900 South 6th Street, Raton, NM 87740 · CCN 32E027
Composite
2.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
37
Model
v1.2
Reads as: riskier than 2.4% 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
NM median
National median
National p25–p75
Total nurse
4.42
2.82
3.28
2.90–3.77
RN
1.29
0.41
0.39
0.25–0.58
Weekend total
4.26
2.65
3.11
—
Weekday total
4.48
2.88
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
23.9
4.42
1.29
0.34
2.79
4.26
31.0%
2025Q3
92
23.6
4.66
1.49
0.24
2.93
4.48
27.2%
2025Q2
91
23.5
4.77
1.44
0.26
3.07
4.43
30.1%
2025Q1
90
23.5
4.18
1.24
0.29
2.65
4.10
29.6%
2024Q4
92
24.0
3.99
1.16
0.30
2.53
3.83
29.0%
2024Q3
92
25.0
3.93
1.30
0.26
2.36
3.82
33.2%
2024Q2
91
23.9
3.47
1.16
0.34
1.97
3.37
33.3%
2024Q1
91
24.4
3.22
0.90
0.49
1.83
3.20
20.7%
2023Q4
92
25.1
2.95
0.46
0.51
1.98
2.96
6.8%
2023Q3
92
22.3
3.60
0.52
0.51
2.58
3.58
7.1%
2023Q2
91
21.4
3.53
0.58
0.51
2.44
3.41
7.7%
2023Q1
90
19.3
4.21
0.94
0.57
2.70
4.07
14.0%
2022Q4
92
17.9
4.32
1.02
0.64
2.66
4.30
18.4%
2022Q3
92
17.2
4.33
1.30
0.65
2.37
4.25
21.8%
2022Q2
91
18.4
4.21
0.91
0.80
2.51
4.04
14.2%
2022Q1
90
20.8
3.80
0.68
0.66
2.46
3.86
13.2%
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
16
C × 1D × 10E × 2F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-18
2025-05-15
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.
E
2025-06-18
2025-05-15
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-06-18
2025-05-15
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.
F
2025-06-18
2025-05-15
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
2025-06-18
2025-05-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-18
2024-04-25
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
2024-05-17
2024-04-25
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
2024-05-17
2024-04-25
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-05-17
2024-04-25
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2024-05-17
2024-04-25
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-05-17
2023-03-03
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
C
2023-04-07
2023-03-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-04-07
2023-03-03
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-04-07
2023-03-03
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-04-07
2023-03-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-07
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
0
No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
30
Geo
Kind
BR
Amount
As of
Source
county 35007
fmr
0
$730
2025-10-01
HUD_USER_FMR
county 35007
acs median gross
1
$623
2024-12-31
CENSUS_ACS5
county 35007
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 35007
acs median gross
2
$735
2024-12-31
CENSUS_ACS5
county 35007
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 35007
acs median gross
3
$922
2024-12-31
CENSUS_ACS5
county 35007
fmr
3
$1,302
2025-10-01
HUD_USER_FMR
county 35007
fmr
4
$1,569
2025-10-01
HUD_USER_FMR
county 35007
acs median gross
$729
2024-12-31
CENSUS_ACS5
county 35007
acs recent mover gross
$1,054
2024-12-31
CENSUS_ACS5
zcta 87740
acs median gross
1
$600
2024-12-31
CENSUS_ACS5
zcta 87740
acs median gross
2
$760
2024-12-31
CENSUS_ACS5
zcta 87740
acs median gross
3
$913
2024-12-31
CENSUS_ACS5
zcta 87740
acs median gross
$746
2024-12-31
CENSUS_ACS5
zcta 87740
acs recent mover gross
$1,116
2024-12-31
CENSUS_ACS5
zip 87740
payment standard 110
0
$836
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 90
0
$684
2025-10-01
HUD_USER_SAFMR
zip 87740
safmr
0
$760
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 87740
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 87740
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 87740
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 87740
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 87740
safmr
4
$1,640
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.