Reads as: riskier than 62.0% 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
NC median
National median
National p25–p75
Total nurse
3.50
3.08
3.28
2.90–3.77
RN
0.31
0.30
0.39
0.25–0.58
Weekend total
3.22
2.93
3.11
—
Weekday total
3.60
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
138.8
3.50
0.31
1.10
2.08
3.22
16.3%
2025Q3
92
140.1
3.46
0.30
1.08
2.08
3.10
13.0%
2025Q2
91
139.6
3.46
0.33
1.01
2.11
3.02
16.7%
2025Q1
90
136.3
3.54
0.26
1.14
2.14
3.00
1.6%
2024Q4
92
137.4
3.36
0.21
1.14
2.00
2.96
0.0%
2024Q3
92
136.2
3.34
0.23
1.14
1.97
2.92
0.0%
2024Q2
91
137.3
3.45
0.16
1.17
2.13
3.07
0.0%
2024Q1
91
129.1
3.52
0.15
1.20
2.17
3.12
0.0%
2023Q4
92
122.1
3.57
0.24
1.08
2.26
3.19
0.0%
2023Q3
92
121.7
3.52
0.19
1.02
2.31
3.24
0.0%
2023Q2
91
131.6
3.03
0.17
0.97
1.89
2.79
0.0%
2023Q1
90
133.5
2.82
0.13
1.03
1.65
2.60
0.1%
2022Q4
92
129.8
2.89
0.11
1.06
1.72
2.68
0.0%
2022Q3
92
116.4
3.02
0.13
1.04
1.86
2.79
0.0%
2022Q2
91
112.7
2.89
0.22
0.91
1.76
2.68
0.0%
2022Q1
90
98.3
2.96
0.22
0.98
1.75
2.64
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.
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
2026-04-23
2026-03-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-23
2026-03-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-23
2024-12-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-10
2024-12-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-10
2024-12-19
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.
D
2025-01-10
2023-10-12
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2023-11-07
2023-10-12
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-07
2023-10-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-11-07
2023-10-12
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
2023-11-07
2023-10-12
Health
F0679
Provide activities to meet all resident's needs.
E
2023-11-07
2023-10-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-07-26
2023-10-12
Health
F0732
Post nurse staffing information every day.
C
2023-11-07
2023-10-12
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
2023-11-07
2023-10-12
Health
F0814
Dispose of garbage and refuse properly.
F
2023-11-07
2023-10-12
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
G
2023-11-07
2023-10-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-07
2023-10-12
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-11-07
2023-07-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-07-15
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
18
Owner
Role
Pct
From
Status
Source
AMITRONE, TERRI
ADP OF THE SNF
—
2026-02-12
current
pecos_ownership
CHERY, DAWN
MANAGING CONTROL - GOVERNING BODY
—
2017-06-08
current
pecos_ownership
CRONQUIST 2015 FAMILY TR
INDIRECT OWNERSHIP INTEREST
—
2015-12-31
current
pecos_ownership
CRONQUIST, ROYCE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-01
current
pecos_ownership
JOHN J NOTERMANN BUSINESS TR
INDIRECT OWNERSHIP INTEREST
—
2017-11-12
current
pecos_ownership
KELLY, MICHELLE
ADP OF THE SNF
—
2018-02-01
current
pecos_ownership
MELTON, DONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2014-05-01
current
pecos_ownership
NOTERMANN, BRENDA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
O BRIEN, PATRICK
ADP OF THE SNF
—
2017-05-22
current
pecos_ownership
SOUTHERN HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
SOUTHERN HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-05-01
current
pecos_ownership
SOVEREIGN CAROLINA HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2014-03-06
current
pecos_ownership
DAWN CHERY
ADP OF THE SNF
—
2017-06-08
ended 2026-05-18
pecos_ownership
DONALD MELTON
ADP OF THE SNF
—
2014-05-01
ended 2026-05-18
pecos_ownership
MICHELLE KELLY
ADP OF THE SNF
—
2018-02-01
ended 2026-05-18
pecos_ownership
PATRICK O BRIEN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-22
ended 2026-05-18
pecos_ownership
ROYCE CRONQUIST
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-01
ended 2026-05-18
pecos_ownership
TERRI AMITRONE
ADP OF THE SNF
—
2026-02-12
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
$610,500
—
—
—
—
1
—
2023-12-31
$545,994
—
—
—
—
1
—
2022-12-31
$431,914
—
—
—
—
1
—
2021-12-31
$328,976
—
—
—
—
1
—
2020-12-31
$407,244
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 37183
acs median gross
0
$1,390
2024-12-31
CENSUS_ACS5
county 37183
fmr
0
$1,524
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
1
$1,423
2024-12-31
CENSUS_ACS5
county 37183
fmr
1
$1,596
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
2
$1,600
2024-12-31
CENSUS_ACS5
county 37183
fmr
2
$1,750
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
3
$1,830
2024-12-31
CENSUS_ACS5
county 37183
fmr
3
$2,196
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
4
$2,353
2024-12-31
CENSUS_ACS5
county 37183
fmr
4
$2,936
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
5
$2,651
2024-12-31
CENSUS_ACS5
county 37183
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 37183
acs recent mover gross
$1,803
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
0
$1,350
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
1
$1,650
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
2
$1,814
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
3
$1,762
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
4
$975
2024-12-31
CENSUS_ACS5
zcta 27605
acs median gross
$1,668
2024-12-31
CENSUS_ACS5
zcta 27605
acs recent mover gross
$1,795
2024-12-31
CENSUS_ACS5
zip 27605
payment standard 110
0
$1,848
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 90
0
$1,512
2025-10-01
HUD_USER_SAFMR
zip 27605
safmr
0
$1,680
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 110
1
$1,936
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 90
1
$1,584
2025-10-01
HUD_USER_SAFMR
zip 27605
safmr
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 110
2
$2,123
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 90
2
$1,737
2025-10-01
HUD_USER_SAFMR
zip 27605
safmr
2
$1,930
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 110
3
$2,662
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 90
3
$2,178
2025-10-01
HUD_USER_SAFMR
zip 27605
safmr
3
$2,420
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 110
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 27605
payment standard 90
4
$2,916
2025-10-01
HUD_USER_SAFMR
zip 27605
safmr
4
$3,240
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.