Reads as: riskier than 57.9% 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 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
MT median
National median
National p25–p75
Total nurse
3.35
3.25
3.28
2.90–3.77
RN
0.75
0.62
0.39
0.25–0.58
Weekend total
3.25
3.12
3.11
—
Weekday total
3.39
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.3
3.35
0.75
0.07
2.53
3.25
0.0%
2025Q3
92
26.9
3.95
0.75
0.46
2.74
3.76
5.0%
2025Q2
91
27.2
3.97
0.74
0.37
2.86
3.54
8.1%
2025Q1
90
26.5
3.85
0.68
0.40
2.77
3.60
10.4%
2024Q4
92
27.2
3.54
0.61
0.42
2.50
3.36
8.7%
2024Q3
92
25.5
3.98
0.81
0.47
2.71
3.38
12.7%
2024Q2
91
27.5
3.66
0.55
0.50
2.61
3.32
14.2%
2024Q1
91
26.7
2.68
0.40
0.38
1.90
0.32
17.7%
2023Q4
92
27.1
3.48
0.53
0.43
2.53
3.49
6.3%
2023Q3
92
27.3
3.56
0.50
0.46
2.60
3.41
7.0%
2023Q2
91
27.3
3.22
0.51
0.00
2.71
3.08
2.6%
2023Q1
90
22.8
3.80
0.58
0.00
3.23
3.62
0.8%
2022Q4
92
21.8
3.88
0.62
0.00
3.27
3.79
14.3%
2022Q3
92
23.9
3.32
0.59
0.00
2.73
3.22
9.9%
2022Q2
91
21.8
3.75
0.72
0.00
3.03
3.68
9.7%
2022Q1
90
22.5
3.25
0.67
0.00
2.58
3.42
20.1%
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-05-10
2025-02-13
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
C
2025-03-12
2025-02-13
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-03-06
2025-02-13
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-03-06
2025-02-13
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2025-03-06
2025-02-13
Health
F0610
Respond appropriately to all alleged violations.
E
2025-03-06
2025-02-13
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-03-06
2025-02-13
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
2025-03-15
2025-02-13
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-03-06
2025-02-13
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
2025-03-06
2025-02-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-03-06
2025-02-13
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-03-06
2025-02-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
2025-03-14
2025-02-13
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-03-06
2025-02-13
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
2025-03-06
2025-02-13
Health
F0761
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.
E
2025-03-06
2025-02-13
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-03-06
2024-02-29
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-04-12
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
33
Owner
Role
Pct
From
Status
Source
BAXTER, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
current
pecos_ownership
EBERHARDT, LISA
CORPORATE OFFICER
—
2016-06-13
current
pecos_ownership
EGGENSPERGER, BINA
MANAGING CONTROL - GOVERNING BODY
—
2006-01-01
current
pecos_ownership
FEIST BROWN, TRISTA
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
current
pecos_ownership
GENTRY, JEANINE
CORPORATE OFFICER
—
2023-05-15
current
pecos_ownership
HANSON, GREGORY
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
HOLLAND, VIRGINIA
MANAGING CONTROL - GOVERNING BODY
—
2017-06-01
current
pecos_ownership
INGLE, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
LAWYER, NICHOLAS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LINDSAY, ARLENE
ADP OF THE SNF
—
2016-12-01
current
pecos_ownership
LINDSAY, ARLENE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-01
current
pecos_ownership
MCCARTHY, ERIN
MANAGING CONTROL - GOVERNING BODY
—
2012-01-01
current
pecos_ownership
MEADEN, BRIAN
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
current
pecos_ownership
MERCER, KJIRSTEN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
NEIMAN, CARLA
MANAGING CONTROL - GOVERNING BODY
—
2002-05-01
current
pecos_ownership
PLAINS HOSPITAL CORPORATION
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
WILLIAMS, JEANNE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
ARLENE LINDSAY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-01
ended 2026-05-18
pecos_ownership
ARLENE LINDSAY
ADP OF THE SNF
—
2016-12-01
ended 2026-05-18
pecos_ownership
BINA EGGENSPERGER
MANAGING CONTROL - GOVERNING BODY
—
2006-01-01
ended 2026-05-18
pecos_ownership
BRIAN MEADEN
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
ended 2026-05-18
pecos_ownership
CARLA NEIMAN
ADP OF THE SNF
—
2002-05-01
ended 2026-05-18
pecos_ownership
ERIN MCCARTHY
MANAGING CONTROL - GOVERNING BODY
—
2012-01-01
ended 2026-05-18
pecos_ownership
GREGORY HANSON
OPERATIONAL/MANAGERIAL CONTROL
—
2008-04-01
ended 2026-05-18
pecos_ownership
JEANINE GENTRY
ADP OF THE SNF
—
2023-05-15
ended 2026-05-18
pecos_ownership
JEANNE WILLIAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
ended 2026-05-18
pecos_ownership
KJIRSTEN MERCER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
LISA EBERHARDT
CORPORATE OFFICER
—
2016-06-13
ended 2026-05-18
pecos_ownership
MICHAEL BAXTER
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS LAWYER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
RICHARD INGLE
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
TRISTA FEIST BROWN
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
ended 2026-05-18
pecos_ownership
VIRGINIA HOLLAND
MANAGING CONTROL - GOVERNING BODY
—
2017-06-01
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
32
Geo
Kind
BR
Amount
As of
Source
county 30089
acs median gross
0
$602
2024-12-31
CENSUS_ACS5
county 30089
fmr
0
$769
2025-10-01
HUD_USER_FMR
county 30089
acs median gross
1
$595
2024-12-31
CENSUS_ACS5
county 30089
fmr
1
$878
2025-10-01
HUD_USER_FMR
county 30089
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
county 30089
fmr
2
$1,115
2025-10-01
HUD_USER_FMR
county 30089
acs median gross
3
$864
2024-12-31
CENSUS_ACS5
county 30089
fmr
3
$1,337
2025-10-01
HUD_USER_FMR
county 30089
acs median gross
4
$1,113
2024-12-31
CENSUS_ACS5
county 30089
fmr
4
$1,803
2025-10-01
HUD_USER_FMR
county 30089
acs median gross
5
$784
2024-12-31
CENSUS_ACS5
county 30089
acs median gross
$820
2024-12-31
CENSUS_ACS5
county 30089
acs recent mover gross
$1,030
2024-12-31
CENSUS_ACS5
zcta 59859
acs median gross
1
$589
2024-12-31
CENSUS_ACS5
zcta 59859
acs median gross
2
$860
2024-12-31
CENSUS_ACS5
zcta 59859
acs median gross
3
$885
2024-12-31
CENSUS_ACS5
zcta 59859
acs median gross
$865
2024-12-31
CENSUS_ACS5
zip 59859
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 59859
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 59859
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 110
2
$1,309
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 90
2
$1,071
2025-10-01
HUD_USER_SAFMR
zip 59859
safmr
2
$1,190
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 59859
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 59859
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 59859
safmr
4
$1,830
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.