Reads as: riskier than 47.2% 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
OH median
National median
National p25–p75
Total nurse
3.59
3.24
3.28
2.90–3.77
RN
0.42
0.38
0.39
0.25–0.58
Weekend total
3.48
3.11
3.11
—
Weekday total
3.64
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
130.3
3.59
0.42
0.81
2.36
3.48
0.0%
2025Q3
92
130.3
3.74
0.43
0.80
2.51
3.64
0.0%
2025Q2
91
130.6
3.68
0.41
0.77
2.50
3.54
0.0%
2025Q1
90
132.7
3.43
0.41
0.72
2.29
3.31
0.0%
2024Q4
92
132.7
3.57
0.40
0.73
2.43
3.43
0.0%
2024Q3
92
131.8
3.41
0.34
0.75
2.32
3.27
0.0%
2024Q2
91
125.2
3.41
0.41
0.81
2.19
3.21
0.0%
2024Q1
91
123.2
3.05
0.41
0.71
1.93
2.86
0.0%
2023Q4
92
123.2
2.94
0.45
0.60
1.89
2.74
1.1%
2023Q3
92
123.3
2.96
0.46
0.57
1.93
2.75
0.0%
2023Q2
91
119.5
2.97
0.54
0.54
1.89
2.75
0.0%
2023Q1
90
124.8
2.71
0.50
0.53
1.68
2.48
0.0%
2022Q4
92
117.3
2.86
0.52
0.55
1.79
2.63
2.7%
2022Q3
92
112.6
2.85
0.66
0.61
1.58
2.56
3.9%
2022Q2
91
114.1
2.70
0.62
0.54
1.55
2.45
6.9%
2022Q1
90
103.9
2.94
0.65
0.63
1.66
2.66
13.9%
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
34
D × 28E × 4F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-12
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-23
2025-06-12
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-06-23
2025-06-12
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
2025-06-23
2025-06-12
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-23
2025-06-12
Health · complaint
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2025-06-23
2025-06-12
Health · complaint
F0881
Implement a program that monitors antibiotic use.
D
2025-06-23
2024-12-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-31
2024-12-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-12-10
2024-06-24
Health · complaint
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2024-05-22
2023-12-27
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
2023-12-29
2023-05-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-05-26
2023-05-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-05-26
2020-03-05
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2020-03-30
2020-03-05
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2020-03-30
2020-03-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-03-30
2020-03-05
Health
F0679
Provide activities to meet all resident's needs.
D
2020-03-30
2020-03-05
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2020-03-30
2020-03-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2020-03-30
2020-03-05
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.
D
2020-03-30
2020-03-05
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2020-03-30
2020-03-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-03-30
2020-03-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-30
2020-03-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2020-03-30
2019-02-13
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2019-03-15
2019-02-13
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-03-15
2019-02-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-03-15
2019-02-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-03-15
2019-02-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-03-15
2019-02-13
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2019-03-15
2019-02-13
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
2019-03-15
2019-02-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-03-15
2019-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-03-15
2019-02-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-03-15
2019-02-13
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2019-03-15
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
15
Owner
Role
Pct
From
Status
Source
FRANZ, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
POWELL, BRICE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
QAZI, MOHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-01
current
pecos_ownership
STOBB, DAVID
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
DAVID STOBB
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL ACQUISITION HOLDING CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE HOLDINGS, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
CORPORATE DIRECTOR
100%
2016-02-01
ended 2026-05-18
pecos_ownership
ANIS KHAN
ADP OF THE SNF
—
2016-02-01
ended 2026-05-18
pecos_ownership
BRICE POWELL
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
JAMES FRANZ
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
2024-12-31
$848,539
—
$848,539
—
—
3
—
2023-12-31
$771,461
—
$771,461
—
—
3
—
2022-12-31
$595,193
—
$595,193
—
—
3
—
2021-12-31
$553,293
—
—
—
$110,688
3
—
2020-12-31
$497,782
—
—
—
$113,670
2
—
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 39151
acs median gross
0
$630
2024-12-31
CENSUS_ACS5
county 39151
fmr
0
$749
2025-10-01
HUD_USER_FMR
county 39151
acs median gross
1
$703
2024-12-31
CENSUS_ACS5
county 39151
fmr
1
$846
2025-10-01
HUD_USER_FMR
county 39151
acs median gross
2
$918
2024-12-31
CENSUS_ACS5
county 39151
fmr
2
$1,086
2025-10-01
HUD_USER_FMR
county 39151
acs median gross
3
$1,059
2024-12-31
CENSUS_ACS5
county 39151
fmr
3
$1,371
2025-10-01
HUD_USER_FMR
county 39151
acs median gross
4
$1,121
2024-12-31
CENSUS_ACS5
county 39151
fmr
4
$1,451
2025-10-01
HUD_USER_FMR
county 39151
acs median gross
5
$1,085
2024-12-31
CENSUS_ACS5
county 39151
acs median gross
$909
2024-12-31
CENSUS_ACS5
county 39151
acs recent mover gross
$985
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
0
$1,068
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
1
$731
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
2
$903
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
3
$1,132
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
4
$1,169
2024-12-31
CENSUS_ACS5
zcta 44646
acs median gross
$903
2024-12-31
CENSUS_ACS5
zcta 44646
acs recent mover gross
$1,015
2024-12-31
CENSUS_ACS5
zip 44646
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 44646
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 44646
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 44646
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 44646
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 110
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 44646
payment standard 90
4
$1,296
2025-10-01
HUD_USER_SAFMR
zip 44646
safmr
4
$1,440
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.