Reads as: riskier than 26.6% 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
3.92
3.28
3.28
2.90–3.77
RN
0.39
0.34
0.39
0.25–0.58
Weekend total
3.44
3.10
3.11
—
Weekday total
4.11
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
384.0
3.92
0.39
1.25
2.29
3.44
3.7%
2025Q3
92
380.9
3.86
0.38
1.24
2.24
3.35
4.0%
2025Q2
91
364.1
3.82
0.37
1.20
2.25
3.25
3.2%
2025Q1
90
369.3
3.81
0.40
1.16
2.25
3.29
2.5%
2024Q4
92
373.0
3.77
0.40
1.14
2.23
3.29
2.9%
2024Q3
92
369.1
3.62
0.43
1.15
2.03
3.13
3.7%
2024Q2
91
364.6
3.56
0.45
1.16
1.96
3.10
3.4%
2024Q1
91
367.7
3.53
0.45
1.14
1.95
3.07
2.6%
2023Q4
92
369.8
3.60
0.43
1.16
2.01
3.16
6.3%
2023Q3
92
360.1
3.64
0.40
1.22
2.03
3.17
6.9%
2023Q2
91
363.1
3.39
0.36
1.18
1.85
2.84
9.8%
2023Q1
90
356.3
3.08
0.34
1.21
1.53
2.56
7.9%
2022Q4
92
354.2
3.06
0.29
1.16
1.61
2.65
10.8%
2022Q3
92
348.6
3.09
0.26
1.21
1.62
2.71
10.9%
2022Q2
91
342.7
3.24
0.28
1.27
1.69
2.71
11.2%
2022Q1
90
344.1
3.17
0.27
1.18
1.72
2.65
11.3%
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
15
C × 1D × 14
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-23
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
2025-08-16
2025-07-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-31
2025-07-23
Health
F0814
Dispose of garbage and refuse properly.
D
2025-09-06
2025-07-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-16
2025-07-23
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-08-16
2022-06-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2022-07-24
2022-06-09
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-07-24
2022-06-09
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2022-07-24
2022-06-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-07-24
2019-07-31
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
C
2019-09-13
2019-07-31
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2019-09-13
2019-07-31
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
2019-09-13
2019-07-31
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2019-09-13
2019-07-31
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
2019-09-13
2019-07-31
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-09-13
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
17
Owner
Role
Pct
From
Status
Source
COVENANT HEALTH SERVICES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-10-01
current
pecos_ownership
STRAWN, JOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2013-10-01
current
pecos_ownership
BOOZER, DAVID
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
BOOZER, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
BREAKEY, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
HEALTH, EDUCATIONAL, AND HOUSING FACILITY BOARD OF THE CITY OF CHATTAN
ADP OF THE SNF
—
2000-01-14
current
pecos_ownership
PENDLEY, BRUCE
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
PENDLEY, BRUCE
OPERATIONAL/MANAGERIAL CONTROL
—
2009-07-07
current
pecos_ownership
RIVERCITY STAFFING, LLC
ADP OF THE SNF
—
2013-10-01
current
pecos_ownership
STANDIFER PLACE PROPERTIES LLC
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
TENNESSEE HEALTHCARE ADVISORS, LLC
ADP OF THE SNF
—
2007-11-01
current
pecos_ownership
JOHN STRAWN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2013-10-01
ended 2026-05-18
pecos_ownership
ANGELA BREAKEY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
ended 2026-05-18
pecos_ownership
BRUCE PENDLEY
ADP OF THE SNF
—
2025-12-16
ended 2026-05-18
pecos_ownership
BRUCE PENDLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2009-07-07
ended 2026-05-18
pecos_ownership
DAVID BOOZER
ADP OF THE SNF
—
2025-12-16
ended 2026-05-18
pecos_ownership
DAVID BOOZER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 47065
acs median gross
0
$966
2024-12-31
CENSUS_ACS5
county 47065
fmr
0
$1,211
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
1
$1,136
2024-12-31
CENSUS_ACS5
county 47065
fmr
1
$1,263
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
2
$1,220
2024-12-31
CENSUS_ACS5
county 47065
fmr
2
$1,390
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
3
$1,457
2024-12-31
CENSUS_ACS5
county 47065
fmr
3
$1,734
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
4
$1,658
2024-12-31
CENSUS_ACS5
county 47065
fmr
4
$1,853
2025-10-01
HUD_USER_FMR
county 47065
acs median gross
5
$1,651
2024-12-31
CENSUS_ACS5
county 47065
acs median gross
$1,253
2024-12-31
CENSUS_ACS5
county 47065
acs recent mover gross
$1,461
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
0
$1,173
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
1
$1,274
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
2
$1,420
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
3
$1,728
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
4
$1,641
2024-12-31
CENSUS_ACS5
zcta 37421
acs median gross
$1,405
2024-12-31
CENSUS_ACS5
zcta 37421
acs recent mover gross
$1,521
2024-12-31
CENSUS_ACS5
zip 37421
payment standard 110
0
$1,749
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 90
0
$1,431
2025-10-01
HUD_USER_SAFMR
zip 37421
safmr
0
$1,590
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 110
1
$1,826
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 90
1
$1,494
2025-10-01
HUD_USER_SAFMR
zip 37421
safmr
1
$1,660
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 110
2
$2,013
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 90
2
$1,647
2025-10-01
HUD_USER_SAFMR
zip 37421
safmr
2
$1,830
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 110
3
$2,508
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 90
3
$2,052
2025-10-01
HUD_USER_SAFMR
zip 37421
safmr
3
$2,280
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 110
4
$2,684
2025-10-01
HUD_USER_SAFMR
zip 37421
payment standard 90
4
$2,196
2025-10-01
HUD_USER_SAFMR
zip 37421
safmr
4
$2,440
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.