Reads as: riskier than 22.4% 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
OH median
National median
National p25–p75
Total nurse
2.91
3.24
3.28
2.90–3.77
RN
0.18
0.38
0.39
0.25–0.58
Weekend total
2.96
3.11
3.11
—
Weekday total
2.89
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.0
2.91
0.18
0.78
1.95
2.96
0.0%
2025Q3
92
52.3
2.90
0.22
0.79
1.89
2.91
1.2%
2025Q2
91
53.2
2.58
0.07
0.83
1.68
2.71
0.0%
2025Q1
90
54.0
2.46
0.07
0.80
1.60
2.59
1.2%
2024Q4
92
57.6
2.44
0.06
0.71
1.66
2.66
0.0%
2024Q3
92
58.9
2.56
0.06
0.71
1.79
2.72
0.0%
2024Q2
91
58.7
2.61
0.07
0.77
1.77
2.70
0.0%
2024Q1
91
59.9
2.43
0.07
0.73
1.63
2.44
0.0%
2023Q4
92
53.8
2.67
0.08
0.92
1.66
2.66
0.0%
2023Q3
92
56.9
2.54
0.09
0.94
1.51
2.52
0.0%
2023Q2
91
55.6
2.56
0.10
0.96
1.50
2.55
0.0%
2023Q1
90
55.8
1.39
0.05
0.61
0.73
1.32
5.0%
2022Q4
92
57.3
1.49
0.03
0.58
0.88
1.41
25.3%
2022Q3
92
60.3
0.40
0.00
0.13
0.26
0.30
58.4%
2022Q2
91
54.9
0.29
0.06
0.13
0.10
0.44
8.2%
2022Q1
90
57.7
1.99
0.16
0.60
1.23
2.01
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-07-22
2025-05-27
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
C
2025-06-18
2025-05-27
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.
D
2025-07-22
2025-05-27
Health · complaint
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.
E
2025-07-22
2025-05-27
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
C
2025-06-18
2025-05-27
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
G
2025-07-22
2025-05-27
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-22
2025-05-27
Health
F0610
Respond appropriately to all alleged violations.
D
2025-07-22
2025-05-27
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-07-22
2025-05-27
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-22
2025-05-27
Health
F0679
Provide activities to meet all resident's needs.
D
2025-07-22
2025-05-27
Health
F0680
Ensure the activities program is directed by a qualified professional.
C
2025-06-18
2025-05-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-22
2025-05-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-22
2025-05-27
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-08-16
2025-05-27
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-07-22
2025-05-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-22
2025-05-27
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
2025-07-22
2025-05-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-23
2025-05-27
Health · complaint
F0949
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
E
2025-07-22
2024-11-04
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-11-15
2024-07-31
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-02
2024-07-31
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-08-02
2024-04-30
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-05-17
2024-02-06
Health · complaint
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
2024-02-19
2024-02-06
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-02-19
2023-10-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-27
2023-10-16
Health · complaint
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
2023-10-27
2023-02-09
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-04-21
2023-02-09
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2023-04-21
2020-01-23
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2020-04-01
2020-01-23
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2020-04-01
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
16
Owner
Role
Pct
From
Status
Source
AARON HANDLER FAMILY DYNASTY TRUST
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
EMBASSY HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
EMBASSY HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
HANDLER, AARON
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
HERITAGE EMPLOYMENT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
JAIN, SUSHIL
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
REPCHICK, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
SEIBERLING, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
EMBASSY HEALTHCARE HOLDINGS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-01
ended 2026-05-18
pecos_ownership
2020 GSR DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-01-01
ended 2026-05-18
pecos_ownership
AH DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-01-01
ended 2026-05-18
pecos_ownership
AARON HANDLER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
AMY SEIBERLING
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
GEORGE REPCHICK
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
SUSHIL JAIN
ADP OF THE SNF
—
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
$309,725
—
$309,725
—
—
2
—
2023-12-31
$374,487
—
$374,487
—
—
2
—
2022-12-31
$267,723
—
$267,723
—
—
2
—
2021-12-31
$284,586
—
$284,586
—
—
2
—
2020-12-31
$298,670
—
—
—
$61,151
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
34
Geo
Kind
BR
Amount
As of
Source
county 39169
acs median gross
0
$513
2024-12-31
CENSUS_ACS5
county 39169
fmr
0
$718
2025-10-01
HUD_USER_FMR
county 39169
acs median gross
1
$675
2024-12-31
CENSUS_ACS5
county 39169
fmr
1
$816
2025-10-01
HUD_USER_FMR
county 39169
acs median gross
2
$912
2024-12-31
CENSUS_ACS5
county 39169
fmr
2
$1,041
2025-10-01
HUD_USER_FMR
county 39169
acs median gross
3
$969
2024-12-31
CENSUS_ACS5
county 39169
fmr
3
$1,269
2025-10-01
HUD_USER_FMR
county 39169
acs median gross
4
$1,020
2024-12-31
CENSUS_ACS5
county 39169
fmr
4
$1,491
2025-10-01
HUD_USER_FMR
county 39169
acs median gross
5
$1,273
2024-12-31
CENSUS_ACS5
county 39169
acs median gross
$881
2024-12-31
CENSUS_ACS5
county 39169
acs recent mover gross
$1,044
2024-12-31
CENSUS_ACS5
zcta 44270
acs median gross
1
$457
2024-12-31
CENSUS_ACS5
zcta 44270
acs median gross
2
$753
2024-12-31
CENSUS_ACS5
zcta 44270
acs median gross
3
$990
2024-12-31
CENSUS_ACS5
zcta 44270
acs median gross
4
$725
2024-12-31
CENSUS_ACS5
zcta 44270
acs median gross
$786
2024-12-31
CENSUS_ACS5
zcta 44270
acs recent mover gross
$927
2024-12-31
CENSUS_ACS5
zip 44270
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 44270
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 110
1
$858
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 90
1
$702
2025-10-01
HUD_USER_SAFMR
zip 44270
safmr
1
$780
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 44270
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 110
3
$1,342
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 90
3
$1,098
2025-10-01
HUD_USER_SAFMR
zip 44270
safmr
3
$1,220
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 44270
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 44270
safmr
4
$1,420
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.