Reads as: riskier than 55.6% 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
FL median
National median
National p25–p75
Total nurse
3.27
3.42
3.28
2.90–3.77
RN
0.20
0.45
0.39
0.25–0.58
Weekend total
3.35
3.31
3.11
—
Weekday total
3.23
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.4
3.27
0.20
0.86
2.21
3.35
0.0%
2025Q3
92
82.7
3.10
0.24
0.78
2.08
3.24
0.0%
2025Q2
91
91.2
3.21
0.21
0.83
2.16
3.20
0.0%
2025Q1
90
89.5
3.36
0.24
0.77
2.35
3.41
0.0%
2024Q4
92
93.8
3.30
0.17
0.89
2.24
3.40
0.0%
2024Q3
92
96.2
3.59
0.01
1.10
2.48
3.39
0.0%
2024Q2
91
103.3
3.59
0.06
1.07
2.46
3.40
0.0%
2024Q1
91
101.5
3.53
0.12
1.01
2.40
3.23
0.0%
2023Q4
92
99.5
3.67
0.20
0.95
2.52
3.39
0.0%
2023Q3
92
102.3
3.42
0.09
0.86
2.47
3.10
0.0%
2023Q2
91
103.0
3.62
0.12
1.04
2.46
3.51
0.0%
2023Q1
90
102.5
3.60
0.16
0.82
2.63
3.40
0.0%
2022Q4
92
107.5
1.11
0.15
0.87
0.08
1.00
0.9%
2022Q3
92
101.8
3.97
0.12
0.95
2.89
3.83
0.2%
2022Q2
91
103.3
2.73
0.14
0.91
1.68
2.53
4.2%
2022Q1
90
99.6
3.73
0.16
0.94
2.63
3.64
5.9%
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
17
D × 13E × 1J × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-05-04
Health
F0585
Honor 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.
D
—
2026-05-04
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
—
2026-05-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
—
2026-05-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
—
2026-05-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
—
2026-05-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
—
2026-05-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
—
2026-05-04
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
—
2026-05-04
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
—
2026-05-04
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
J
—
2026-05-04
Health
F0880
Provide and implement an infection prevention and control program.
D
—
2026-02-26
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-21
2025-02-20
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-11
2025-02-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-11
2023-11-30
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-12-28
2023-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-12-28
2023-11-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-12-28
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
31
Owner
Role
Pct
From
Status
Source
ARABELLA HEALTH & WELLNESS OF PENSACOLA HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-09-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTH & WELLNESS OF PENSACOLA OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-09-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTH & WELLNESS OF PENSACOLA PROPCO LLC
5% OR GREATER MORTGAGE INTEREST
100%
2024-09-19
ended 2026-05-18
pecos_ownership
HWOOD PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
96%
2024-09-19
ended 2026-05-18
pecos_ownership
ARCO KANO IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-09-19
ended 2026-05-18
pecos_ownership
GNH IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-09-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTH & WELLNESS OF PENSACOLA INVESTORS LP
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTH & WELLNESS OF PENSACOLA PROPCO HOLDCO LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTH & WELLNESS OF PENSACOLA PROPCO LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
ARABELLA HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
ARCO KANO IRRV TR
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
BREDLEGS HOLDINGS LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
CAMDEN WV LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
CHAIM HERTZEL
MANAGING CONTROL - GOVERNING BODY
—
2024-09-19
ended 2026-05-18
pecos_ownership
CHAIM HERTZEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-19
ended 2026-05-18
pecos_ownership
DANA FOSTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-19
ended 2026-05-18
pecos_ownership
DEB EL INVESTMENT GROUP LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
ELIYAHU ZLOTOWITZ
TRUSTEE OF THE SNF
—
2024-09-19
ended 2026-05-18
pecos_ownership
ELLIOT GIBBER
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
GNH IRRV TR
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
HEALTHCARE INVESTMENT HOLDINGS LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
HWOOD PARTNERS LLC
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
JOSHUA STURM
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
JOSHUA STURM
MANAGING CONTROL - GOVERNING BODY
—
2024-09-19
ended 2026-05-18
pecos_ownership
MIRIAM FEIN
TRUSTEE OF THE SNF
—
2024-09-19
ended 2026-05-18
pecos_ownership
PETER MANIS
MANAGING CONTROL - GOVERNING BODY
—
2024-09-19
ended 2026-05-18
pecos_ownership
PETER MANIS
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
SETH FEIN
MANAGING CONTROL - GOVERNING BODY
—
2024-09-19
ended 2026-05-18
pecos_ownership
SETH FEIN
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
THE ADAM SASOUNESS FAMILY TRUST
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
THE DANA SASOUNESS FAMILY TRUST
ADP OF THE SNF
—
2024-12-19
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$121,493
—
—
—
—
1
—
2024-09-18
$560,464
—
$560,464
—
—
1
—
2023-12-31
$747,285
—
$747,285
—
—
1
—
2022-12-31
$1,197,545
—
$1,197,545
—
—
1
—
2021-12-31
$250,557
—
$250,557
—
—
1
—
2020-12-31
$461,159
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 12033
acs median gross
0
$982
2024-12-31
CENSUS_ACS5
county 12033
fmr
0
$1,112
2025-10-01
HUD_USER_FMR
county 12033
acs median gross
1
$1,164
2024-12-31
CENSUS_ACS5
county 12033
fmr
1
$1,257
2025-10-01
HUD_USER_FMR
county 12033
acs median gross
2
$1,279
2024-12-31
CENSUS_ACS5
county 12033
fmr
2
$1,471
2025-10-01
HUD_USER_FMR
county 12033
acs median gross
3
$1,430
2024-12-31
CENSUS_ACS5
county 12033
fmr
3
$1,952
2025-10-01
HUD_USER_FMR
county 12033
acs median gross
4
$1,769
2024-12-31
CENSUS_ACS5
county 12033
fmr
4
$2,380
2025-10-01
HUD_USER_FMR
county 12033
acs median gross
5
$964
2024-12-31
CENSUS_ACS5
county 12033
acs median gross
$1,321
2024-12-31
CENSUS_ACS5
county 12033
acs recent mover gross
$1,602
2024-12-31
CENSUS_ACS5
zcta 32501
acs median gross
0
$614
2024-12-31
CENSUS_ACS5
zcta 32501
acs median gross
2
$1,145
2024-12-31
CENSUS_ACS5
zcta 32501
acs median gross
3
$1,227
2024-12-31
CENSUS_ACS5
zcta 32501
acs median gross
5
$725
2024-12-31
CENSUS_ACS5
zcta 32501
acs median gross
$1,069
2024-12-31
CENSUS_ACS5
zcta 32501
acs recent mover gross
$1,537
2024-12-31
CENSUS_ACS5
zip 32501
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 32501
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 32501
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 110
2
$1,595
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 90
2
$1,305
2025-10-01
HUD_USER_SAFMR
zip 32501
safmr
2
$1,450
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 32501
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 110
4
$2,618
2025-10-01
HUD_USER_SAFMR
zip 32501
payment standard 90
4
$2,142
2025-10-01
HUD_USER_SAFMR
zip 32501
safmr
4
$2,380
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.