Reads as: riskier than 17.8% 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
MS median
National median
National p25–p75
Total nurse
3.63
3.68
3.28
2.90–3.77
RN
0.48
0.34
0.39
0.25–0.58
Weekend total
3.24
3.30
3.11
—
Weekday total
3.78
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
56.3
3.63
0.48
0.82
2.33
3.24
0.0%
2025Q3
92
54.8
3.67
0.50
0.92
2.25
3.19
0.0%
2025Q2
91
52.8
3.81
0.48
0.95
2.38
3.40
0.0%
2025Q1
90
56.2
3.65
0.48
0.87
2.30
3.23
0.0%
2024Q4
92
55.1
3.69
0.42
0.91
2.36
3.30
0.0%
2024Q3
92
55.3
3.68
0.43
0.96
2.29
3.29
0.0%
2024Q2
91
53.0
3.68
0.51
0.95
2.22
3.23
0.0%
2024Q1
91
55.2
3.58
0.51
0.86
2.20
3.12
0.0%
2023Q4
92
58.1
3.40
0.43
0.78
2.19
3.05
0.0%
2023Q3
92
56.6
3.66
0.50
0.80
2.36
3.28
0.0%
2023Q2
91
56.6
3.62
0.56
0.79
2.27
3.12
0.0%
2023Q1
90
56.5
3.50
0.52
0.82
2.16
2.95
0.1%
2022Q4
92
54.5
3.66
0.53
0.86
2.27
3.12
0.0%
2022Q3
92
50.8
3.85
0.54
0.88
2.43
3.30
0.6%
2022Q2
91
51.5
3.81
0.47
0.90
2.45
3.29
0.1%
2022Q1
90
51.8
3.93
0.47
0.96
2.50
3.40
0.3%
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
17
D × 16F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-26
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-03-31
2026-02-26
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-03-31
2026-02-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-03-31
2026-02-26
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
2026-03-31
2026-02-26
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
2026-03-31
2026-02-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-31
2026-02-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-31
2024-03-14
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-04-11
2024-03-14
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.
D
2024-04-11
2024-03-14
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-04-11
2024-03-14
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
2024-04-11
2024-03-14
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-04-11
2024-03-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-04-11
2024-03-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-04-11
2024-03-14
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-04-11
2022-11-09
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-12-15
2022-11-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-12-15
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
62
Owner
Role
Pct
From
Status
Source
RIVER CITY LIMITED PARTNERSHIP
Corporation, partnership or other organization has financial interest in provider
71%
2023-01-01
current
hcris_a_8_1
RIVER CITY LIMITED PARTNERSHIP
Corporation, partnership or other organization has financial interest in provider
71%
2024-01-01
current
hcris_a_8_1
DELANEY, STEVEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2015-04-14
current
pecos_ownership
NUGENT, SHELLY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2010-01-01
current
pecos_ownership
ACCOUNT MANAGEMENT SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
ADMINISTRATIVE SYSTEMS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
BEEBE, BOBBY
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BEEBE, BOBBY
CORPORATE OFFICER
—
2010-01-01
current
pecos_ownership
BEEBE, ELTON
LIMITED PARTNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
BEEBE, ELTON
TRUSTEE OF THE SNF
—
2007-01-01
current
pecos_ownership
BEEBE, NANCY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
CRUMP, MELISSA
ADP OF THE SNF
—
2024-04-08
current
pecos_ownership
DNS PROPERTIES, LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DNS PROPERTIES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
GRACE, LESLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-21
current
pecos_ownership
HUBBARD, JOYCE
ADP OF THE SNF
—
2025-09-06
current
pecos_ownership
KH PITTS CONSULTING LLC
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
LINDA MAYNOR
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
MEDICO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
MEDICO LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
NUTRITION SYSTEMS CONSULTING INC
ADP OF THE SNF
—
2008-01-31
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2015-11-15
current
pecos_ownership
PARKINSON, TONI
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PATHWAY MANAGEMENT INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2014-01-01
current
pecos_ownership
PATHWAY MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2018-03-28
current
pecos_ownership
PIERCE, SAMUEL
ADP OF THE SNF
—
2013-11-22
current
pecos_ownership
PROVIDENCE CARE LLC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2015-04-14
current
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2015-04-14
current
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
REGIONAL CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
REGIONAL SERVICES, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
RIVER CITY LIMITED PARTNERSHIP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
STALLARD, DAVID
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
STALLARD, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
1997-03-28
current
pecos_ownership
STALLARD, DAVID
LIMITED PARTNERSHIP INTEREST
—
1997-04-01
current
pecos_ownership
TRISTAR REHAB INC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BOBBY BEEBE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-01-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
LIMITED PARTNERSHIP INTEREST
100%
1997-04-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1997-03-28
ended 2026-05-18
pecos_ownership
RIVER CITY LIMITED PARTNERSHIP
Corporation, partnership or other organization has financial interest in provider
71%
2021-01-01
ended 2021-12-31
hcris_a_8_1
RIVER CITY LIMITED PARTNERSHIP
Corporation, partnership or other organization has financial interest in provider
71%
2022-01-01
ended 2022-12-31
hcris_a_8_1
RIVER CITY LIMITED PARTNERSHIP
Corporation, partnership or other organization has financial interest in provider
71%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ELTON BEEBE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2007-01-01
ended 2026-05-18
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2013-11-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
LIMITED PARTNERSHIP INTEREST
25%
2010-01-01
ended 2026-05-18
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2013-11-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2025-01-01
ended 2026-05-18
pecos_ownership
STEVEN DELANEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2015-04-14
ended 2026-05-18
pecos_ownership
SHELLY NUGENT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2010-01-01
ended 2026-05-18
pecos_ownership
NANCY BEEBE
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2010-01-01
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
ADP OF THE SNF
—
2010-01-01
ended 2026-05-18
pecos_ownership
JOYCE HUBBARD
ADP OF THE SNF
—
2025-09-06
ended 2026-05-18
pecos_ownership
LESLEY GRACE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-21
ended 2026-05-18
pecos_ownership
MELISSA CRUMP
ADP OF THE SNF
—
2024-04-08
ended 2026-05-18
pecos_ownership
SAMUEL PIERCE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-22
ended 2026-05-18
pecos_ownership
TONI PARKINSON
ADP OF THE SNF
—
2010-01-01
ended 2026-05-18
pecos_ownership
TONI PARKINSON
CORPORATE OFFICER
—
2015-11-15
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
$117,055
—
—
—
$1,688
5
propco
2023-12-31
$52,452
—
—
—
—
5
propco
2022-12-31
$161,418
—
—
—
—
5
propco
2021-12-31
$52,824
—
—
—
—
4
propco
2020-12-31
$52,875
—
—
—
—
4
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 28149
acs median gross
0
$1,483
2024-12-31
CENSUS_ACS5
county 28149
fmr
0
$800
2025-10-01
HUD_USER_FMR
county 28149
acs median gross
1
$608
2024-12-31
CENSUS_ACS5
county 28149
fmr
1
$805
2025-10-01
HUD_USER_FMR
county 28149
acs median gross
2
$908
2024-12-31
CENSUS_ACS5
county 28149
fmr
2
$953
2025-10-01
HUD_USER_FMR
county 28149
acs median gross
3
$1,020
2024-12-31
CENSUS_ACS5
county 28149
fmr
3
$1,181
2025-10-01
HUD_USER_FMR
county 28149
acs median gross
4
$885
2024-12-31
CENSUS_ACS5
county 28149
fmr
4
$1,336
2025-10-01
HUD_USER_FMR
county 28149
acs median gross
5
$1,085
2024-12-31
CENSUS_ACS5
county 28149
acs median gross
$888
2024-12-31
CENSUS_ACS5
county 28149
acs recent mover gross
$1,161
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
1
$667
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
2
$923
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
3
$1,044
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
5
$791
2024-12-31
CENSUS_ACS5
zcta 39180
acs median gross
$897
2024-12-31
CENSUS_ACS5
zcta 39180
acs recent mover gross
$1,105
2024-12-31
CENSUS_ACS5
zip 39180
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 39180
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 39180
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 39180
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 110
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 90
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 39180
safmr
3
$1,200
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 110
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 39180
payment standard 90
4
$1,215
2025-10-01
HUD_USER_SAFMR
zip 39180
safmr
4
$1,350
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.