Reads as: riskier than 30.9% 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 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
5.67
3.28
3.28
2.90–3.77
RN
1.50
0.34
0.39
0.25–0.58
Weekend total
5.68
3.10
3.11
—
Weekday total
5.67
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
35.6
5.67
1.50
1.26
2.92
5.68
0.0%
2025Q3
92
35.9
5.76
1.57
1.19
3.00
5.81
0.0%
2025Q2
91
35.6
5.62
1.55
1.24
2.83
5.70
0.0%
2025Q1
90
35.2
5.64
1.58
1.36
2.71
5.66
0.0%
2024Q4
92
34.7
5.64
1.54
1.25
2.84
5.65
0.0%
2024Q3
92
35.6
5.37
1.28
1.37
2.71
5.41
0.0%
2024Q2
91
33.7
4.83
1.07
1.22
2.54
4.52
0.0%
2024Q1
91
30.6
4.56
1.18
1.08
2.31
4.52
0.0%
2023Q4
92
26.4
6.03
1.57
1.54
2.92
5.87
0.0%
2023Q3
92
41.6
4.67
1.15
1.26
2.26
4.47
0.0%
2023Q2
91
39.6
4.95
1.10
1.39
2.46
4.82
0.0%
2023Q1
90
39.7
4.99
1.12
1.41
2.45
4.87
0.0%
2022Q4
92
39.9
5.19
0.95
1.70
2.53
4.92
0.0%
2022Q3
92
36.1
5.30
0.96
1.65
2.69
5.06
0.0%
2022Q2
91
37.0
4.84
1.00
1.25
2.59
4.59
0.0%
2022Q1
90
41.5
4.63
0.90
1.65
2.08
4.51
0.0%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-28
2023-10-29
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-11-28
2023-10-29
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K
2023-11-28
2023-10-29
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
2023-11-28
2023-10-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2023-11-28
2023-10-29
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-11-28
2023-10-29
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F
2023-11-28
2023-10-29
Health
F0732
Post nurse staffing information every day.
D
2023-11-28
2023-10-29
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2023-11-28
2023-10-29
Health
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
K
2023-11-28
2023-10-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-11-28
2023-10-29
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
2023-11-28
2023-10-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-28
2023-10-29
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-11-28
2023-10-29
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F
2023-11-28
2020-02-20
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
C
2020-03-31
2020-02-20
Health
F0679
Provide activities to meet all resident's needs.
D
2020-03-31
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
49
Owner
Role
Pct
From
Status
Source
SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-07-01
current
pecos_ownership
ARANT, CHARLES
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
ARNHART, CAROL
W-2 MANAGING EMPLOYEE
—
2014-07-01
current
pecos_ownership
ARNHART, CAROL
CORPORATE OFFICER
—
2010-07-01
current
pecos_ownership
BERKE, MONIQUE
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
BINDER, DAVID
CORPORATE DIRECTOR
—
2020-07-01
current
pecos_ownership
DECOSIMO, ROSE
CORPORATE DIRECTOR
—
2016-11-01
current
pecos_ownership
FILLAUER, MICHAEL
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
GIBSON, MATTHEW
CORPORATE DIRECTOR
—
2020-01-29
current
pecos_ownership
GODBOLD, WILLIAM
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
GRAEFE, MARIA
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
HARPER, TRUDY
CORPORATE OFFICER
—
2017-10-01
current
pecos_ownership
HARPER, TRUDY
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
KROGH, JONES
CORPORATE OFFICER
—
2017-07-01
current
pecos_ownership
KROGH, JONES
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
MATHIS, MICHAEL
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
MATHIS, MICHAEL
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
MCCRIGHT, ELIZABETH
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
MCCRIGHT, ELIZABETH
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
MCKENNEY, RICHARD
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
RUTLEDGE, VALERIE
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
SHAH, RUCHIR
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
SHAW, MARCUS
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
WEAVER, JENNIFER
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
WILDER, WILLIAM
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
CAROL ARNHART
W-2 MANAGING EMPLOYEE
100%
2014-07-01
ended 2026-05-18
pecos_ownership
MATTHEW GIBSON
W-2 MANAGING EMPLOYEE
100%
2020-01-29
ended 2026-05-18
pecos_ownership
ELIZABETH MCCRIGHT
CORPORATE OFFICER
17%
2021-07-01
ended 2026-05-18
pecos_ownership
JONES KROGH
CORPORATE OFFICER
17%
2017-07-01
ended 2026-05-18
pecos_ownership
MICHAEL MATHIS
CORPORATE OFFICER
17%
2019-07-01
ended 2026-05-18
pecos_ownership
TRUDY HARPER
CORPORATE OFFICER
17%
2017-10-01
ended 2026-05-18
pecos_ownership
CAROL ARNHART
CORPORATE OFFICER
17%
2010-07-01
ended 2026-05-18
pecos_ownership
JONES KROGH
CORPORATE DIRECTOR
6%
2016-07-01
ended 2026-05-18
pecos_ownership
MICHAEL MATHIS
CORPORATE DIRECTOR
6%
2015-07-01
ended 2026-05-18
pecos_ownership
TRUDY HARPER
CORPORATE DIRECTOR
6%
2015-07-01
ended 2026-05-18
pecos_ownership
CHARLES ARANT
CORPORATE DIRECTOR
6%
2016-07-01
ended 2026-05-18
pecos_ownership
DAVID BINDER
CORPORATE DIRECTOR
6%
2020-07-01
ended 2026-05-18
pecos_ownership
ELIZABETH MCCRIGHT
CORPORATE DIRECTOR
6%
2017-07-01
ended 2026-05-18
pecos_ownership
JENNIFER WEAVER
CORPORATE DIRECTOR
6%
2016-07-01
ended 2026-05-18
pecos_ownership
MARCUS SHAW
CORPORATE DIRECTOR
6%
2018-07-01
ended 2026-05-18
pecos_ownership
MARIA GRAEFE
CORPORATE DIRECTOR
6%
2022-07-01
ended 2026-05-18
pecos_ownership
MICHAEL FILLAUER
CORPORATE DIRECTOR
6%
2017-07-01
ended 2026-05-18
pecos_ownership
MONIQUE BERKE
CORPORATE DIRECTOR
6%
2014-07-01
ended 2026-05-18
pecos_ownership
RICHARD MCKENNEY
CORPORATE DIRECTOR
6%
2015-07-01
ended 2026-05-18
pecos_ownership
ROSE DECOSIMO
CORPORATE DIRECTOR
6%
2016-11-01
ended 2026-05-18
pecos_ownership
RUCHIR SHAH
CORPORATE DIRECTOR
6%
2022-07-01
ended 2026-05-18
pecos_ownership
VALERIE RUTLEDGE
CORPORATE DIRECTOR
6%
2014-07-01
ended 2026-05-18
pecos_ownership
WILLIAM GODBOLD
CORPORATE DIRECTOR
6%
2022-07-01
ended 2026-05-18
pecos_ownership
WILLIAM WILDER
CORPORATE DIRECTOR
6%
2019-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 47065
acs median gross
0
$966
2024-12-31
CENSUS_ACS5
county 47065
fmr
0
$1,211
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
1
$1,136
2024-12-31
CENSUS_ACS5
county 47065
fmr
1
$1,263
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
2
$1,220
2024-12-31
CENSUS_ACS5
county 47065
fmr
2
$1,390
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
3
$1,457
2024-12-31
CENSUS_ACS5
county 47065
fmr
3
$1,734
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
4
$1,658
2024-12-31
CENSUS_ACS5
county 47065
fmr
4
$1,853
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
5
$1,651
2024-12-31
CENSUS_ACS5
county 47065
acs median gross
$1,253
2024-12-31
CENSUS_ACS5
county 47065
acs recent mover gross
$1,461
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
0
$1,101
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
1
$1,438
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
2
$1,699
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
3
$1,389
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
4
$2,560
2024-12-31
CENSUS_ACS5
zcta 37403
acs median gross
$1,443
2024-12-31
CENSUS_ACS5
zcta 37403
acs recent mover gross
$1,993
2024-12-31
CENSUS_ACS5
zip 37403
payment standard 110
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 90
0
$1,296
2025-10-01
HUD_USER_SAFMR
zip 37403
safmr
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 110
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 90
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 37403
safmr
1
$1,500
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 110
2
$1,815
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 90
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 37403
safmr
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 37403
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 110
4
$2,420
2025-10-01
HUD_USER_SAFMR
zip 37403
payment standard 90
4
$1,980
2025-10-01
HUD_USER_SAFMR
zip 37403
safmr
4
$2,200
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.