Reads as: riskier than 41.7% 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
TN median
National median
National p25–p75
Total nurse
3.30
3.28
3.28
2.90–3.77
RN
0.32
0.34
0.39
0.25–0.58
Weekend total
3.19
3.10
3.11
—
Weekday total
3.34
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.4
3.30
0.32
1.05
1.94
3.19
14.2%
2025Q3
92
66.3
3.06
0.39
0.80
1.87
2.91
16.3%
2025Q2
91
67.5
2.84
0.40
0.58
1.86
2.64
2.3%
2025Q1
90
65.1
2.87
0.34
0.76
1.77
2.63
0.0%
2024Q4
92
71.2
2.85
0.21
0.81
1.83
2.64
0.0%
2024Q3
92
70.4
2.90
0.30
0.71
1.89
2.71
0.0%
2024Q2
91
70.3
2.86
0.34
0.71
1.80
2.60
0.0%
2024Q1
91
70.6
2.73
0.30
0.80
1.63
2.57
0.0%
2023Q4
92
67.7
3.04
0.28
0.91
1.85
2.89
0.0%
2023Q3
92
69.7
3.06
0.26
0.77
2.02
2.80
0.0%
2023Q2
91
68.8
2.97
0.23
0.92
1.82
2.72
0.5%
2023Q1
90
69.5
2.96
0.20
0.82
1.93
2.78
0.5%
2022Q4
92
60.9
3.24
0.22
0.92
2.10
2.94
0.0%
2022Q3
92
67.0
3.10
0.20
1.03
1.87
2.84
12.3%
2022Q2
91
63.3
1.04
0.09
0.34
0.62
0.85
6.0%
2022Q1
90
61.4
2.92
0.24
0.93
1.75
2.70
6.0%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-09-09
2025-08-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-09
2025-08-12
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2025-09-09
2025-08-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-09
2025-08-12
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
2025-09-09
2025-08-12
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
2025-09-09
2025-08-12
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
2025-09-09
2025-08-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-09
2025-08-12
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-09-09
2018-10-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2018-11-12
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
19
Owner
Role
Pct
From
Status
Source
1536 APPLING CARE LANE TN LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
1536 APPLING CARE LANE TN LLC
5% OR GREATER MORTGAGE INTEREST
—
2025-01-01
current
pecos_ownership
ABUTINEH, MOHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
CLAWSON, SCOTT
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
EARL, STEVEN
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
LINKS HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2025-01-02
current
pecos_ownership
LINKS HEALTHCARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-18
current
pecos_ownership
RODRIGUEZ, CURTIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SANOFSKY, JACK
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
TILFORD, TOBY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
WALLACE, STACEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
LINKS HEALTHCARE GROUP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
CURTIS RODRIGUEZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2025-01-01
ended 2026-05-18
pecos_ownership
TOBY TILFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2025-01-01
ended 2026-05-18
pecos_ownership
SCOTT CLAWSON
INDIRECT OWNERSHIP INTEREST
4%
2025-01-01
ended 2026-05-18
pecos_ownership
JACK SANOFSKY
INDIRECT OWNERSHIP INTEREST
2%
2025-01-01
ended 2026-05-18
pecos_ownership
STEVEN EARL
INDIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
MOHAMMAD ABUTINEH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
STACEY WALLACE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
$1,548,579
—
$31,550
$623,210
—
9
—
2023-12-31
$1,694,645
—
$27,976
$781,206
—
9
—
2022-12-31
$1,540,521
—
$18,784
$708,446
—
7
—
2021-12-31
$1,855,859
—
$22,953
$852,880
—
7
—
2020-12-31
$1,712,666
—
$26,939
$733,303
—
7
—
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 47157
acs median gross
0
$932
2024-12-31
CENSUS_ACS5
county 47157
fmr
0
$1,060
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
1
$1,052
2024-12-31
CENSUS_ACS5
county 47157
fmr
1
$1,154
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
2
$1,163
2024-12-31
CENSUS_ACS5
county 47157
fmr
2
$1,274
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
3
$1,396
2024-12-31
CENSUS_ACS5
county 47157
fmr
3
$1,683
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
4
$1,640
2024-12-31
CENSUS_ACS5
county 47157
fmr
4
$1,959
2025-10-01
HUD_USER_FMR
county 47157
acs median gross
5
$1,777
2024-12-31
CENSUS_ACS5
county 47157
acs median gross
$1,232
2024-12-31
CENSUS_ACS5
county 47157
acs recent mover gross
$1,412
2024-12-31
CENSUS_ACS5
zcta 38018
acs median gross
1
$1,442
2024-12-31
CENSUS_ACS5
zcta 38018
acs median gross
2
$1,574
2024-12-31
CENSUS_ACS5
zcta 38018
acs median gross
3
$1,870
2024-12-31
CENSUS_ACS5
zcta 38018
acs median gross
4
$2,083
2024-12-31
CENSUS_ACS5
zcta 38018
acs median gross
$1,716
2024-12-31
CENSUS_ACS5
zcta 38018
acs recent mover gross
$1,755
2024-12-31
CENSUS_ACS5
zip 38018
payment standard 110
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 90
0
$1,296
2025-10-01
HUD_USER_SAFMR
zip 38018
safmr
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 110
1
$1,727
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 90
1
$1,413
2025-10-01
HUD_USER_SAFMR
zip 38018
safmr
1
$1,570
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 110
2
$1,903
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 90
2
$1,557
2025-10-01
HUD_USER_SAFMR
zip 38018
safmr
2
$1,730
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 110
3
$2,508
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 90
3
$2,052
2025-10-01
HUD_USER_SAFMR
zip 38018
safmr
3
$2,280
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 110
4
$2,926
2025-10-01
HUD_USER_SAFMR
zip 38018
payment standard 90
4
$2,394
2025-10-01
HUD_USER_SAFMR
zip 38018
safmr
4
$2,660
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.