Reads as: riskier than 31.1% 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
LA median
National median
National p25–p75
Total nurse
3.57
3.38
3.28
2.90–3.77
RN
0.10
0.10
0.39
0.25–0.58
Weekend total
3.27
3.09
3.11
—
Weekday total
3.68
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
153.3
3.57
0.10
1.07
2.39
3.27
0.0%
2025Q3
92
154.8
3.56
0.10
1.07
2.38
3.12
0.0%
2025Q2
91
147.6
3.50
0.08
1.12
2.30
3.24
0.0%
2025Q1
90
153.6
3.38
0.07
1.07
2.24
3.12
0.0%
2024Q4
92
148.8
3.39
0.06
1.08
2.24
3.10
0.0%
2024Q3
92
142.8
3.51
0.10
1.17
2.24
3.29
0.0%
2024Q2
91
147.5
3.42
0.07
1.17
2.18
3.06
0.0%
2024Q1
91
145.4
3.57
0.04
1.25
2.28
3.28
0.0%
2023Q4
92
138.5
3.55
0.03
1.24
2.29
3.31
0.3%
2023Q3
92
121.7
3.54
0.04
1.27
2.23
3.12
7.7%
2023Q2
91
124.1
0.51
0.01
0.21
0.29
0.34
0.0%
2023Q1
90
134.7
3.70
0.03
1.43
2.24
3.53
25.5%
2022Q4
92
139.2
3.82
0.05
1.39
2.37
3.58
26.5%
2022Q3
92
146.3
4.15
0.04
1.38
2.74
3.96
36.7%
2022Q2
91
149.5
4.38
0.05
1.37
2.97
4.03
59.6%
2022Q1
90
141.0
3.90
0.04
1.26
2.60
3.59
65.8%
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
28
D × 24E × 1J × 1K × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-27
2025-06-04
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-06-27
2025-06-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-27
2025-06-04
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-06-27
2025-05-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-05-08
2025-05-14
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-05-15
2025-03-19
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-04-04
2024-07-31
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-08-23
2024-06-13
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-07-12
2024-06-13
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
2024-07-12
2024-06-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-07-12
2024-06-13
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
2024-07-12
2024-05-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2024-05-22
2024-05-20
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2024-05-22
2023-12-06
Health · complaint
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
2023-12-29
2023-12-06
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-12-29
2023-11-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-12-17
2023-11-21
Health · complaint
F0776
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
D
2023-12-17
2023-08-03
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-09-01
2023-08-03
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-09-01
2023-08-03
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2023-09-01
2023-08-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-01
2023-08-03
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-09-01
2023-08-03
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-01
2023-08-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-09-01
2023-08-03
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
2023-09-01
2023-08-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-09-01
2023-08-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-01
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
33
Owner
Role
Pct
From
Status
Source
CHATEAU DE NOTRE DAME FACILITY CORP
Corporation, partnership or other organization has financial interest in provider
100%
2023-06-14
current
hcris_a_8_1
CHATEUA DE NOTRE DAME FACILITY GROUP
Corporation, partnership or other organization has financial interest in provider
100%
2024-07-01
current
hcris_a_8_1
COMMCARE CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-06-14
current
pecos_ownership
COMMCARE MANAGEMENT CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-14
current
pecos_ownership
FORD, MICHAEL
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GARDNER, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-14
current
pecos_ownership
HARVEY PSARELLIS, DAWN
CORPORATE OFFICER
—
2014-10-10
current
pecos_ownership
HARVEY PSARELLIS, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-14
current
pecos_ownership
HUDSON, MARY
W-2 MANAGING EMPLOYEE
—
2023-06-14
current
pecos_ownership
LUNDBERG, ALEC
W-2 MANAGING EMPLOYEE
—
2023-06-14
current
pecos_ownership
MANGUN, GAROLD
CORPORATE OFFICER
—
2021-12-01
current
pecos_ownership
MANGUN, GAROLD
CORPORATE DIRECTOR
—
1997-06-09
current
pecos_ownership
PLAISANCE, WAYNE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PRECHTER, PATRICIA
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
PRECHTER, PATRICIA
CORPORATE DIRECTOR
—
2018-03-01
current
pecos_ownership
PRECHTER, PATRICIA
W-2 MANAGING EMPLOYEE
—
2023-06-14
current
pecos_ownership
TUCKER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-14
current
pecos_ownership
CHATEAU DE NOTRE DAME FACILITIES CO
Other (financial or non-financial)
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
CHATEAU DE NOTRE DAME FACILITIES CO
Other (financial or non-financial)
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
CHATEAU DE NOTRE DAME FACILITIES CO
Other (financial or non-financial)
100%
2022-07-01
ended 2023-06-13
hcris_a_8_1
GAROLD MANGUN
CORPORATE OFFICER
25%
2021-12-01
ended 2026-05-18
pecos_ownership
GAROLD MANGUN
CORPORATE DIRECTOR
25%
1997-06-09
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
CORPORATE OFFICER
25%
2021-07-01
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
OPERATIONAL/MANAGERIAL CONTROL
20%
2023-06-14
ended 2026-05-18
pecos_ownership
GEORGE GARDNER
OPERATIONAL/MANAGERIAL CONTROL
20%
2023-06-14
ended 2026-05-18
pecos_ownership
JAMES TUCKER
OPERATIONAL/MANAGERIAL CONTROL
20%
2023-06-14
ended 2026-05-18
pecos_ownership
ALEC LUNDBERG
W-2 MANAGING EMPLOYEE
—
2023-06-14
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
CORPORATE OFFICER
—
2014-10-10
ended 2026-05-18
pecos_ownership
MARY HUDSON
W-2 MANAGING EMPLOYEE
—
2023-06-14
ended 2026-05-18
pecos_ownership
MICHAEL FORD
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
CORPORATE DIRECTOR
—
2018-03-01
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
W-2 MANAGING EMPLOYEE
—
2023-06-14
ended 2026-05-18
pecos_ownership
WAYNE PLAISANCE
CORPORATE DIRECTOR
—
2022-01-01
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
$587,341
—
—
$293,044
$117,443
3
propco
2024-06-30
$2,497,294
$1,951,246
—
$260,585
$84,596
4
propco
2023-06-13
$5,833,034
—
—
—
$3,585,409
3
propco
2022-06-30
$6,973,181
$2,283
—
—
$3,681,708
3
propco
2021-06-30
$6,870,400
—
—
—
$3,619,856
3
propco
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 22071
acs median gross
0
$966
2024-12-31
CENSUS_ACS5
county 22071
fmr
0
$964
2025-10-01
HUD_USER_FMR
county 22071
acs median gross
1
$1,078
2024-12-31
CENSUS_ACS5
county 22071
fmr
1
$1,113
2025-10-01
HUD_USER_FMR
county 22071
acs median gross
2
$1,322
2024-12-31
CENSUS_ACS5
county 22071
fmr
2
$1,331
2025-10-01
HUD_USER_FMR
county 22071
acs median gross
3
$1,484
2024-12-31
CENSUS_ACS5
county 22071
fmr
3
$1,701
2025-10-01
HUD_USER_FMR
county 22071
acs median gross
4
$1,727
2024-12-31
CENSUS_ACS5
county 22071
fmr
4
$1,996
2025-10-01
HUD_USER_FMR
county 22071
acs median gross
5
$1,620
2024-12-31
CENSUS_ACS5
county 22071
acs median gross
$1,251
2024-12-31
CENSUS_ACS5
county 22071
acs recent mover gross
$1,433
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
0
$763
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
1
$1,136
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
2
$1,372
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
3
$1,421
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
4
$2,089
2024-12-31
CENSUS_ACS5
zcta 70125
acs median gross
$1,334
2024-12-31
CENSUS_ACS5
zcta 70125
acs recent mover gross
$1,742
2024-12-31
CENSUS_ACS5
zip 70125
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 70125
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 70125
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 110
2
$1,639
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 90
2
$1,341
2025-10-01
HUD_USER_SAFMR
zip 70125
safmr
2
$1,490
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 70125
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 110
4
$2,475
2025-10-01
HUD_USER_SAFMR
zip 70125
payment standard 90
4
$2,025
2025-10-01
HUD_USER_SAFMR
zip 70125
safmr
4
$2,250
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.