1 Medical Village Drive, Edgewood, KY 41017 · CCN 185394
Composite
14.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
30
Model
v1.2
Reads as: riskier than 14.8% 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 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
KY median
National median
National p25–p75
Total nurse
7.60
3.11
3.28
2.90–3.77
RN
3.38
0.41
0.39
0.25–0.58
Weekend total
7.46
3.01
3.11
—
Weekday total
7.66
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
22.2
7.60
3.38
1.01
3.22
7.46
0.0%
2025Q3
92
22.6
7.22
3.03
0.92
3.27
6.99
0.0%
2025Q2
91
27.7
6.34
2.83
0.78
2.73
6.02
0.0%
2025Q1
90
31.3
4.83
2.04
0.63
2.16
4.73
0.0%
2024Q4
92
23.3
6.94
2.90
0.83
3.21
6.74
0.0%
2024Q3
92
22.2
7.00
3.02
1.14
2.84
6.55
0.0%
2024Q2
91
22.4
6.35
2.50
1.29
2.56
6.00
0.0%
2024Q1
91
15.9
6.98
2.72
1.20
3.07
6.08
0.0%
2023Q4
92
14.5
6.86
2.77
1.14
2.94
6.07
0.0%
2023Q3
92
14.7
6.51
2.69
1.12
2.70
6.19
0.0%
2023Q2
91
12.4
8.16
3.21
1.46
3.49
7.62
0.0%
2023Q1
90
10.5
9.59
3.66
1.85
4.08
8.79
0.0%
2022Q4
92
16.3
5.38
1.97
1.56
1.85
5.09
0.0%
2022Q3
92
14.6
6.62
2.39
1.78
2.45
6.33
0.0%
2022Q2
91
15.6
6.38
2.42
1.59
2.38
6.07
0.0%
2022Q1
90
20.4
4.17
1.73
0.90
1.53
4.34
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.
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
4
D × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-03-24
2025-01-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-19
2023-11-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-21
2023-11-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-12-21
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
47
Owner
Role
Pct
From
Status
Source
BUXTON, SYLVIA
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
COLVIN, GARREN
CORPORATE OFFICER
—
2008-10-28
current
pecos_ownership
COLVIN, GARREN
CORPORATE DIRECTOR
—
2015-02-13
current
pecos_ownership
FREY, LISA
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
HALL, VERA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
HAUGHT, DEREK
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HAWKINS, JOHN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
JACKMAN, JASON
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
KNOCHELMANN, KRIS
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KOESTER, JOSEPH
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
LADENBURGER, MARSHA
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
MOORHEAD, ROBERT
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
NEFF, JUDITH
ADP OF THE SNF
—
2017-01-17
current
pecos_ownership
NEFF, JUDITH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
NELSON, KRISTI
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PRICE, DONALD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RITCHEY-BALDWIN, LORI
CORPORATE OFFICER
—
2014-01-01
current
pecos_ownership
SCHAEFFER, ANDREW
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
SCHROER, JEANNE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
SIMPSON, DEBBIE
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
ST ELIZABETH MEDICAL CENTER, INC
ADP OF THE SNF
—
2019-01-16
current
pecos_ownership
STEVENS, ROBERT
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
SWEENEY, JACKIE
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
THOMPSON, AMY
ADP OF THE SNF
—
2014-12-10
current
pecos_ownership
DEBBIE SIMPSON
CORPORATE DIRECTOR
0%
2026-01-01
ended 2026-05-18
pecos_ownership
DEREK HAUGHT
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
DONALD PRICE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JEANNE SCHROER
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JOHN HAWKINS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
SYLVIA BUXTON
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
VERA HALL
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
AMY THOMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2014-12-10
ended 2026-05-18
pecos_ownership
ANDREW SCHAEFFER
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
GARREN COLVIN
CORPORATE OFFICER
—
2008-10-28
ended 2026-05-18
pecos_ownership
GARREN COLVIN
CORPORATE DIRECTOR
—
2015-02-13
ended 2026-05-18
pecos_ownership
JACKIE SWEENEY
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
JASON JACKMAN
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
JOSEPH KOESTER
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
JUDITH NEFF
ADP OF THE SNF
—
2017-01-17
ended 2026-05-18
pecos_ownership
JUDITH NEFF
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
KRIS KNOCHELMANN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
KRISTI NELSON
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
LISA FREY
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
LORI RITCHEY-BALDWIN
CORPORATE OFFICER
—
2014-01-01
ended 2026-05-18
pecos_ownership
MARSHA LADENBURGER
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT MOORHEAD
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT STEVENS
CORPORATE DIRECTOR
—
2022-01-01
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 21117
acs median gross
0
$830
2024-12-31
CENSUS_ACS5
county 21117
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 21117
acs median gross
1
$874
2024-12-31
CENSUS_ACS5
county 21117
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 21117
acs median gross
2
$1,140
2024-12-31
CENSUS_ACS5
county 21117
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 21117
acs median gross
3
$1,407
2024-12-31
CENSUS_ACS5
county 21117
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 21117
acs median gross
4
$1,431
2024-12-31
CENSUS_ACS5
county 21117
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 21117
acs median gross
5
$1,538
2024-12-31
CENSUS_ACS5
county 21117
acs median gross
$1,069
2024-12-31
CENSUS_ACS5
county 21117
acs recent mover gross
$1,295
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
0
$1,047
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
1
$939
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
2
$1,108
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
3
$1,891
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
4
$1,236
2024-12-31
CENSUS_ACS5
zcta 41017
acs median gross
$1,064
2024-12-31
CENSUS_ACS5
zcta 41017
acs recent mover gross
$1,184
2024-12-31
CENSUS_ACS5
zip 41017
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 41017
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 41017
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 41017
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 41017
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 41017
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 41017
safmr
4
$1,810
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.