Reads as: riskier than 21.1% 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 lease_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
FL median
National median
National p25–p75
Total nurse
3.99
3.42
3.28
2.90–3.77
RN
0.97
0.45
0.39
0.25–0.58
Weekend total
4.00
3.31
3.11
—
Weekday total
3.99
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
102.9
3.99
0.97
0.56
2.46
4.00
0.0%
2025Q3
92
103.2
4.00
0.89
0.63
2.48
3.87
0.0%
2025Q2
91
102.6
3.97
0.90
0.62
2.44
3.87
0.0%
2025Q1
90
100.8
4.16
0.96
0.65
2.55
4.05
0.0%
2024Q4
92
103.5
4.17
0.92
0.62
2.63
4.07
0.0%
2024Q3
92
100.0
4.17
0.90
0.67
2.60
4.07
0.0%
2024Q2
91
101.0
4.13
0.99
0.51
2.63
4.02
0.0%
2024Q1
91
100.6
4.11
0.95
0.45
2.71
4.03
0.0%
2023Q4
92
101.4
3.64
1.01
0.31
2.32
3.56
0.0%
2023Q3
92
98.7
3.63
1.15
0.30
2.18
3.50
0.0%
2023Q2
91
98.1
3.46
1.03
0.47
1.97
3.36
0.0%
2023Q1
90
88.3
3.84
1.21
0.49
2.15
3.78
0.0%
2022Q4
92
85.8
3.88
1.20
0.54
2.14
3.80
0.0%
2022Q3
92
84.7
3.83
1.03
0.54
2.26
3.84
0.0%
2022Q2
91
88.9
3.98
1.03
0.51
2.44
3.90
0.0%
2022Q1
90
82.6
4.27
1.22
0.53
2.52
4.16
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
18
D × 10E × 7F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-06
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2025-03-07
2025-02-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-07
2025-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-03-07
2025-02-06
Health
F0732
Post nurse staffing information every day.
F
2025-03-07
2025-02-06
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-03-07
2022-12-22
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-01-22
2022-12-22
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-01-22
2022-12-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-01-22
2022-12-22
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-01-22
2022-12-22
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.
E
2023-01-22
2022-12-22
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-01-22
2022-12-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-01-22
2022-12-22
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2023-01-22
2021-04-16
Health
F0610
Respond appropriately to all alleged violations.
D
2021-05-16
2021-04-16
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2021-05-16
2021-04-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-05-16
2021-04-16
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
2021-05-16
2021-04-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-05-16
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
47
Owner
Role
Pct
From
Status
Source
AMIN, JAY
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
BRETHAUER, JON
CORPORATE DIRECTOR
—
2025-01-28
current
pecos_ownership
BUCK, JENNIFER
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
BURWELL, ROBERT
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
COLE, KATHERINE
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
DAMSKER, BENJAMIN
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
ENTEL, ROBERT
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
FELICIONE, THERESA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-24
current
pecos_ownership
FERRARA, VINCENT
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
FISHER, WILLIAM
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
GUY, KIMBERLY
CORPORATE OFFICER
—
2025-03-30
current
pecos_ownership
INTERTHAL, WILLIAM
CORPORATE DIRECTOR
—
2016-10-09
current
pecos_ownership
LANCASTER, DONNA
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
LATVALA, SUSAN
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
MASSON, JOHN
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
MCFARLAND, LORI
CORPORATE DIRECTOR
—
2016-11-21
current
pecos_ownership
MILBY, JAMES
CORPORATE DIRECTOR
—
2025-01-28
current
pecos_ownership
MORTON PLANT HOSPITAL ASSOCIATION INC
OPERATIONAL/MANAGERIAL CONTROL
—
1992-10-19
current
pecos_ownership
MUCHOWSKI, PATRICE
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
REDDY, MAHATHI
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
RICH, MARION
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
ROTH, ROBERT
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
SAIFI, ALI
ADP OF THE SNF
—
2000-01-01
current
pecos_ownership
WILLIAMS, RICHARD
CORPORATE DIRECTOR
—
2024-01-23
current
pecos_ownership
ALI SAIFI
CORPORATE OFFICER
0%
2000-01-01
ended 2026-05-18
pecos_ownership
LORI MCFARLAND
CORPORATE DIRECTOR
0%
2016-11-21
ended 2026-05-18
pecos_ownership
WILLIAM INTERTHAL
CORPORATE DIRECTOR
0%
2016-10-09
ended 2026-05-18
pecos_ownership
BENJAMIN DAMSKER
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
DONNA LANCASTER
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
JAMES MILBY
CORPORATE DIRECTOR
—
2025-01-28
ended 2026-05-18
pecos_ownership
JAY AMIN
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
JENNIFER BUCK
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
JOHN MASSON
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
JON BRETHAUER
CORPORATE DIRECTOR
—
2025-01-28
ended 2026-05-18
pecos_ownership
KATHERINE COLE
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
KIMBERLY GUY
CORPORATE OFFICER
—
2025-03-30
ended 2026-05-18
pecos_ownership
MAHATHI REDDY
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
MARION RICH
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
PATRICE MUCHOWSKI
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
RICHARD WILLIAMS
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
ROBERT BURWELL
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
ROBERT ENTEL
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
ROBERT ROTH
CORPORATE DIRECTOR
—
2024-01-23
ended 2026-05-18
pecos_ownership
SUSAN LATVALA
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
THERESA FELICIONE
ADP OF THE SNF
—
2025-02-24
ended 2026-05-18
pecos_ownership
VINCENT FERRARA
CORPORATE DIRECTOR
—
2022-02-01
ended 2026-05-18
pecos_ownership
WILLIAM FISHER
CORPORATE DIRECTOR
—
2024-01-23
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
35
Geo
Kind
BR
Amount
As of
Source
county 12103
acs median gross
0
$1,353
2024-12-31
CENSUS_ACS5
county 12103
fmr
0
$1,593
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
1
$1,391
2024-12-31
CENSUS_ACS5
county 12103
fmr
1
$1,696
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
2
$1,712
2024-12-31
CENSUS_ACS5
county 12103
fmr
2
$1,977
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 12103
fmr
3
$2,527
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
4
$2,324
2024-12-31
CENSUS_ACS5
county 12103
fmr
4
$3,077
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
5
$2,476
2024-12-31
CENSUS_ACS5
county 12103
acs median gross
$1,642
2024-12-31
CENSUS_ACS5
county 12103
acs recent mover gross
$1,906
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
0
$1,214
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
1
$1,346
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
2
$1,541
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
3
$1,985
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
4
$2,670
2024-12-31
CENSUS_ACS5
zcta 33756
acs median gross
$1,557
2024-12-31
CENSUS_ACS5
zcta 33756
acs recent mover gross
$2,073
2024-12-31
CENSUS_ACS5
zip 33756
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 33756
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 110
1
$1,672
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 90
1
$1,368
2025-10-01
HUD_USER_SAFMR
zip 33756
safmr
1
$1,520
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 33756
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 110
3
$2,486
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 90
3
$2,034
2025-10-01
HUD_USER_SAFMR
zip 33756
safmr
3
$2,260
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 110
4
$3,025
2025-10-01
HUD_USER_SAFMR
zip 33756
payment standard 90
4
$2,475
2025-10-01
HUD_USER_SAFMR
zip 33756
safmr
4
$2,750
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.