Reads as: riskier than 51.5% 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
4.37
3.08
3.28
2.90–3.77
RN
0.22
0.30
0.39
0.25–0.58
Weekend total
4.14
2.93
3.11
—
Weekday total
4.46
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.0
4.37
0.22
1.39
2.76
4.14
0.0%
2025Q3
92
71.9
4.41
0.32
1.24
2.85
4.00
0.0%
2025Q2
91
71.5
4.11
0.45
1.14
2.52
3.69
0.0%
2025Q1
90
64.7
4.32
0.27
1.50
2.56
3.99
0.0%
2024Q4
92
52.9
4.52
0.23
1.46
2.83
4.08
0.0%
2024Q3
92
60.2
5.71
0.22
1.54
3.95
4.78
0.0%
2024Q2
91
68.9
3.91
0.18
1.37
2.36
3.57
0.0%
2024Q1
91
68.6
3.81
0.15
1.36
2.29
3.51
0.0%
2023Q4
92
70.8
3.40
0.12
1.31
1.98
3.16
0.0%
2023Q3
92
67.7
3.62
0.12
1.22
2.27
3.24
0.0%
2023Q2
91
72.8
3.65
0.13
1.15
2.37
3.38
0.0%
2023Q1
90
70.4
3.70
0.06
1.40
2.24
3.48
0.7%
2022Q4
92
70.7
3.83
0.14
1.39
2.30
3.72
0.4%
2022Q3
92
64.1
3.25
0.16
1.08
2.00
2.98
12.7%
2022Q2
91
69.0
4.08
0.17
1.38
2.54
3.74
11.5%
2022Q1
90
68.3
3.89
0.15
1.43
2.32
3.58
6.6%
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.
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
11
C × 1D × 8E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-03-03
2026-02-13
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-03-03
2026-02-13
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.
D
2026-03-03
2026-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-03-03
2024-10-31
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-11-22
2023-06-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-20
2023-06-28
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2023-07-20
2023-06-28
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
2023-07-20
2023-06-28
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.
D
2023-07-20
2023-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-07-20
2023-06-28
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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
71
Owner
Role
Pct
From
Status
Source
CAROMONT HEALTH INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
CAROMONT HEALTH SERVICES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ACCESS DENTAL CARE
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
ADCOCK, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-09
current
pecos_ownership
AUSTELL, JASON
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BOOKER, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
current
pecos_ownership
BOYD, DANIEL
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
CANIPE, BETH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-15
current
pecos_ownership
CAROMONT HEALTH INC
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
CAROMONT HEALTH SERVICES INC
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
CASH, JEFFREY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
CONNER, TIMOTHY
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
CRAIG, KATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-24
current
pecos_ownership
DAVIS, JOSEPH
CORPORATE DIRECTOR
—
2016-02-22
current
pecos_ownership
DAVIS, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-01
current
pecos_ownership
DYKSTERHOUSE, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
EFIRD, TIMOTHY
CORPORATE DIRECTOR
—
2021-08-31
current
pecos_ownership
FLOWERS, ERICA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-15
current
pecos_ownership
FLOYD, PEARL
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
HICKMAN, LEIGH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-17
current
pecos_ownership
HINTON, BENJAMIN
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HOVIS, WILLIAM
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
LANG, ROBIN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-31
current
pecos_ownership
MADDOX, CRYSTAL
ADP OF THE SNF
—
2025-02-11
current
pecos_ownership
MADDOX, CRYSTAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-29
current
pecos_ownership
MCGRAW, JEFFREY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MURPHY, FRANK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-19
current
pecos_ownership
O'CONNOR, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2007-07-23
current
pecos_ownership
PATEL, SHIDDHI
ADP OF THE SNF
—
2023-07-24
current
pecos_ownership
PATEL, SHIDDHI
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
PAYSEUR, DAVID
CORPORATE DIRECTOR
—
2017-06-26
current
pecos_ownership
PEAK, JANIE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PEEK, KENNETH
CORPORATE OFFICER
—
2017-05-15
current
pecos_ownership
STEWART, FRANK
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
THORSELL, CATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
WHARTON, DANNY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-11
current
pecos_ownership
YOUNG, BEVERLY
ADP OF THE SNF
—
2025-02-18
current
pecos_ownership
YOUNG, BEVERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-28
current
pecos_ownership
ANDREW DYKSTERHOUSE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
BENJAMIN HINTON
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
BETH CANIPE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-15
ended 2026-05-18
pecos_ownership
BEVERLY YOUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-28
ended 2026-05-18
pecos_ownership
BEVERLY YOUNG
ADP OF THE SNF
—
2025-02-18
ended 2026-05-18
pecos_ownership
CATHY THORSELL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
CRYSTAL MADDOX
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-29
ended 2026-05-18
pecos_ownership
CRYSTAL MADDOX
ADP OF THE SNF
—
2025-02-11
ended 2026-05-18
pecos_ownership
DANIEL BOYD
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
DANNY WHARTON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-11
ended 2026-05-18
pecos_ownership
DAVID O'CONNOR
OPERATIONAL/MANAGERIAL CONTROL
—
2007-07-23
ended 2026-05-18
pecos_ownership
DAVID PAYSEUR
CORPORATE DIRECTOR
—
2017-06-26
ended 2026-05-18
pecos_ownership
ERICA FLOWERS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-15
ended 2026-05-18
pecos_ownership
FRANK MURPHY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-19
ended 2026-05-18
pecos_ownership
FRANK STEWART
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
GEORGE ADCOCK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-09
ended 2026-05-18
pecos_ownership
JANIE PEAK
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
JASON AUSTELL
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JEFFREY CASH
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JEFFREY MCGRAW
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
JOSEPH DAVIS
CORPORATE DIRECTOR
—
2016-02-22
ended 2026-05-18
pecos_ownership
KATHERINE CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-24
ended 2026-05-18
pecos_ownership
KENNETH PEEK
CORPORATE OFFICER
—
2017-05-15
ended 2026-05-18
pecos_ownership
LEIGH HICKMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-17
ended 2026-05-18
pecos_ownership
PEARL FLOYD
CORPORATE DIRECTOR
—
2015-01-01
ended 2026-05-18
pecos_ownership
ROBIN LANG
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-31
ended 2026-05-18
pecos_ownership
SHIDDHI PATEL
ADP OF THE SNF
—
2023-07-24
ended 2026-05-18
pecos_ownership
SHIDDHI PATEL
CORPORATE DIRECTOR
—
2026-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY CONNER
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY EFIRD
CORPORATE DIRECTOR
—
2021-08-31
ended 2026-05-18
pecos_ownership
TODD DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-01
ended 2026-05-18
pecos_ownership
WILLIAM BOOKER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
ended 2026-05-18
pecos_ownership
WILLIAM HOVIS
CORPORATE DIRECTOR
—
2019-01-01
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
2025-06-30
$36,204
—
—
—
—
—
—
2024-06-30
$42,473
—
—
—
—
0
—
2023-06-30
$33,082
—
—
—
—
0
—
2022-06-30
$34,853
—
—
—
—
0
—
2021-06-30
$33,682
—
—
—
—
0
—
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 37071
acs median gross
0
$1,055
2024-12-31
CENSUS_ACS5
county 37071
fmr
0
$1,469
2025-10-01
HUD_USER_FMR
county 37071
acs median gross
1
$955
2024-12-31
CENSUS_ACS5
county 37071
fmr
1
$1,538
2025-10-01
HUD_USER_FMR
county 37071
acs median gross
2
$1,115
2024-12-31
CENSUS_ACS5
county 37071
fmr
2
$1,686
2025-10-01
HUD_USER_FMR
county 37071
acs median gross
3
$1,231
2024-12-31
CENSUS_ACS5
county 37071
fmr
3
$2,076
2025-10-01
HUD_USER_FMR
county 37071
acs median gross
4
$2,011
2024-12-31
CENSUS_ACS5
county 37071
fmr
4
$2,637
2025-10-01
HUD_USER_FMR
county 37071
acs median gross
5
$1,773
2024-12-31
CENSUS_ACS5
county 37071
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 37071
acs recent mover gross
$1,381
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
0
$1,093
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
1
$961
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
2
$1,227
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
3
$1,469
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
4
$2,048
2024-12-31
CENSUS_ACS5
zcta 28054
acs median gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 28054
acs recent mover gross
$1,271
2024-12-31
CENSUS_ACS5
zip 28054
payment standard 110
0
$1,441
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 90
0
$1,179
2025-10-01
HUD_USER_SAFMR
zip 28054
safmr
0
$1,310
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 28054
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 110
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 90
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 28054
safmr
2
$1,500
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 28054
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 110
4
$2,585
2025-10-01
HUD_USER_SAFMR
zip 28054
payment standard 90
4
$2,115
2025-10-01
HUD_USER_SAFMR
zip 28054
safmr
4
$2,350
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.