Reads as: riskier than 12.7% 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 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
MT median
National median
National p25–p75
Total nurse
4.05
3.25
3.28
2.90–3.77
RN
0.57
0.62
0.39
0.25–0.58
Weekend total
3.94
3.12
3.11
—
Weekday total
4.09
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.7
4.05
0.57
0.60
2.88
3.94
29.5%
2025Q3
92
43.2
3.92
0.47
0.62
2.83
3.84
23.9%
2025Q2
91
43.2
3.96
0.49
0.68
2.79
3.83
36.2%
2025Q1
90
41.9
4.03
0.52
0.65
2.87
3.99
26.6%
2024Q4
92
42.0
4.03
0.52
0.69
2.83
4.10
21.6%
2024Q3
92
40.1
4.11
0.36
0.85
2.89
3.96
19.3%
2024Q2
91
40.7
4.26
0.34
0.94
2.98
4.09
15.8%
2024Q1
91
39.1
4.18
0.52
0.69
2.98
4.03
10.5%
2023Q4
92
40.5
4.18
0.52
0.70
2.97
4.13
7.9%
2023Q3
92
41.6
4.24
0.53
0.65
3.06
4.16
8.1%
2023Q2
91
41.7
4.18
0.62
0.58
2.98
4.04
17.8%
2023Q1
90
44.0
3.86
0.41
0.69
2.76
3.73
28.0%
2022Q4
92
45.0
4.01
0.49
0.59
2.92
3.99
27.5%
2022Q3
92
47.5
4.12
0.42
0.55
3.15
4.02
44.3%
2022Q2
91
46.5
3.97
0.60
0.42
2.95
4.00
46.2%
2022Q1
90
43.4
4.18
0.75
0.35
3.08
4.16
43.9%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-02-10
2025-12-04
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2026-01-09
2025-12-04
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2026-01-09
2025-12-04
Health · complaint
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
2026-01-09
2025-12-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2026-01-09
2025-12-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-01-09
2025-12-04
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2026-01-09
2025-12-04
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-01-09
2025-12-04
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-01-09
2025-12-04
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
2026-01-09
2024-10-10
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-11-22
2024-10-10
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-11-22
2024-10-10
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
G
2024-11-22
2024-10-10
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-11-22
2024-08-29
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
2024-10-10
2024-08-29
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
2024-10-10
2024-08-29
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
2024-10-10
2024-08-29
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
2024-10-10
2024-08-29
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
2024-10-10
2024-08-29
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
2024-10-10
2024-08-29
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-10-10
2024-08-29
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-10-10
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
54
Owner
Role
Pct
From
Status
Source
BEEKEN, ERIC
CORPORATE DIRECTOR
—
2021-11-17
current
pecos_ownership
BREUER, ROBERT
CORPORATE DIRECTOR
—
2024-11-20
current
pecos_ownership
BURNISON, ROBERT
CORPORATE DIRECTOR
—
2014-11-12
current
pecos_ownership
CASSIDY, REBECCA
ADP OF THE SNF
—
2018-08-31
current
pecos_ownership
CHAPMAN, JERI
ADP OF THE SNF
—
2025-05-23
current
pecos_ownership
DOTY, JENNIFER
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
DUFFEY, SUSAN
CORPORATE DIRECTOR
—
2022-11-16
current
pecos_ownership
HARRIS, DEBORAH
CORPORATE DIRECTOR
—
2025-01-22
current
pecos_ownership
JOHNSON, RANDALL
CORPORATE DIRECTOR
—
2006-06-28
current
pecos_ownership
KARANJAI, RAJOHN
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
KAVANAGH, SEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-11
current
pecos_ownership
KEYSOR, NICOLE
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-05
current
pecos_ownership
LIVERS, STEPHANIE
CORPORATE DIRECTOR
—
2018-11-14
current
pecos_ownership
MCGLOTHLIN, PAMELA
ADP OF THE SNF
—
2020-06-07
current
pecos_ownership
MERCER, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-27
current
pecos_ownership
MONTGOMERY, TINA
ADP OF THE SNF
—
2000-08-06
current
pecos_ownership
REITZ, KERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-03
current
pecos_ownership
ROBERTS, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-03
current
pecos_ownership
ROSS, LISA
CORPORATE DIRECTOR
—
2025-01-22
current
pecos_ownership
ROTH, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-01
current
pecos_ownership
SEITZINGER, AMBER
ADP OF THE SNF
—
2025-11-17
current
pecos_ownership
SIDNEY HEALTH CENTER
DIRECT OWNERSHIP INTEREST
—
1996-06-28
current
pecos_ownership
SIDNEY HEALTH CENTER
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
VANEVERY, CHERYL
CORPORATE DIRECTOR
—
2016-11-16
current
pecos_ownership
WEBER, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-23
current
pecos_ownership
WEBER, MIKE
CORPORATE DIRECTOR
—
2023-11-15
current
pecos_ownership
WILKINSON, KELLY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-24
current
pecos_ownership
WOLFF, KELLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
current
pecos_ownership
AMBER SEITZINGER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-17
ended 2026-05-18
pecos_ownership
CHERYL VANEVERY
CORPORATE DIRECTOR
—
2016-11-16
ended 2026-05-18
pecos_ownership
DEBORAH HARRIS
CORPORATE DIRECTOR
—
2025-01-22
ended 2026-05-18
pecos_ownership
ERIC BEEKEN
CORPORATE DIRECTOR
—
2021-11-17
ended 2026-05-18
pecos_ownership
JENNIFER DOTY
CORPORATE OFFICER
—
2018-06-01
ended 2026-05-18
pecos_ownership
JENNIFER MERCER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-27
ended 2026-05-18
pecos_ownership
JENNIFER ROTH
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-01
ended 2026-05-18
pecos_ownership
JERI CHAPMAN
ADP OF THE SNF
—
2025-05-23
ended 2026-05-18
pecos_ownership
KELLEY WOLFF
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
ended 2026-05-18
pecos_ownership
KELLY WILKINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-24
ended 2026-05-18
pecos_ownership
KERRY REITZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-03
ended 2026-05-18
pecos_ownership
LISA ROBERTS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-03
ended 2026-05-18
pecos_ownership
LISA ROSS
CORPORATE DIRECTOR
—
2025-01-22
ended 2026-05-18
pecos_ownership
MATTHEW WEBER
ADP OF THE SNF
—
2025-05-23
ended 2026-05-18
pecos_ownership
MIKE WEBER
CORPORATE DIRECTOR
—
2023-11-15
ended 2026-05-18
pecos_ownership
NICOLE KEYSOR
ADP OF THE SNF
—
2026-01-05
ended 2026-05-18
pecos_ownership
PAMELA MCGLOTHLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-07
ended 2026-05-18
pecos_ownership
RAJOHN KARANJAI
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
RANDALL JOHNSON
CORPORATE DIRECTOR
—
2006-06-28
ended 2026-05-18
pecos_ownership
REBECCA CASSIDY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-31
ended 2026-05-18
pecos_ownership
ROBERT BREUER
CORPORATE DIRECTOR
—
2024-11-20
ended 2026-05-18
pecos_ownership
ROBERT BURNISON
CORPORATE DIRECTOR
—
2014-11-12
ended 2026-05-18
pecos_ownership
SEAN KAVANAGH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-11
ended 2026-05-18
pecos_ownership
STEPHANIE LIVERS
CORPORATE DIRECTOR
—
2018-11-14
ended 2026-05-18
pecos_ownership
SUSAN DUFFEY
CORPORATE DIRECTOR
—
2022-11-16
ended 2026-05-18
pecos_ownership
TINA MONTGOMERY
OPERATIONAL/MANAGERIAL CONTROL
—
2000-08-06
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 30083
fmr
0
$1,143
2025-10-01
HUD_USER_FMR
county 30083
acs median gross
1
$634
2024-12-31
CENSUS_ACS5
county 30083
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 30083
acs median gross
2
$916
2024-12-31
CENSUS_ACS5
county 30083
fmr
2
$1,312
2025-10-01
HUD_USER_FMR
county 30083
acs median gross
3
$938
2024-12-31
CENSUS_ACS5
county 30083
fmr
3
$1,573
2025-10-01
HUD_USER_FMR
county 30083
acs median gross
4
$966
2024-12-31
CENSUS_ACS5
county 30083
fmr
4
$2,201
2025-10-01
HUD_USER_FMR
county 30083
acs median gross
$917
2024-12-31
CENSUS_ACS5
county 30083
acs recent mover gross
$990
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
1
$637
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
2
$955
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
3
$978
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
4
$967
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
5
$3,076
2024-12-31
CENSUS_ACS5
zcta 59270
acs median gross
$938
2024-12-31
CENSUS_ACS5
zcta 59270
acs recent mover gross
$1,364
2024-12-31
CENSUS_ACS5
zip 59270
payment standard 110
0
$1,254
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 90
0
$1,026
2025-10-01
HUD_USER_SAFMR
zip 59270
safmr
0
$1,140
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 59270
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 110
2
$1,441
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 90
2
$1,179
2025-10-01
HUD_USER_SAFMR
zip 59270
safmr
2
$1,310
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 59270
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 110
4
$2,420
2025-10-01
HUD_USER_SAFMR
zip 59270
payment standard 90
4
$1,980
2025-10-01
HUD_USER_SAFMR
zip 59270
safmr
4
$2,200
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.