Reads as: riskier than 13.8% 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
NE median
National median
National p25–p75
Total nurse
4.40
2.88
3.28
2.90–3.77
RN
0.73
0.42
0.39
0.25–0.58
Weekend total
4.34
2.75
3.11
—
Weekday total
4.42
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.8
4.40
0.73
0.47
3.20
4.34
20.5%
2025Q3
92
44.6
4.63
0.70
0.54
3.40
4.43
23.6%
2025Q2
91
44.4
4.62
0.62
0.55
3.45
4.36
25.4%
2025Q1
90
46.2
4.26
0.68
0.44
3.14
4.16
25.6%
2024Q4
92
46.4
4.41
0.76
0.32
3.32
4.31
29.2%
2024Q3
92
46.2
4.58
0.77
0.35
3.46
4.64
30.8%
2024Q2
91
46.3
4.53
0.66
0.47
3.40
4.37
24.5%
2024Q1
91
46.2
4.44
0.73
0.42
3.29
4.43
25.1%
2023Q4
92
46.5
4.70
0.66
0.64
3.41
4.50
27.1%
2023Q3
92
45.2
4.66
0.85
0.80
3.00
4.44
24.2%
2023Q2
91
46.5
4.77
0.79
0.83
3.15
4.65
29.5%
2023Q1
90
46.7
4.47
0.52
0.79
3.16
4.28
26.4%
2022Q4
92
46.8
4.10
0.55
0.51
3.04
3.93
35.8%
2022Q3
92
73.2
2.55
0.27
0.32
1.96
2.31
33.4%
2022Q2
91
47.6
4.04
0.41
0.50
3.12
3.98
36.0%
2022Q1
90
48.1
4.51
0.48
0.73
3.31
4.24
34.3%
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
22
D × 14E × 6F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-14
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
2025-05-15
2025-04-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-15
2025-04-14
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-15
2025-04-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-15
2025-04-14
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-05-15
2025-04-14
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
2025-05-15
2025-04-14
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
2025-05-15
2025-04-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-15
2025-04-14
Health · complaint
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2025-05-15
2024-04-24
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-05-30
2024-04-24
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-05-30
2024-04-24
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
2024-05-30
2024-04-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-05-30
2024-02-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-04-10
2024-02-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-10
2024-02-29
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-10
2024-02-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-04-10
2023-11-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-06
2023-03-21
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
2023-05-03
2023-03-21
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
2023-05-03
2023-03-21
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.
D
2023-05-03
2023-03-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-05-03
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
30
Owner
Role
Pct
From
Status
Source
JANICKI, JAMES
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
current
pecos_ownership
MULHEARN, KEVIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
current
pecos_ownership
OESTMANN, MATTHEW
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
current
pecos_ownership
RIPPLE, REGGIE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
current
pecos_ownership
HILLCREST COTTAGE REAL ESTATE
Individual has financial interest in both related organization and provider
6%
2024-01-01
current
hcris_a_8_1
HILLCREST COTTAGE REAL ESTATE
Individual has financial interest in both related organization and provider
6%
2023-01-01
current
hcris_a_8_1
ASWEGE-MEZENBERG, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
HIGHT, KALEB
W-2 MANAGING EMPLOYEE
—
2023-03-13
current
pecos_ownership
HILLCREST HEALTH SYSTEMS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
JANICKI, JAMES
CORPORATE OFFICER
—
2023-06-30
current
pecos_ownership
JANICKI, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
MULHEARN, KEVIN
CORPORATE OFFICER
—
2023-06-30
current
pecos_ownership
OESTMANN, MATTHEW
CORPORATE OFFICER
—
2023-06-30
current
pecos_ownership
OESTMANN, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
RIPPLE, REGGIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
HILLCREST COTTAGE REAL ESTATE
Provider has financial interest in corporation, partnership or other organization
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
HILLCREST COTTAGE REAL ESTATE
Provider has financial interest in corporation, partnership or other organization
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
HILLCREST COTTAGE REAL ESTATE
Provider has financial interest in corporation, partnership or other organization
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
JAMES JANICKI
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
ended 2026-05-18
pecos_ownership
JAMES JANICKI
CORPORATE OFFICER
25%
2023-06-30
ended 2026-05-18
pecos_ownership
KEVIN MULHEARN
CORPORATE OFFICER
25%
2023-06-30
ended 2026-05-18
pecos_ownership
KEVIN MULHEARN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
ended 2026-05-18
pecos_ownership
MATTHEW OESTMANN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
ended 2026-05-18
pecos_ownership
MATTHEW OESTMANN
CORPORATE OFFICER
25%
2023-06-30
ended 2026-05-18
pecos_ownership
REGGIE RIPPLE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-01-01
ended 2026-05-18
pecos_ownership
DEBRA ASWEGE-MEZENBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
JAMES JANICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
KALEB HIGHT
W-2 MANAGING EMPLOYEE
—
2023-03-13
ended 2026-05-18
pecos_ownership
MATTHEW OESTMANN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
REGGIE RIPPLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
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
2024-12-31
$3,760,865
$1,962,662
—
$795,993
$37,087
28
propco
2023-12-31
$4,154,577
$2,039,225
—
$825,052
$127,432
28
propco
2022-12-31
$4,002,180
$2,124,214
—
$777,514
$126,905
4
propco
2021-12-31
$4,066,557
$2,340,635
—
$792,085
—
3
propco
2020-12-31
$4,164,698
$2,508,023
—
$686,462
—
3
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 31153
acs median gross
0
$1,223
2024-12-31
CENSUS_ACS5
county 31153
fmr
0
$1,090
2025-10-01
HUD_USER_FMR
county 31153
acs median gross
1
$1,088
2024-12-31
CENSUS_ACS5
county 31153
fmr
1
$1,148
2025-10-01
HUD_USER_FMR
county 31153
acs median gross
2
$1,329
2024-12-31
CENSUS_ACS5
county 31153
fmr
2
$1,368
2025-10-01
HUD_USER_FMR
county 31153
acs median gross
3
$1,692
2024-12-31
CENSUS_ACS5
county 31153
fmr
3
$1,813
2025-10-01
HUD_USER_FMR
county 31153
acs median gross
4
$1,769
2024-12-31
CENSUS_ACS5
county 31153
fmr
4
$2,046
2025-10-01
HUD_USER_FMR
county 31153
acs median gross
5
$2,198
2024-12-31
CENSUS_ACS5
county 31153
acs median gross
$1,334
2024-12-31
CENSUS_ACS5
county 31153
acs recent mover gross
$1,344
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
1
$1,231
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
2
$1,443
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
3
$2,146
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
4
$2,678
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
5
$2,935
2024-12-31
CENSUS_ACS5
zcta 68133
acs median gross
$1,465
2024-12-31
CENSUS_ACS5
zcta 68133
acs recent mover gross
$1,413
2024-12-31
CENSUS_ACS5
zip 68133
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 68133
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 68133
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 68133
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 68133
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 110
4
$2,596
2025-10-01
HUD_USER_SAFMR
zip 68133
payment standard 90
4
$2,124
2025-10-01
HUD_USER_SAFMR
zip 68133
safmr
4
$2,360
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.