Reads as: riskier than 56.5% 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
KY median
National median
National p25–p75
Total nurse
3.02
3.11
3.28
2.90–3.77
RN
0.42
0.41
0.39
0.25–0.58
Weekend total
2.94
3.01
3.11
—
Weekday total
3.06
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.7
3.02
0.42
0.63
1.98
2.94
0.0%
2025Q3
92
86.9
2.91
0.45
0.57
1.89
2.70
0.0%
2025Q2
91
87.9
3.12
0.44
0.61
2.06
2.96
0.0%
2025Q1
90
85.2
3.22
0.48
0.54
2.19
3.10
0.0%
2024Q4
92
87.1
3.16
0.46
0.59
2.11
3.03
0.0%
2024Q3
92
87.5
3.16
0.46
0.60
2.10
3.00
0.0%
2024Q2
91
85.0
3.23
0.43
0.64
2.16
3.12
0.0%
2024Q1
91
84.8
3.35
0.45
0.62
2.27
3.26
0.0%
2023Q4
92
88.0
3.13
0.40
0.62
2.11
2.97
0.0%
2023Q3
92
90.7
3.09
0.42
0.65
2.01
2.90
0.0%
2023Q2
91
91.1
2.96
0.38
0.66
1.93
2.73
0.0%
2023Q1
90
90.8
2.88
0.40
0.60
1.89
2.69
0.0%
2022Q4
92
87.3
3.00
0.39
0.58
2.02
2.84
0.0%
2022Q3
92
83.4
3.31
0.48
0.61
2.22
3.07
0.0%
2022Q2
91
85.5
3.13
0.40
0.69
2.04
2.81
0.0%
2022Q1
90
82.4
3.16
0.47
0.52
2.16
3.04
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-05-04
2026-03-19
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-05-04
2025-05-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-24
2025-05-23
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-06-24
2025-05-23
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-06-24
2025-05-23
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-06-24
2025-05-23
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-06-24
2025-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-24
2025-05-23
Health
F0880
Provide and implement an infection prevention and control program.
K
2025-06-24
2021-03-19
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2021-05-01
2021-03-19
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
2021-05-01
2021-03-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-05-01
2021-03-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-05-01
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
37
Owner
Role
Pct
From
Status
Source
BURROWS, CRAIG
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
BURROWS, CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-01
current
pecos_ownership
CAMPBELL/PRESTON MEDICAL INVESTORS, LLC
ADP OF THE SNF
—
2003-10-10
current
pecos_ownership
CAMPBELL/PRESTON MEDICAL INVESTORS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
1994-04-21
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
HOWELL, MONICA
MANAGING CONTROL - GOVERNING BODY
—
2016-12-30
current
pecos_ownership
HURST, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2013-12-24
current
pecos_ownership
HURST, WILLIAM
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
LAY, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2006-06-14
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-06
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2003-10-10
current
pecos_ownership
PRESTON, FORREST
INDIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
SOLOMON, JENNIFER
MANAGING CONTROL - GOVERNING BODY
—
2019-05-01
current
pecos_ownership
SWANKER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-22
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2006-06-14
current
pecos_ownership
FORREST PRESTON
5% OR GREATER DIRECT OWNERSHIP INTEREST
98%
—
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-06
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1994-04-21
ended 2026-05-18
pecos_ownership
CRAIG BURROWS
ADP OF THE SNF
—
2025-03-13
ended 2026-05-18
pecos_ownership
CRAIG BURROWS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-01
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2003-10-10
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2006-06-14
ended 2026-05-18
pecos_ownership
JENNIFER SOLOMON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-01
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-22
ended 2026-05-18
pecos_ownership
LISA LAY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
ended 2026-05-18
pecos_ownership
MONICA HOWELL
MANAGING CONTROL - GOVERNING BODY
—
2016-12-30
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
WILLIAM HURST
OPERATIONAL/MANAGERIAL CONTROL
—
2013-12-24
ended 2026-05-18
pecos_ownership
WILLIAM HURST
ADP OF THE SNF
—
2025-03-13
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
2024-12-31
$1,412,143
$32,256
—
—
—
4
—
2023-12-31
$1,075,768
$5,775
—
—
—
4
—
2022-12-31
$1,130,771
$3,386
—
—
—
4
—
2021-12-31
$1,235,986
$1,741
—
—
—
5
—
2020-12-31
$1,388,542
$5,941
$261,334
—
$86,410
5
—
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 21205
acs median gross
0
$581
2024-12-31
CENSUS_ACS5
county 21205
fmr
0
$628
2025-10-01
HUD_USER_FMR
county 21205
acs median gross
1
$627
2024-12-31
CENSUS_ACS5
county 21205
fmr
1
$735
2025-10-01
HUD_USER_FMR
county 21205
acs median gross
2
$800
2024-12-31
CENSUS_ACS5
county 21205
fmr
2
$911
2025-10-01
HUD_USER_FMR
county 21205
acs median gross
3
$971
2024-12-31
CENSUS_ACS5
county 21205
fmr
3
$1,156
2025-10-01
HUD_USER_FMR
county 21205
acs median gross
4
$1,413
2024-12-31
CENSUS_ACS5
county 21205
fmr
4
$1,528
2025-10-01
HUD_USER_FMR
county 21205
acs median gross
$825
2024-12-31
CENSUS_ACS5
county 21205
acs recent mover gross
$791
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
0
$581
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
1
$628
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
3
$891
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
4
$1,413
2024-12-31
CENSUS_ACS5
zcta 40351
acs median gross
$786
2024-12-31
CENSUS_ACS5
zcta 40351
acs recent mover gross
$734
2024-12-31
CENSUS_ACS5
zip 40351
payment standard 110
0
$671
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 90
0
$549
2025-10-01
HUD_USER_SAFMR
zip 40351
safmr
0
$610
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 40351
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 40351
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 110
3
$1,243
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 90
3
$1,017
2025-10-01
HUD_USER_SAFMR
zip 40351
safmr
3
$1,130
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 40351
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 40351
safmr
4
$1,480
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.