Reads as: riskier than 37.7% 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
NH median
National median
National p25–p75
Total nurse
4.23
3.28
3.28
2.90–3.77
RN
0.45
0.52
0.39
0.25–0.58
Weekend total
4.16
3.14
3.11
—
Weekday total
4.26
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.2
4.23
0.45
0.95
2.82
4.16
50.7%
2025Q3
92
134.9
4.59
0.52
1.17
2.91
4.20
55.2%
2025Q2
91
134.4
4.54
0.59
1.16
2.80
4.13
55.3%
2025Q1
90
129.9
4.85
0.77
1.01
3.08
4.66
49.4%
2024Q4
92
133.6
4.09
0.38
0.85
2.86
4.19
65.1%
2024Q3
92
130.3
4.12
0.34
0.93
2.86
4.07
69.3%
2024Q2
91
136.7
4.44
0.74
1.02
2.68
4.02
61.3%
2024Q1
91
140.7
4.66
0.65
1.24
2.77
4.28
64.4%
2023Q4
92
142.1
4.40
0.54
1.05
2.81
4.09
60.4%
2023Q3
92
137.9
4.42
0.56
1.04
2.82
4.05
57.4%
2023Q2
91
131.9
4.36
0.69
1.01
2.66
3.94
50.0%
2023Q1
90
121.8
4.53
0.79
0.96
2.79
4.10
46.8%
2022Q4
92
122.5
4.58
0.74
0.99
2.86
4.20
44.4%
2022Q3
92
111.3
4.71
0.70
1.07
2.95
4.26
40.5%
2022Q2
91
112.5
4.30
0.78
0.85
2.67
3.76
28.6%
2022Q1
90
107.7
4.32
0.89
0.93
2.50
3.77
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.
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
4
D × 4
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-10-20
2025-08-28
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.
D
2025-10-20
2025-08-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-10-20
2025-08-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-20
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
38
Owner
Role
Pct
From
Status
Source
BOURBEAU, BRUCE
ADP OF THE SNF
—
2025-11-17
current
pecos_ownership
COUNTY OF ROCKINGHAM
ADP OF THE SNF
—
2026-01-14
current
pecos_ownership
COUNTY OF ROCKINGHAM
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
COYLE, KATHRYN
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
DJAKONAN, CHANTAL
ADP OF THE SNF
—
2024-09-03
current
pecos_ownership
DUFFY, TAMMY
CORPORATE OFFICER
—
2021-11-24
current
pecos_ownership
DUFFY, TAMMY
ADP OF THE SNF
—
2013-06-23
current
pecos_ownership
DUFFY, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-06-26
current
pecos_ownership
FARWELL, SIOBHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-27
current
pecos_ownership
GATES, JUDITH
OPERATIONAL/MANAGERIAL CONTROL
—
2005-03-01
current
pecos_ownership
GODDU, STEVEN
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
KIVIKOSKI, ALISON
OPERATIONAL/MANAGERIAL CONTROL
—
2015-04-20
current
pecos_ownership
MASSO, KATHERINE-ANN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-19
current
pecos_ownership
MAYALL, KENDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-27
current
pecos_ownership
NICKERSON, CHARLES
CORPORATE DIRECTOR
—
2021-11-21
current
pecos_ownership
NICKERSON, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2009-01-27
current
pecos_ownership
PRENTICE, JENNIFER
ADP OF THE SNF
—
2023-09-11
current
pecos_ownership
SCHIMPF, RICHARD
ADP OF THE SNF
—
2025-08-18
current
pecos_ownership
TOMBARELLO, THOMAS
ADP OF THE SNF
—
2025-01-08
current
pecos_ownership
VAUGHAN, KRISTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
CHARLES NICKERSON
CORPORATE DIRECTOR
100%
2021-11-21
ended 2026-05-18
pecos_ownership
ALISON KIVIKOSKI
ADP OF THE SNF
—
2015-04-20
ended 2026-05-18
pecos_ownership
BRUCE BOURBEAU
ADP OF THE SNF
—
2025-11-17
ended 2026-05-18
pecos_ownership
CHANTAL DJAKONAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-03
ended 2026-05-18
pecos_ownership
CHARLES NICKERSON
ADP OF THE SNF
—
2009-01-27
ended 2026-05-18
pecos_ownership
JENNIFER PRENTICE
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
JUDITH GATES
OPERATIONAL/MANAGERIAL CONTROL
—
2005-03-01
ended 2026-05-18
pecos_ownership
KATHERINE-ANN MASSO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-19
ended 2026-05-18
pecos_ownership
KATHRYN COYLE
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
KENDRA MAYALL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-27
ended 2026-05-18
pecos_ownership
KRISTIN VAUGHAN
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
RICHARD SCHIMPF
ADP OF THE SNF
—
2025-08-18
ended 2026-05-18
pecos_ownership
SIOBHAN FARWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-27
ended 2026-05-18
pecos_ownership
STEVEN GODDU
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
TAMMY DUFFY
CORPORATE OFFICER
—
2021-11-24
ended 2026-05-18
pecos_ownership
TAMMY DUFFY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-06-26
ended 2026-05-18
pecos_ownership
TAMMY DUFFY
ADP OF THE SNF
—
2013-06-23
ended 2026-05-18
pecos_ownership
THOMAS TOMBARELLO
ADP OF THE SNF
—
2025-01-08
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
29
Geo
Kind
BR
Amount
As of
Source
county 33015
acs median gross
0
$1,200
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
1
$1,351
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
2
$1,857
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
3
$2,100
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
4
$2,894
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
5
$3,229
2024-12-31
CENSUS_ACS5
county 33015
acs median gross
$1,687
2024-12-31
CENSUS_ACS5
county 33015
acs recent mover gross
$1,855
2024-12-31
CENSUS_ACS5
zcta 03833
acs median gross
0
$1,428
2024-12-31
CENSUS_ACS5
zcta 03833
acs median gross
1
$1,440
2024-12-31
CENSUS_ACS5
zcta 03833
acs median gross
2
$2,261
2024-12-31
CENSUS_ACS5
zcta 03833
acs median gross
3
$2,022
2024-12-31
CENSUS_ACS5
zcta 03833
acs median gross
$1,871
2024-12-31
CENSUS_ACS5
zcta 03833
acs recent mover gross
$2,270
2024-12-31
CENSUS_ACS5
zip 03833
payment standard 110
0
$2,244
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 90
0
$1,836
2025-10-01
HUD_USER_SAFMR
zip 03833
safmr
0
$2,040
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 03833
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 110
2
$2,816
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 90
2
$2,304
2025-10-01
HUD_USER_SAFMR
zip 03833
safmr
2
$2,560
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 110
3
$3,388
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 90
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 03833
safmr
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 110
4
$3,729
2025-10-01
HUD_USER_SAFMR
zip 03833
payment standard 90
4
$3,051
2025-10-01
HUD_USER_SAFMR
zip 03833
safmr
4
$3,390
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.