Reads as: riskier than 88.7% 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
ND median
National median
National p25–p75
Total nurse
3.31
3.90
3.28
2.90–3.77
RN
0.42
0.59
0.39
0.25–0.58
Weekend total
3.38
3.55
3.11
—
Weekday total
3.28
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.4
3.31
0.42
0.88
2.01
3.38
0.0%
2025Q3
92
28.2
3.31
0.80
0.73
1.78
3.16
3.6%
2025Q2
91
29.5
3.58
0.70
0.84
2.04
3.48
0.4%
2025Q1
90
30.6
3.59
0.67
0.81
2.12
3.55
7.4%
2024Q4
92
36.2
3.06
0.57
0.60
1.89
3.09
16.1%
2024Q3
92
35.0
3.04
0.69
0.63
1.71
2.92
9.9%
2024Q2
91
31.6
3.35
0.57
0.90
1.88
3.27
9.5%
2024Q1
91
34.5
3.13
0.43
0.90
1.80
3.14
16.1%
2023Q4
92
38.0
3.06
0.45
0.76
1.85
3.10
21.3%
2023Q3
92
38.8
2.85
0.54
0.56
1.75
2.84
31.4%
2023Q2
91
36.4
2.24
0.47
0.64
1.14
2.17
0.0%
2023Q1
90
34.6
2.99
0.80
0.57
1.61
2.88
13.0%
2022Q4
92
32.1
3.04
0.76
0.61
1.68
2.87
3.9%
2022Q3
92
30.7
3.13
0.75
0.64
1.74
2.97
2.1%
2022Q2
91
23.5
3.93
0.97
0.84
2.12
3.63
0.5%
2022Q1
90
25.2
3.70
0.88
0.97
1.86
3.32
15.4%
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.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
—
2026-04-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
—
2026-04-30
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
—
2025-11-24
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-09-07
2025-11-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-01-07
2025-06-10
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.
E
2025-07-15
2025-06-10
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-07-15
2025-06-10
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2025-07-15
2025-06-10
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-07-15
2025-06-10
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-15
2025-06-10
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-07-15
2024-12-31
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-12-19
2024-12-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-11-27
2024-05-16
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
2024-06-19
2024-05-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-06-19
2024-05-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-19
2024-05-16
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-12-27
2024-05-16
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
2024-06-19
2023-05-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-13
2023-05-09
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-06-13
2023-05-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-13
2023-05-09
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
2023-06-13
2023-05-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-13
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
12
Owner
Role
Pct
From
Status
Source
BAUMANN, TROY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-13
current
pecos_ownership
HOEHN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-13
current
pecos_ownership
MINOT HEALTH AND REHAB LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-11-13
current
pecos_ownership
MINOT HEALTH AND REHAB LLC
5% OR GREATER SECURITY INTEREST
—
2015-01-13
current
pecos_ownership
PESHEK, PAUL
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2015-11-01
current
pecos_ownership
PESHEK, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-13
current
pecos_ownership
JEFFREY HOEHN
OPERATIONAL/MANAGERIAL CONTROL
45%
2015-11-13
ended 2026-05-18
pecos_ownership
JEFFREY HOEHN
5% OR GREATER DIRECT OWNERSHIP INTEREST
45%
2015-11-01
ended 2026-05-18
pecos_ownership
TROY BAUMANN
OPERATIONAL/MANAGERIAL CONTROL
45%
2015-11-13
ended 2026-05-18
pecos_ownership
TROY BAUMANN
5% OR GREATER DIRECT OWNERSHIP INTEREST
45%
2015-11-01
ended 2026-05-18
pecos_ownership
PAUL PESHEK
CORPORATE DIRECTOR
10%
2015-11-13
ended 2026-05-18
pecos_ownership
PAUL PESHEK
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2015-11-01
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
$430,200
—
—
—
—
1
—
2023-12-31
$438,249
—
—
—
—
1
—
2022-12-31
$363,064
—
—
—
—
1
—
2021-12-31
$295,067
—
—
—
—
1
—
2020-12-31
$292,314
—
—
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 38101
acs median gross
0
$644
2024-12-31
CENSUS_ACS5
county 38101
fmr
0
$806
2025-10-01
HUD_USER_FMR
county 38101
acs median gross
1
$699
2024-12-31
CENSUS_ACS5
county 38101
fmr
1
$960
2025-10-01
HUD_USER_FMR
county 38101
acs median gross
2
$980
2024-12-31
CENSUS_ACS5
county 38101
fmr
2
$1,165
2025-10-01
HUD_USER_FMR
county 38101
acs median gross
3
$1,371
2024-12-31
CENSUS_ACS5
county 38101
fmr
3
$1,620
2025-10-01
HUD_USER_FMR
county 38101
acs median gross
4
$1,594
2024-12-31
CENSUS_ACS5
county 38101
fmr
4
$1,954
2025-10-01
HUD_USER_FMR
county 38101
acs median gross
5
$879
2024-12-31
CENSUS_ACS5
county 38101
acs median gross
$1,048
2024-12-31
CENSUS_ACS5
county 38101
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
0
$591
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
1
$691
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
2
$895
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
3
$1,285
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
4
$1,310
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
5
$642
2024-12-31
CENSUS_ACS5
zcta 58701
acs median gross
$889
2024-12-31
CENSUS_ACS5
zcta 58701
acs recent mover gross
$1,096
2024-12-31
CENSUS_ACS5
zip 58701
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 58701
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 58701
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 58701
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 58701
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 58701
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 58701
safmr
4
$1,730
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.