Reads as: riskier than 25.2% 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
MN median
National median
National p25–p75
Total nurse
3.59
3.49
3.28
2.90–3.77
RN
0.89
0.65
0.39
0.25–0.58
Weekend total
3.23
3.32
3.11
—
Weekday total
3.74
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.0
3.59
0.89
0.53
2.17
3.23
0.2%
2025Q3
92
54.3
3.75
1.01
0.54
2.20
3.33
8.0%
2025Q2
91
54.0
3.62
0.92
0.50
2.19
3.28
18.2%
2025Q1
90
53.7
3.67
1.02
0.47
2.19
3.38
21.6%
2024Q4
92
56.3
3.37
0.84
0.48
2.04
3.04
13.4%
2024Q3
92
55.2
3.50
0.86
0.51
2.13
3.05
15.3%
2024Q2
91
55.1
3.42
0.81
0.59
2.02
2.97
32.7%
2024Q1
91
57.0
3.31
0.62
0.66
2.02
2.94
37.2%
2023Q4
92
57.2
3.19
0.58
0.49
2.12
2.88
38.2%
2023Q3
92
56.9
3.19
0.66
0.48
2.04
2.80
43.6%
2023Q2
91
55.2
3.25
0.73
0.48
2.04
2.81
47.1%
2023Q1
90
56.0
3.27
0.60
0.62
2.05
2.93
51.7%
2022Q4
92
57.1
3.02
0.65
0.52
1.86
2.78
48.8%
2022Q3
92
56.2
3.14
0.76
0.46
1.91
2.81
46.4%
2022Q2
91
57.9
3.13
0.73
0.45
1.95
2.70
51.0%
2022Q1
90
56.1
3.46
0.85
0.74
1.86
2.98
42.6%
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.
Provide and implement an infection prevention and control program.
D
—
2025-06-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-15
2025-06-12
Health
F0732
Post nurse staffing information every day.
C
2025-07-15
2025-06-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-15
2025-06-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-07-15
2025-02-12
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-03-20
2025-02-12
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
2025-03-20
2025-02-12
Health · complaint
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
2025-03-20
2024-08-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-16
2024-08-26
Health · complaint
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
2024-10-01
2024-08-26
Health · complaint
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.
F
2024-10-01
2024-01-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-27
2023-12-28
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-01-15
2023-12-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-01-15
2023-06-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-07-20
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
17
Owner
Role
Pct
From
Status
Source
ANDERSON, JUSTIN
CORPORATE DIRECTOR
—
2012-09-01
current
pecos_ownership
BAKKE, CHRISTINE
CONTRACTED MANAGING EMPLOYEE
—
2017-04-17
current
pecos_ownership
BENEDICTINE HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
1995-05-25
current
pecos_ownership
BERGIEN, TRICIA
CORPORATE OFFICER
—
2017-01-01
current
pecos_ownership
BOLDT, CHRISTINE
CORPORATE DIRECTOR
—
2005-09-01
current
pecos_ownership
CARLEY, GERALD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-03
current
pecos_ownership
EUSTICE, DIANE
CORPORATE DIRECTOR
—
2014-09-01
current
pecos_ownership
GEISLER, TIMOTHY
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
GRAHAM, BARBARA
CORPORATE DIRECTOR
—
2018-08-31
current
pecos_ownership
KOSHIRE, LARRY
CORPORATE DIRECTOR
—
2015-05-21
current
pecos_ownership
OBRIEN, MICHAEL
CORPORATE DIRECTOR
—
2012-11-01
current
pecos_ownership
RUSSELL, JAMES
CORPORATE DIRECTOR
—
2016-02-18
current
pecos_ownership
RYMANOWSKI, KEVIN
CORPORATE OFFICER
—
2008-01-01
current
pecos_ownership
SCHWINGHAMMER, DIANE
CORPORATE DIRECTOR
—
2013-09-01
current
pecos_ownership
SNYDER, BRUCE
CORPORATE DIRECTOR
—
2014-09-01
current
pecos_ownership
TRUEMAN, BARBARA
CORPORATE DIRECTOR
—
2018-09-01
current
pecos_ownership
WILLARD, MICHAEL
CORPORATE DIRECTOR
—
2014-09-01
current
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
2025-06-30
$732,372
—
—
$59,665
$36,212
1
—
2024-06-30
$651,610
—
—
$58,060
$45,505
1
—
2023-06-30
$604,542
—
—
$62,545
$48,263
1
—
2022-06-30
$599,984
—
—
$53,316
$55,228
1
—
2021-06-30
$658,206
—
—
$55,931
$52,885
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 27109
acs median gross
0
$1,073
2024-12-31
CENSUS_ACS5
county 27109
fmr
0
$1,112
2025-10-01
HUD_USER_FMR
county 27109
acs median gross
1
$1,138
2024-12-31
CENSUS_ACS5
county 27109
fmr
1
$1,189
2025-10-01
HUD_USER_FMR
county 27109
acs median gross
2
$1,354
2024-12-31
CENSUS_ACS5
county 27109
fmr
2
$1,407
2025-10-01
HUD_USER_FMR
county 27109
acs median gross
3
$1,642
2024-12-31
CENSUS_ACS5
county 27109
fmr
3
$1,957
2025-10-01
HUD_USER_FMR
county 27109
acs median gross
4
$2,040
2024-12-31
CENSUS_ACS5
county 27109
fmr
4
$2,360
2025-10-01
HUD_USER_FMR
county 27109
acs median gross
5
$1,929
2024-12-31
CENSUS_ACS5
county 27109
acs median gross
$1,370
2024-12-31
CENSUS_ACS5
county 27109
acs recent mover gross
$1,511
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
0
$1,056
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
1
$1,082
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
2
$1,368
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
3
$1,716
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
4
$2,176
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
5
$2,141
2024-12-31
CENSUS_ACS5
zcta 55901
acs median gross
$1,403
2024-12-31
CENSUS_ACS5
zcta 55901
acs recent mover gross
$1,488
2024-12-31
CENSUS_ACS5
zip 55901
payment standard 110
0
$1,276
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 90
0
$1,044
2025-10-01
HUD_USER_SAFMR
zip 55901
safmr
0
$1,160
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 55901
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 55901
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 110
3
$2,244
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 90
3
$1,836
2025-10-01
HUD_USER_SAFMR
zip 55901
safmr
3
$2,040
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 110
4
$2,717
2025-10-01
HUD_USER_SAFMR
zip 55901
payment standard 90
4
$2,223
2025-10-01
HUD_USER_SAFMR
zip 55901
safmr
4
$2,470
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.