Reads as: riskier than 36.2% 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
MI median
National median
National p25–p75
Total nurse
4.60
3.52
3.28
2.90–3.77
RN
0.50
0.47
0.39
0.25–0.58
Weekend total
4.37
3.32
3.11
—
Weekday total
4.68
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.3
4.60
0.50
1.57
2.53
4.37
0.0%
2025Q3
92
39.6
4.79
0.29
1.82
2.67
4.50
0.0%
2025Q2
91
39.8
4.35
0.33
1.75
2.27
4.29
0.0%
2025Q1
90
41.1
3.87
0.32
1.67
1.88
3.70
0.0%
2024Q4
92
41.6
3.91
0.21
1.67
2.03
3.96
0.0%
2024Q3
92
39.4
4.49
0.33
1.51
2.65
4.49
0.0%
2024Q2
91
37.3
5.41
0.37
1.73
3.31
5.17
0.0%
2024Q1
91
37.9
4.89
0.26
1.69
2.94
4.70
0.0%
2023Q4
92
34.8
5.37
0.28
1.74
3.35
5.32
0.0%
2023Q3
92
37.4
4.58
0.29
1.57
2.73
4.59
0.0%
2023Q2
91
32.8
4.62
0.30
1.67
2.65
4.46
0.0%
2023Q1
90
29.7
4.54
0.25
1.68
2.60
4.52
0.0%
2022Q4
92
27.3
5.07
0.42
1.75
2.90
5.11
0.0%
2022Q3
92
27.4
4.94
0.36
1.74
2.84
5.05
0.0%
2022Q2
91
25.0
4.58
0.68
1.38
2.52
4.71
0.0%
2022Q1
90
20.5
4.61
0.38
1.36
2.88
4.67
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.
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-18
2025-03-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-18
2025-03-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-18
2025-03-13
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
2025-04-18
2025-03-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-18
2024-05-29
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-07-05
2024-05-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-05
2024-05-29
Health · complaint
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
2024-07-05
2024-02-07
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-03-18
2024-02-07
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-03-18
2024-02-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-18
2024-02-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-18
2024-02-07
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
2024-03-18
2024-02-07
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-03-18
2024-02-07
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
2024-03-18
2024-02-07
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
2024-03-18
2024-02-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-18
2024-02-07
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-03-18
2023-03-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-04-28
2023-03-30
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
2023-04-28
2023-03-30
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
2023-04-28
2023-03-30
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-04-28
2023-03-30
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
2023-04-28
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
63
Owner
Role
Pct
From
Status
Source
NATIONAL SENIOR COMMUNITIES, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-01-14
current
pecos_ownership
BISON, MICHAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
BROWN, IAN
CORPORATE DIRECTOR
—
2023-04-01
current
pecos_ownership
BROWN, PATRICIA
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
BUTLER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
CLUPPER, KATHERINE
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
COLINS, MARY
CORPORATE OFFICER
—
2019-04-01
current
pecos_ownership
COLINS, MARY
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
EMBLEY, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-27
current
pecos_ownership
ERICKSON LIVING HOLDINGS LLC
ADP OF THE SNF
—
2010-02-12
current
pecos_ownership
ERICKSON SENIOR LIVING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-23
current
pecos_ownership
ERICKSON SENIOR LIVING LLC
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
ERSTAD, EILEEN
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
GANTERT, NEAL
CORPORATE OFFICER
—
2018-04-01
current
pecos_ownership
HALL, JOHN
CORPORATE OFFICER
—
2010-04-30
current
pecos_ownership
JACQUE, ZINA
CORPORATE DIRECTOR
—
2008-06-18
current
pecos_ownership
LEONARD, MONTY
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
MOSCATO, MARY
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
OAK INVESTMENT TRUST
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
OAK INVESTMENT TRUST II
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PAULK, PAMELA
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
POMERANZ, WILLIAM
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
REEL, STEPHANIE
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
RIDLEY, FRED
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
ROSKIEWICZ, MICHAEL
CORPORATE OFFICER
—
2021-10-27
current
pecos_ownership
ROSKIEWICZ, MICHAEL
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
SAWICKI, SCOTT
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
SHARP, RUSSEL
CORPORATE DIRECTOR
—
2023-04-01
current
pecos_ownership
SONES, RANDALL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
STINER, PAMELA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
SUNEJA, VRINDA
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
SUNEJA, VRINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2008-10-05
current
pecos_ownership
SWEETSER, CHRISTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
TYLER, DANIEL
CORPORATE OFFICER
—
2025-04-01
current
pecos_ownership
WALLICK, DANIEL
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
YACENICK, MALLISSA
ADP OF THE SNF
—
2023-08-14
current
pecos_ownership
CHRISTIAN SWEETSER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
DANIEL TYLER
CORPORATE OFFICER
—
2025-04-01
ended 2026-05-18
pecos_ownership
DANIEL WALLICK
CORPORATE DIRECTOR
—
2025-04-01
ended 2026-05-18
pecos_ownership
EILEEN ERSTAD
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
IAN BROWN
CORPORATE DIRECTOR
—
2023-04-01
ended 2026-05-18
pecos_ownership
JOHN HALL
ADP OF THE SNF
—
2010-04-30
ended 2026-05-18
pecos_ownership
KATHERINE CLUPPER
CORPORATE DIRECTOR
—
2024-04-01
ended 2026-05-18
pecos_ownership
MALLISSA YACENICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-14
ended 2026-05-18
pecos_ownership
MARK EMBLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-27
ended 2026-05-18
pecos_ownership
MARY COLINS
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
MARY COLINS
CORPORATE OFFICER
—
2019-04-01
ended 2026-05-18
pecos_ownership
MARY MOSCATO
CORPORATE DIRECTOR
—
2024-04-01
ended 2026-05-18
pecos_ownership
MICHAEL ROSKIEWICZ
CORPORATE OFFICER
—
2021-10-27
ended 2026-05-18
pecos_ownership
MICHAEL ROSKIEWICZ
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
MONTY LEONARD
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
NEAL GANTERT
ADP OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
PAMELA PAULK
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
PAMELA STINER
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
PATRICIA BROWN
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
RICHARD BUTLER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
ended 2026-05-18
pecos_ownership
RUSSEL SHARP
CORPORATE DIRECTOR
—
2023-04-01
ended 2026-05-18
pecos_ownership
SCOTT SAWICKI
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
STEPHANIE REEL
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
VRINDA SUNEJA
OPERATIONAL/MANAGERIAL CONTROL
—
2008-10-05
ended 2026-05-18
pecos_ownership
VRINDA SUNEJA
ADP OF THE SNF
—
2025-04-08
ended 2026-05-18
pecos_ownership
WILLIAM POMERANZ
CORPORATE DIRECTOR
—
2025-04-01
ended 2026-05-18
pecos_ownership
ZINA JACQUE
CORPORATE DIRECTOR
—
2008-06-18
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
$5,050,267
—
$5,050,267
—
—
1
—
2023-12-31
$4,455,432
—
$4,455,432
—
—
1
—
2022-12-31
$4,101,399
—
$4,101,399
—
—
1
—
2021-12-31
$3,953,693
—
$3,953,693
—
—
1
—
2020-12-31
$3,536,717
—
$3,536,717
—
—
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 26125
acs median gross
0
$1,043
2024-12-31
CENSUS_ACS5
county 26125
fmr
0
$1,009
2025-10-01
HUD_USER_FMR
county 26125
acs median gross
1
$1,122
2024-12-31
CENSUS_ACS5
county 26125
fmr
1
$1,122
2025-10-01
HUD_USER_FMR
county 26125
acs median gross
2
$1,466
2024-12-31
CENSUS_ACS5
county 26125
fmr
2
$1,411
2025-10-01
HUD_USER_FMR
county 26125
acs median gross
3
$1,728
2024-12-31
CENSUS_ACS5
county 26125
fmr
3
$1,724
2025-10-01
HUD_USER_FMR
county 26125
acs median gross
4
$2,152
2024-12-31
CENSUS_ACS5
county 26125
fmr
4
$1,868
2025-10-01
HUD_USER_FMR
county 26125
acs median gross
5
$1,881
2024-12-31
CENSUS_ACS5
county 26125
acs median gross
$1,376
2024-12-31
CENSUS_ACS5
county 26125
acs recent mover gross
$1,492
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
0
$1,343
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
1
$1,311
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
2
$1,622
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
3
$2,489
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
4
$1,919
2024-12-31
CENSUS_ACS5
zcta 48377
acs median gross
$1,579
2024-12-31
CENSUS_ACS5
zcta 48377
acs recent mover gross
$1,421
2024-12-31
CENSUS_ACS5
zip 48377
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 48377
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 48377
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 48377
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 48377
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 48377
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 48377
safmr
4
$2,050
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.