Reads as: riskier than 35.0% 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
TN median
National median
National p25–p75
Total nurse
3.36
3.28
3.28
2.90–3.77
RN
0.39
0.34
0.39
0.25–0.58
Weekend total
2.96
3.10
3.11
—
Weekday total
3.52
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
191.6
3.36
0.39
0.97
2.00
2.96
11.3%
2025Q3
92
196.6
3.33
0.36
0.92
2.05
2.96
7.6%
2025Q2
91
196.1
3.39
0.28
0.99
2.12
3.02
16.8%
2025Q1
90
194.8
3.33
0.32
1.00
2.02
2.99
15.1%
2024Q4
92
191.8
3.48
0.31
1.02
2.15
3.16
24.3%
2024Q3
92
192.5
3.39
0.31
0.95
2.12
3.00
19.5%
2024Q2
91
196.2
3.26
0.31
0.95
2.00
2.95
28.0%
2024Q1
91
194.3
3.21
0.30
0.98
1.93
2.88
34.0%
2023Q4
92
191.1
3.27
0.35
1.01
1.90
2.90
42.0%
2023Q3
92
190.0
3.42
0.51
0.90
2.02
2.92
50.1%
2023Q2
91
189.0
3.44
0.42
0.93
2.09
3.02
58.4%
2023Q1
90
193.0
3.25
0.40
0.95
1.91
2.80
59.4%
2022Q4
92
196.1
3.10
0.34
0.95
1.81
2.76
60.2%
2022Q3
92
194.0
3.23
0.36
0.94
1.93
2.86
61.3%
2022Q2
91
182.8
3.10
0.28
1.07
1.75
2.75
60.1%
2022Q1
90
172.1
2.64
0.26
0.93
1.44
2.44
43.1%
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
25
D × 25
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-24
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-05-21
2025-04-24
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-05-21
2025-04-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-21
2025-04-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-21
2025-04-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-21
2025-04-24
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-21
2025-04-24
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
2025-05-21
2025-04-24
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2025-05-21
2025-04-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-21
2025-04-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-21
2023-04-28
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-06-02
2023-04-28
Health
F0610
Respond appropriately to all alleged violations.
D
2023-06-02
2023-04-28
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
2023-06-02
2023-04-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-02
2023-04-28
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2023-06-02
2023-04-28
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-06-02
2023-04-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-02
2019-03-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-05-01
2019-03-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-05-01
2019-03-26
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2019-05-01
2019-03-26
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.
D
2019-05-01
2019-03-26
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-05-01
2019-03-26
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2019-05-01
2019-03-26
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
2019-05-01
2019-03-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-05-01
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
26
Owner
Role
Pct
From
Status
Source
GALLATIN PROPERTY
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
GALLATIN PROPERTY
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
GALLATIN TN VENTURES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-07-01
current
pecos_ownership
FRIEDMAN, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2016-07-01
current
pecos_ownership
CARERITE CENTERS LLC
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
EINHORN, NEAL
MANAGING CONTROL - GOVERNING BODY
—
2020-10-15
current
pecos_ownership
EME, IJAGHA
ADP OF THE SNF
—
2025-06-16
current
pecos_ownership
FRIEDMAN, MARK
MANAGING CONTROL - GOVERNING BODY
—
2020-10-15
current
pecos_ownership
GALLATIN PROPERY, LLC
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
LIGHT, BETH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-16
current
pecos_ownership
MD FRIEDMAN FAMILY 2017 TRUST
ADP OF THE SNF
—
2020-10-15
current
pecos_ownership
MN CONSULTING NY LLC
ADP OF THE SNF
—
2025-06-16
current
pecos_ownership
NEAL EINHORN FAMILY 2017 TRUST
ADP OF THE SNF
—
2020-10-15
current
pecos_ownership
PINTILIE, ADRIENNE
ADP OF THE SNF
—
2022-12-05
current
pecos_ownership
ZUCKER, YOSSIE
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
GALLATIN PROPERTY
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MARK FRIEDMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2016-07-01
ended 2026-05-18
pecos_ownership
ELIEZER SCHWARTZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2016-07-01
ended 2026-05-18
pecos_ownership
YOSSIE ZUCKER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2016-07-01
ended 2026-05-18
pecos_ownership
ADRIENNE PINTILIE
ADP OF THE SNF
—
2022-12-05
ended 2026-05-18
pecos_ownership
BETH LIGHT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-16
ended 2026-05-18
pecos_ownership
GALLATIN PROPERTY
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GALLATIN PROPERTY
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
IJAGHA EME
ADP OF THE SNF
—
2025-06-16
ended 2026-05-18
pecos_ownership
MARK FRIEDMAN
MANAGING CONTROL - GOVERNING BODY
—
2020-10-15
ended 2026-05-18
pecos_ownership
NEAL EINHORN
MANAGING CONTROL - GOVERNING BODY
—
2020-10-15
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
$2,308,630
$1,501,099
—
—
$137,011
3
propco
2023-12-31
$2,250,368
$1,542,144
—
—
$158,212
3
propco
2022-12-31
$1,796,462
$1,072,386
—
—
$152,091
3
propco
2021-12-31
$1,674,300
$1,109,478
—
—
—
3
propco
2020-12-31
$2,115,156
$1,591,356
—
—
—
3
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2016-07-01
—
GALLATIN CENTER FOR REHABILITATION AND HEALING 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
34
Geo
Kind
BR
Amount
As of
Source
county 47165
acs median gross
0
$1,458
2024-12-31
CENSUS_ACS5
county 47165
fmr
0
$1,507
2025-10-01
HUD_USER_FMR
county 47165
acs median gross
1
$1,296
2024-12-31
CENSUS_ACS5
county 47165
fmr
1
$1,578
2025-10-01
HUD_USER_FMR
county 47165
acs median gross
2
$1,402
2024-12-31
CENSUS_ACS5
county 47165
fmr
2
$1,730
2025-10-01
HUD_USER_FMR
county 47165
acs median gross
3
$1,668
2024-12-31
CENSUS_ACS5
county 47165
fmr
3
$2,211
2025-10-01
HUD_USER_FMR
county 47165
acs median gross
4
$1,939
2024-12-31
CENSUS_ACS5
county 47165
fmr
4
$2,696
2025-10-01
HUD_USER_FMR
county 47165
acs median gross
$1,424
2024-12-31
CENSUS_ACS5
county 47165
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
0
$1,595
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
1
$1,255
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
2
$1,414
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
3
$1,474
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
4
$1,776
2024-12-31
CENSUS_ACS5
zcta 37066
acs median gross
$1,391
2024-12-31
CENSUS_ACS5
zcta 37066
acs recent mover gross
$1,539
2024-12-31
CENSUS_ACS5
zip 37066
payment standard 110
0
$1,485
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 90
0
$1,215
2025-10-01
HUD_USER_SAFMR
zip 37066
safmr
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 37066
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 37066
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 110
3
$2,178
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 90
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 37066
safmr
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 37066
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 37066
safmr
4
$2,420
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.