Reads as: riskier than 45.3% 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
MS median
National median
National p25–p75
Total nurse
3.75
3.68
3.28
2.90–3.77
RN
0.38
0.34
0.39
0.25–0.58
Weekend total
3.12
3.30
3.11
—
Weekday total
3.99
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
69.7
3.75
0.38
1.19
2.17
3.12
5.9%
2025Q3
92
65.3
3.79
0.34
1.32
2.13
3.14
6.1%
2025Q2
91
65.0
4.04
0.29
1.44
2.30
3.37
12.4%
2025Q1
90
68.3
3.68
0.27
1.37
2.04
3.13
14.6%
2024Q4
92
65.1
3.79
0.36
1.27
2.15
3.21
12.7%
2024Q3
92
63.5
3.97
0.37
1.36
2.24
3.29
7.3%
2024Q2
91
69.4
3.71
0.36
1.19
2.16
3.24
7.7%
2024Q1
91
70.8
3.75
0.38
1.20
2.17
3.09
14.3%
2023Q4
92
73.6
3.41
0.37
1.08
1.96
2.77
11.7%
2023Q3
92
76.4
3.36
0.20
1.05
2.11
2.91
15.8%
2023Q2
91
75.2
3.35
0.26
1.11
1.98
2.82
11.1%
2023Q1
90
76.2
3.31
0.28
1.14
1.89
2.77
11.8%
2022Q4
92
55.9
3.46
0.21
1.22
2.03
3.04
21.3%
2022Q3
92
63.4
3.64
0.19
1.25
2.20
3.30
24.7%
2022Q2
91
63.7
3.74
0.12
1.36
2.26
3.30
25.4%
2022Q1
90
68.0
3.50
0.16
1.28
2.06
2.99
34.0%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-07-07
2025-06-05
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-07-07
2025-06-05
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2025-07-07
2025-06-05
Health
F0610
Respond appropriately to all alleged violations.
J
2025-07-07
2025-06-05
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-07-07
2025-06-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-07
2025-06-05
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2025-07-07
2025-06-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-07-07
2025-06-05
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.
G
2025-07-07
2025-06-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-07-07
2024-05-02
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-25
2024-02-01
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-03-13
2024-02-01
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2024-03-13
2024-02-01
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-03-13
2024-02-01
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-03-13
2024-02-01
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
2024-03-13
2024-02-01
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
2024-03-13
2024-02-01
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
2024-03-13
2024-02-01
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
2024-03-13
2024-02-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-13
2024-02-01
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-03-13
2024-02-01
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-03-13
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
42
Owner
Role
Pct
From
Status
Source
HARRISON COUNTY PROPERTIES LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
HARRISON COUNTY PROPERTIES LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
ACT INVESTMENTS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
75%
2017-01-01
current
pecos_ownership
DAVID & FELICIA STALLARD CHILD TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-01-01
current
pecos_ownership
ELTON GLYNN BEEBE JR. & NANCY DOTY BEEBE IRRV TR UA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-01-01
current
pecos_ownership
MEDICO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2017-01-01
current
pecos_ownership
ACCOUNT MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
ADMINISTRATIVE SYSTEMS INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
BEEBE, BOBBY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
BEEBE, ELTON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
CARRILLO, TANGIE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-08-26
current
pecos_ownership
COMPTON, PHILLIP
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
ELTON G BEEBE SR IRRV GRNDCHILDRENS TR
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
FLIPPIN, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
HALL, BRYCE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-27
current
pecos_ownership
HARRISON COUNTY PROPERTIES LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LINDA MAYNOR
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
NUTRITION SYSTEMS CONSULTING INC
ADP OF THE SNF
—
2008-01-31
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2017-01-01
current
pecos_ownership
PARKINSON, TONI
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2018-03-28
current
pecos_ownership
PROVIDENCE CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
REGIONAL CARE LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
STALLARD, DAVID
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
TRISTAR REHAB INC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
HARRISON COUNTY PROPERTIES LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
HARRISON COUNTY PROPERTIES LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
HARRISON COUNTY PROPERTIES LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GERARD AND ALISON DANOS CHILDRENS TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2017-01-01
ended 2026-05-18
pecos_ownership
JOSEPH & ALISON SADLER CHILDREN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2017-01-01
ended 2026-05-18
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2017-01-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2017-01-01
ended 2026-05-18
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2017-01-01
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
BRYCE HALL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-27
ended 2026-05-18
pecos_ownership
DAVID FLIPPIN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
PHILLIP COMPTON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
ended 2026-05-18
pecos_ownership
TANGIE CARRILLO
OPERATIONAL/MANAGERIAL CONTROL
—
2020-08-26
ended 2026-05-18
pecos_ownership
TONI PARKINSON
CORPORATE OFFICER
—
2017-01-01
ended 2026-05-18
pecos_ownership
TONI PARKINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
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
$454,999
—
—
—
$2,043
2
propco
2023-12-31
$292,183
—
—
—
—
2
propco
2022-12-31
$488,710
—
—
—
—
2
propco
2021-12-31
$297,616
—
—
—
—
1
propco
2020-12-31
$304,515
—
—
—
—
1
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 28047
acs median gross
0
$858
2024-12-31
CENSUS_ACS5
county 28047
fmr
0
$786
2025-10-01
HUD_USER_FMR
county 28047
acs median gross
1
$927
2024-12-31
CENSUS_ACS5
county 28047
fmr
1
$923
2025-10-01
HUD_USER_FMR
county 28047
acs median gross
2
$1,046
2024-12-31
CENSUS_ACS5
county 28047
fmr
2
$1,140
2025-10-01
HUD_USER_FMR
county 28047
acs median gross
3
$1,257
2024-12-31
CENSUS_ACS5
county 28047
fmr
3
$1,471
2025-10-01
HUD_USER_FMR
county 28047
acs median gross
4
$1,417
2024-12-31
CENSUS_ACS5
county 28047
fmr
4
$1,612
2025-10-01
HUD_USER_FMR
county 28047
acs median gross
5
$1,073
2024-12-31
CENSUS_ACS5
county 28047
acs median gross
$1,115
2024-12-31
CENSUS_ACS5
county 28047
acs recent mover gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
0
$883
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
1
$943
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
2
$1,040
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
4
$1,350
2024-12-31
CENSUS_ACS5
zcta 39503
acs median gross
$1,140
2024-12-31
CENSUS_ACS5
zcta 39503
acs recent mover gross
$1,267
2024-12-31
CENSUS_ACS5
zip 39503
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 39503
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 110
1
$1,045
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 90
1
$855
2025-10-01
HUD_USER_SAFMR
zip 39503
safmr
1
$950
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 110
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 90
2
$1,053
2025-10-01
HUD_USER_SAFMR
zip 39503
safmr
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 110
3
$1,661
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 90
3
$1,359
2025-10-01
HUD_USER_SAFMR
zip 39503
safmr
3
$1,510
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 39503
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 39503
safmr
4
$1,650
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.