Reads as: riskier than 46.5% 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
NC median
National median
National p25–p75
Total nurse
3.39
3.08
3.28
2.90–3.77
RN
0.59
0.30
0.39
0.25–0.58
Weekend total
3.52
2.93
3.11
—
Weekday total
3.33
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.3
3.39
0.59
0.52
2.27
3.52
0.0%
2025Q3
92
100.6
3.23
0.59
0.42
2.22
3.25
0.0%
2025Q2
91
100.0
3.23
0.58
0.41
2.23
3.21
0.0%
2025Q1
90
96.4
3.10
0.59
0.34
2.18
3.25
0.0%
2024Q4
92
96.1
3.42
0.56
0.49
2.37
3.59
0.0%
2024Q3
92
96.8
3.51
0.56
0.72
2.23
3.48
0.5%
2024Q2
91
96.4
3.30
0.48
0.82
1.99
3.22
7.2%
2024Q1
91
96.4
3.44
0.55
0.79
2.09
3.33
27.2%
2023Q4
92
92.5
3.32
0.50
0.67
2.14
3.11
41.6%
2023Q3
92
91.1
3.29
0.53
0.58
2.18
3.03
35.4%
2023Q2
91
98.0
3.00
0.55
0.58
1.87
2.52
45.3%
2023Q1
90
98.9
3.16
0.53
0.72
1.91
2.82
47.8%
2022Q4
92
93.3
3.06
0.40
0.73
1.94
2.79
56.7%
2022Q3
92
92.2
3.23
0.39
0.83
2.01
2.70
59.4%
2022Q2
91
94.8
3.03
0.32
0.87
1.84
2.45
56.6%
2022Q1
90
94.2
2.52
0.31
0.84
1.36
2.19
47.9%
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.
Honor the resident's right to organize and participate in resident/family groups in the facility.
B
2026-02-09
2026-01-22
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
2026-02-09
2026-01-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-09
2025-04-24
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-05-16
2024-10-24
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2024-11-21
2024-10-24
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-11-21
2024-10-24
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
B
2024-11-21
2024-10-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-21
2024-10-24
Health
F0679
Provide activities to meet all resident's needs.
E
2024-11-21
2024-10-24
Health
F0687
Provide appropriate foot care.
E
2024-11-21
2024-10-24
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-11-21
2024-10-24
Health
F0732
Post nurse staffing information every day.
C
2024-11-21
2024-10-24
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-11-21
2024-10-24
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-21
2023-11-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-11-27
2023-05-05
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2023-06-02
2023-05-05
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
B
2023-06-02
2023-05-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-06-02
2023-05-05
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2023-06-02
2023-05-05
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
2023-06-02
2023-05-05
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
2023-06-02
2023-05-05
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2023-06-02
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
18
Owner
Role
Pct
From
Status
Source
BARNABEI, ROBERT
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
BOICE, GALE
ADP OF THE SNF
—
2018-03-05
current
pecos_ownership
HILL, RAYMOND
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, ROBERT
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, STEPHEN
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
JACKSON, RAFAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
current
pecos_ownership
JACKSON, RAFAEL
ADP OF THE SNF
—
2025-07-03
current
pecos_ownership
JOHNSON, DIANNE
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
PRINCIPLE LONG TERM CARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2011-01-01
current
pecos_ownership
PRINCIPLE IT SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2011-01-01
ended 2026-05-18
pecos_ownership
ROBERT HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2011-01-01
ended 2026-05-18
pecos_ownership
STEPHEN HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2011-01-01
ended 2026-05-18
pecos_ownership
RAYMOND HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2011-01-01
ended 2026-05-18
pecos_ownership
DIANNE JOHNSON
CORPORATE OFFICER
—
2011-01-01
ended 2026-05-18
pecos_ownership
GALE BOICE
CORPORATE OFFICER
—
2018-03-05
ended 2026-05-18
pecos_ownership
RAFAEL JACKSON
ADP OF THE SNF
—
2025-07-03
ended 2026-05-18
pecos_ownership
RAFAEL JACKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
ended 2026-05-18
pecos_ownership
ROBERT BARNABEI
ADP OF THE SNF
—
2022-03-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$2,191,457
—
$770,740
$7,815
$86,736
10
—
2023-09-30
$1,920,897
—
$703,293
$13,220
$92,948
10
—
2022-09-30
$2,193,822
—
$607,091
$2,902
$75,203
10
—
2021-09-30
$1,641,091
—
$495,340
$3,021
$99,673
10
—
2020-09-30
$1,486,979
—
$378,865
$1,139
$71,401
10
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 37179
fmr
0
$1,469
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
1
$979
2024-12-31
CENSUS_ACS5
county 37179
fmr
1
$1,538
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
2
$1,205
2024-12-31
CENSUS_ACS5
county 37179
fmr
2
$1,686
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
3
$1,651
2024-12-31
CENSUS_ACS5
county 37179
fmr
3
$2,076
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
4
$2,141
2024-12-31
CENSUS_ACS5
county 37179
fmr
4
$2,637
2025-10-01
HUD_USER_FMR
county 37179
acs median gross
5
$2,776
2024-12-31
CENSUS_ACS5
county 37179
acs median gross
$1,496
2024-12-31
CENSUS_ACS5
county 37179
acs recent mover gross
$1,949
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
1
$1,651
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
3
$2,060
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
4
$2,284
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
5
$2,799
2024-12-31
CENSUS_ACS5
zcta 28079
acs median gross
$2,025
2024-12-31
CENSUS_ACS5
zcta 28079
acs recent mover gross
$2,393
2024-12-31
CENSUS_ACS5
zip 28079
payment standard 110
0
$2,123
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 90
0
$1,737
2025-10-01
HUD_USER_SAFMR
zip 28079
safmr
0
$1,930
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 110
1
$2,233
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 90
1
$1,827
2025-10-01
HUD_USER_SAFMR
zip 28079
safmr
1
$2,030
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 110
2
$2,442
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 90
2
$1,998
2025-10-01
HUD_USER_SAFMR
zip 28079
safmr
2
$2,220
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 110
3
$3,003
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 90
3
$2,457
2025-10-01
HUD_USER_SAFMR
zip 28079
safmr
3
$2,730
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 110
4
$3,817
2025-10-01
HUD_USER_SAFMR
zip 28079
payment standard 90
4
$3,123
2025-10-01
HUD_USER_SAFMR
zip 28079
safmr
4
$3,470
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.