Reads as: riskier than 41.1% 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 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
3.40
3.08
3.28
2.90–3.77
RN
0.29
0.30
0.39
0.25–0.58
Weekend total
3.23
2.93
3.11
—
Weekday total
3.46
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
81.0
3.40
0.29
1.07
2.04
3.23
6.4%
2025Q3
92
83.2
3.50
0.16
1.15
2.19
3.31
5.8%
2025Q2
91
84.4
3.27
0.20
0.95
2.12
3.10
4.0%
2025Q1
90
89.4
3.10
0.13
0.92
2.05
2.88
3.2%
2024Q4
92
93.8
3.17
0.10
0.95
2.12
2.85
1.0%
2024Q3
92
93.4
3.30
0.20
0.87
2.23
3.02
14.1%
2024Q2
91
83.5
3.14
0.18
0.85
2.11
2.83
19.7%
2024Q1
91
74.7
3.23
0.14
1.07
2.02
3.22
26.9%
2023Q4
92
81.1
3.34
0.14
1.06
2.14
3.18
36.8%
2023Q3
92
77.7
2.96
0.08
0.83
2.04
2.79
18.4%
2023Q2
91
72.5
2.93
0.14
0.70
2.09
2.71
16.1%
2023Q1
90
63.9
2.91
0.25
0.71
1.96
2.64
19.6%
2022Q4
92
67.4
3.02
0.30
0.73
2.00
2.83
26.0%
2022Q3
92
69.7
2.79
0.41
0.66
1.73
2.75
16.0%
2022Q2
91
68.0
3.17
0.28
0.73
2.15
2.89
29.8%
2022Q1
90
64.4
2.91
0.12
0.75
2.04
2.47
52.3%
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
20
B × 2D × 13E × 2F × 1G × 1L × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-13
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-04-04
2025-03-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-04
2025-03-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-04-04
2025-03-13
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
2025-04-04
2025-03-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-04
2023-12-01
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-12-18
2023-12-01
Health
F0641
Ensure each resident receives an accurate assessment.
B
2023-12-18
2023-12-01
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-12-18
2023-12-01
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-12-18
2023-12-01
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
2023-12-18
2023-12-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-18
2023-12-01
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2023-12-18
2023-12-01
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-12-18
2022-08-19
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2022-09-09
2022-08-19
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
2022-09-09
2022-08-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-09-09
2022-08-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-09-09
2022-08-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-09-09
2022-08-19
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2022-09-09
2022-08-19
Health
F0880
Provide and implement an infection prevention and control program.
L
2022-09-09
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
10
Owner
Role
Pct
From
Status
Source
DEITER, SARA
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
DEITER, SARA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PATEL, PRADEEP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PATEL, PRADEEP
ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
AUGUSTNC HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
ITAMAR COHEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
PRADEEP PATEL
ADP OF THE SNF
—
2025-02-25
ended 2026-05-18
pecos_ownership
PRADEEP PATEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
SARA DEITER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
SARA DEITER
ADP OF THE SNF
—
2025-03-13
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,622,485
$1,084,814
$597,668
$731,150
$2,642
10
—
2023-12-31
$2,420,094
$1,266,513
—
$492,930
—
8
—
2022-12-31
$1,665,637
—
—
$489,824
—
9
—
2021-12-31
$2,025,356
—
—
$320,976
$8,171
16
—
2020-12-31
$2,483,340
—
—
$404,636
—
8
—
2019-12-31
$175,179
—
—
—
—
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 37195
acs median gross
0
$1,082
2024-12-31
CENSUS_ACS5
county 37195
fmr
0
$789
2025-10-01
HUD_USER_FMR
county 37195
acs median gross
1
$735
2024-12-31
CENSUS_ACS5
county 37195
fmr
1
$794
2025-10-01
HUD_USER_FMR
county 37195
acs median gross
2
$901
2024-12-31
CENSUS_ACS5
county 37195
fmr
2
$1,025
2025-10-01
HUD_USER_FMR
county 37195
acs median gross
3
$1,057
2024-12-31
CENSUS_ACS5
county 37195
fmr
3
$1,307
2025-10-01
HUD_USER_FMR
county 37195
acs median gross
4
$1,289
2024-12-31
CENSUS_ACS5
county 37195
fmr
4
$1,541
2025-10-01
HUD_USER_FMR
county 37195
acs median gross
5
$1,327
2024-12-31
CENSUS_ACS5
county 37195
acs median gross
$953
2024-12-31
CENSUS_ACS5
county 37195
acs recent mover gross
$1,097
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
0
$1,107
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
1
$723
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
2
$911
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
3
$1,037
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
4
$1,345
2024-12-31
CENSUS_ACS5
zcta 27893
acs median gross
$947
2024-12-31
CENSUS_ACS5
zcta 27893
acs recent mover gross
$1,072
2024-12-31
CENSUS_ACS5
zip 27893
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 27893
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 27893
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 27893
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 110
3
$1,441
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 90
3
$1,179
2025-10-01
HUD_USER_SAFMR
zip 27893
safmr
3
$1,310
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 27893
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 27893
safmr
4
$1,550
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.