Reads as: riskier than 65.9% 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
3.24
3.08
3.28
2.90–3.77
RN
0.50
0.30
0.39
0.25–0.58
Weekend total
3.25
2.93
3.11
—
Weekday total
3.24
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.6
3.24
0.50
0.80
1.94
3.25
17.4%
2025Q3
92
124.8
3.44
0.41
0.89
2.14
3.37
18.3%
2025Q2
91
128.2
3.35
0.39
0.90
2.06
3.27
19.3%
2025Q1
90
120.6
3.38
0.30
1.01
2.06
3.45
12.1%
2024Q4
92
128.2
3.44
0.35
0.99
2.10
3.39
13.1%
2024Q3
92
130.2
3.68
0.34
0.98
2.36
3.57
14.3%
2024Q2
91
131.7
3.52
0.34
0.99
2.19
3.35
3.1%
2024Q1
91
132.8
3.44
0.39
0.90
2.14
3.22
0.1%
2023Q4
92
124.6
3.45
0.37
0.96
2.12
3.31
0.0%
2023Q3
92
129.3
3.45
0.34
1.09
2.02
3.28
0.1%
2023Q2
91
125.5
3.49
0.33
1.18
1.97
3.25
0.0%
2023Q1
90
105.9
4.68
0.40
1.50
2.78
4.40
7.0%
2022Q4
92
119.9
1.73
0.11
0.50
1.11
1.73
29.4%
2022Q3
92
107.1
3.36
0.34
1.03
1.99
3.06
0.0%
2022Q2
91
110.9
4.82
0.48
1.51
2.83
4.20
0.0%
2022Q1
90
113.2
4.91
0.50
1.56
2.85
4.25
0.1%
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2026-04-17
2025-12-18
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
—
2025-02-07
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-03-10
2025-02-07
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2025-03-10
2025-02-07
Health · complaint
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.
B
2025-03-10
2025-02-07
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-03-10
2025-02-07
Health · complaint
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
2025-03-10
2025-02-07
Health
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.
C
2025-03-10
2025-02-07
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
2025-03-10
2025-02-07
Health
F0880
Provide and implement an infection prevention and control program.
K
2025-03-10
2024-08-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-07-16
2024-08-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-17
2023-10-13
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-19
2023-10-13
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
B
2023-11-09
2023-10-13
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.
D
2023-11-19
2023-10-13
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-11-19
2023-10-13
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2023-11-19
2023-10-13
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2023-11-19
2023-10-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-19
2023-10-13
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2023-11-19
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
20
Owner
Role
Pct
From
Status
Source
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-12-01
current
pecos_ownership
HOPPING, DARIN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
MCSWAIN, ROBERT
W-2 MANAGING EMPLOYEE
—
2022-12-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
ROBERT MCSWAIN
W-2 MANAGING EMPLOYEE
100%
2022-12-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-12-01
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-12-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
78%
2022-12-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
78%
2022-12-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2022-12-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2022-12-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2022-12-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2022-12-01
ended 2026-05-18
pecos_ownership
DARIN HOPPING
OPERATIONAL/MANAGERIAL CONTROL
0%
2021-12-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2022-12-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE GROUP LLC
OTHER
0%
2022-12-01
ended 2026-05-18
pecos_ownership
SHG MANAGEMENT LLC
OTHER
0%
2022-12-01
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
2024-12-31
$2,308,450
—
—
$931,088
$623,077
5
—
2023-12-31
$1,470,586
—
—
$805,315
$982
5
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 37119
acs median gross
0
$1,489
2024-12-31
CENSUS_ACS5
county 37119
fmr
0
$1,469
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
county 37119
fmr
1
$1,538
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
county 37119
fmr
2
$1,686
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
3
$1,792
2024-12-31
CENSUS_ACS5
county 37119
fmr
3
$2,076
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
4
$2,139
2024-12-31
CENSUS_ACS5
county 37119
fmr
4
$2,637
2025-10-01
HUD_USER_FMR
county 37119
acs median gross
5
$2,796
2024-12-31
CENSUS_ACS5
county 37119
acs median gross
$1,627
2024-12-31
CENSUS_ACS5
county 37119
acs recent mover gross
$1,783
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
0
$1,706
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
1
$1,604
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
2
$1,749
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
3
$1,983
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
5
$2,989
2024-12-31
CENSUS_ACS5
zcta 28105
acs median gross
$1,765
2024-12-31
CENSUS_ACS5
zcta 28105
acs recent mover gross
$1,774
2024-12-31
CENSUS_ACS5
zip 28105
payment standard 110
0
$1,804
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 90
0
$1,476
2025-10-01
HUD_USER_SAFMR
zip 28105
safmr
0
$1,640
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 110
1
$1,892
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 90
1
$1,548
2025-10-01
HUD_USER_SAFMR
zip 28105
safmr
1
$1,720
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 110
2
$2,068
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 90
2
$1,692
2025-10-01
HUD_USER_SAFMR
zip 28105
safmr
2
$1,880
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 110
3
$2,552
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 90
3
$2,088
2025-10-01
HUD_USER_SAFMR
zip 28105
safmr
3
$2,320
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 110
4
$3,234
2025-10-01
HUD_USER_SAFMR
zip 28105
payment standard 90
4
$2,646
2025-10-01
HUD_USER_SAFMR
zip 28105
safmr
4
$2,940
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.