Reads as: riskier than 18.5% 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 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
NV median
National median
National p25–p75
Total nurse
3.04
3.62
3.28
2.90–3.77
RN
0.32
0.64
0.39
0.25–0.58
Weekend total
2.88
3.46
3.11
—
Weekday total
3.11
3.68
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
124.4
3.04
0.32
0.92
1.80
2.88
2.7%
2025Q3
92
123.0
3.08
0.28
0.95
1.84
2.91
2.4%
2025Q2
91
124.3
3.00
0.27
0.93
1.80
2.85
1.6%
2025Q1
90
120.1
3.09
0.31
0.96
1.82
3.00
1.5%
2024Q4
92
121.5
3.08
0.29
0.96
1.83
2.96
1.9%
2024Q3
92
123.0
3.12
0.27
0.98
1.88
3.00
1.1%
2024Q2
91
124.2
3.09
0.29
0.95
1.84
3.05
4.4%
2024Q1
91
129.7
3.09
0.32
0.90
1.87
3.05
3.5%
2023Q4
92
123.8
3.06
0.34
0.90
1.83
3.02
5.2%
2023Q3
92
122.2
3.11
0.27
0.97
1.86
3.06
11.0%
2023Q2
91
122.0
3.17
0.29
0.97
1.91
3.09
11.6%
2023Q1
90
123.1
3.06
0.27
0.98
1.81
3.01
8.0%
2022Q4
92
117.5
3.22
0.30
1.05
1.87
3.22
9.5%
2022Q3
92
122.3
3.12
0.23
1.06
1.83
3.06
13.6%
2022Q2
91
120.2
3.21
0.22
1.08
1.91
3.15
26.6%
2022Q1
90
111.1
3.35
0.22
1.22
1.91
3.26
22.2%
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
32
D × 27E × 1F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-13
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-07-11
2025-06-13
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
2025-07-11
2025-06-13
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
2025-07-09
2025-06-13
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-07-11
2025-06-13
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
2025-07-11
2025-06-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-11
2025-06-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-11
2025-06-13
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
2025-07-11
2025-06-13
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-07-03
2025-06-13
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2025-07-09
2025-06-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-07-11
2025-06-13
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-07-11
2025-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-11
2025-06-13
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2025-07-11
2024-07-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-31
2024-07-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-31
2024-07-12
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-07-31
2024-07-12
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-07-31
2024-07-12
Health
F0732
Post nurse staffing information every day.
D
2024-07-31
2024-07-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-07-31
2024-07-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-31
2024-07-12
Health
F0908
Keep all essential equipment working safely.
F
2024-07-31
2023-08-04
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-09-01
2023-08-04
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
2023-09-01
2023-08-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-01
2023-08-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-01
2023-08-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-01
2023-08-04
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-09-01
2023-08-04
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-09-01
2023-08-04
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.
F
2023-09-01
2023-08-04
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
2023-09-01
2023-08-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-09-01
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
6
Owner
Role
Pct
From
Status
Source
THI OF NEVADA II INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2003-08-30
current
pecos_ownership
HAGAR, JAMES
CORPORATE OFFICER
—
2022-09-26
current
pecos_ownership
HUNT VALLEY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-03-28
ended 2026-05-18
pecos_ownership
MURRAY FORMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-03-28
ended 2026-05-18
pecos_ownership
THI OF BALTIMORE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2003-07-01
ended 2026-05-18
pecos_ownership
JAMES HAGAR
W-2 MANAGING EMPLOYEE
—
2022-09-26
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 32003
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 32003
fmr
0
$1,333
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
1
$1,308
2024-12-31
CENSUS_ACS5
county 32003
fmr
1
$1,478
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
2
$1,553
2024-12-31
CENSUS_ACS5
county 32003
fmr
2
$1,735
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
3
$1,908
2024-12-31
CENSUS_ACS5
county 32003
fmr
3
$2,413
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
4
$2,227
2024-12-31
CENSUS_ACS5
county 32003
fmr
4
$2,764
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
5
$2,581
2024-12-31
CENSUS_ACS5
county 32003
acs median gross
$1,626
2024-12-31
CENSUS_ACS5
county 32003
acs recent mover gross
$1,755
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
0
$1,070
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
1
$1,096
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
2
$1,199
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
3
$1,552
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
4
$1,447
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
5
$2,133
2024-12-31
CENSUS_ACS5
zcta 89106
acs median gross
$1,259
2024-12-31
CENSUS_ACS5
zcta 89106
acs recent mover gross
$1,611
2024-12-31
CENSUS_ACS5
zip 89106
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 89106
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 89106
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 89106
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 110
3
$2,431
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 90
3
$1,989
2025-10-01
HUD_USER_SAFMR
zip 89106
safmr
3
$2,210
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 110
4
$2,816
2025-10-01
HUD_USER_SAFMR
zip 89106
payment standard 90
4
$2,304
2025-10-01
HUD_USER_SAFMR
zip 89106
safmr
4
$2,560
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.