Reads as: riskier than 55.1% 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
15
2025Q4 HPRD
This facility
SD median
National median
National p25–p75
Total nurse
2.76
2.96
3.28
2.90–3.77
RN
0.79
0.52
0.39
0.25–0.58
Weekend total
2.52
2.75
3.11
—
Weekday total
2.86
3.06
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
30.2
2.76
0.79
0.17
1.80
2.52
52.6%
2025Q3
92
32.4
2.66
0.74
0.19
1.73
2.30
68.8%
2025Q2
91
34.1
2.78
0.52
0.33
1.92
2.32
52.9%
2025Q1
90
38.5
2.32
0.32
0.35
1.65
2.03
52.7%
2024Q4
92
40.0
2.26
0.42
0.23
1.60
1.95
54.5%
2024Q3
92
33.2
1.51
0.45
0.16
0.90
1.60
46.9%
2024Q2
91
32.8
1.88
0.42
0.29
1.17
1.81
51.6%
2024Q1
91
32.1
1.95
0.23
0.37
1.35
1.85
60.4%
2023Q4
92
33.3
1.21
0.33
0.33
0.56
1.09
100.0%
2023Q2
91
34.9
2.97
1.17
0.15
1.64
2.71
13.9%
2023Q1
90
37.0
2.74
0.80
0.26
1.69
2.61
0.0%
2022Q4
92
39.5
2.67
0.72
0.21
1.75
2.45
1.0%
2022Q3
92
38.0
2.66
0.79
0.23
1.65
2.38
7.7%
2022Q2
91
34.6
2.88
0.89
0.33
1.67
2.56
7.8%
2022Q1
90
33.9
2.89
0.68
0.37
1.84
2.59
5.1%
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-27
2025-04-09
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-05-27
2025-04-09
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-27
2025-04-09
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-05-02
2025-04-09
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2025-05-02
2025-04-09
Health · complaint
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
2025-05-02
2025-03-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2025-04-26
2025-03-12
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2025-04-26
2025-03-12
Health
F0610
Respond appropriately to all alleged violations.
D
2025-05-27
2025-03-12
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2025-04-26
2025-03-12
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-04-26
2025-03-12
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
E
2025-04-26
2025-03-12
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.
E
2025-05-08
2025-03-12
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.
F
2025-04-26
2025-03-12
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-04-26
2025-03-12
Health
F0732
Post nurse staffing information every day.
F
2025-04-26
2025-03-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2025-05-27
2025-03-12
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-04-26
2025-03-12
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
2025-04-26
2025-03-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-26
2025-03-12
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2025-04-26
2025-03-12
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.
F
2025-04-26
2025-03-12
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F
2025-05-07
2025-03-12
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F
2025-05-07
2025-03-12
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-04-26
2025-03-12
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2025-04-26
2025-03-12
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.
E
2025-04-26
2025-01-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-02-07
2023-12-06
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
2024-01-20
2023-12-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-01-20
2023-12-06
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
E
2024-01-20
2023-12-06
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-01-20
2023-12-06
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-01-20
2022-11-03
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.
E
2022-12-23
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
2
Owner
Role
Pct
From
Status
Source
STROSCHEIN, CHAD
W-2 MANAGING EMPLOYEE
—
2018-11-19
current
pecos_ownership
CHAD STROSCHEIN
W-2 MANAGING EMPLOYEE
0%
2018-11-19
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
30
Geo
Kind
BR
Amount
As of
Source
county 46105
acs median gross
0
$929
2024-12-31
CENSUS_ACS5
county 46105
fmr
0
$641
2025-10-01
HUD_USER_FMR
county 46105
acs median gross
1
$400
2024-12-31
CENSUS_ACS5
county 46105
fmr
1
$722
2025-10-01
HUD_USER_FMR
county 46105
acs median gross
2
$871
2024-12-31
CENSUS_ACS5
county 46105
fmr
2
$929
2025-10-01
HUD_USER_FMR
county 46105
acs median gross
3
$972
2024-12-31
CENSUS_ACS5
county 46105
fmr
3
$1,212
2025-10-01
HUD_USER_FMR
county 46105
acs median gross
4
$725
2024-12-31
CENSUS_ACS5
county 46105
fmr
4
$1,438
2025-10-01
HUD_USER_FMR
county 46105
acs median gross
$738
2024-12-31
CENSUS_ACS5
zcta 57638
acs median gross
1
$415
2024-12-31
CENSUS_ACS5
zcta 57638
acs median gross
2
$843
2024-12-31
CENSUS_ACS5
zcta 57638
acs median gross
3
$1,000
2024-12-31
CENSUS_ACS5
zcta 57638
acs median gross
$663
2024-12-31
CENSUS_ACS5
zip 57638
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 57638
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 57638
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 57638
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 110
3
$1,342
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 90
3
$1,098
2025-10-01
HUD_USER_SAFMR
zip 57638
safmr
3
$1,220
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 110
4
$1,595
2025-10-01
HUD_USER_SAFMR
zip 57638
payment standard 90
4
$1,305
2025-10-01
HUD_USER_SAFMR
zip 57638
safmr
4
$1,450
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.