3150 N SEVENTH ST, TERRE HAUTE, IN 47804 · CCN 155143 · chain MAJOR HOSPITAL
Composite
50.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
104
Model
v1.2
Reads as: riskier than 50.8% 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
IN median
National median
National p25–p75
Total nurse
2.93
2.85
3.28
2.90–3.77
RN
0.21
0.40
0.39
0.25–0.58
Weekend total
2.80
2.71
3.11
—
Weekday total
2.98
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.0
2.93
0.21
0.63
2.08
2.80
0.0%
2025Q3
92
68.5
2.92
0.11
0.74
2.07
2.95
0.0%
2025Q2
91
62.5
2.77
0.19
0.68
1.90
2.87
0.0%
2025Q1
90
67.9
2.57
0.18
0.62
1.77
2.57
0.0%
2024Q4
92
65.4
2.60
0.20
0.62
1.78
2.58
0.0%
2024Q3
92
68.5
2.65
0.16
0.57
1.93
2.60
0.0%
2024Q2
91
73.6
2.41
0.15
0.51
1.75
2.29
0.0%
2024Q1
91
76.6
2.36
0.21
0.52
1.63
2.29
0.0%
2023Q4
92
73.4
2.57
0.17
0.66
1.74
2.46
0.1%
2023Q3
92
75.7
2.58
0.11
0.79
1.68
2.60
0.1%
2023Q2
91
73.7
2.51
0.16
0.73
1.63
2.48
0.1%
2023Q1
90
70.5
2.38
0.27
0.55
1.56
2.32
0.0%
2022Q4
92
65.2
2.44
0.41
0.51
1.53
2.27
0.0%
2022Q3
92
60.5
2.33
0.41
0.42
1.50
2.21
0.0%
2022Q2
91
55.3
2.72
0.57
0.42
1.73
2.68
0.0%
2022Q1
90
49.8
3.14
0.69
0.39
2.06
3.12
0.0%
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
21
D × 17E × 3F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-03
2025-09-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-09-30
2025-09-11
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-09-30
2025-09-11
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-09-30
2025-09-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-30
2025-09-11
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
2025-09-30
2025-09-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-30
2025-09-11
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-30
2025-07-25
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-07-28
2024-08-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-17
2024-08-29
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-09-17
2024-08-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-09-17
2024-08-29
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
2024-09-17
2024-08-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-17
2024-08-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-17
2023-06-30
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
2023-07-21
2023-06-30
Health
F0610
Respond appropriately to all alleged violations.
D
2023-07-21
2023-06-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-21
2023-06-30
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-05-15
2023-06-30
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
2023-07-21
2023-06-30
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2023-07-21
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
8
Owner
Role
Pct
From
Status
Source
REALTY TERRE HAUTE
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
REALTY TERRE HAUTE
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
DAVID MARX
CONTRACTED MANAGING EMPLOYEE
100%
2022-01-01
ended 2026-05-18
pecos_ownership
JOHN HORNER
CORPORATE OFFICER
100%
2013-01-01
ended 2026-05-18
pecos_ownership
MAJESTIC CARE OF TERRE HAUTE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-02-01
ended 2026-05-18
pecos_ownership
MAJOR HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-01-01
ended 2026-05-18
pecos_ownership
SUNSET HARBOR, INC.
OPERATIONAL/MANAGERIAL CONTROL
100%
2013-01-01
ended 2026-05-18
pecos_ownership
REALTY TERRE HAUTE
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
$1,424,635
$641,040
—
—
$196,404
16
propco
2023-12-31
$1,548,854
$788,823
—
—
$257,130
16
propco
2022-12-31
$665,568
$249,390
—
—
$119,692
16
propco
2021-12-31
$774,260
—
—
—
—
6
—
2020-12-31
$696,094
—
—
—
—
6
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 18167
acs median gross
0
$759
2024-12-31
CENSUS_ACS5
county 18167
fmr
0
$859
2025-10-01
HUD_USER_FMR
county 18167
acs median gross
1
$726
2024-12-31
CENSUS_ACS5
county 18167
fmr
1
$864
2025-10-01
HUD_USER_FMR
county 18167
acs median gross
2
$1,012
2024-12-31
CENSUS_ACS5
county 18167
fmr
2
$1,094
2025-10-01
HUD_USER_FMR
county 18167
acs median gross
3
$1,083
2024-12-31
CENSUS_ACS5
county 18167
fmr
3
$1,312
2025-10-01
HUD_USER_FMR
county 18167
acs median gross
4
$1,176
2024-12-31
CENSUS_ACS5
county 18167
fmr
4
$1,535
2025-10-01
HUD_USER_FMR
county 18167
acs median gross
5
$1,024
2024-12-31
CENSUS_ACS5
county 18167
acs median gross
$924
2024-12-31
CENSUS_ACS5
county 18167
acs recent mover gross
$960
2024-12-31
CENSUS_ACS5
zcta 47804
acs median gross
1
$515
2024-12-31
CENSUS_ACS5
zcta 47804
acs median gross
2
$979
2024-12-31
CENSUS_ACS5
zcta 47804
acs median gross
3
$1,049
2024-12-31
CENSUS_ACS5
zcta 47804
acs median gross
4
$1,352
2024-12-31
CENSUS_ACS5
zcta 47804
acs median gross
$933
2024-12-31
CENSUS_ACS5
zcta 47804
acs recent mover gross
$845
2024-12-31
CENSUS_ACS5
zip 47804
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 47804
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 47804
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 110
2
$1,243
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 90
2
$1,017
2025-10-01
HUD_USER_SAFMR
zip 47804
safmr
2
$1,130
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 47804
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 110
4
$1,749
2025-10-01
HUD_USER_SAFMR
zip 47804
payment standard 90
4
$1,431
2025-10-01
HUD_USER_SAFMR
zip 47804
safmr
4
$1,590
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.