Reads as: riskier than 33.9% 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
14
2025Q4 HPRD
This facility
TN median
National median
National p25–p75
Total nurse
3.65
3.28
3.28
2.90–3.77
RN
0.75
0.34
0.39
0.25–0.58
Weekend total
3.06
3.10
3.11
—
Weekday total
3.88
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.8
3.65
0.75
1.03
1.87
3.06
0.0%
2025Q3
92
59.1
3.34
0.59
0.92
1.83
3.06
2.3%
2025Q2
91
57.8
3.68
0.64
1.04
1.99
3.33
2.5%
2025Q1
90
60.0
3.56
0.56
0.94
2.06
3.31
0.1%
2024Q4
92
59.7
3.66
0.67
0.90
2.09
3.35
0.0%
2024Q3
92
60.8
3.64
0.59
1.03
2.03
3.18
0.0%
2024Q2
91
58.2
3.75
0.62
1.08
2.04
3.32
0.0%
2024Q1
91
59.5
3.40
0.57
0.87
1.95
3.07
0.0%
2023Q4
92
58.5
3.55
0.60
0.90
2.04
3.22
0.0%
2023Q2
91
65.5
3.29
0.61
0.78
1.90
2.94
0.0%
2023Q1
90
70.5
3.43
0.67
0.90
1.86
3.16
0.0%
2022Q4
92
69.1
3.25
0.62
1.01
1.63
2.94
0.0%
2022Q3
92
69.6
3.29
0.54
1.08
1.67
2.98
0.0%
2022Q1
90
67.2
3.37
0.64
1.15
1.58
3.09
0.0%
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.
Provide and implement an infection prevention and control program.
D
2026-02-11
2024-02-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-04
2024-02-06
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-03-04
2024-02-06
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2024-03-04
2024-02-06
Health
F0732
Post nurse staffing information every day.
D
2024-03-04
2024-02-06
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-03-04
2024-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-04
2021-06-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-07-16
2021-06-23
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
2021-07-16
2021-06-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-07-16
2021-06-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-16
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
47
Owner
Role
Pct
From
Status
Source
LIFEPOINT HOLDINGS 2 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-12-01
current
pecos_ownership
COE, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
1995-12-09
current
pecos_ownership
COOK, BRITTANY
ADP OF THE SNF
—
2024-06-24
current
pecos_ownership
DAVIS, DANIEL
CORPORATE OFFICER
—
2019-06-24
current
pecos_ownership
DSB ACQUISITION LLC
INDIRECT OWNERSHIP INTEREST
—
2018-11-16
current
pecos_ownership
GROOMS, JOHN
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
HAUGH, WILLIAM
CORPORATE OFFICER
—
2022-01-25
current
pecos_ownership
HISTORIC LIFEPOINT HOSPITALS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-12-01
current
pecos_ownership
HUDGINS, CRYSTAL
ADP OF THE SNF
—
2008-05-15
current
pecos_ownership
LAPINSKI, EVAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-20
current
pecos_ownership
LAWRENCE, CHARLOTTE
CORPORATE OFFICER
—
2022-01-21
current
pecos_ownership
LEGACY LIFEPOINT HEALTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-12-01
current
pecos_ownership
LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
LIFEPOINT CORPORATE SERVICES GENERAL PARTNERSHIP
ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
LIFEPOINT HEALTH INC
ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
LIFEPOINT HEALTH INC
INDIRECT OWNERSHIP INTEREST
—
2018-11-16
current
pecos_ownership
LIFEPOINT HOSPITALS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-12-01
current
pecos_ownership
MASENGIL, ELIZABETH
ADP OF THE SNF
—
2022-10-10
current
pecos_ownership
MCLAIN, JOHN
ADP OF THE SNF
—
2025-09-15
current
pecos_ownership
MCLAIN, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
current
pecos_ownership
MILLS, EMILY
ADP OF THE SNF
—
2016-08-08
current
pecos_ownership
MONTE, CHRISTOPHER
CORPORATE OFFICER
—
2006-06-26
current
pecos_ownership
OLSEN, SAMUEL
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
POPPELL, MARCUS
CORPORATE OFFICER
—
2009-11-02
current
pecos_ownership
ROBERTS, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
current
pecos_ownership
STUTTS, WALLACE
ADP OF THE SNF
—
2018-09-04
current
pecos_ownership
WATSON, GEORGETTE
ADP OF THE SNF
—
2022-02-14
current
pecos_ownership
WILSON, SHELBY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-14
current
pecos_ownership
CHARLOTTE LAWRENCE
CORPORATE OFFICER
0%
2022-01-21
ended 2026-05-18
pecos_ownership
WILLIAM HAUGH
CORPORATE OFFICER
0%
2022-01-25
ended 2026-05-18
pecos_ownership
BRITTANY COOK
ADP OF THE SNF
—
2024-06-24
ended 2026-05-18
pecos_ownership
CHRISTOPHER MONTE
CORPORATE OFFICER
—
2006-06-26
ended 2026-05-18
pecos_ownership
CRYSTAL HUDGINS
OPERATIONAL/MANAGERIAL CONTROL
—
2008-05-15
ended 2026-05-18
pecos_ownership
DANIEL DAVIS
CORPORATE OFFICER
—
2019-06-24
ended 2026-05-18
pecos_ownership
ELIZABETH MASENGIL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-10
ended 2026-05-18
pecos_ownership
EMILY MILLS
ADP OF THE SNF
—
2016-08-08
ended 2026-05-18
pecos_ownership
EVAN LAPINSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-20
ended 2026-05-18
pecos_ownership
GEORGETTE WATSON
ADP OF THE SNF
—
2022-02-14
ended 2026-05-18
pecos_ownership
JOHN GROOMS
CORPORATE OFFICER
—
2016-11-01
ended 2026-05-18
pecos_ownership
JOHN MCLAIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
ended 2026-05-18
pecos_ownership
JOHN MCLAIN
ADP OF THE SNF
—
2025-09-15
ended 2026-05-18
pecos_ownership
MARCUS POPPELL
CORPORATE OFFICER
—
2009-11-02
ended 2026-05-18
pecos_ownership
PATRICIA ROBERTS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
ended 2026-05-18
pecos_ownership
SAMUEL OLSEN
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
SHARON COE
ADP OF THE SNF
—
1995-12-09
ended 2026-05-18
pecos_ownership
SHELBY WILSON
ADP OF THE SNF
—
2020-09-14
ended 2026-05-18
pecos_ownership
WALLACE STUTTS
ADP OF THE SNF
—
2018-09-04
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 47107
acs median gross
0
$653
2024-12-31
CENSUS_ACS5
county 47107
fmr
0
$725
2025-10-01
HUD_USER_FMR
county 47107
acs median gross
1
$687
2024-12-31
CENSUS_ACS5
county 47107
fmr
1
$845
2025-10-01
HUD_USER_FMR
county 47107
acs median gross
2
$815
2024-12-31
CENSUS_ACS5
county 47107
fmr
2
$926
2025-10-01
HUD_USER_FMR
county 47107
acs median gross
3
$878
2024-12-31
CENSUS_ACS5
county 47107
fmr
3
$1,151
2025-10-01
HUD_USER_FMR
county 47107
acs median gross
4
$859
2024-12-31
CENSUS_ACS5
county 47107
fmr
4
$1,226
2025-10-01
HUD_USER_FMR
county 47107
acs median gross
5
$1,208
2024-12-31
CENSUS_ACS5
county 47107
acs median gross
$803
2024-12-31
CENSUS_ACS5
county 47107
acs recent mover gross
$965
2024-12-31
CENSUS_ACS5
zcta 37331
acs median gross
1
$661
2024-12-31
CENSUS_ACS5
zcta 37331
acs median gross
2
$874
2024-12-31
CENSUS_ACS5
zcta 37331
acs median gross
3
$684
2024-12-31
CENSUS_ACS5
zcta 37331
acs median gross
$744
2024-12-31
CENSUS_ACS5
zip 37331
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 37331
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 37331
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 37331
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 37331
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 110
4
$1,595
2025-10-01
HUD_USER_SAFMR
zip 37331
payment standard 90
4
$1,305
2025-10-01
HUD_USER_SAFMR
zip 37331
safmr
4
$1,450
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.