Reads as: riskier than 97.4% 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
OK median
National median
National p25–p75
Total nurse
1.84
2.78
3.28
2.90–3.77
RN
0.00
0.18
0.39
0.25–0.58
Weekend total
1.99
2.72
3.11
—
Weekday total
1.79
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.5
1.84
0.00
0.59
1.26
1.99
0.0%
2025Q3
92
62.6
2.83
0.00
0.78
2.05
2.88
0.0%
2025Q2
91
59.2
2.91
0.07
0.78
2.06
3.06
0.0%
2025Q1
90
58.3
2.97
0.09
0.80
2.09
2.85
0.0%
2024Q4
92
57.7
3.10
0.09
0.78
2.23
2.94
0.0%
2024Q3
92
56.6
3.33
0.10
0.70
2.52
2.81
0.0%
2024Q2
91
57.8
3.31
0.21
0.64
2.46
2.70
0.0%
2024Q1
91
56.5
3.47
0.23
0.53
2.70
3.00
0.0%
2023Q4
92
56.9
3.23
0.21
0.65
2.37
2.86
0.0%
2023Q3
92
55.6
2.95
0.11
0.63
2.21
2.67
0.0%
2023Q2
91
54.0
3.13
0.07
0.77
2.29
3.31
0.0%
2023Q1
90
52.0
3.28
0.01
0.89
2.38
3.21
0.0%
2022Q4
92
45.6
3.63
0.14
1.07
2.42
3.30
0.0%
2022Q3
92
44.6
3.71
0.24
1.05
2.42
3.62
0.0%
2022Q2
91
40.9
3.89
0.25
1.11
2.52
3.82
0.0%
2022Q1
90
40.8
3.30
0.14
1.22
1.94
3.24
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-12-26
2025-07-30
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-09-12
2025-07-30
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-09-12
2025-07-30
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
2025-09-12
2025-03-27
Health · complaint
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.
J
2025-04-30
2025-03-27
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2025-04-30
2024-08-15
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-09-27
2024-08-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-09-27
2024-08-15
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-09-27
2024-05-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-19
2024-03-11
Health
F0578
Honor 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.
D
2024-04-30
2024-03-11
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-04-30
2024-03-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-30
2024-03-11
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-04-30
2024-03-11
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-04-30
2024-03-11
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-04-30
2024-03-11
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2024-04-30
2024-03-11
Health
F0732
Post nurse staffing information every day.
F
2024-04-30
2024-03-11
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
2024-04-30
2024-03-11
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
2024-04-30
2024-03-11
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
2024-04-30
2024-03-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-30
2024-03-11
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2024-04-30
2024-03-11
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2024-04-30
2024-03-11
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-04-30
2023-11-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-20
2023-01-13
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-03-03
2023-01-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-03-03
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
23
Owner
Role
Pct
From
Status
Source
POCOLA MANOR LLC
Individual has financial interest in both related organization and provider
100%
2023-07-01
current
hcris_a_8_1
CAMPBELL, RICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2015-09-08
current
pecos_ownership
CROCKETT, LUIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-14
current
pecos_ownership
DALE, ALICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-11
current
pecos_ownership
FARMER TRUST (1992)
ADP OF THE SNF
—
1992-01-31
current
pecos_ownership
HENSLEY, CHRISTOPHER
ADP OF THE SNF
—
—
current
pecos_ownership
HENSLEY, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2011-11-23
current
pecos_ownership
HOWELL, KAYLA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
current
pecos_ownership
KELLEY, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2003-06-30
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2015-11-01
current
pecos_ownership
POCOLA MANOR LLC
ADP OF THE SNF
—
—
current
pecos_ownership
WILSON, AMY
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
WILSON, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
CHRISTOPHER HENSLEY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-11-23
ended 2026-05-18
pecos_ownership
POCOLA MANOR LLC
Individual has financial interest in both related organization and provider
50%
2020-07-01
ended 2021-06-30
hcris_a_8_1
ALICIA DALE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-11
ended 2026-05-18
pecos_ownership
AMANDA KELLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2003-06-30
ended 2026-05-18
pecos_ownership
AMY WILSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
ended 2026-05-18
pecos_ownership
AMY WILSON
ADP OF THE SNF
—
2025-05-14
ended 2026-05-18
pecos_ownership
CHRISTOPHER HENSLEY
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
KAYLA HOWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
ended 2026-05-18
pecos_ownership
LUIS CROCKETT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-14
ended 2026-05-18
pecos_ownership
RICKI CAMPBELL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-09-08
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-06-30
$137,259
$137,259
—
—
—
1
propco
2021-06-30
$122,889
$122,889
—
—
—
1
propco
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 40079
acs median gross
0
$469
2024-12-31
CENSUS_ACS5
county 40079
fmr
0
$656
2025-10-01
HUD_USER_FMR
county 40079
acs median gross
1
$445
2024-12-31
CENSUS_ACS5
county 40079
fmr
1
$741
2025-10-01
HUD_USER_FMR
county 40079
acs median gross
2
$713
2024-12-31
CENSUS_ACS5
county 40079
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40079
acs median gross
3
$910
2024-12-31
CENSUS_ACS5
county 40079
fmr
3
$1,300
2025-10-01
HUD_USER_FMR
county 40079
acs median gross
4
$1,124
2024-12-31
CENSUS_ACS5
county 40079
fmr
4
$1,359
2025-10-01
HUD_USER_FMR
county 40079
acs median gross
5
$1,208
2024-12-31
CENSUS_ACS5
county 40079
acs median gross
$798
2024-12-31
CENSUS_ACS5
county 40079
acs recent mover gross
$784
2024-12-31
CENSUS_ACS5
zcta 74902
acs median gross
1
$575
2024-12-31
CENSUS_ACS5
zcta 74902
acs median gross
2
$731
2024-12-31
CENSUS_ACS5
zcta 74902
acs median gross
3
$983
2024-12-31
CENSUS_ACS5
zcta 74902
acs median gross
4
$1,125
2024-12-31
CENSUS_ACS5
zcta 74902
acs median gross
$826
2024-12-31
CENSUS_ACS5
zcta 74902
acs recent mover gross
$1,038
2024-12-31
CENSUS_ACS5
zip 74902
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 74902
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 74902
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 110
2
$1,034
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 90
2
$846
2025-10-01
HUD_USER_SAFMR
zip 74902
safmr
2
$940
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 74902
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 110
4
$1,496
2025-10-01
HUD_USER_SAFMR
zip 74902
payment standard 90
4
$1,224
2025-10-01
HUD_USER_SAFMR
zip 74902
safmr
4
$1,360
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.