Reads as: riskier than 74.5% 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
CO median
National median
National p25–p75
Total nurse
2.94
3.19
3.28
2.90–3.77
RN
0.72
0.57
0.39
0.25–0.58
Weekend total
2.81
3.02
3.11
—
Weekday total
3.00
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
119.7
2.94
0.72
0.56
1.66
2.81
0.0%
2025Q3
92
121.4
2.92
0.79
0.51
1.63
2.79
0.0%
2025Q2
91
114.9
3.31
0.88
0.47
1.95
3.10
0.0%
2025Q1
90
117.6
3.54
0.88
0.48
2.18
3.31
0.0%
2024Q4
92
116.1
3.29
0.88
0.45
1.96
3.10
0.0%
2024Q3
92
117.2
3.20
0.94
0.43
1.84
3.08
0.0%
2024Q2
91
118.9
2.98
0.90
0.44
1.64
2.88
0.0%
2024Q1
91
112.6
3.12
0.86
0.50
1.77
2.99
0.0%
2023Q4
92
110.9
3.21
0.95
0.48
1.78
3.04
0.0%
2023Q3
92
115.2
3.09
0.85
0.56
1.69
2.79
0.0%
2023Q2
91
118.8
3.14
0.77
0.66
1.71
2.91
0.0%
2023Q1
90
118.6
3.43
0.86
0.60
1.96
3.15
0.0%
2022Q4
92
117.7
3.37
0.89
0.55
1.93
3.17
0.0%
2022Q3
92
121.6
3.07
0.85
0.47
1.75
2.87
0.0%
2022Q2
91
118.7
3.02
0.86
0.64
1.51
2.76
0.0%
2022Q1
90
104.5
3.27
0.90
0.71
1.66
2.93
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
29
C × 1D × 19E × 3F × 4G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-12
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-04-09
2026-03-12
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-09
2026-03-12
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
G
2026-04-09
2026-03-12
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-09
2026-03-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-09
2026-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-09
2026-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-09
2026-03-12
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-04-09
2026-03-12
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2026-04-09
2026-03-12
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-04-09
2026-03-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-09
2026-03-12
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-04-09
2026-03-12
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.
E
2026-04-09
2026-03-12
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2026-04-09
2026-03-12
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2026-04-09
2025-09-02
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
2025-10-16
2024-09-09
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-10-04
2024-09-09
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2024-10-04
2024-09-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-04
2024-01-23
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-02-16
2024-01-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-02-16
2024-01-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-16
2024-01-23
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
2024-02-16
2024-01-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-16
2024-01-23
Health
F0908
Keep all essential equipment working safely.
F
2024-02-16
2022-09-28
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F
2022-10-28
2022-09-28
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2022-10-28
2022-09-28
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-10-28
2022-09-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-10-28
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
45
Owner
Role
Pct
From
Status
Source
LONGMONT MEDICAL INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2024-07-01
current
hcris_a_8_1
LONGMONT MEDICAL INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2023-07-01
current
hcris_a_8_1
CROSS, CINDY
CORPORATE OFFICER
—
1994-04-21
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
OPERATIONAL/MANAGERIAL CONTROL
—
1991-12-31
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
HUGHES, BRIAN
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
HUGHES, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-01
current
pecos_ownership
JOHNSON, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-02
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2018-02-09
current
pecos_ownership
LIFE CARE AFFILIATES II
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
LIFE CARE AFFILIATES II
OPERATIONAL/MANAGERIAL CONTROL
—
1991-12-31
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
LONGMONT MEDICAL INVESTORS, LTD
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
LONGMONT MEDICAL INVESTORS, LTD
OPERATIONAL/MANAGERIAL CONTROL
—
1990-08-06
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
PRESTON, FORREST
LIMITED PARTNERSHIP INTEREST
—
—
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
SCHMIDT, DEREK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-01
current
pecos_ownership
SIEGEL, JERUSHA
MANAGING CONTROL - GOVERNING BODY
—
2021-12-08
current
pecos_ownership
SIEGEL, JERUSHA
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-22
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
LONGMONT MEDICAL INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
LONGMONT MEDICAL INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
LONGMONT MEDICAL INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
FORREST PRESTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
1991-12-31
ended 2026-05-18
pecos_ownership
FORREST PRESTON
LIMITED PARTNERSHIP INTEREST
1%
—
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
BRIAN HUGHES
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
BRIAN HUGHES
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-01
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1994-04-21
ended 2026-05-18
pecos_ownership
DEREK SCHMIDT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-01
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2000-08-31
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
JERUSHA SIEGEL
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
JERUSHA SIEGEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-08
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-22
ended 2026-05-18
pecos_ownership
KIMBERLY JOHNSON
MANAGING CONTROL - GOVERNING BODY
—
2023-11-02
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE OFFICER
—
2018-02-09
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE OFFICER
—
2011-04-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$2,552,062
$267,598
—
—
—
5
propco
2024-06-30
$2,461,891
$285,759
—
—
—
5
propco
2023-06-30
$2,266,716
$251,814
—
—
—
5
propco
2022-06-30
$2,435,612
$308,449
—
—
—
5
propco
2021-06-30
$2,661,465
$390,134
—
—
—
5
propco
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 08013
acs median gross
0
$1,531
2024-12-31
CENSUS_ACS5
county 08013
fmr
0
$1,553
2025-10-01
HUD_USER_FMR
county 08013
acs median gross
1
$1,690
2024-12-31
CENSUS_ACS5
county 08013
fmr
1
$1,795
2025-10-01
HUD_USER_FMR
county 08013
acs median gross
2
$2,008
2024-12-31
CENSUS_ACS5
county 08013
fmr
2
$2,124
2025-10-01
HUD_USER_FMR
county 08013
acs median gross
3
$2,366
2024-12-31
CENSUS_ACS5
county 08013
fmr
3
$2,820
2025-10-01
HUD_USER_FMR
county 08013
acs median gross
4
$3,047
2024-12-31
CENSUS_ACS5
county 08013
fmr
4
$3,239
2025-10-01
HUD_USER_FMR
county 08013
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 08013
acs median gross
$1,966
2024-12-31
CENSUS_ACS5
county 08013
acs recent mover gross
$2,065
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
0
$1,088
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
1
$1,454
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
2
$1,660
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
3
$2,125
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
4
$2,407
2024-12-31
CENSUS_ACS5
zcta 80501
acs median gross
$1,662
2024-12-31
CENSUS_ACS5
zcta 80501
acs recent mover gross
$1,908
2024-12-31
CENSUS_ACS5
zip 80501
payment standard 110
0
$1,452
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 90
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 80501
safmr
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 110
1
$1,694
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 90
1
$1,386
2025-10-01
HUD_USER_SAFMR
zip 80501
safmr
1
$1,540
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 110
2
$2,046
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 90
2
$1,674
2025-10-01
HUD_USER_SAFMR
zip 80501
safmr
2
$1,860
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 110
3
$2,684
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 90
3
$2,196
2025-10-01
HUD_USER_SAFMR
zip 80501
safmr
3
$2,440
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 110
4
$3,069
2025-10-01
HUD_USER_SAFMR
zip 80501
payment standard 90
4
$2,511
2025-10-01
HUD_USER_SAFMR
zip 80501
safmr
4
$2,790
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.