Reads as: riskier than 76.7% 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
MI median
National median
National p25–p75
Total nurse
3.73
3.52
3.28
2.90–3.77
RN
0.76
0.47
0.39
0.25–0.58
Weekend total
3.50
3.32
3.11
—
Weekday total
3.81
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.7
3.73
0.76
0.67
2.30
3.50
0.0%
2025Q3
92
91.4
3.80
0.59
0.76
2.44
3.68
0.0%
2025Q2
91
88.8
3.85
0.53
0.96
2.37
3.62
0.0%
2025Q1
90
89.2
3.79
0.52
0.92
2.35
3.66
0.0%
2024Q4
92
86.7
3.66
0.47
0.97
2.22
3.52
0.0%
2024Q3
92
83.0
3.81
0.52
1.06
2.22
3.72
0.0%
2024Q2
91
78.6
3.97
0.65
1.01
2.31
3.70
0.0%
2024Q1
91
78.8
3.33
0.55
0.71
2.07
3.19
0.0%
2023Q4
92
77.9
3.56
0.60
0.78
2.18
3.27
0.0%
2023Q3
92
81.6
3.59
0.51
0.84
2.24
3.32
0.0%
2023Q2
91
83.4
3.42
0.61
0.79
2.02
3.17
0.0%
2023Q1
90
86.0
3.36
0.51
0.84
2.00
3.06
0.0%
2022Q4
92
84.8
3.57
0.63
0.82
2.13
3.22
0.0%
2022Q3
92
83.4
3.22
0.60
0.85
1.77
2.73
8.2%
2022Q2
91
85.2
3.28
0.72
0.80
1.76
2.83
23.0%
2022Q1
90
85.1
3.07
0.67
0.63
1.78
2.73
21.0%
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.
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
22
D × 13E × 4G × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-05-05
2026-04-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-05
2025-11-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-10-28
2025-10-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-15
2025-03-27
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-26
2025-03-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-04-26
2025-03-27
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-04-26
2025-03-27
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-04-26
2025-01-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-02-18
2025-01-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-18
2024-04-04
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.
D
2024-05-03
2024-04-04
Health
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
2024-05-03
2024-04-04
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-05-03
2024-04-04
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
2024-05-03
2024-04-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-05-03
2024-04-04
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-05-03
2024-04-04
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
2024-05-03
2024-04-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-03
2024-04-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-03
2024-04-04
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-05-03
2023-08-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-09-14
2023-06-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-06-21
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
BRITTANY REAL E
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
BRITTANY REAL E
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
AHMED, TAZEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
1999-06-01
current
pecos_ownership
KHAN, ANIS
OPERATIONAL/MANAGERIAL CONTROL
—
1999-06-01
current
pecos_ownership
MCGOURTY, DIANE
ADP OF THE SNF
—
2024-10-14
current
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
ADP OF THE SNF
—
1999-06-01
current
pecos_ownership
QAZI, MOHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
1999-06-01
current
pecos_ownership
BRITTANY REAL E
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
BRITTANY REAL E
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MOHAMMAD QAZI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
1999-06-01
ended 2026-05-18
pecos_ownership
ANIS KHAN
MANAGING CONTROL - GOVERNING BODY
—
1999-06-01
ended 2026-05-18
pecos_ownership
BRITTANY REAL E
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
DIANE MCGOURTY
ADP OF THE SNF
—
2024-10-14
ended 2026-05-18
pecos_ownership
TAZEEN AHMED
ADP OF THE SNF
—
2025-01-01
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
$1,774,836
$1,075,363
$680,145
—
—
3
propco
2023-12-31
$1,810,284
$1,106,442
$679,550
—
—
3
propco
2022-12-31
$1,941,618
$1,153,199
$739,651
—
—
3
propco
2021-12-31
$1,882,420
—
$711,763
—
—
3
propco
2020-12-31
$2,148,725
$1,240,721
$748,624
—
$159,380
3
propco
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 26111
acs median gross
0
$737
2024-12-31
CENSUS_ACS5
county 26111
fmr
0
$907
2025-10-01
HUD_USER_FMR
county 26111
acs median gross
1
$778
2024-12-31
CENSUS_ACS5
county 26111
fmr
1
$925
2025-10-01
HUD_USER_FMR
county 26111
acs median gross
2
$1,039
2024-12-31
CENSUS_ACS5
county 26111
fmr
2
$1,193
2025-10-01
HUD_USER_FMR
county 26111
acs median gross
3
$1,179
2024-12-31
CENSUS_ACS5
county 26111
fmr
3
$1,518
2025-10-01
HUD_USER_FMR
county 26111
acs median gross
4
$1,631
2024-12-31
CENSUS_ACS5
county 26111
fmr
4
$1,682
2025-10-01
HUD_USER_FMR
county 26111
acs median gross
5
$1,158
2024-12-31
CENSUS_ACS5
county 26111
acs median gross
$1,016
2024-12-31
CENSUS_ACS5
county 26111
acs recent mover gross
$1,204
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
0
$732
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
1
$910
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
2
$1,173
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
3
$1,283
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
4
$1,746
2024-12-31
CENSUS_ACS5
zcta 48642
acs median gross
$1,139
2024-12-31
CENSUS_ACS5
zcta 48642
acs recent mover gross
$1,260
2024-12-31
CENSUS_ACS5
zip 48642
payment standard 110
0
$1,122
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 90
0
$918
2025-10-01
HUD_USER_SAFMR
zip 48642
safmr
0
$1,020
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 48642
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 48642
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 48642
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 110
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 48642
payment standard 90
4
$1,701
2025-10-01
HUD_USER_SAFMR
zip 48642
safmr
4
$1,890
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.