Reads as: riskier than 33.2% 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
14
2025Q4 HPRD
This facility
AL median
National median
National p25–p75
Total nurse
3.66
3.37
3.28
2.90–3.77
RN
0.49
0.43
0.39
0.25–0.58
Weekend total
3.49
3.04
3.11
—
Weekday total
3.72
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.4
3.66
0.49
0.58
2.58
3.49
0.0%
2025Q3
92
97.0
3.42
0.34
0.61
2.46
3.31
0.1%
2025Q2
91
101.5
3.12
0.47
0.45
2.20
3.01
0.0%
2025Q1
90
100.6
2.99
0.54
0.33
2.12
2.86
0.0%
2024Q4
92
89.4
3.41
0.62
0.37
2.42
3.42
0.0%
2024Q3
92
80.9
3.70
0.64
0.47
2.59
3.69
0.3%
2024Q2
91
68.7
4.03
0.59
0.71
2.74
3.83
2.1%
2024Q1
91
56.8
4.54
0.54
0.81
3.19
4.11
9.8%
2023Q4
92
51.0
2.58
0.22
0.35
2.01
2.59
25.0%
2023Q3
92
50.5
5.31
0.60
0.61
4.11
5.17
0.0%
2023Q1
90
57.8
5.12
0.29
1.43
3.40
4.49
18.2%
2022Q4
92
64.4
5.51
0.23
1.29
3.99
5.18
14.2%
2022Q3
92
62.2
5.05
0.43
0.88
3.74
4.48
11.6%
2022Q2
91
60.3
5.30
0.36
0.79
4.15
5.36
30.6%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-08-26
2025-07-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-08-26
2025-07-18
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-08-26
2019-10-03
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2019-11-06
2019-10-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-11-06
2018-09-26
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2018-10-19
2018-09-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2018-10-19
2017-08-24
Health
F0279
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2017-09-28
2017-08-24
Health
F0282
Provide care by qualified persons according to each resident's written plan of care.
D
2017-09-28
2017-08-24
Health
F0369
Provide special eating equipment and utensils for each resident who needs them.
D
2017-09-28
2017-08-24
Health
F0371
Store, cook, and serve food in a safe and clean way.
F
2017-09-28
2017-08-24
Health
F0372
Dispose of garbage and refuse properly.
F
2017-09-28
2017-08-24
Health
F0441
Have a program that investigates, controls and keeps infection from spreading.
D
2017-09-28
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
25
Owner
Role
Pct
From
Status
Source
PINES OPCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-11-17
current
pecos_ownership
DAC OPCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-10-31
current
pecos_ownership
EL PINES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-10-31
current
pecos_ownership
BODIE, REBECCA
CORPORATE OFFICER
—
2023-11-17
current
pecos_ownership
DIVERSICARE MANAGEMENT SERVICES LP.
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-17
current
pecos_ownership
KELLMAN, FRANKLIN
CORPORATE DIRECTOR
—
2024-09-13
current
pecos_ownership
KOHN, BRIAN
CORPORATE DIRECTOR
—
2023-11-17
current
pecos_ownership
NEE, STEPHEN
CORPORATE OFFICER
—
2023-11-17
current
pecos_ownership
RATNER, ERAN
CORPORATE DIRECTOR
—
2023-11-17
current
pecos_ownership
RATNER, ERAN
CORPORATE OFFICER
—
2024-09-13
current
pecos_ownership
RUDEMILLER, KYLE
CONTRACTED MANAGING EMPLOYEE
—
2024-02-01
current
pecos_ownership
RUDEMILLER, KYLE
ADP OF THE SNF
—
2024-12-17
current
pecos_ownership
STOCKER, BECKY
W-2 MANAGING EMPLOYEE
—
2024-10-21
current
pecos_ownership
WEISHAAR, MATTHEW
CORPORATE OFFICER
—
2023-11-17
current
pecos_ownership
DAC ACQUISITION LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-01-12
ended 2026-05-18
pecos_ownership
BECKY STOCKER
W-2 MANAGING EMPLOYEE
0%
2024-10-21
ended 2026-05-18
pecos_ownership
BRIAN KOHN
CORPORATE DIRECTOR
0%
2023-11-17
ended 2026-05-18
pecos_ownership
ERAN RATNER
CORPORATE DIRECTOR
0%
2023-11-17
ended 2026-05-18
pecos_ownership
KYLE RUDEMILLER
CONTRACTED MANAGING EMPLOYEE
0%
2024-02-01
ended 2026-05-18
pecos_ownership
MATTHEW WEISHAAR
CORPORATE OFFICER
0%
2023-11-17
ended 2026-05-18
pecos_ownership
REBECCA BODIE
CORPORATE OFFICER
0%
2023-11-17
ended 2026-05-18
pecos_ownership
STEPHEN NEE
CORPORATE OFFICER
0%
2023-11-17
ended 2026-05-18
pecos_ownership
ERAN RATNER
CORPORATE OFFICER
—
2024-09-13
ended 2026-05-18
pecos_ownership
FRANKLIN KELLMAN
CORPORATE DIRECTOR
—
2024-09-13
ended 2026-05-18
pecos_ownership
KYLE RUDEMILLER
ADP OF THE SNF
—
2024-12-17
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$2,685,760
$2,024,281
—
—
—
1
—
2024-06-30
$1,255,005
$1,185,551
—
—
—
1
—
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 01073
acs median gross
0
$1,009
2024-12-31
CENSUS_ACS5
county 01073
fmr
0
$1,024
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
county 01073
fmr
1
$1,155
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
2
$1,155
2024-12-31
CENSUS_ACS5
county 01073
fmr
2
$1,266
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
3
$1,330
2024-12-31
CENSUS_ACS5
county 01073
fmr
3
$1,583
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
4
$1,429
2024-12-31
CENSUS_ACS5
county 01073
fmr
4
$1,801
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
5
$1,496
2024-12-31
CENSUS_ACS5
county 01073
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 01073
acs recent mover gross
$1,352
2024-12-31
CENSUS_ACS5
zcta 35210
acs median gross
1
$1,114
2024-12-31
CENSUS_ACS5
zcta 35210
acs median gross
2
$1,153
2024-12-31
CENSUS_ACS5
zcta 35210
acs median gross
3
$996
2024-12-31
CENSUS_ACS5
zcta 35210
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
zcta 35210
acs median gross
$1,124
2024-12-31
CENSUS_ACS5
zcta 35210
acs recent mover gross
$1,787
2024-12-31
CENSUS_ACS5
zip 35210
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 35210
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 110
1
$1,232
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 90
1
$1,008
2025-10-01
HUD_USER_SAFMR
zip 35210
safmr
1
$1,120
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 35210
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 35210
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 110
4
$1,925
2025-10-01
HUD_USER_SAFMR
zip 35210
payment standard 90
4
$1,575
2025-10-01
HUD_USER_SAFMR
zip 35210
safmr
4
$1,750
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.