Reads as: riskier than 84.6% 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
ID median
National median
National p25–p75
Total nurse
2.84
3.34
3.28
2.90–3.77
RN
0.72
0.51
0.39
0.25–0.58
Weekend total
2.29
3.05
3.11
—
Weekday total
3.06
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.8
2.84
0.72
0.41
1.71
2.29
14.5%
2025Q3
92
61.9
3.16
0.79
0.54
1.84
2.59
19.2%
2025Q2
91
58.6
3.18
0.80
0.57
1.81
2.70
17.0%
2025Q1
90
60.6
3.02
0.72
0.58
1.72
2.64
11.0%
2024Q4
92
59.0
2.85
0.81
0.49
1.54
2.56
13.9%
2024Q3
92
59.7
2.57
0.74
0.54
1.29
2.22
12.4%
2024Q2
91
58.0
2.25
0.71
0.42
1.11
1.88
10.2%
2024Q1
91
52.2
2.19
0.81
0.40
0.98
1.70
3.0%
2023Q4
92
44.9
2.40
0.99
0.27
1.14
1.75
0.5%
2023Q3
92
47.0
2.11
0.99
0.14
0.98
1.43
4.5%
2023Q2
91
45.0
1.89
0.71
0.34
0.83
1.19
24.7%
2023Q1
90
49.1
2.44
0.51
0.48
1.46
2.06
40.9%
2022Q4
92
44.6
2.84
0.64
0.26
1.94
2.50
41.0%
2022Q3
92
42.3
2.72
0.41
0.66
1.65
2.19
31.1%
2022Q2
91
42.4
2.51
0.70
0.48
1.33
1.84
12.3%
2022Q1
90
31.2
1.23
0.42
0.19
0.62
1.26
16.8%
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
27
D × 16E × 4F × 2G × 2H × 1J × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-19
2025-04-17
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-05-19
2025-04-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-19
2024-11-08
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-12-13
2024-11-08
Health · complaint
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
2024-12-13
2024-11-08
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-12-13
2024-11-08
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
2024-12-13
2024-11-08
Health · complaint
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
2024-12-13
2024-11-08
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-12-13
2024-11-08
Health · complaint
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
2024-12-13
2024-11-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-13
2024-11-08
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-12-13
2024-11-08
Health · complaint
F0908
Keep all essential equipment working safely.
E
2024-12-13
2021-07-24
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2021-09-20
2021-07-24
Health
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
2021-09-20
2021-07-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-09-20
2021-07-24
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2021-09-20
2021-07-24
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
2021-09-20
2021-07-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
G
2021-09-20
2021-07-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-11-19
2021-07-24
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2021-09-20
2021-07-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2021-09-20
2021-07-24
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.
H
2021-09-20
2021-07-24
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
J
2021-09-20
2021-07-24
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2021-09-20
2021-07-24
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2021-09-20
2021-07-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-09-20
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
22
Owner
Role
Pct
From
Status
Source
CASCADIA HC GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
CASCADIA HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
CASCADIA HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
CASCADIA IDAHO OPERATIONS LLC
DIRECT OWNERSHIP INTEREST
—
2022-02-01
current
pecos_ownership
CASCADIA SERVICES LLC
ADP OF THE SNF
—
2025-01-23
current
pecos_ownership
FLEMMING, THOMAS
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
FLEMMING, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-05
current
pecos_ownership
HAMMOND, OWEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
LAFORTE, STEPHEN
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
NELSON, TIMOTHY
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
RUDOLPH, JOHN
ADP OF THE SNF
—
2025-07-29
current
pecos_ownership
RUDOLPH, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-04
current
pecos_ownership
TIMBERLINE OHI TENANT LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
WHITE OAK HEALTHCARE FINANCE LLC
5% OR GREATER SECURITY INTEREST
—
2022-08-11
current
pecos_ownership
OWEN HAMMOND
INDIRECT OWNERSHIP INTEREST
33%
2022-02-01
ended 2026-05-18
pecos_ownership
STEPHEN LAFORTE
INDIRECT OWNERSHIP INTEREST
33%
2025-06-05
ended 2026-05-18
pecos_ownership
TIMOTHY NELSON
INDIRECT OWNERSHIP INTEREST
33%
2025-06-05
ended 2026-05-18
pecos_ownership
CASCADIA HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-12-27
ended 2026-05-18
pecos_ownership
JOHN RUDOLPH
ADP OF THE SNF
—
2025-07-29
ended 2026-05-18
pecos_ownership
JOHN RUDOLPH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-04
ended 2026-05-18
pecos_ownership
THOMAS FLEMMING
ADP OF THE SNF
—
2025-06-19
ended 2026-05-18
pecos_ownership
THOMAS FLEMMING
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-05
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$522,385
—
—
$7,818
$98,104
2
—
2023-12-31
$386,073
—
—
$7,632
$71,275
2
—
2022-12-31
$441,179
—
—
$6,609
$72,491
2
—
2022-01-31
$33,824
—
—
—
$4,919
2
—
2021-12-31
$405,886
—
—
—
$59,028
5
—
2020-12-31
$408,847
—
—
—
$68,979
5
—
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 16069
acs median gross
0
$646
2024-12-31
CENSUS_ACS5
county 16069
fmr
0
$925
2025-10-01
HUD_USER_FMR
county 16069
acs median gross
1
$703
2024-12-31
CENSUS_ACS5
county 16069
fmr
1
$931
2025-10-01
HUD_USER_FMR
county 16069
acs median gross
2
$1,061
2024-12-31
CENSUS_ACS5
county 16069
fmr
2
$1,220
2025-10-01
HUD_USER_FMR
county 16069
acs median gross
3
$1,222
2024-12-31
CENSUS_ACS5
county 16069
fmr
3
$1,697
2025-10-01
HUD_USER_FMR
county 16069
acs median gross
4
$1,176
2024-12-31
CENSUS_ACS5
county 16069
fmr
4
$2,037
2025-10-01
HUD_USER_FMR
county 16069
acs median gross
5
$1,723
2024-12-31
CENSUS_ACS5
county 16069
acs median gross
$1,015
2024-12-31
CENSUS_ACS5
county 16069
acs recent mover gross
$1,127
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
0
$646
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
1
$708
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
2
$1,068
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
3
$1,291
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
4
$1,186
2024-12-31
CENSUS_ACS5
zcta 83501
acs median gross
$1,028
2024-12-31
CENSUS_ACS5
zcta 83501
acs recent mover gross
$1,129
2024-12-31
CENSUS_ACS5
zip 83501
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 83501
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 83501
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 110
2
$1,309
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 90
2
$1,071
2025-10-01
HUD_USER_SAFMR
zip 83501
safmr
2
$1,190
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 83501
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 110
4
$2,189
2025-10-01
HUD_USER_SAFMR
zip 83501
payment standard 90
4
$1,791
2025-10-01
HUD_USER_SAFMR
zip 83501
safmr
4
$1,990
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.