Reads as: riskier than 24.2% 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
15
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
4.25
3.24
3.28
2.90–3.77
RN
0.34
0.38
0.39
0.25–0.58
Weekend total
4.14
3.11
3.11
—
Weekday total
4.30
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
75.5
4.25
0.34
1.28
2.63
4.14
13.2%
2025Q3
92
79.7
4.30
0.44
1.25
2.62
4.13
15.8%
2025Q2
91
76.3
3.97
0.48
1.01
2.48
3.65
12.7%
2025Q1
90
74.1
3.86
0.49
1.00
2.37
3.70
6.6%
2024Q4
92
74.8
3.73
0.44
0.99
2.29
3.61
5.5%
2024Q3
92
75.0
3.66
0.39
0.96
2.31
3.48
7.0%
2024Q2
91
71.0
3.98
0.49
0.98
2.51
3.72
7.0%
2024Q1
91
73.5
3.88
0.46
1.00
2.41
3.71
7.1%
2023Q4
92
66.5
3.72
0.42
1.09
2.20
3.61
2.2%
2023Q3
92
67.5
3.89
0.42
1.11
2.35
3.86
7.0%
2023Q2
91
71.2
3.77
0.44
1.12
2.21
3.63
8.2%
2023Q1
90
64.7
4.32
0.56
1.12
2.64
4.07
1.2%
2022Q4
92
70.2
4.08
0.52
1.04
2.52
3.87
7.6%
2022Q2
91
72.3
3.77
0.45
0.94
2.38
3.57
6.8%
2022Q1
90
72.2
3.71
0.50
1.03
2.17
3.47
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
31
D × 16E × 6F × 9
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-20
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-09-12
2025-05-23
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-10
2024-09-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-13
2024-09-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-11-13
2024-09-26
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-11-13
2024-09-26
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2024-11-13
2024-09-26
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2024-11-13
2024-09-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-13
2023-07-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-11
2023-06-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-11
2023-06-15
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-08-11
2023-06-15
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2023-08-11
2023-06-15
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-08-11
2023-06-15
Health · complaint
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2023-08-11
2023-06-15
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-11
2022-05-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-06-22
2022-05-19
Health
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.
D
2022-06-22
2022-05-19
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
2022-06-22
2022-05-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-06-22
2022-05-19
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-06-22
2022-05-19
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2022-06-22
2022-05-19
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2022-06-22
2022-05-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-06-22
2022-05-19
Health
F0814
Dispose of garbage and refuse properly.
F
2022-06-22
2022-05-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-06-22
2019-04-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-06-07
2019-04-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-06-07
2019-04-25
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2019-06-07
2019-04-25
Health
F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
D
2019-06-07
2019-04-25
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2019-06-07
2019-04-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-06-07
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
8
Owner
Role
Pct
From
Status
Source
HITI, ANTHONY
CORPORATE OFFICER
—
2018-05-27
current
pecos_ownership
HRVATIN, PHILIP
CORPORATE OFFICER
—
2014-07-29
current
pecos_ownership
SAS, JEFFREY
CORPORATE OFFICER
—
2002-11-14
current
pecos_ownership
ZELE, SCOTT
CORPORATE OFFICER
—
2017-05-27
current
pecos_ownership
ANTHONY HITI
CORPORATE OFFICER
—
2018-05-27
ended 2026-05-18
pecos_ownership
JEFFREY SAS
CORPORATE OFFICER
—
2002-11-14
ended 2026-05-18
pecos_ownership
PHILIP HRVATIN
CORPORATE OFFICER
—
2014-07-29
ended 2026-05-18
pecos_ownership
SCOTT ZELE
CORPORATE OFFICER
—
2017-05-27
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 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
0
$715
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
1
$808
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
2
$1,078
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
3
$1,421
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
4
$1,276
2024-12-31
CENSUS_ACS5
zcta 44119
acs median gross
$931
2024-12-31
CENSUS_ACS5
zcta 44119
acs recent mover gross
$1,173
2024-12-31
CENSUS_ACS5
zip 44119
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 44119
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 44119
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 44119
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 44119
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 44119
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 44119
safmr
4
$1,620
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.