Reads as: riskier than 19.9% 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
TX median
National median
National p25–p75
Total nurse
4.87
2.67
3.28
2.90–3.77
RN
0.54
0.24
0.39
0.25–0.58
Weekend total
4.85
2.56
3.11
—
Weekday total
4.88
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
28.2
4.87
0.54
1.21
3.13
4.85
1.1%
2025Q3
92
31.9
4.54
0.53
1.10
2.91
4.63
0.6%
2025Q2
91
33.0
4.24
0.59
1.01
2.64
4.35
2.4%
2025Q1
90
33.6
3.89
0.61
1.00
2.29
4.00
2.0%
2024Q4
92
32.1
4.16
0.70
0.96
2.50
4.21
1.5%
2024Q3
92
27.4
4.98
0.72
1.20
3.06
5.12
0.7%
2024Q2
91
28.9
4.79
0.79
1.06
2.94
4.73
1.0%
2024Q1
91
28.3
4.74
0.68
1.23
2.82
4.82
2.7%
2023Q4
92
29.1
4.61
0.38
1.49
2.73
4.67
4.5%
2023Q3
92
32.7
4.39
0.20
1.41
2.78
4.15
3.4%
2023Q2
91
35.9
3.95
0.07
1.40
2.48
3.71
7.4%
2023Q1
90
35.5
3.81
0.40
0.94
2.47
3.55
2.5%
2022Q4
92
32.1
4.35
0.49
0.99
2.87
4.16
2.1%
2022Q1
90
36.2
4.27
0.61
1.07
2.59
3.88
9.4%
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 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
2026-01-15
2025-11-10
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-12-15
2024-08-15
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-01
2023-06-15
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
2023-07-15
2023-06-15
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2023-07-15
2023-06-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-07-15
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
37
Owner
Role
Pct
From
Status
Source
BRALY, LOCKE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
BRAZOS PRESBYTERIAN HOMES, INC
—
—
2025-08-29
current
tx_hhsc_directory
CAMACHO-ACEVEDO, ROBERTO
ADP OF THE SNF
—
2024-02-26
current
pecos_ownership
CUMMINGS, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-15
current
pecos_ownership
CUMMINGS, MICHAEL
ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
DARDEN, SHARON
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ELLEDGE, DAVID
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
GANS, ANDY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
GREENE, MARCY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HARTMAN, JOHN
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
HUDSON, JOHN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KINSEY, DEIDRE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
LAKIN, JUDY
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
LEATHERS, RICHARD
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
LEMEN, JOHN
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
MCPHAIL, SUZANNE
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
NUNN, RICHARD
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
REDDEN, KATHLEEN
CORPORATE DIRECTOR
—
2011-01-01
current
pecos_ownership
WENNENWESER, JEANETTE
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
ANDY GANS
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
DAVID ELLEDGE
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
DEIDRE KINSEY
CORPORATE OFFICER
—
2024-09-01
ended 2026-05-18
pecos_ownership
JEANETTE WENNENWESER
CORPORATE DIRECTOR
—
2015-01-01
ended 2026-05-18
pecos_ownership
JOHN HARTMAN
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JOHN HUDSON
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
JOHN LEMEN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
JUDY LAKIN
CORPORATE DIRECTOR
—
2026-01-01
ended 2026-05-18
pecos_ownership
KATHLEEN REDDEN
CORPORATE DIRECTOR
—
2011-01-01
ended 2026-05-18
pecos_ownership
LOCKE BRALY
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARCY GREENE
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL CUMMINGS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-15
ended 2026-05-18
pecos_ownership
MICHAEL CUMMINGS
ADP OF THE SNF
—
2026-02-02
ended 2026-05-18
pecos_ownership
RICHARD LEATHERS
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
RICHARD NUNN
CORPORATE OFFICER
—
2015-01-01
ended 2026-05-18
pecos_ownership
ROBERTO CAMACHO-ACEVEDO
ADP OF THE SNF
—
2024-02-26
ended 2026-05-18
pecos_ownership
SHARON DARDEN
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
SUZANNE MCPHAIL
CORPORATE DIRECTOR
—
2018-01-01
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 48201
acs median gross
0
$1,177
2024-12-31
CENSUS_ACS5
county 48201
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
1
$1,196
2024-12-31
CENSUS_ACS5
county 48201
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
county 48201
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
3
$1,764
2024-12-31
CENSUS_ACS5
county 48201
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
4
$2,148
2024-12-31
CENSUS_ACS5
county 48201
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
5
$2,339
2024-12-31
CENSUS_ACS5
county 48201
acs median gross
$1,401
2024-12-31
CENSUS_ACS5
county 48201
acs recent mover gross
$1,495
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
0
$1,214
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
1
$1,370
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
2
$1,768
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
3
$2,609
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 77025
acs median gross
$1,547
2024-12-31
CENSUS_ACS5
zcta 77025
acs recent mover gross
$1,427
2024-12-31
CENSUS_ACS5
zip 77025
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 77025
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 110
1
$1,628
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 90
1
$1,332
2025-10-01
HUD_USER_SAFMR
zip 77025
safmr
1
$1,480
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 110
2
$1,936
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 90
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 77025
safmr
2
$1,760
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 110
3
$2,607
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 90
3
$2,133
2025-10-01
HUD_USER_SAFMR
zip 77025
safmr
3
$2,370
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 110
4
$3,245
2025-10-01
HUD_USER_SAFMR
zip 77025
payment standard 90
4
$2,655
2025-10-01
HUD_USER_SAFMR
zip 77025
safmr
4
$2,950
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.