Reads as: riskier than 38.5% 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
KS median
National median
National p25–p75
Total nurse
2.84
3.03
3.28
2.90–3.77
RN
0.47
0.44
0.39
0.25–0.58
Weekend total
2.71
2.87
3.11
—
Weekday total
2.90
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.8
2.84
0.47
0.81
1.57
2.71
0.0%
2025Q3
92
29.8
2.92
0.54
0.87
1.51
2.66
0.0%
2025Q2
91
30.6
2.70
0.55
0.80
1.36
2.49
0.0%
2025Q1
90
28.4
2.48
0.63
0.70
1.14
2.32
0.0%
2024Q4
92
28.1
2.73
0.77
0.63
1.32
2.66
0.0%
2024Q3
92
27.0
2.88
0.80
0.64
1.44
2.78
0.0%
2024Q2
91
26.1
2.83
0.87
0.66
1.30
2.74
0.0%
2024Q1
91
25.5
2.71
0.64
0.65
1.41
2.83
0.1%
2023Q4
92
30.2
2.99
0.58
0.73
1.68
2.93
18.8%
2023Q3
92
32.1
3.08
0.62
0.66
1.80
2.87
18.8%
2023Q2
91
31.3
3.42
0.64
0.77
2.01
3.07
20.1%
2023Q1
90
29.7
3.54
0.65
0.79
2.10
3.45
25.0%
2022Q4
92
28.8
3.66
0.64
0.85
2.17
3.54
25.9%
2022Q3
92
28.4
3.65
0.66
0.82
2.17
3.36
23.5%
2022Q2
91
28.1
3.76
0.77
0.85
2.14
3.63
17.6%
2022Q1
90
28.0
3.61
0.52
0.95
2.13
3.43
10.8%
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
5
C × 1D × 1E × 1F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-01
2025-03-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-04
2021-12-14
Health
F0732
Post nurse staffing information every day.
C
2022-01-14
2021-12-14
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-01-14
2021-12-14
Health
F0881
Implement a program that monitors antibiotic use.
F
2022-01-14
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
36
Owner
Role
Pct
From
Status
Source
BANMAN, DARLA
MANAGING CONTROL - GOVERNING BODY
—
2018-06-01
current
pecos_ownership
BRUBAKER, KARL
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
current
pecos_ownership
BRUBAKER, KARL
CORPORATE DIRECTOR
—
2010-04-05
current
pecos_ownership
BULLER, LINDSEY
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
DUERKSEN, LYNETTE
MANAGING CONTROL - GOVERNING BODY
—
2024-06-01
current
pecos_ownership
DUERKSEN, LYNETTE
CORPORATE DIRECTOR
—
2018-06-01
current
pecos_ownership
HEIDEBRECHT, MARCI
W-2 MANAGING EMPLOYEE
—
2017-09-11
current
pecos_ownership
HIEBERT, SARA
CORPORATE OFFICER
—
2017-08-01
current
pecos_ownership
HIEBERT, SARA
ADP OF THE SNF
—
2024-11-08
current
pecos_ownership
NAFZIGER, BRENDON
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
NICKEL, DENISE
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
PETERS, NICHOLAS
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
REGIER, STEPHANIE
MANAGING CONTROL - GOVERNING BODY
—
2019-06-01
current
pecos_ownership
SCHMIDT, EILEEN
CORPORATE DIRECTOR
—
2012-04-01
current
pecos_ownership
SCHMIDT, EILEEN
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
current
pecos_ownership
STUCKY, NANCY
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
UNRUH, ELAINE
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
VALDOIS, CHRISTINA
W-2 MANAGING EMPLOYEE
—
2017-02-13
current
pecos_ownership
SARA HIEBERT
OPERATIONAL/MANAGERIAL CONTROL
100%
2017-08-01
ended 2026-05-18
pecos_ownership
BRENDON NAFZIGER
MANAGING CONTROL - GOVERNING BODY
—
2022-06-01
ended 2026-05-18
pecos_ownership
CHRISTINA VALDOIS
W-2 MANAGING EMPLOYEE
—
2017-02-13
ended 2026-05-18
pecos_ownership
DARLA BANMAN
CORPORATE DIRECTOR
—
2018-06-01
ended 2026-05-18
pecos_ownership
DENISE NICKEL
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
ended 2026-05-18
pecos_ownership
EILEEN SCHMIDT
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
ended 2026-05-18
pecos_ownership
EILEEN SCHMIDT
CORPORATE DIRECTOR
—
2012-04-01
ended 2026-05-18
pecos_ownership
ELAINE UNRUH
CORPORATE DIRECTOR
—
2020-06-01
ended 2026-05-18
pecos_ownership
KARL BRUBAKER
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
ended 2026-05-18
pecos_ownership
KARL BRUBAKER
CORPORATE DIRECTOR
—
2010-04-05
ended 2026-05-18
pecos_ownership
LINDSEY BULLER
CORPORATE DIRECTOR
—
2022-06-01
ended 2026-05-18
pecos_ownership
LYNETTE DUERKSEN
MANAGING CONTROL - GOVERNING BODY
—
2024-06-01
ended 2026-05-18
pecos_ownership
LYNETTE DUERKSEN
CORPORATE DIRECTOR
—
2018-06-01
ended 2026-05-18
pecos_ownership
MARCI HEIDEBRECHT
OTHER
—
2017-09-11
ended 2026-05-18
pecos_ownership
NANCY STUCKY
MANAGING CONTROL - GOVERNING BODY
—
2020-06-01
ended 2026-05-18
pecos_ownership
NICHOLAS PETERS
CORPORATE DIRECTOR
—
2024-06-01
ended 2026-05-18
pecos_ownership
SARA HIEBERT
ADP OF THE SNF
—
2024-11-08
ended 2026-05-18
pecos_ownership
STEPHANIE REGIER
MANAGING CONTROL - GOVERNING BODY
—
2019-06-01
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
2025-03-31
$9,724
—
—
—
$7,791
1
—
2024-03-31
$11,306
—
—
—
$7,407
1
—
2023-03-31
$10,881
—
—
—
$6,540
1
—
2022-03-31
$10,643
—
—
—
$6,857
1
—
2021-03-31
$10,498
—
—
—
$6,459
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
31
Geo
Kind
BR
Amount
As of
Source
county 20115
fmr
0
$643
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
1
$518
2024-12-31
CENSUS_ACS5
county 20115
fmr
1
$688
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
2
$736
2024-12-31
CENSUS_ACS5
county 20115
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
3
$781
2024-12-31
CENSUS_ACS5
county 20115
fmr
3
$1,157
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
4
$721
2024-12-31
CENSUS_ACS5
county 20115
fmr
4
$1,161
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
5
$683
2024-12-31
CENSUS_ACS5
county 20115
acs median gross
$727
2024-12-31
CENSUS_ACS5
county 20115
acs recent mover gross
$738
2024-12-31
CENSUS_ACS5
zcta 67053
acs median gross
1
$432
2024-12-31
CENSUS_ACS5
zcta 67053
acs median gross
2
$1,083
2024-12-31
CENSUS_ACS5
zcta 67053
acs median gross
$850
2024-12-31
CENSUS_ACS5
zcta 67053
acs recent mover gross
$1,125
2024-12-31
CENSUS_ACS5
zip 67053
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 67053
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 67053
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 110
2
$1,034
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 90
2
$846
2025-10-01
HUD_USER_SAFMR
zip 67053
safmr
2
$940
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 67053
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 110
4
$1,364
2025-10-01
HUD_USER_SAFMR
zip 67053
payment standard 90
4
$1,116
2025-10-01
HUD_USER_SAFMR
zip 67053
safmr
4
$1,240
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.