31
CENSUS_ACS5
zcta 49071
acs median gross
1
$657
2024-12-31
CENSUS_ACS5
zcta 49071
acs median gross
2
$1,125
2024-12-31
CENSUS_ACS5
zcta 49071
acs median gross
3
$1,346
2024-12-31
CENSUS_ACS5
zcta 49071
acs median gross
$1,250
2024-12-31
CENSUS_ACS5
zcta 49071
acs recent mover gross
$1,299
2024-12-31
CENSUS_ACS5
zip 49071
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 49071
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 49071
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 49071
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 110
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 90
3
$1,458
2025-10-01
HUD_USER_SAFMR
zip 49071
safmr
3
$1,620
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 49071
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 49071
safmr
4
$1,680
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.