Reads as: riskier than 86.2% 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
NC median
National median
National p25–p75
Total nurse
2.74
3.08
3.28
2.90–3.77
RN
0.61
0.30
0.39
0.25–0.58
Weekend total
2.44
2.93
3.11
—
Weekday total
2.86
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.3
2.74
0.61
0.52
1.61
2.44
0.0%
2025Q3
92
55.5
2.66
0.67
0.37
1.61
2.56
0.0%
2025Q2
91
60.7
2.77
0.66
0.34
1.77
2.63
0.0%
2025Q1
90
66.0
2.63
0.70
0.32
1.62
2.52
0.0%
2024Q4
92
63.1
2.52
0.79
0.30
1.43
2.51
0.0%
2024Q3
92
58.2
2.83
0.82
0.33
1.69
2.55
0.0%
2024Q2
91
59.7
2.58
0.74
0.32
1.52
2.34
0.0%
2024Q1
91
58.8
2.28
0.75
0.28
1.25
2.25
0.0%
2023Q4
92
54.9
2.25
0.83
0.16
1.26
2.11
0.0%
2023Q3
92
54.1
2.10
0.73
0.20
1.17
1.97
0.0%
2023Q2
91
54.9
2.44
0.69
0.22
1.52
2.09
0.0%
2023Q1
90
52.7
2.37
0.69
0.31
1.38
2.14
0.0%
2022Q4
92
53.2
2.23
0.68
0.34
1.21
2.03
0.0%
2022Q3
92
54.8
2.17
0.78
0.22
1.17
1.93
0.0%
2022Q2
91
49.9
2.21
0.84
0.24
1.13
1.96
0.6%
2022Q1
90
50.2
2.51
0.67
0.48
1.37
2.11
14.1%
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.
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
2025-04-10
2025-03-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-04-10
2025-03-14
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.
E
2025-04-10
2025-03-14
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.
E
2025-04-10
2025-03-14
Health
F0791
Provide or obtain dental services for each resident.
E
2025-04-10
2025-03-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-10
2023-11-02
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
G
2023-11-27
2023-11-02
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-11-27
2023-11-02
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-27
2023-11-02
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2023-11-27
2023-11-02
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
2023-11-27
2023-11-02
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-11-27
2023-11-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-27
2023-11-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-27
2023-11-02
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.
G
2023-11-27
2023-11-02
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.
E
2023-11-27
2023-11-02
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2023-11-27
2023-11-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-27
2023-11-02
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-11-27
2023-11-02
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-11-27
2022-04-21
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
2022-04-25
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
23
Owner
Role
Pct
From
Status
Source
ANDREWS PARENTCO LLC
DIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
FC ENCORE ANDREWS, LLC
5% OR GREATER SECURITY INTEREST
—
2025-05-01
current
pecos_ownership
HEDDEN, AUDREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
HOBACK, TIFFANY
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
current
pecos_ownership
JONES, TEQUILLA
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
MOODY, AMY
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
NCOP HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
NU C II IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
NU C IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
SEMONES, BRANDI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
SNF CARE CENTERS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
SNF MGR LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
SNF MGR LLC
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
STOVER, LANI
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
WESTCAR HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
ZENITH HOLDCO II LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
ZENITH HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
AMY MOODY
ADP OF THE SNF
—
2025-06-01
ended 2026-05-18
pecos_ownership
AUDREY HEDDEN
ADP OF THE SNF
—
2025-05-01
ended 2026-05-18
pecos_ownership
BRANDI SEMONES
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
ended 2026-05-18
pecos_ownership
LANI STOVER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
ended 2026-05-18
pecos_ownership
TEQUILLA JONES
ADP OF THE SNF
—
2025-05-01
ended 2026-05-18
pecos_ownership
TIFFANY HOBACK
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
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
$355,230
—
—
—
—
3
—
2023-12-31
$294,207
—
—
—
—
3
—
2022-12-31
$258,318
—
—
—
—
3
—
2021-12-31
$267,232
—
—
—
—
4
—
2020-12-31
$265,602
—
—
—
—
2
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 37039
acs median gross
0
$519
2024-12-31
CENSUS_ACS5
county 37039
fmr
0
$645
2025-10-01
HUD_USER_FMR
county 37039
acs median gross
1
$308
2024-12-31
CENSUS_ACS5
county 37039
fmr
1
$713
2025-10-01
HUD_USER_FMR
county 37039
acs median gross
2
$804
2024-12-31
CENSUS_ACS5
county 37039
fmr
2
$935
2025-10-01
HUD_USER_FMR
county 37039
acs median gross
3
$903
2024-12-31
CENSUS_ACS5
county 37039
fmr
3
$1,290
2025-10-01
HUD_USER_FMR
county 37039
acs median gross
4
$1,096
2024-12-31
CENSUS_ACS5
county 37039
fmr
4
$1,497
2025-10-01
HUD_USER_FMR
county 37039
acs median gross
$813
2024-12-31
CENSUS_ACS5
county 37039
acs recent mover gross
$933
2024-12-31
CENSUS_ACS5
zcta 28901
acs median gross
2
$717
2024-12-31
CENSUS_ACS5
zcta 28901
acs median gross
$719
2024-12-31
CENSUS_ACS5
zip 28901
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 28901
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 28901
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 28901
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 28901
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 28901
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 28901
safmr
4
$1,490
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.