CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 09:18 UTC
Screener / 065312
A

CROWLEY COUNTY NURSING CENTER

snfCO
401 IDAHO AVE, ORDWAY, CO 81063 · CCN 065312
Composite
11.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
44
Model
v1.2
Reads as: riskier than 11.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct52.340.30.300.230812.07in index
staffing risk59.159.10.250.192311.37in index
regulatory risk13.58.70.300.23083.12in index
financial risk10.819.90.300.23082.49in index
chow risk16.722.30.150.11541.93in index
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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct40.3Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.0Av0.1-posdefault · in compositeChange-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.
chow risk20.7Av0.6default · in composite
financial risk19.9Av0.5default · in compositeR18.
p adverse action 12m4.7v0.1default · in compositeR23/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.
p chow 12m0.3v0.1default · in compositeR22/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.
regulatory risk8.7Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk59.1Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk70.1Dv0.1supersededPre-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.
financial risk50.1Cv0.2supersededPre-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.
financial risk28.1Bv0.3supersededPre-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.
financial risk24.4Av0.4supersededPre-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.
regulatory risk8.6Av0.1supersededPre-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.
regulatory risk8.6Av0.2supersededPre-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.
staffing risk59.1Cv0.1supersededPre-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.
staffing risk59.1Cv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
45.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.87-0.50
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
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.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
4.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
96.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months0.00+1.43
Chain size (log)0.00+1.20
Occupancy0.87-0.51
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Facility size (log beds)3.81+0.11
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 HPRDThis facilityCO medianNational medianNational p25–p75
Total nurse3.143.193.282.90–3.77
RN0.380.570.390.25–0.58
Weekend total3.023.023.11
Weekday total3.193.273.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49238.33.140.380.552.213.022.9%
2025Q39236.93.170.310.552.303.082.7%
2025Q29139.43.030.250.642.152.802.3%
2025Q19038.33.220.300.662.262.990.0%
2024Q49239.63.230.170.822.232.940.0%
2024Q39242.22.910.280.582.052.640.0%
2024Q29138.63.030.340.582.112.730.1%
2024Q19139.83.370.450.562.353.255.6%
2023Q49238.72.940.440.561.942.885.9%
2023Q39236.43.110.410.642.062.943.9%
2023Q29136.52.980.300.622.062.720.0%
2023Q19037.43.040.340.632.082.824.5%
2022Q49238.82.920.250.582.092.804.2%
2022Q39236.32.870.190.721.962.755.2%
2022Q29133.12.680.210.881.582.610.0%
2022Q19033.43.050.230.911.912.962.3%
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

18
D × 8E × 4F × 4G × 1J × 1
deficiencies by survey year
7418202224
SurveyTypeTagDeficiencyScopeCorrected
2024-02-27HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-03-25
2024-02-27HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-03-25
2024-02-27HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-03-25
2024-02-27HealthF0730Observe each nurse aide's job performance and give regular training.E2024-03-25
2024-02-27HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2024-03-25
2024-02-27HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2024-03-25
2024-02-27HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2024-03-25
2019-10-11HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D2019-11-30
2019-10-11HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2019-11-15
2019-10-11HealthF0692Provide enough food/fluids to maintain a resident's health.D2019-11-13
2019-10-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2019-11-07
2019-10-11HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.G2019-11-07
2019-10-11HealthF0880Provide and implement an infection prevention and control program.D2019-11-07
2019-10-11HealthF0881Implement a program that monitors antibiotic use.D2019-11-07
2018-09-12HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2018-10-05
2018-09-12HealthF0578Honor 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.E2018-10-08
2018-09-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2018-10-05
2018-09-12HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2018-10-05
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

6
OwnerRolePctFromStatusSource
ARBUTHNOT, BLAINECORPORATE OFFICER2004-11-24currentpecos_ownership
NEELY, JERRYCORPORATE OFFICER2004-11-24currentpecos_ownership
SUMMERS, JEREMYCONTRACTED MANAGING EMPLOYEE2023-01-05currentpecos_ownership
BLAINE ARBUTHNOTCORPORATE OFFICER2004-11-24ended 2026-05-18pecos_ownership
JEREMY SUMMERSCORPORATE OFFICER2023-01-05ended 2026-05-18pecos_ownership
JERRY NEELYCORPORATE OFFICER2004-11-24ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — CO snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01FALCON HEIGHTS REHABILITATION AND NURSING LLC107FALCON HEIGHTS REHABILITATION AND NURSING LLC
2025-07-11Pueblo Heights Nursing and Rehabilitation120CONSTITUTION OPERATIONS LLC
2025-05-16CITY SCAPE REHABILITATION & CARE CENTER LLC60CITY SCAPE REHABILITATION & CARE CENTER LLC
2024-10-16STORYBROOK CARE & REHABILITATION60STORYBROOK CARE & REHABILITATION LLC
2024-10-01CASEY'S POND SENIOR LIVING66NORTHWEST COLORADO VISITING NURSE ASSOCIATION
2024-09-01POUDRE CANYON REHABILITATION AND NURSING, LLC83POUDRE CANYON REHABILITATION AND NURSING LLC
2024-09-01WELLSPRINGS CARE CENTER81WELLSPRINGS CARE CENTER LLC
2024-09-01SOUTH PLATTE REHABILITATION AND NURSING LLC78SOUTH PLATTE REHABILITATION AND NURSING LLC
2024-09-01WESTLAKE HEALTH AND REHABILITATION CENTER107LATHAM RIVER HEALTHCARE, INC.
2024-09-01THORNTON CARE CENTER101THORNTON CARE CENTER LLC
2024-09-01DURANGO HEALTH AND REHABILITATION133CHIMNEY ROCK HEALTHCARE INC
2024-09-01STERLING REHABILITATION AND NURSING, LLC63STERLING REHABILITATION AND NURSING LLC
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
GeoKindBRAmountAs ofSource
county 08025fmr0$9762025-10-01HUD_USER_FMR
county 08025acs median gross1$5032024-12-31CENSUS_ACS5
county 08025fmr1$9822025-10-01HUD_USER_FMR
county 08025acs median gross2$1,1292024-12-31CENSUS_ACS5
county 08025fmr2$1,2892025-10-01HUD_USER_FMR
county 08025acs median gross3$1,0322024-12-31CENSUS_ACS5
county 08025fmr3$1,5462025-10-01HUD_USER_FMR
county 08025fmr4$2,0212025-10-01HUD_USER_FMR
county 08025acs median gross$9842024-12-31CENSUS_ACS5
county 08025acs recent mover gross$1,5192024-12-31CENSUS_ACS5
zcta 81063acs median gross1$4992024-12-31CENSUS_ACS5
zcta 81063acs median gross2$1,2592024-12-31CENSUS_ACS5
zcta 81063acs median gross3$9982024-12-31CENSUS_ACS5
zcta 81063acs median gross$9952024-12-31CENSUS_ACS5
zcta 81063acs recent mover gross$9782024-12-31CENSUS_ACS5
zip 81063payment standard 1100$1,0892025-10-01HUD_USER_SAFMR
zip 81063payment standard 900$8912025-10-01HUD_USER_SAFMR
zip 81063safmr0$9902025-10-01HUD_USER_SAFMR
zip 81063payment standard 1101$1,1002025-10-01HUD_USER_SAFMR
zip 81063payment standard 901$9002025-10-01HUD_USER_SAFMR
zip 81063safmr1$1,0002025-10-01HUD_USER_SAFMR
zip 81063payment standard 1102$1,4412025-10-01HUD_USER_SAFMR
zip 81063payment standard 902$1,1792025-10-01HUD_USER_SAFMR
zip 81063safmr2$1,3102025-10-01HUD_USER_SAFMR
zip 81063payment standard 1103$1,7272025-10-01HUD_USER_SAFMR
zip 81063payment standard 903$1,4132025-10-01HUD_USER_SAFMR
zip 81063safmr3$1,5702025-10-01HUD_USER_SAFMR
zip 81063payment standard 1104$2,2552025-10-01HUD_USER_SAFMR
zip 81063payment standard 904$1,8452025-10-01HUD_USER_SAFMR
zip 81063safmr4$2,0502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.