Reads as: riskier than 42.5% 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
3.42
3.08
3.28
2.90–3.77
RN
0.34
0.30
0.39
0.25–0.58
Weekend total
3.64
2.93
3.11
—
Weekday total
3.34
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.8
3.42
0.34
0.84
2.24
3.64
34.7%
2025Q3
92
86.2
3.20
0.30
0.84
2.06
3.46
37.4%
2025Q2
91
85.0
3.21
0.34
0.71
2.17
3.41
41.6%
2025Q1
90
83.0
2.73
0.28
0.55
1.90
2.85
36.5%
2024Q4
92
81.2
3.11
0.42
0.54
2.15
3.10
45.5%
2024Q3
92
84.7
2.92
0.57
0.40
1.95
2.80
38.9%
2024Q2
91
82.5
3.00
0.50
0.63
1.87
3.08
12.6%
2024Q1
91
82.6
3.07
0.35
0.80
1.91
3.09
20.5%
2023Q4
92
81.5
3.11
0.22
0.96
1.94
3.10
34.0%
2023Q3
92
78.2
3.19
0.26
0.94
1.99
3.12
33.6%
2023Q2
91
79.5
3.03
0.31
0.85
1.86
2.95
38.2%
2023Q1
90
79.4
2.92
0.40
0.79
1.73
2.90
51.5%
2022Q4
92
83.5
2.74
0.38
0.67
1.69
2.59
46.9%
2022Q3
92
80.1
3.11
0.53
0.74
1.85
2.78
56.6%
2022Q2
91
72.9
3.20
0.50
0.78
1.91
2.81
49.3%
2022Q1
90
73.7
2.92
0.51
0.76
1.66
2.52
41.3%
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.
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.
B
—
2024-10-14
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2024-11-19
2024-10-14
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-11-19
2024-10-14
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
2024-11-19
2024-10-14
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
G
2024-11-19
2024-10-14
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2024-11-19
2024-10-14
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.
D
2024-11-19
2024-10-14
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
E
2024-11-19
2024-10-14
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-19
2024-10-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-19
2024-10-14
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
2024-11-19
2024-10-14
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-11-19
2024-10-14
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-11-19
2024-10-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-19
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
18
Owner
Role
Pct
From
Status
Source
BOICE, GALE
CORPORATE OFFICER
—
2018-03-05
current
pecos_ownership
HILL, RAYMOND
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, ROBERT
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, STEPHEN
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
JOHNSON, DIANNE
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
PIERCE, ASHLEY
ADP OF THE SNF
—
2024-09-03
current
pecos_ownership
PRINCIPLE LONG TERM CARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2011-01-01
current
pecos_ownership
STIMPSON, JARED
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
current
pecos_ownership
STIMPSON, JARED
ADP OF THE SNF
—
2025-07-03
current
pecos_ownership
PRINCIPLE IT SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2011-01-28
ended 2026-05-18
pecos_ownership
ROBERT HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2011-01-01
ended 2026-05-18
pecos_ownership
STEPHEN HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2011-01-01
ended 2026-05-18
pecos_ownership
RAYMOND HILL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2011-01-01
ended 2026-05-18
pecos_ownership
ASHLEY PIERCE
ADP OF THE SNF
—
2024-09-03
ended 2026-05-18
pecos_ownership
DIANNE JOHNSON
CORPORATE OFFICER
—
2011-01-01
ended 2026-05-18
pecos_ownership
GALE BOICE
ADP OF THE SNF
—
2018-03-05
ended 2026-05-18
pecos_ownership
JARED STIMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
ended 2026-05-18
pecos_ownership
JARED STIMPSON
ADP OF THE SNF
—
2025-07-03
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$1,897,320
—
$618,805
$10,076
$74,259
10
—
2023-09-30
$1,800,346
—
$557,108
$5,374
$78,919
10
—
2022-09-30
$1,628,757
—
$482,041
$3,619
$61,042
10
—
2021-09-30
$1,486,738
—
$388,083
$1,846
$117,033
10
—
2020-09-30
$1,152,263
—
$313,951
$2,051
$70,395
10
—
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 37067
acs median gross
0
$893
2024-12-31
CENSUS_ACS5
county 37067
fmr
0
$995
2025-10-01
HUD_USER_FMR
county 37067
acs median gross
1
$977
2024-12-31
CENSUS_ACS5
county 37067
fmr
1
$1,082
2025-10-01
HUD_USER_FMR
county 37067
acs median gross
2
$1,054
2024-12-31
CENSUS_ACS5
county 37067
fmr
2
$1,232
2025-10-01
HUD_USER_FMR
county 37067
acs median gross
3
$1,370
2024-12-31
CENSUS_ACS5
county 37067
fmr
3
$1,607
2025-10-01
HUD_USER_FMR
county 37067
acs median gross
4
$1,713
2024-12-31
CENSUS_ACS5
county 37067
fmr
4
$1,898
2025-10-01
HUD_USER_FMR
county 37067
acs median gross
5
$1,882
2024-12-31
CENSUS_ACS5
county 37067
acs median gross
$1,098
2024-12-31
CENSUS_ACS5
county 37067
acs recent mover gross
$1,403
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
0
$789
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
1
$982
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
2
$1,093
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
3
$1,556
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
4
$2,057
2024-12-31
CENSUS_ACS5
zcta 27284
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
zcta 27284
acs recent mover gross
$1,568
2024-12-31
CENSUS_ACS5
zip 27284
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 27284
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 27284
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 110
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 90
2
$1,215
2025-10-01
HUD_USER_SAFMR
zip 27284
safmr
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 110
3
$1,936
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 90
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 27284
safmr
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 110
4
$2,288
2025-10-01
HUD_USER_SAFMR
zip 27284
payment standard 90
4
$1,872
2025-10-01
HUD_USER_SAFMR
zip 27284
safmr
4
$2,080
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.