700 WEAKLEY COUNTY NURSING HOME ROAD PO BOX 787, DRESDEN, TN 38225 · CCN 445437 · chain 10 26 NATIONWIDE TR
Composite
71.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
139
Model
v1.2
Reads as: riskier than 71.4% 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
TN median
National median
National p25–p75
Total nurse
3.43
3.28
3.28
2.90–3.77
RN
0.34
0.34
0.39
0.25–0.58
Weekend total
3.11
3.10
3.11
—
Weekday total
3.56
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
52.6
3.43
0.34
1.17
1.92
3.11
5.4%
2025Q3
92
55.4
3.68
0.49
1.14
2.06
3.27
14.1%
2025Q2
91
56.4
3.86
0.47
1.17
2.23
3.36
21.0%
2025Q1
90
55.6
3.97
0.44
1.25
2.27
3.37
17.0%
2024Q4
92
53.8
3.62
0.23
1.30
2.09
3.18
11.7%
2024Q3
92
54.5
3.50
0.23
1.30
1.97
3.31
5.9%
2024Q2
91
65.5
2.92
0.18
0.98
1.76
2.77
5.7%
2024Q1
91
60.6
2.96
0.18
1.06
1.72
2.77
2.0%
2023Q4
92
58.1
3.08
0.19
1.12
1.78
2.95
2.4%
2023Q3
92
57.6
3.10
0.20
1.11
1.79
2.99
12.6%
2023Q2
91
56.1
3.16
0.21
1.16
1.79
3.03
13.8%
2023Q1
90
62.2
3.22
0.23
1.17
1.82
3.11
19.2%
2022Q4
92
66.5
3.14
0.26
1.04
1.85
3.09
41.1%
2022Q3
92
65.2
3.34
0.29
1.06
1.99
3.22
39.4%
2022Q2
91
68.6
2.27
0.25
0.77
1.26
2.19
0.0%
2022Q1
90
65.9
3.02
0.35
0.92
1.75
2.81
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.
Provide enough food/fluids to maintain a resident's health.
G
2025-09-19
2025-09-10
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-09-19
2025-09-10
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
2025-09-19
2025-09-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-19
2025-09-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-19
2024-06-29
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-08-12
2024-06-29
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-08-12
2024-06-29
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-08-12
2024-06-29
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-08-12
2024-06-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-12
2024-06-29
Health · complaint
F0741
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
D
2024-08-12
2024-06-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-08-12
2024-06-29
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.
E
2024-08-12
2024-06-29
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2024-08-12
2024-06-29
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.
D
2024-08-12
2024-06-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-12
2023-04-13
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2023-05-26
2023-04-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-05-26
2023-04-13
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-05-26
2023-04-13
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
2023-05-26
2023-04-13
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
2023-05-26
2023-04-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-05-26
2023-04-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-05-26
2023-04-13
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-05-26
2023-04-13
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
2023-05-26
2023-04-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-05-26
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
CAPITAL HOLDINGS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2024-12-01
current
pecos_ownership
10-26 NATIONWIDE TR
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
1026 ENTERPRISES II, LLC
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
CAPITAL HOLDINGS TRUST
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
CCH HEALTHCARE NC, LLC
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
JEREMIAS, BARUCH
INDIRECT OWNERSHIP INTEREST
—
2024-12-01
current
pecos_ownership
LOWRY, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
SHERWOOD, JAMES
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
STARLIGHT HEALTHCARE LLC
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
STERN, JACOB
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
STERN, JACOB
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
JACOB STERN
CORPORATE DIRECTOR
100%
2024-12-01
ended 2026-05-18
pecos_ownership
1026 ENTERPRISES II, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-12-01
ended 2026-05-18
pecos_ownership
BARUCH JEREMIAS
CORPORATE OFFICER
50%
2024-12-01
ended 2026-05-18
pecos_ownership
STARLIGHT HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-12-01
ended 2026-05-18
pecos_ownership
10-26 NATIONWIDE TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2024-12-01
ended 2026-05-18
pecos_ownership
JACOB STERN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-26
ended 2026-05-18
pecos_ownership
JAMES SHERWOOD
MANAGING CONTROL - GOVERNING BODY
—
2024-12-01
ended 2026-05-18
pecos_ownership
SUSAN LOWRY
MANAGING CONTROL - GOVERNING BODY
—
2024-12-01
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.
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
31
Geo
Kind
BR
Amount
As of
Source
county 47183
fmr
0
$705
2025-10-01
HUD_USER_FMR
county 47183
acs median gross
1
$541
2024-12-31
CENSUS_ACS5
county 47183
fmr
1
$710
2025-10-01
HUD_USER_FMR
county 47183
acs median gross
2
$822
2024-12-31
CENSUS_ACS5
county 47183
fmr
2
$925
2025-10-01
HUD_USER_FMR
county 47183
acs median gross
3
$872
2024-12-31
CENSUS_ACS5
county 47183
fmr
3
$1,119
2025-10-01
HUD_USER_FMR
county 47183
acs median gross
4
$1,208
2024-12-31
CENSUS_ACS5
county 47183
fmr
4
$1,552
2025-10-01
HUD_USER_FMR
county 47183
acs median gross
5
$976
2024-12-31
CENSUS_ACS5
county 47183
acs median gross
$803
2024-12-31
CENSUS_ACS5
county 47183
acs recent mover gross
$945
2024-12-31
CENSUS_ACS5
zcta 38225
acs median gross
1
$583
2024-12-31
CENSUS_ACS5
zcta 38225
acs median gross
2
$672
2024-12-31
CENSUS_ACS5
zcta 38225
acs median gross
3
$769
2024-12-31
CENSUS_ACS5
zcta 38225
acs median gross
$760
2024-12-31
CENSUS_ACS5
zip 38225
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 38225
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 38225
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 38225
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 110
3
$1,232
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 90
3
$1,008
2025-10-01
HUD_USER_SAFMR
zip 38225
safmr
3
$1,120
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 38225
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 38225
safmr
4
$1,550
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.