Reads as: riskier than 26.0% 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 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
OR median
National median
National p25–p75
Total nurse
5.04
4.20
3.28
2.90–3.77
RN
0.41
0.41
0.39
0.25–0.58
Weekend total
4.71
3.99
3.11
—
Weekday total
5.16
4.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
25.5
5.04
0.41
0.76
3.86
4.71
6.5%
2025Q3
92
25.5
4.94
0.38
0.80
3.77
4.47
0.5%
2025Q2
91
25.8
5.13
0.44
0.81
3.89
4.47
2.0%
2025Q1
90
23.6
5.21
0.43
0.91
3.86
4.79
3.6%
2024Q4
92
23.4
4.67
0.42
1.00
3.26
4.44
6.3%
2024Q3
92
22.4
4.87
0.40
1.03
3.44
4.59
9.0%
2024Q2
91
21.8
5.13
0.48
1.00
3.65
5.00
7.2%
2024Q1
91
20.3
5.06
0.72
0.90
3.45
4.77
10.6%
2023Q4
92
18.2
4.96
0.87
0.63
3.46
5.12
20.6%
2023Q3
92
17.6
4.90
0.50
1.17
3.23
4.55
32.0%
2023Q2
91
15.7
4.94
0.66
1.14
3.14
4.72
7.4%
2023Q1
90
15.8
5.27
0.74
0.97
3.56
4.99
0.2%
2022Q4
92
15.1
5.61
0.91
0.80
3.91
5.21
0.0%
2022Q3
92
17.0
4.75
0.65
0.85
3.24
4.82
0.0%
2022Q2
91
18.4
4.61
0.55
0.85
3.22
4.61
3.2%
2022Q1
90
18.1
4.41
0.67
0.84
2.90
4.78
2.2%
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
2025-05-07
2025-03-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-07
2025-03-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-07
2025-03-28
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
2025-05-07
2025-03-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-07
2025-03-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-07
2024-07-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-07-25
2023-12-14
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2024-02-02
2023-12-14
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2024-02-02
2023-12-14
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2024-02-02
2023-12-14
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
2024-02-02
2023-12-14
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-02-02
2023-12-14
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2024-02-02
2023-12-14
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-02-02
2023-12-14
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
2024-02-02
2023-12-14
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
2024-02-02
2023-12-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-02
2023-12-14
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-02-02
2023-12-14
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-02-02
2023-12-14
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
2024-02-02
2023-12-14
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2024-02-02
2023-12-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-02
2023-12-14
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-02-02
2023-12-14
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-02-02
2023-12-14
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-02-02
2023-12-14
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.
D
2024-02-02
2023-09-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-09-21
2022-10-21
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2022-12-10
2022-10-21
Health
F0610
Respond appropriately to all alleged violations.
E
2022-12-10
2022-10-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-12-10
2022-10-21
Health
F0687
Provide appropriate foot care.
D
2022-12-10
2022-10-21
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-12-10
2022-10-21
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2022-12-10
2022-10-21
Health
F0732
Post nurse staffing information every day.
C
2022-12-10
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
11
Owner
Role
Pct
From
Status
Source
AIDAN HEALTH SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-05-01
current
pecos_ownership
AIDAN SENIOR LIVING AT REEDSPORT INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2017-02-26
current
pecos_ownership
AIDAN SENIOR LIVING AT REEDSPORT INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2010-04-01
current
pecos_ownership
ANDERSON, TROY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-05-01
current
pecos_ownership
BELL, RONALD
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-05-01
current
pecos_ownership
BROOKS, SCOTT
W-2 MANAGING EMPLOYEE
—
2014-04-01
current
pecos_ownership
WOOLLEY, JENNIFER
W-2 MANAGING EMPLOYEE
—
2010-05-01
current
pecos_ownership
TROY ANDERSON
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2010-05-01
ended 2026-05-18
pecos_ownership
RONALD BELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2010-05-01
ended 2026-05-18
pecos_ownership
SCOTT BROOKS
W-2 MANAGING EMPLOYEE
0%
2014-04-01
ended 2026-05-18
pecos_ownership
JENNIFER WOOLLEY
W-2 MANAGING EMPLOYEE
—
2010-05-01
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
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
32
Geo
Kind
BR
Amount
As of
Source
county 41019
acs median gross
0
$718
2024-12-31
CENSUS_ACS5
county 41019
fmr
0
$876
2025-10-01
HUD_USER_FMR
county 41019
acs median gross
1
$715
2024-12-31
CENSUS_ACS5
county 41019
fmr
1
$969
2025-10-01
HUD_USER_FMR
county 41019
acs median gross
2
$1,085
2024-12-31
CENSUS_ACS5
county 41019
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 41019
acs median gross
3
$1,256
2024-12-31
CENSUS_ACS5
county 41019
fmr
3
$1,768
2025-10-01
HUD_USER_FMR
county 41019
acs median gross
4
$1,608
2024-12-31
CENSUS_ACS5
county 41019
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 41019
acs median gross
5
$823
2024-12-31
CENSUS_ACS5
county 41019
acs median gross
$1,055
2024-12-31
CENSUS_ACS5
county 41019
acs recent mover gross
$1,195
2024-12-31
CENSUS_ACS5
zcta 97467
acs median gross
1
$650
2024-12-31
CENSUS_ACS5
zcta 97467
acs median gross
2
$784
2024-12-31
CENSUS_ACS5
zcta 97467
acs median gross
3
$1,138
2024-12-31
CENSUS_ACS5
zcta 97467
acs median gross
$802
2024-12-31
CENSUS_ACS5
zip 97467
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 97467
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 97467
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 97467
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 97467
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 110
4
$1,958
2025-10-01
HUD_USER_SAFMR
zip 97467
payment standard 90
4
$1,602
2025-10-01
HUD_USER_SAFMR
zip 97467
safmr
4
$1,780
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.