Reads as: riskier than 64.2% 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
KY median
National median
National p25–p75
Total nurse
2.88
3.11
3.28
2.90–3.77
RN
0.29
0.41
0.39
0.25–0.58
Weekend total
2.84
3.01
3.11
—
Weekday total
2.89
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
138.4
2.88
0.29
0.56
2.03
2.84
0.0%
2025Q3
92
138.3
2.94
0.24
0.63
2.06
2.91
0.0%
2025Q2
91
138.7
2.94
0.36
0.50
2.08
2.88
0.0%
2025Q1
90
132.3
3.28
0.56
0.45
2.26
3.21
0.0%
2024Q4
92
136.5
3.59
0.60
0.46
2.53
3.54
0.0%
2024Q3
92
141.7
3.41
0.52
0.43
2.46
3.30
0.0%
2024Q2
91
140.4
3.38
0.48
0.51
2.39
3.26
0.0%
2024Q1
91
139.2
3.31
0.49
0.48
2.35
3.22
0.0%
2023Q4
92
134.2
3.69
0.57
0.56
2.56
3.64
0.0%
2023Q3
92
136.2
3.93
0.61
0.57
2.75
3.80
0.0%
2023Q2
91
140.2
3.81
0.55
0.52
2.74
3.58
0.0%
2023Q1
90
134.8
3.70
0.53
0.49
2.68
3.58
0.3%
2022Q4
92
129.7
3.40
0.42
0.52
2.46
3.15
10.3%
2022Q3
92
130.9
3.51
0.46
0.61
2.44
3.28
13.5%
2022Q2
91
126.8
3.59
0.48
0.56
2.55
3.21
11.8%
2022Q1
90
117.5
3.38
0.52
0.46
2.40
3.06
13.8%
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.
Provide or get specialized rehabilitative services as required for a resident.
D
—
2026-04-24
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
—
2025-11-24
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
2025-12-10
2025-11-24
Health · complaint
F0743
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
D
2025-12-10
2025-06-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-10
2025-06-13
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2025-07-10
2025-06-13
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-07-10
2025-06-13
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
2025-07-10
2025-06-13
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
2025-07-10
2025-06-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-10
2025-06-13
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.
E
2025-07-10
2025-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-07-10
2025-06-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-07-10
2024-08-16
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-09-13
2024-08-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-13
2024-08-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2024-09-13
2024-08-16
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-09-13
2024-08-16
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.
D
2024-09-13
2024-08-16
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-13
2024-08-16
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
2024-09-13
2024-08-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-13
2024-08-16
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-09-13
2019-09-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-10-22
2019-09-19
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2019-10-22
2019-09-19
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
2019-10-22
2019-09-19
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2019-10-22
2019-09-19
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.
E
2019-10-22
2019-09-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-10-22
2019-09-19
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2019-10-22
2019-09-19
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
2019-10-22
2019-09-19
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2019-10-23
2019-09-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-10-22
2019-09-19
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2019-10-22
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
23
Owner
Role
Pct
From
Status
Source
KINGS LEX
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
KINGS LEX
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
KINGS LEX
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
KINGS LEX
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
KINGS LEX
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
NORTHPOINT MIDWEST HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
75%
2008-07-17
ended 2026-05-18
pecos_ownership
PRESTIGE HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
56%
2008-07-17
ended 2026-05-18
pecos_ownership
B&Y HEALTHCARE S CORP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2008-07-17
ended 2026-05-18
pecos_ownership
B&Y TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2008-07-17
ended 2026-05-18
pecos_ownership
CODY HEALTHCARE S CORP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2008-07-17
ended 2026-05-18
pecos_ownership
CRAIG FLASHNER 2007 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2008-07-17
ended 2026-05-18
pecos_ownership
KINGS LEXINGTON HEALTHCARE ASSOCIATES
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2008-07-17
ended 2026-05-18
pecos_ownership
NORTHPOINT LEXINGTON HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
2008-07-17
ended 2026-05-18
pecos_ownership
CODY HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2008-07-17
ended 2026-05-18
pecos_ownership
Y & B HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2008-07-17
ended 2026-05-18
pecos_ownership
CRAIG FLASHNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2008-07-17
ended 2026-05-18
pecos_ownership
SHARON CHASE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2008-07-17
ended 2026-05-18
pecos_ownership
YITZCHOK PERLSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2008-07-17
ended 2026-05-18
pecos_ownership
KRISTINE KIRK
W-2 MANAGING EMPLOYEE
—
2011-07-18
ended 2026-05-18
pecos_ownership
NORTHPOINT SENIOR SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-17
ended 2026-05-18
pecos_ownership
PRESTIGE ADMINISTRATIVE SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
ended 2026-05-18
pecos_ownership
ROBERT NORCROSS
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-17
ended 2026-05-18
pecos_ownership
STACEY ROGERS
CONTRACTED MANAGING EMPLOYEE
—
2014-10-30
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
$854,486
$464,550
—
—
$115,665
3
propco
2023-12-31
$929,459
$399,435
—
—
—
3
propco
2022-12-31
$1,029,428
$410,272
—
—
—
3
propco
2021-12-31
$809,575
$419,444
—
—
—
3
propco
2020-12-31
$877,648
$539,766
—
—
—
3
propco
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 21067
acs median gross
0
$836
2024-12-31
CENSUS_ACS5
county 21067
fmr
0
$883
2025-10-01
HUD_USER_FMR
county 21067
acs median gross
1
$959
2024-12-31
CENSUS_ACS5
county 21067
fmr
1
$1,079
2025-10-01
HUD_USER_FMR
county 21067
acs median gross
2
$1,178
2024-12-31
CENSUS_ACS5
county 21067
fmr
2
$1,272
2025-10-01
HUD_USER_FMR
county 21067
acs median gross
3
$1,499
2024-12-31
CENSUS_ACS5
county 21067
fmr
3
$1,743
2025-10-01
HUD_USER_FMR
county 21067
acs median gross
4
$1,651
2024-12-31
CENSUS_ACS5
county 21067
fmr
4
$1,940
2025-10-01
HUD_USER_FMR
county 21067
acs median gross
5
$1,398
2024-12-31
CENSUS_ACS5
county 21067
acs median gross
$1,164
2024-12-31
CENSUS_ACS5
county 21067
acs recent mover gross
$1,390
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
0
$965
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
1
$1,178
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
2
$1,328
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
3
$1,654
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
4
$2,284
2024-12-31
CENSUS_ACS5
zcta 40515
acs median gross
$1,361
2024-12-31
CENSUS_ACS5
zcta 40515
acs recent mover gross
$1,615
2024-12-31
CENSUS_ACS5
zip 40515
payment standard 110
0
$1,177
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 90
0
$963
2025-10-01
HUD_USER_SAFMR
zip 40515
safmr
0
$1,070
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 40515
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 40515
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 110
3
$2,321
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 90
3
$1,899
2025-10-01
HUD_USER_SAFMR
zip 40515
safmr
3
$2,110
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 110
4
$2,585
2025-10-01
HUD_USER_SAFMR
zip 40515
payment standard 90
4
$2,115
2025-10-01
HUD_USER_SAFMR
zip 40515
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.