Reads as: riskier than 2.7% 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 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
WA median
National median
National p25–p75
Total nurse
4.86
3.70
3.28
2.90–3.77
RN
1.52
0.62
0.39
0.25–0.58
Weekend total
4.45
3.51
3.11
—
Weekday total
5.02
3.79
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.7
4.86
1.52
0.62
2.72
4.45
6.0%
2025Q3
92
44.0
5.15
1.70
0.59
2.87
4.75
8.4%
2025Q2
91
50.0
5.12
1.25
0.80
3.07
4.77
19.7%
2025Q1
90
54.9
4.55
1.33
0.60
2.62
4.08
13.9%
2024Q4
92
55.5
3.88
0.91
0.73
2.23
3.64
15.9%
2024Q3
92
54.8
3.64
0.72
0.85
2.06
3.41
25.0%
2024Q2
91
49.4
4.10
1.04
0.69
2.37
3.95
31.3%
2024Q1
91
50.7
3.67
1.04
0.70
1.93
3.48
19.4%
2023Q4
92
54.4
3.44
0.83
0.74
1.87
3.20
12.7%
2023Q3
92
45.8
3.42
0.80
0.86
1.75
2.93
0.2%
2023Q2
91
26.7
6.27
1.38
1.58
3.32
5.28
28.1%
2023Q1
90
26.8
5.60
1.15
1.34
3.11
4.67
24.7%
2022Q4
92
29.5
4.83
1.32
0.94
2.57
4.18
24.0%
2022Q3
92
27.0
4.32
1.10
0.75
2.47
3.69
18.6%
2022Q2
91
29.1
3.05
0.53
0.66
1.85
2.89
11.0%
2022Q1
90
23.5
3.59
0.47
0.74
2.38
3.37
16.0%
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
2026-01-22
2025-12-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-01-22
2025-12-15
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-22
2025-02-14
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.
E
2025-03-25
2025-02-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-25
2025-02-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-25
2025-02-14
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-03-25
2025-02-14
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2025-03-25
2025-02-14
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
2025-03-25
2025-02-14
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
2025-03-25
2025-02-14
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-03-25
2025-02-14
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2025-03-25
2024-04-01
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-04-26
2024-04-01
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-04-26
2024-04-01
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
2024-04-26
2024-04-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-26
2024-04-01
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2024-04-26
2023-07-26
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-08-29
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
27
Owner
Role
Pct
From
Status
Source
PROVIDENCE HEALTH & SERVICES-WA
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
1995-01-05
current
pecos_ownership
BAUGUESS, TRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-25
current
pecos_ownership
BETHANY OF THE NORTHWEST
ADP OF THE SNF
—
2025-02-27
current
pecos_ownership
BETHANY OF THE NORTHWEST
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-01
current
pecos_ownership
BLOCK, ALLISON
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
COMBS, SCOTT
CORPORATE DIRECTOR
—
2019-08-29
current
pecos_ownership
DEGROODT, PATRICIA
CORPORATE DIRECTOR
—
2023-02-01
current
pecos_ownership
HOVEY, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
JACOBSON, STEVEN
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
LEMKE, KRISTI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-11
current
pecos_ownership
ONERHEIM, PAUL
CORPORATE OFFICER
—
2019-01-03
current
pecos_ownership
PETERSON, JASON
CORPORATE DIRECTOR
—
2022-09-21
current
pecos_ownership
PROVIDENCE HEALTH & SERVICES-WA
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
SCRIVENS, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-25
current
pecos_ownership
SCRIVENS, JOSEPH
CORPORATE OFFICER
—
2019-12-06
current
pecos_ownership
BETHANY OF THE NORTHWEST
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
1995-01-05
ended 2026-05-18
pecos_ownership
JASON PETERSON
CORPORATE DIRECTOR
17%
2022-09-21
ended 2026-05-18
pecos_ownership
ALLISON BLOCK
CORPORATE DIRECTOR
17%
2024-12-01
ended 2026-05-18
pecos_ownership
PATRICIA DEGROODT
CORPORATE DIRECTOR
17%
2023-02-01
ended 2026-05-18
pecos_ownership
PAUL ONERHEIM
CORPORATE OFFICER
17%
2019-01-03
ended 2026-05-18
pecos_ownership
SCOTT COMBS
CORPORATE DIRECTOR
17%
2019-08-29
ended 2026-05-18
pecos_ownership
STEVEN JACOBSON
CORPORATE DIRECTOR
17%
2025-04-01
ended 2026-05-18
pecos_ownership
JOHN HOVEY
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JOSEPH SCRIVENS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-25
ended 2026-05-18
pecos_ownership
JOSEPH SCRIVENS
CORPORATE OFFICER
—
2019-12-06
ended 2026-05-18
pecos_ownership
KRISTI LEMKE
ADP OF THE SNF
—
2024-11-11
ended 2026-05-18
pecos_ownership
TRISTINE BAUGUESS
ADP OF THE SNF
—
2025-02-25
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
$572,302
—
$567,356
—
—
0
—
2023-12-31
$478,808
—
$463,018
—
—
0
—
2022-12-31
$330,254
—
$318,616
—
—
0
—
2021-12-31
$284,502
—
$267,281
—
—
0
—
2020-12-31
$233,651
—
$216,348
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 53061
acs median gross
0
$1,577
2024-12-31
CENSUS_ACS5
county 53061
fmr
0
$2,074
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
1
$1,637
2024-12-31
CENSUS_ACS5
county 53061
fmr
1
$2,146
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
2
$1,936
2024-12-31
CENSUS_ACS5
county 53061
fmr
2
$2,501
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
3
$2,366
2024-12-31
CENSUS_ACS5
county 53061
fmr
3
$3,272
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
4
$2,922
2024-12-31
CENSUS_ACS5
county 53061
fmr
4
$3,847
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
5
$3,283
2024-12-31
CENSUS_ACS5
county 53061
acs median gross
$1,949
2024-12-31
CENSUS_ACS5
county 53061
acs recent mover gross
$2,089
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
0
$1,099
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
1
$1,362
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
2
$1,705
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
3
$1,845
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
4
$2,123
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 98201
acs median gross
$1,556
2024-12-31
CENSUS_ACS5
zcta 98201
acs recent mover gross
$1,445
2024-12-31
CENSUS_ACS5
zip 98201
payment standard 110
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 90
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 98201
safmr
0
$1,800
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 110
1
$2,035
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 90
1
$1,665
2025-10-01
HUD_USER_SAFMR
zip 98201
safmr
1
$1,850
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 110
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 90
2
$1,944
2025-10-01
HUD_USER_SAFMR
zip 98201
safmr
2
$2,160
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 110
3
$3,135
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 90
3
$2,565
2025-10-01
HUD_USER_SAFMR
zip 98201
safmr
3
$2,850
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 110
4
$3,652
2025-10-01
HUD_USER_SAFMR
zip 98201
payment standard 90
4
$2,988
2025-10-01
HUD_USER_SAFMR
zip 98201
safmr
4
$3,320
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.