Reads as: riskier than 29.5% 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
IL median
National median
National p25–p75
Total nurse
3.66
3.13
3.28
2.90–3.77
RN
0.57
0.49
0.39
0.25–0.58
Weekend total
3.37
2.93
3.11
—
Weekday total
3.77
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
62.8
3.66
0.57
0.50
2.59
3.37
12.2%
2025Q3
92
65.7
3.43
0.63
0.39
2.41
3.13
12.4%
2025Q2
91
65.5
3.55
0.64
0.36
2.55
3.20
13.2%
2025Q1
90
63.2
3.61
0.66
0.39
2.57
3.44
14.3%
2024Q4
92
65.7
3.43
0.66
0.43
2.34
3.19
18.1%
2024Q3
92
64.6
3.53
0.54
0.47
2.52
3.22
13.4%
2024Q2
91
65.0
3.53
0.59
0.50
2.44
3.22
17.3%
2024Q1
91
63.8
3.44
0.62
0.50
2.31
3.27
20.8%
2023Q4
92
66.5
3.02
0.56
0.49
1.97
2.83
21.7%
2023Q3
92
64.7
3.11
0.62
0.46
2.03
2.91
23.3%
2023Q2
91
59.5
3.22
0.58
0.51
2.13
3.00
32.1%
2023Q1
90
55.9
3.18
0.58
0.54
2.06
2.85
25.9%
2022Q4
92
53.6
3.01
0.43
0.57
2.01
2.90
13.5%
2022Q3
92
52.9
3.11
0.42
0.59
2.10
2.96
17.8%
2022Q2
91
52.0
3.00
0.50
0.54
1.97
2.83
27.1%
2022Q1
90
49.9
2.93
0.44
0.57
1.92
2.88
28.4%
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.
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
33
D × 26E × 5F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-05-04
2026-03-04
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2026-03-19
2026-02-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-09
2026-01-29
Health · complaint
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
2026-02-20
2026-01-29
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2026-02-20
2026-01-29
Health · complaint
F0881
Implement a program that monitors antibiotic use.
E
2026-02-20
2026-01-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-20
2025-08-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-09-07
2025-04-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-28
2025-04-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-04-28
2025-04-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-04-28
2025-04-09
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
2025-04-28
2025-04-09
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.
E
2025-04-28
2025-04-09
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-04-28
2025-04-09
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-04-28
2025-04-09
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.
E
2025-04-28
2025-04-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-28
2025-04-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-04-28
2025-02-26
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-03-14
2025-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-14
2024-12-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-12-23
2024-10-23
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-11-07
2024-03-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-04-12
2024-03-21
Health
F0776
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
D
2024-04-12
2024-03-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-12
2024-01-02
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-01-24
2024-01-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-24
2024-01-02
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
2024-01-24
2023-02-16
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-03-07
2023-02-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-07
2023-02-16
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
2023-03-07
2023-02-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-07
2023-02-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-07
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
41
Owner
Role
Pct
From
Status
Source
ALLEN, BRYSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-23
current
pecos_ownership
BURKS, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-07
current
pecos_ownership
BURN, KARLA
OPERATIONAL/MANAGERIAL CONTROL
—
2005-06-09
current
pecos_ownership
BUSH, THEODORE
MANAGING CONTROL - GOVERNING BODY
—
2021-10-01
current
pecos_ownership
DENNING, TAWNYA
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-06
current
pecos_ownership
GERLACH, KASARA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-16
current
pecos_ownership
HAAG, MARCIA
MANAGING CONTROL - GOVERNING BODY
—
2015-12-01
current
pecos_ownership
HARRISON, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
current
pecos_ownership
HARRISON, STEPHEN
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
HAUPTMAN, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2005-03-01
current
pecos_ownership
HORN, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2023-09-01
current
pecos_ownership
HULING, ERNEST
MANAGING CONTROL - GOVERNING BODY
—
2024-10-01
current
pecos_ownership
KNOX, MARLENE
MANAGING CONTROL - GOVERNING BODY
—
2023-07-01
current
pecos_ownership
KUEHL, KASSI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-07
current
pecos_ownership
MCLAIN, KELLIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-29
current
pecos_ownership
REED, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-23
current
pecos_ownership
RESTHAVE HOME OF WHITESIDE COUNTY ILLINOIS
ADP OF THE SNF
—
—
current
pecos_ownership
SMITH, JILL
ADP OF THE SNF
—
2018-02-01
current
pecos_ownership
STEPHENS, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2011-09-26
current
pecos_ownership
STUART, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
current
pecos_ownership
THOMAS, LOUISA
MANAGING CONTROL - GOVERNING BODY
—
2014-09-01
current
pecos_ownership
JILL SMITH
CORPORATE DIRECTOR
100%
2018-02-01
ended 2026-05-18
pecos_ownership
BRYSON ALLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-23
ended 2026-05-18
pecos_ownership
CHRISTOPHER BURKS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-07
ended 2026-05-18
pecos_ownership
DAWN STUART
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
ended 2026-05-18
pecos_ownership
ERNEST HULING
MANAGING CONTROL - GOVERNING BODY
—
2024-10-01
ended 2026-05-18
pecos_ownership
JOHN HAUPTMAN
MANAGING CONTROL - GOVERNING BODY
—
2005-03-01
ended 2026-05-18
pecos_ownership
KARLA BURN
OPERATIONAL/MANAGERIAL CONTROL
—
2005-06-09
ended 2026-05-18
pecos_ownership
KASARA GERLACH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-16
ended 2026-05-18
pecos_ownership
KASSI KUEHL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-07
ended 2026-05-18
pecos_ownership
KELLIE MCLAIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-29
ended 2026-05-18
pecos_ownership
LAURA REED
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-23
ended 2026-05-18
pecos_ownership
LOUISA THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2014-09-01
ended 2026-05-18
pecos_ownership
MARCIA HAAG
MANAGING CONTROL - GOVERNING BODY
—
2015-12-01
ended 2026-05-18
pecos_ownership
MARLENE KNOX
MANAGING CONTROL - GOVERNING BODY
—
2023-07-01
ended 2026-05-18
pecos_ownership
STEPHEN HARRISON
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
ended 2026-05-18
pecos_ownership
STEPHEN HARRISON
ADP OF THE SNF
—
2025-03-31
ended 2026-05-18
pecos_ownership
SUSAN HORN
MANAGING CONTROL - GOVERNING BODY
—
2023-09-01
ended 2026-05-18
pecos_ownership
TAWNYA DENNING
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-06
ended 2026-05-18
pecos_ownership
THEODORE BUSH
MANAGING CONTROL - GOVERNING BODY
—
2021-10-01
ended 2026-05-18
pecos_ownership
WILLIAM STEPHENS
OPERATIONAL/MANAGERIAL CONTROL
—
2011-09-26
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
32
Geo
Kind
BR
Amount
As of
Source
county 17195
acs median gross
0
$761
2024-12-31
CENSUS_ACS5
county 17195
fmr
0
$673
2025-10-01
HUD_USER_FMR
county 17195
acs median gross
1
$654
2024-12-31
CENSUS_ACS5
county 17195
fmr
1
$719
2025-10-01
HUD_USER_FMR
county 17195
acs median gross
2
$843
2024-12-31
CENSUS_ACS5
county 17195
fmr
2
$916
2025-10-01
HUD_USER_FMR
county 17195
acs median gross
3
$1,028
2024-12-31
CENSUS_ACS5
county 17195
fmr
3
$1,208
2025-10-01
HUD_USER_FMR
county 17195
acs median gross
4
$927
2024-12-31
CENSUS_ACS5
county 17195
fmr
4
$1,213
2025-10-01
HUD_USER_FMR
county 17195
acs median gross
$856
2024-12-31
CENSUS_ACS5
county 17195
acs recent mover gross
$937
2024-12-31
CENSUS_ACS5
zcta 61270
acs median gross
1
$722
2024-12-31
CENSUS_ACS5
zcta 61270
acs median gross
2
$815
2024-12-31
CENSUS_ACS5
zcta 61270
acs median gross
3
$1,075
2024-12-31
CENSUS_ACS5
zcta 61270
acs median gross
$903
2024-12-31
CENSUS_ACS5
zcta 61270
acs recent mover gross
$783
2024-12-31
CENSUS_ACS5
zip 61270
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 61270
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 61270
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 61270
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 61270
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 110
4
$1,540
2025-10-01
HUD_USER_SAFMR
zip 61270
payment standard 90
4
$1,260
2025-10-01
HUD_USER_SAFMR
zip 61270
safmr
4
$1,400
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.