Reads as: riskier than 38.0% 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
CO median
National median
National p25–p75
Total nurse
2.88
3.19
3.28
2.90–3.77
RN
0.58
0.57
0.39
0.25–0.58
Weekend total
2.88
3.02
3.11
—
Weekday total
2.88
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
48.6
2.88
0.58
0.45
1.85
2.88
21.1%
2025Q3
92
48.5
3.04
0.56
0.67
1.82
3.08
27.3%
2025Q2
91
51.8
2.73
0.44
0.67
1.63
2.72
24.1%
2025Q1
90
57.7
2.73
0.49
0.63
1.61
2.75
33.9%
2024Q4
92
61.6
2.67
0.60
0.51
1.56
2.46
34.5%
2024Q3
92
59.6
2.66
0.58
0.54
1.54
2.68
31.0%
2024Q2
91
59.1
2.71
0.66
0.41
1.64
2.73
32.6%
2024Q1
91
52.4
2.56
0.70
0.24
1.62
2.58
23.2%
2023Q4
92
54.6
2.62
0.68
0.33
1.61
2.56
32.4%
2023Q3
92
56.5
2.76
0.65
0.49
1.63
2.73
30.8%
2023Q2
91
58.4
2.72
0.52
0.60
1.60
2.71
35.8%
2023Q1
90
60.1
2.69
0.21
0.92
1.56
2.59
27.6%
2022Q4
92
56.5
2.64
0.32
0.78
1.54
2.59
38.0%
2022Q3
92
60.6
1.77
0.19
0.50
1.08
1.46
0.0%
2022Q2
91
57.5
2.88
0.49
0.71
1.69
3.04
31.3%
2022Q1
90
60.5
2.75
0.44
0.72
1.58
2.65
45.1%
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.
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
30
D × 22E × 6F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-03
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.
E
2025-05-16
2025-04-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-05-16
2025-04-03
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-16
2025-04-03
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-05-16
2025-04-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-16
2025-04-03
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
2025-05-16
2025-04-03
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
2025-05-16
2025-04-03
Health · complaint
F0791
Provide or obtain dental services for each resident.
D
2025-05-16
2025-04-03
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-16
2025-04-03
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-05-16
2024-11-07
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-12-13
2024-11-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-12-13
2024-11-07
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-13
2024-11-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-13
2024-11-07
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-12-13
2023-10-19
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-02
2023-10-19
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-12-02
2023-10-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-02
2023-10-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-02
2023-10-19
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2023-12-02
2023-10-19
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-12-02
2023-10-19
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
2023-12-02
2023-10-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-12-02
2022-07-21
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.
E
2022-08-26
2022-07-21
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2022-08-26
2022-07-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-08-26
2022-07-21
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F
2022-08-26
2022-07-21
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-08-26
2022-07-21
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2022-08-26
2022-07-21
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2022-08-26
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
28
Owner
Role
Pct
From
Status
Source
CHIEF JOSEPH TRAIL, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2026-03-02
current
pecos_ownership
HOME STREET HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2022-12-22
current
hcris_a_8_1
HOME STREET HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
CHRISTENSEN, COVEY
ADP OF THE SNF
—
2022-12-22
current
pecos_ownership
CLEGG, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2026-03-02
current
pecos_ownership
CLEGG, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2023-06-26
current
pecos_ownership
HOPKINS, AMBER
ADP OF THE SNF
—
2022-12-22
current
pecos_ownership
HOWE, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
IKERD, JOHN
ADP OF THE SNF
—
2022-12-22
current
pecos_ownership
IKERD, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2026-03-02
current
pecos_ownership
KNECHT, ANDREW
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
MADISON CREEK PARTNERS LLC
ADP OF THE SNF
—
2022-12-22
current
pecos_ownership
TIPPET, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2026-03-02
current
pecos_ownership
WHITE CANYON, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2026-03-02
current
pecos_ownership
COVEY CHRISTENSEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-09-15
ended 2026-04-01
pecos_ownership
HOME STREET HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-21
hcris_a_8_1
HOME STREET HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MADISON CREEK PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-09-15
ended 2026-04-01
pecos_ownership
COVEY CHRISTENSEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
83%
2026-03-02
ended 2026-05-18
pecos_ownership
MICHAEL CLEGG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2026-03-02
ended 2026-05-18
pecos_ownership
AMBER HOPKINS
ADP OF THE SNF
—
2022-12-22
ended 2026-05-18
pecos_ownership
ANDREW KNECHT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
ended 2026-05-18
pecos_ownership
COVEY CHRISTENSEN
ADP OF THE SNF
—
2022-12-22
ended 2026-05-18
pecos_ownership
DONTRE MCDONALD
W-2 MANAGING EMPLOYEE
—
2021-09-15
ended 2026-04-01
pecos_ownership
JOHN IKERD
MANAGING CONTROL - GOVERNING BODY
—
2026-03-02
ended 2026-05-18
pecos_ownership
JOHN IKERD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-22
ended 2026-05-18
pecos_ownership
MICHAEL CLEGG
ADP OF THE SNF
—
2023-06-26
ended 2026-05-18
pecos_ownership
ROBERT HOWE
ADP OF THE SNF
—
2022-04-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$925,344
—
$813,239
—
—
2
propco
2023-12-31
$744,175
—
—
—
$22,262
2
propco
2022-12-21
$569,646
—
—
$11,751
$39,401
2
propco
2021-12-31
$324,368
—
—
$14,398
$82,276
2
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 08035
acs median gross
0
$1,857
2024-12-31
CENSUS_ACS5
county 08035
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08035
acs median gross
1
$1,847
2024-12-31
CENSUS_ACS5
county 08035
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08035
acs median gross
2
$2,204
2024-12-31
CENSUS_ACS5
county 08035
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08035
acs median gross
3
$2,704
2024-12-31
CENSUS_ACS5
county 08035
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08035
acs median gross
4
$3,240
2024-12-31
CENSUS_ACS5
county 08035
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08035
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 08035
acs median gross
$2,193
2024-12-31
CENSUS_ACS5
county 08035
acs recent mover gross
$2,269
2024-12-31
CENSUS_ACS5
zcta 80108
acs median gross
1
$1,848
2024-12-31
CENSUS_ACS5
zcta 80108
acs median gross
2
$1,989
2024-12-31
CENSUS_ACS5
zcta 80108
acs median gross
3
$2,561
2024-12-31
CENSUS_ACS5
zcta 80108
acs median gross
4
$3,386
2024-12-31
CENSUS_ACS5
zcta 80108
acs median gross
$2,044
2024-12-31
CENSUS_ACS5
zcta 80108
acs recent mover gross
$2,260
2024-12-31
CENSUS_ACS5
zip 80108
payment standard 110
0
$1,969
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 90
0
$1,611
2025-10-01
HUD_USER_SAFMR
zip 80108
safmr
0
$1,790
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 110
1
$2,101
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 90
1
$1,719
2025-10-01
HUD_USER_SAFMR
zip 80108
safmr
1
$1,910
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 110
2
$2,508
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 90
2
$2,052
2025-10-01
HUD_USER_SAFMR
zip 80108
safmr
2
$2,280
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 110
3
$3,278
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 90
3
$2,682
2025-10-01
HUD_USER_SAFMR
zip 80108
safmr
3
$2,980
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 110
4
$3,663
2025-10-01
HUD_USER_SAFMR
zip 80108
payment standard 90
4
$2,997
2025-10-01
HUD_USER_SAFMR
zip 80108
safmr
4
$3,330
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.