Reads as: riskier than 33.0% 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
IN median
National median
National p25–p75
Total nurse
3.86
2.85
3.28
2.90–3.77
RN
0.47
0.40
0.39
0.25–0.58
Weekend total
3.48
2.71
3.11
—
Weekday total
4.00
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.2
3.86
0.47
1.15
2.24
3.48
20.7%
2025Q3
92
35.5
4.10
0.55
1.24
2.31
3.69
13.3%
2025Q2
91
39.2
3.65
0.48
0.95
2.22
3.36
15.0%
2025Q1
90
38.9
3.58
0.41
0.84
2.34
3.44
12.8%
2024Q4
92
44.0
3.36
0.48
0.75
2.13
3.23
4.2%
2024Q3
92
43.3
3.59
0.48
0.91
2.19
3.35
17.2%
2024Q2
91
44.3
3.71
0.47
0.86
2.38
3.43
23.9%
2024Q1
91
43.9
3.56
0.48
0.84
2.24
3.37
29.5%
2023Q3
92
40.5
3.53
0.39
0.87
2.27
3.35
39.8%
2023Q2
91
42.3
3.26
0.55
0.73
1.98
3.17
32.7%
2023Q1
90
46.8
2.95
0.49
0.64
1.82
2.93
32.3%
2022Q4
92
46.9
3.07
0.34
0.83
1.90
3.22
29.4%
2022Q3
92
39.5
3.54
0.28
1.11
2.15
3.79
22.7%
2022Q2
91
39.1
3.32
0.22
1.20
1.90
3.52
15.9%
2022Q1
90
39.1
3.30
0.23
1.31
1.77
3.22
15.3%
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
19
C × 1D × 13E × 3F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-01
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-04-25
2025-04-01
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
2025-04-25
2025-04-01
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
2025-04-25
2025-04-01
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-04-25
2025-04-01
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
2025-04-25
2025-04-01
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2025-04-25
2025-04-01
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-04-25
2025-04-01
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
2025-04-25
2025-04-01
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-04-25
2025-04-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-25
2025-04-01
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-25
2025-04-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-25
2024-02-02
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-03-02
2024-02-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-02
2024-02-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-02
2022-05-16
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-06-15
2022-05-16
Health
F0732
Post nurse staffing information every day.
C
2022-06-15
2022-05-16
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.
E
2022-06-15
2022-05-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-06-15
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
38
Owner
Role
Pct
From
Status
Source
HENRY COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-01
current
pecos_ownership
CARLISLE HIGGS, LORRIE
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
CHANDLER, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2013-12-01
current
pecos_ownership
DILL, LAUREN
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
DYNES, SHELDON
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
current
pecos_ownership
EVANSVILLE PROTESTANT HOME INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
GRUBB, WILLIAM
MANAGING CONTROL - GOVERNING BODY
—
1996-07-01
current
pecos_ownership
HARBIN, WARD
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
HERRELL, MICHAEL
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
KRANPITZ, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
MAYER, PAUL
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
PERRY, ANNA
MANAGING CONTROL - GOVERNING BODY
—
2007-11-01
current
pecos_ownership
PIDGEON, JOHN
TRUSTEE OF THE SNF
—
2013-01-01
current
pecos_ownership
RING, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
SENSMEIER, WILLIAM
ADP OF THE SNF
—
1998-10-01
current
pecos_ownership
SHORE, MARION
TRUSTEE OF THE SNF
—
2013-01-01
current
pecos_ownership
SONNTAG, MARYLU
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
WARE, DEBORAH
TRUSTEE OF THE SNF
—
2021-08-27
current
pecos_ownership
WEYERBACHER, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2003-10-01
current
pecos_ownership
YEAGER, ROBERT
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
ANNA PERRY
MANAGING CONTROL - GOVERNING BODY
—
2007-11-01
ended 2026-05-18
pecos_ownership
BRIAN RING
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
ended 2026-05-18
pecos_ownership
DEBORAH WARE
MANAGING CONTROL - GOVERNING BODY
—
2021-08-27
ended 2026-05-18
pecos_ownership
JOHN PIDGEON
TRUSTEE OF THE SNF
—
2013-01-01
ended 2026-05-18
pecos_ownership
JOHN WEYERBACHER
OPERATIONAL/MANAGERIAL CONTROL
—
2003-10-01
ended 2026-05-18
pecos_ownership
LAUREN DILL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
LORRIE CARLISLE HIGGS
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
MARION SHORE
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
MARK CHANDLER
MANAGING CONTROL - GOVERNING BODY
—
2013-12-01
ended 2026-05-18
pecos_ownership
MARYLU SONNTAG
ADP OF THE SNF
—
2015-07-01
ended 2026-05-18
pecos_ownership
MICHAEL HERRELL
ADP OF THE SNF
—
2017-10-01
ended 2026-05-18
pecos_ownership
PAUL MAYER
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
ROBERT YEAGER
ADP OF THE SNF
—
2025-10-01
ended 2026-05-18
pecos_ownership
SHELDON DYNES
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
TODD KRANPITZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
ended 2026-05-18
pecos_ownership
WARD HARBIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
WILLIAM GRUBB
ADP OF THE SNF
—
1996-07-01
ended 2026-05-18
pecos_ownership
WILLIAM SENSMEIER
ADP OF THE SNF
—
1998-10-01
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.
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 18163
acs median gross
0
$694
2024-12-31
CENSUS_ACS5
county 18163
fmr
0
$853
2025-10-01
HUD_USER_FMR
county 18163
acs median gross
1
$816
2024-12-31
CENSUS_ACS5
county 18163
fmr
1
$860
2025-10-01
HUD_USER_FMR
county 18163
acs median gross
2
$1,058
2024-12-31
CENSUS_ACS5
county 18163
fmr
2
$1,113
2025-10-01
HUD_USER_FMR
county 18163
acs median gross
3
$1,218
2024-12-31
CENSUS_ACS5
county 18163
fmr
3
$1,370
2025-10-01
HUD_USER_FMR
county 18163
acs median gross
4
$1,135
2024-12-31
CENSUS_ACS5
county 18163
fmr
4
$1,539
2025-10-01
HUD_USER_FMR
county 18163
acs median gross
5
$1,375
2024-12-31
CENSUS_ACS5
county 18163
acs median gross
$985
2024-12-31
CENSUS_ACS5
county 18163
acs recent mover gross
$1,010
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
0
$659
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
1
$827
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
2
$1,072
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
3
$1,280
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
4
$995
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
5
$1,531
2024-12-31
CENSUS_ACS5
zcta 47714
acs median gross
$970
2024-12-31
CENSUS_ACS5
zcta 47714
acs recent mover gross
$877
2024-12-31
CENSUS_ACS5
zip 47714
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 47714
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 47714
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 47714
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 47714
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 47714
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 47714
safmr
4
$1,550
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.