Reads as: riskier than 66.8% 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
HI median
National median
National p25–p75
Total nurse
9.46
4.00
3.28
2.90–3.77
RN
4.68
1.24
0.39
0.25–0.58
Weekend total
9.09
3.78
3.11
—
Weekday total
9.61
4.04
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.8
9.46
4.68
0.31
4.48
9.09
1.7%
2025Q3
92
33.1
9.60
5.14
0.31
4.15
9.34
4.0%
2025Q2
91
33.2
8.78
4.72
0.27
3.80
8.46
3.7%
2025Q1
90
31.9
8.50
4.70
0.25
3.54
8.32
5.7%
2024Q4
92
31.6
8.54
4.87
0.16
3.51
8.07
6.9%
2024Q3
92
30.0
9.56
5.52
0.19
3.85
9.02
13.7%
2024Q2
91
30.3
8.28
3.83
0.64
3.81
7.97
12.1%
2024Q1
91
30.9
8.82
4.06
0.86
3.90
8.56
10.8%
2023Q4
92
28.7
8.94
4.48
0.69
3.77
8.60
27.5%
2023Q3
92
27.2
9.68
4.82
0.36
4.50
9.34
36.6%
2023Q2
91
25.9
10.16
5.51
0.23
4.42
9.93
31.0%
2023Q1
90
27.0
9.75
5.33
0.05
4.37
9.23
26.4%
2022Q4
92
26.6
9.88
5.43
0.00
4.45
9.44
22.8%
2022Q3
92
26.7
10.18
5.59
0.00
4.59
9.94
24.0%
2022Q2
91
28.6
10.26
5.74
0.00
4.52
9.79
30.0%
2022Q1
90
28.5
9.95
5.46
0.00
4.49
9.69
28.0%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-07
2025-06-18
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
2025-06-20
2025-06-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-30
2025-06-18
Health · complaint
F0713
Provide or arrange emergency care by a doctor 24 hours a day.
D
2025-06-20
2025-06-18
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.
J
2025-06-20
2025-06-18
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-06-20
2024-06-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-28
2024-06-06
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
2024-07-28
2024-06-06
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-07-28
2024-06-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-28
2024-06-06
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-01-07
2024-06-06
Health
F0791
Provide or obtain dental services for each resident.
D
2024-07-28
2024-06-06
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-28
2024-06-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-28
2023-06-23
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
2023-07-14
2023-06-23
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.
D
2023-07-14
2023-06-23
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
2023-07-14
2023-06-23
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-07-14
2023-06-23
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2023-07-14
2023-06-23
Health
F0908
Keep all essential equipment working safely.
E
2023-07-14
2022-07-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-08-26
2022-07-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2022-08-26
2022-07-15
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2022-08-26
2022-07-15
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
2022-08-26
2022-07-15
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.
E
2022-08-26
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
16
Owner
Role
Pct
From
Status
Source
PACIFIC SKILLED HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-30
current
pecos_ownership
OLSEN, SPENCER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
73%
2022-06-30
current
pecos_ownership
SORENSEN, KRISTEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-06-30
current
pecos_ownership
ITO, RANDALL
W-2 MANAGING EMPLOYEE
—
2023-02-01
current
pecos_ownership
LEFLER, TYRUS
CORPORATE OFFICER
—
2022-09-23
current
pecos_ownership
OLSEN, SPENCER
CORPORATE OFFICER
—
2022-09-23
current
pecos_ownership
PANG, BRIAN
CORPORATE OFFICER
—
2023-02-01
current
pecos_ownership
YOSHIDA, CYNTHIA
CORPORATE OFFICER
—
2023-02-01
current
pecos_ownership
RANDALL ITO
OPERATIONAL/MANAGERIAL CONTROL
100%
2023-02-01
ended 2026-05-18
pecos_ownership
SPENCER OLSEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
73%
2022-06-30
ended 2026-05-18
pecos_ownership
AARON MAYER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2022-06-30
ended 2026-05-18
pecos_ownership
KRISTEN SORENSEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-06-30
ended 2026-05-18
pecos_ownership
BRIAN PANG
CORPORATE OFFICER
0%
2023-02-01
ended 2026-05-18
pecos_ownership
CYNTHIA YOSHIDA
CORPORATE OFFICER
0%
2023-02-01
ended 2026-05-18
pecos_ownership
SPENCER OLSEN
CORPORATE OFFICER
0%
2022-09-23
ended 2026-05-18
pecos_ownership
TYRUS LEFLER
CORPORATE OFFICER
0%
2022-09-23
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
$598,990
—
—
—
—
2
—
2023-12-31
$1,614,750
—
—
—
$881,123
2
—
2023-01-31
$577,936
—
—
—
$532,265
2
—
2021-12-31
$531,243
—
—
—
$488,688
2
—
2020-12-31
$581,723
—
—
—
$543,543
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
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 15003
acs median gross
0
$1,458
2024-12-31
CENSUS_ACS5
county 15003
fmr
0
$1,877
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
1
$1,605
2024-12-31
CENSUS_ACS5
county 15003
fmr
1
$2,016
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
2
$2,086
2024-12-31
CENSUS_ACS5
county 15003
fmr
2
$2,642
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
3
$2,948
2024-12-31
CENSUS_ACS5
county 15003
fmr
3
$3,674
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
4
$3,443
2024-12-31
CENSUS_ACS5
county 15003
fmr
4
$4,432
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
5
$3,057
2024-12-31
CENSUS_ACS5
county 15003
acs median gross
$2,083
2024-12-31
CENSUS_ACS5
county 15003
acs recent mover gross
$2,457
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
0
$3,500
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
1
$1,445
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
2
$2,051
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
3
$3,101
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 96706
acs median gross
$2,779
2024-12-31
CENSUS_ACS5
zcta 96706
acs recent mover gross
$3,063
2024-12-31
CENSUS_ACS5
zip 96706
payment standard 110
0
$2,464
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 90
0
$2,016
2025-10-01
HUD_USER_SAFMR
zip 96706
safmr
0
$2,240
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 110
1
$2,651
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 90
1
$2,169
2025-10-01
HUD_USER_SAFMR
zip 96706
safmr
1
$2,410
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 110
2
$3,476
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 90
2
$2,844
2025-10-01
HUD_USER_SAFMR
zip 96706
safmr
2
$3,160
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 110
3
$4,829
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 90
3
$3,951
2025-10-01
HUD_USER_SAFMR
zip 96706
safmr
3
$4,390
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 110
4
$5,830
2025-10-01
HUD_USER_SAFMR
zip 96706
payment standard 90
4
$4,770
2025-10-01
HUD_USER_SAFMR
zip 96706
safmr
4
$5,300
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.