Reads as: riskier than 19.3% 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
3.58
3.08
3.28
2.90–3.77
RN
0.32
0.30
0.39
0.25–0.58
Weekend total
3.35
2.93
3.11
—
Weekday total
3.67
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.7
3.58
0.32
0.90
2.37
3.35
0.0%
2025Q3
92
89.1
3.65
0.37
0.92
2.35
3.35
0.0%
2025Q2
91
89.4
3.45
0.22
0.97
2.26
3.17
0.0%
2025Q1
90
90.2
3.59
0.27
0.96
2.35
3.35
0.0%
2024Q4
92
91.1
3.47
0.25
0.98
2.23
3.26
0.0%
2024Q3
92
92.7
3.47
0.24
0.92
2.31
3.16
0.0%
2024Q2
91
86.3
3.72
0.38
0.91
2.43
3.24
0.0%
2024Q1
91
86.8
3.36
0.32
0.76
2.28
2.94
0.0%
2023Q4
92
87.1
3.18
0.36
0.75
2.07
2.86
0.0%
2023Q3
92
88.7
3.11
0.25
0.80
2.06
2.72
0.0%
2023Q2
91
87.9
2.91
0.25
0.84
1.82
2.56
0.0%
2023Q1
90
91.8
3.11
0.22
0.96
1.93
2.65
0.0%
2022Q4
92
85.2
3.23
0.45
1.01
1.77
2.72
0.0%
2022Q3
92
88.3
2.68
0.47
0.94
1.26
2.07
0.0%
2022Q2
91
89.6
2.60
0.49
0.88
1.22
2.15
0.0%
2022Q1
90
89.6
2.78
0.51
0.91
1.36
2.29
0.0%
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
10
D × 8E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-15
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-02-06
2026-01-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-06
2026-01-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-02-06
2026-01-15
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
2026-02-06
2026-01-15
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
2026-02-06
2026-01-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-06
2026-01-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-06
2026-01-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-06
2025-09-03
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
—
2023-05-04
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
2023-05-19
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
FAISON, MARCUS
ADP OF THE SNF
—
2023-12-04
current
pecos_ownership
KASTNER, ROBERT
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
MANAGING CONTROL - GOVERNING BODY
—
2017-02-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-02-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
MOHAMMAD QAZI 2022 CHILDREN'S TRUST UAD 5-4-2022
ADP OF THE SNF
—
2023-09-14
current
pecos_ownership
QAZI, MOHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-02-01
current
pecos_ownership
QAZI, MOHAMMAD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-19
current
pecos_ownership
STOBB, DAVID
ADP OF THE SNF
—
2017-02-01
current
pecos_ownership
THE LAURELS OF PENDER REAL ESTATE, LLC
ADP OF THE SNF
—
2017-02-01
current
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-02-01
ended 2026-04-01
pecos_ownership
ANIS KHAN
MANAGING CONTROL - GOVERNING BODY
—
2017-02-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
ADP OF THE SNF
—
2017-02-01
ended 2026-05-18
pecos_ownership
MARCUS FAISON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-04
ended 2026-05-18
pecos_ownership
ROBERT KASTNER
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
2024-09-30
$494,967
—
$494,967
—
—
1
—
2023-09-30
$459,195
—
$459,195
—
—
1
—
2022-09-30
$468,720
—
$468,720
—
—
1
—
2021-09-30
$398,572
—
—
—
$87,160
3
—
2020-09-30
$387,511
—
—
—
$88,490
3
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 37141
acs median gross
0
$1,044
2024-12-31
CENSUS_ACS5
county 37141
fmr
0
$1,016
2025-10-01
HUD_USER_FMR
county 37141
acs median gross
1
$1,100
2024-12-31
CENSUS_ACS5
county 37141
fmr
1
$1,064
2025-10-01
HUD_USER_FMR
county 37141
acs median gross
2
$928
2024-12-31
CENSUS_ACS5
county 37141
fmr
2
$1,166
2025-10-01
HUD_USER_FMR
county 37141
acs median gross
3
$1,282
2024-12-31
CENSUS_ACS5
county 37141
fmr
3
$1,622
2025-10-01
HUD_USER_FMR
county 37141
acs median gross
4
$2,325
2024-12-31
CENSUS_ACS5
county 37141
fmr
4
$1,956
2025-10-01
HUD_USER_FMR
county 37141
acs median gross
$1,106
2024-12-31
CENSUS_ACS5
county 37141
acs recent mover gross
$2,056
2024-12-31
CENSUS_ACS5
zcta 28425
acs median gross
2
$813
2024-12-31
CENSUS_ACS5
zcta 28425
acs median gross
3
$1,118
2024-12-31
CENSUS_ACS5
zcta 28425
acs median gross
$939
2024-12-31
CENSUS_ACS5
zcta 28425
acs recent mover gross
$1,946
2024-12-31
CENSUS_ACS5
zip 28425
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 28425
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 28425
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 28425
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 28425
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 28425
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 28425
safmr
4
$1,690
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.