Reads as: riskier than 18.7% 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
MA median
National median
National p25–p75
Total nurse
4.24
3.39
3.28
2.90–3.77
RN
0.72
0.39
0.39
0.25–0.58
Weekend total
4.25
3.26
3.11
—
Weekday total
4.23
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
56.7
4.24
0.72
0.80
2.71
4.25
0.0%
2025Q3
92
57.3
4.26
0.76
0.76
2.74
4.35
0.0%
2025Q2
91
58.0
4.05
0.79
0.72
2.55
4.07
0.0%
2025Q1
90
56.0
4.27
0.84
0.76
2.67
4.25
10.7%
2024Q4
92
57.0
3.74
0.78
0.79
2.17
3.72
10.7%
2024Q3
92
56.8
4.14
0.80
0.77
2.57
4.11
0.7%
2024Q2
91
55.9
4.88
1.01
0.93
2.95
4.91
2.8%
2024Q1
91
52.5
4.21
1.09
0.66
2.47
4.15
7.3%
2023Q4
92
51.6
3.99
1.05
0.70
2.24
4.10
6.3%
2023Q3
92
49.2
4.16
0.93
0.84
2.39
4.11
3.4%
2023Q2
91
51.3
4.00
0.91
0.90
2.19
3.78
0.8%
2023Q1
90
48.4
4.14
1.04
0.97
2.14
3.88
4.9%
2022Q4
92
45.0
4.04
0.98
0.97
2.09
3.70
4.8%
2022Q3
92
47.6
3.87
0.78
0.86
2.24
3.62
3.7%
2022Q2
91
57.0
3.46
0.67
0.91
1.88
3.29
0.0%
2022Q1
90
54.1
3.50
0.69
1.03
1.78
3.41
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-06
2026-01-21
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
2026-02-06
2026-01-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-02-06
2026-01-21
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
2026-02-06
2026-01-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-06
2025-06-18
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-08-08
2025-01-07
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-02-14
2024-12-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-02-02
2024-12-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-02
2024-12-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
H
2025-02-02
2024-12-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-02-02
2024-12-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-02
2024-12-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-02
2024-12-23
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.
E
2025-02-02
2024-12-23
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
E
2025-02-02
2024-12-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-02
2024-12-23
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F
2025-02-02
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
58
Owner
Role
Pct
From
Status
Source
NATIONAL SENIOR COMMUNITIES, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-01-14
current
pecos_ownership
ARNOLD, COURTNEY
ADP OF THE SNF
—
2024-03-18
current
pecos_ownership
BISON, MICHAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
BROWN, IAN
CORPORATE DIRECTOR
—
2023-04-01
current
pecos_ownership
BROWN, PATRICIA
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
BUTLER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
CLUPPER, KATHERINE
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
COLINS, MARY
CORPORATE OFFICER
—
2021-10-27
current
pecos_ownership
COLINS, MARY
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
EMBLEY, MARK
ADP OF THE SNF
—
2021-10-27
current
pecos_ownership
ERICKSON SENIOR LIVING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-23
current
pecos_ownership
ERICKSON SENIOR LIVING LLC
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
ERSTAD, EILEEN
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
GANTERT, NEAL
CORPORATE OFFICER
—
2018-04-01
current
pecos_ownership
HALL, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-04-30
current
pecos_ownership
JACQUE, ZINA
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
LEONARD, MONTY
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
MOSCATO, MARY
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
PAULK, PAMELA
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
POMERANZ, WILLIAM
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
REEL, STEPHANIE
CORPORATE DIRECTOR
—
2018-04-01
current
pecos_ownership
REIZUN, CATHERINE
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
REIZUN, CATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-10
current
pecos_ownership
RIDLEY, FRED
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
ROSKIEWICZ, MICHAEL
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
SAWICKI, SCOTT
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
SHARP, RUSSEL
CORPORATE DIRECTOR
—
2023-04-01
current
pecos_ownership
SONES, RANDALL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
STINER, PAMELA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
SWEETSER, CHRISTIAN
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
TYLER, DANIEL
CORPORATE OFFICER
—
2025-04-01
current
pecos_ownership
WALLICK, DANIEL
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
CATHERINE REIZUN
ADP OF THE SNF
—
2025-03-13
ended 2026-05-18
pecos_ownership
CATHERINE REIZUN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-10
ended 2026-05-18
pecos_ownership
CHRISTIAN SWEETSER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
COURTNEY ARNOLD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-18
ended 2026-05-18
pecos_ownership
DANIEL TYLER
CORPORATE OFFICER
—
2025-04-01
ended 2026-05-18
pecos_ownership
DANIEL WALLICK
CORPORATE DIRECTOR
—
2025-04-01
ended 2026-05-18
pecos_ownership
EILEEN ERSTAD
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
IAN BROWN
CORPORATE DIRECTOR
—
2023-04-01
ended 2026-05-18
pecos_ownership
JOHN HALL
CORPORATE OFFICER
—
2010-04-30
ended 2026-05-18
pecos_ownership
KATHERINE CLUPPER
CORPORATE DIRECTOR
—
2024-04-01
ended 2026-05-18
pecos_ownership
MARK EMBLEY
CORPORATE OFFICER
—
2021-10-27
ended 2026-05-18
pecos_ownership
MARY COLINS
CORPORATE OFFICER
—
2021-10-27
ended 2026-05-18
pecos_ownership
MARY COLINS
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
MARY MOSCATO
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
MICHAEL ROSKIEWICZ
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
MONTY LEONARD
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
NEAL GANTERT
CORPORATE OFFICER
—
2018-04-01
ended 2026-05-18
pecos_ownership
PAMELA PAULK
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
PAMELA STINER
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
PATRICIA BROWN
CORPORATE DIRECTOR
—
2022-04-01
ended 2026-05-18
pecos_ownership
RICHARD BUTLER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
ended 2026-05-18
pecos_ownership
RUSSEL SHARP
CORPORATE DIRECTOR
—
2023-04-01
ended 2026-05-18
pecos_ownership
SCOTT SAWICKI
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
STEPHANIE REEL
CORPORATE DIRECTOR
—
2018-04-01
ended 2026-05-18
pecos_ownership
WILLIAM POMERANZ
CORPORATE DIRECTOR
—
2025-04-01
ended 2026-05-18
pecos_ownership
ZINA JACQUE
CORPORATE DIRECTOR
—
2018-04-01
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
$6,349,351
—
—
—
$629,039
1
—
2023-12-31
$4,926,279
—
—
—
$529,227
1
—
2022-12-31
$4,069,137
—
—
—
$564,044
1
—
2021-12-31
$3,940,047
—
—
—
$550,803
1
—
2020-12-31
$4,301,083
—
—
—
$640,397
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25009
acs median gross
0
$1,355
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
1
$1,383
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
2
$1,864
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
3
$1,998
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
4
$2,198
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
5
$2,425
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
$1,756
2024-12-31
CENSUS_ACS5
county 25009
acs recent mover gross
$2,174
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
0
$1,721
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
1
$1,796
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
2
$2,028
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
3
$2,237
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
4
$3,021
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
$1,950
2024-12-31
CENSUS_ACS5
zcta 01960
acs recent mover gross
$2,113
2024-12-31
CENSUS_ACS5
zip 01960
payment standard 110
0
$2,244
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
0
$1,836
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
0
$2,040
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
2
$2,816
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
2
$2,304
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
2
$2,560
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
3
$3,388
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
4
$3,729
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
4
$3,051
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
4
$3,390
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.