Reads as: riskier than 45.4% 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
TN median
National median
National p25–p75
Total nurse
3.41
3.28
3.28
2.90–3.77
RN
0.26
0.34
0.39
0.25–0.58
Weekend total
3.04
3.10
3.11
—
Weekday total
3.56
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
251.5
3.41
0.26
0.97
2.18
3.04
5.8%
2025Q3
92
253.9
3.32
0.22
0.96
2.15
2.99
4.6%
2025Q2
91
260.9
3.38
0.28
0.93
2.16
2.94
4.6%
2025Q1
90
257.9
3.35
0.24
0.97
2.15
2.91
2.8%
2024Q4
92
259.0
3.37
0.23
0.97
2.18
3.00
1.8%
2024Q3
92
256.1
3.51
0.23
0.97
2.31
3.12
6.7%
2024Q2
91
264.6
3.33
0.22
0.94
2.17
2.91
8.5%
2024Q1
91
263.2
3.15
0.21
0.97
1.97
2.79
8.3%
2023Q4
92
256.5
3.17
0.25
0.97
1.95
2.81
10.0%
2023Q3
92
259.8
3.17
0.20
0.93
2.04
2.79
15.7%
2023Q2
91
260.3
3.09
0.19
0.94
1.96
2.69
17.8%
2023Q1
90
254.2
3.20
0.25
0.97
1.98
2.81
21.2%
2022Q4
92
255.4
3.19
0.26
0.90
2.04
2.69
22.2%
2022Q3
92
253.0
3.13
0.32
0.95
1.86
2.57
18.6%
2022Q2
91
255.0
3.12
0.29
0.95
1.88
2.58
15.7%
2022Q1
90
250.3
3.03
0.33
0.99
1.70
2.62
13.0%
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.
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
2026-02-04
2026-01-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-04
2025-10-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-10-22
2023-08-10
Health · complaint
F0584
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.
D
2023-09-07
2023-08-10
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-09-07
2023-08-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2023-09-07
2023-08-10
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
2023-09-07
2023-08-10
Health · complaint
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2023-09-07
2019-05-08
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-06-10
2019-05-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-06-10
2018-05-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2018-05-23
2018-05-03
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2018-05-23
2018-05-03
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
2018-05-23
2018-05-03
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
2018-05-23
2018-05-03
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.
C
2018-05-23
2018-05-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2018-05-23
2018-05-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2018-05-23
2018-05-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2018-05-23
2018-05-03
Health
F0908
Keep all essential equipment working safely.
D
2018-05-23
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
21
Owner
Role
Pct
From
Status
Source
QUALITY PROPERTY
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
QUALITY PROPERTY
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
QUALITY TN VENTURES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-07-01
current
pecos_ownership
EINHORN, NEAL
MANAGING CONTROL - GOVERNING BODY
—
2016-07-01
current
pecos_ownership
EME, IJAGHA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
FRIEDMAN, MARK
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
GRISHAM, JULIE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-14
current
pecos_ownership
MD FRIEDMAN FAMILY 2017 TRUST
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
NEAL EINHORN FAMILY 2017 TRUST
ADP OF THE SNF
—
2017-08-29
current
pecos_ownership
WASHER, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-08
current
pecos_ownership
QUALITY PROPERTY
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
QUALITY PROPERTY
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MD FRIEDMAN FAMILY 2017 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2017-08-29
ended 2026-05-18
pecos_ownership
ELIEZER SCHWARTZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2016-07-01
ended 2026-05-18
pecos_ownership
YOSSIE ZUCKER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2016-07-01
ended 2026-05-18
pecos_ownership
MARK FRIEDMAN
CORPORATE OFFICER
0%
2016-07-01
ended 2026-05-18
pecos_ownership
IJAGHA EME
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
ended 2026-05-18
pecos_ownership
JULIE GRISHAM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-14
ended 2026-05-18
pecos_ownership
NEAL EINHORN
MANAGING CONTROL - GOVERNING BODY
—
2016-07-01
ended 2026-05-18
pecos_ownership
QUALITY PROPERTY
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
STEPHANIE WASHER
ADP OF THE SNF
—
2021-11-08
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
$2,626,289
$1,523,853
—
—
—
3
propco
2023-12-31
$2,553,736
$1,580,421
—
—
—
3
propco
2022-12-31
$2,598,103
$1,631,931
—
—
—
3
propco
2021-12-31
$2,288,775
$1,525,876
—
—
—
3
propco
2020-12-31
$2,977,389
$2,273,589
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 47189
acs median gross
0
$1,392
2024-12-31
CENSUS_ACS5
county 47189
fmr
0
$1,507
2025-10-01
HUD_USER_FMR
county 47189
acs median gross
1
$1,302
2024-12-31
CENSUS_ACS5
county 47189
fmr
1
$1,578
2025-10-01
HUD_USER_FMR
county 47189
acs median gross
2
$1,367
2024-12-31
CENSUS_ACS5
county 47189
fmr
2
$1,730
2025-10-01
HUD_USER_FMR
county 47189
acs median gross
3
$1,756
2024-12-31
CENSUS_ACS5
county 47189
fmr
3
$2,211
2025-10-01
HUD_USER_FMR
county 47189
acs median gross
4
$2,210
2024-12-31
CENSUS_ACS5
county 47189
fmr
4
$2,696
2025-10-01
HUD_USER_FMR
county 47189
acs median gross
5
$1,667
2024-12-31
CENSUS_ACS5
county 47189
acs median gross
$1,486
2024-12-31
CENSUS_ACS5
county 47189
acs recent mover gross
$1,708
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
0
$600
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
1
$1,097
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
2
$1,108
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
3
$1,396
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
4
$1,951
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
5
$1,338
2024-12-31
CENSUS_ACS5
zcta 37087
acs median gross
$1,196
2024-12-31
CENSUS_ACS5
zcta 37087
acs recent mover gross
$1,462
2024-12-31
CENSUS_ACS5
zip 37087
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 37087
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 110
1
$1,386
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 90
1
$1,134
2025-10-01
HUD_USER_SAFMR
zip 37087
safmr
1
$1,260
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 37087
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 110
3
$1,958
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 90
3
$1,602
2025-10-01
HUD_USER_SAFMR
zip 37087
safmr
3
$1,780
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 110
4
$2,376
2025-10-01
HUD_USER_SAFMR
zip 37087
payment standard 90
4
$1,944
2025-10-01
HUD_USER_SAFMR
zip 37087
safmr
4
$2,160
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.