Reads as: riskier than 17.5% 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
KS median
National median
National p25–p75
Total nurse
3.63
3.03
3.28
2.90–3.77
RN
0.86
0.44
0.39
0.25–0.58
Weekend total
3.19
2.87
3.11
—
Weekday total
3.81
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.3
3.63
0.86
0.31
2.46
3.19
0.9%
2025Q3
92
33.5
3.71
0.83
0.29
2.60
3.51
0.4%
2025Q2
91
29.5
4.16
1.14
0.21
2.81
4.34
0.0%
2025Q1
90
27.7
4.40
1.11
0.30
2.99
4.33
10.0%
2024Q4
92
31.3
3.93
1.07
0.13
2.72
3.87
6.3%
2024Q3
92
29.7
4.03
0.99
0.28
2.76
3.88
22.1%
2024Q2
91
29.4
3.69
0.97
0.29
2.43
3.72
29.7%
2024Q1
91
29.2
3.38
1.02
0.25
2.12
3.41
19.1%
2023Q4
92
30.2
3.32
0.82
0.40
2.10
3.45
25.4%
2023Q3
92
32.3
3.39
0.68
0.47
2.24
3.31
25.6%
2023Q2
91
30.5
3.47
0.76
0.44
2.27
3.65
24.3%
2023Q1
90
30.9
3.41
0.77
0.47
2.17
3.55
17.9%
2022Q4
92
30.6
3.29
0.93
0.44
1.92
3.40
11.2%
2022Q3
92
32.0
2.99
0.84
0.42
1.73
3.13
0.0%
2022Q2
91
29.2
3.19
0.84
0.43
1.92
3.34
5.8%
2022Q1
90
29.1
3.11
0.63
0.64
1.84
3.19
7.5%
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
22
D × 20E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-19
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-02
2025-03-19
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
2025-05-02
2025-03-19
Health · complaint
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-05-02
2025-03-19
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-05-02
2025-03-19
Health · complaint
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
2025-05-02
2025-03-19
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-05-02
2025-03-19
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-05-02
2025-03-19
Health · complaint
F0942
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F
2025-05-02
2023-07-12
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
2023-07-20
2023-07-12
Health
F0679
Provide activities to meet all resident's needs.
E
2023-07-20
2023-07-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-20
2023-07-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-20
2023-07-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-07-20
2023-07-12
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-07-20
2023-07-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-07-20
2021-12-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-01-30
2021-12-30
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2022-01-30
2021-12-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-01-30
2021-12-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-01-30
2021-12-30
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
2022-01-30
2021-12-30
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-01-30
2021-12-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-01-30
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
39
Owner
Role
Pct
From
Status
Source
3RK, LLC
INDIRECT OWNERSHIP INTEREST
—
2021-01-01
current
pecos_ownership
5 R CATTLE, LLC
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
ABBY, AMBER
ADP OF THE SNF
—
2025-02-17
current
pecos_ownership
ANDERSON, JORDAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ANDERSON, JORDAN
INDIRECT OWNERSHIP INTEREST
—
2021-10-01
current
pecos_ownership
ANDERSON, MARLENE
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
ANDERSON, WAYNE
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
CADET INVESTMENT LLC
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
CURANA HEALTH OF MISSOURI-KANSAS LLC
ADP OF THE SNF
—
2023-03-01
current
pecos_ownership
GULLEDGE, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-16
current
pecos_ownership
GULLEDGE, TRAVIS
INDIRECT OWNERSHIP INTEREST
—
2021-10-01
current
pecos_ownership
GULLEDGE, TRAVIS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
HOWARD, STEVEN
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
LMRAY, LLC
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
MARTIN, CAROLINE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-06
current
pecos_ownership
PIVOTAL HEALTH CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-16
current
pecos_ownership
PIVOTAL HEALTH CARE LLC
ADP OF THE SNF
—
2025-04-28
current
pecos_ownership
POKY - 5R LLC
INDIRECT OWNERSHIP INTEREST
—
2019-12-31
current
pecos_ownership
POKY FEEDERS INC
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
SCENIC DEVELOPMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-16
current
pecos_ownership
SCENIC HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2019-12-31
current
pecos_ownership
SUMMIT CARE, LLC
ADP OF THE SNF
—
2017-12-16
current
pecos_ownership
WOOD, GILBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-16
current
pecos_ownership
WSG LLC
INDIRECT OWNERSHIP INTEREST
—
2017-12-16
current
pecos_ownership
POKY - 5R LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2022-07-31
ended 2026-05-18
pecos_ownership
STEVEN HOWARD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2019-12-31
ended 2026-05-18
pecos_ownership
STEVEN HOWARD
INDIRECT OWNERSHIP INTEREST
10%
2017-12-16
ended 2026-05-18
pecos_ownership
MARLENE ANDERSON
INDIRECT OWNERSHIP INTEREST
6%
2017-12-16
ended 2026-05-18
pecos_ownership
WAYNE ANDERSON
INDIRECT OWNERSHIP INTEREST
6%
2017-12-16
ended 2026-05-18
pecos_ownership
MARLENE ANDERSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-07-31
ended 2026-05-18
pecos_ownership
WAYNE ANDERSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-07-31
ended 2026-05-18
pecos_ownership
SCOTT GULLEDGE
INDIRECT OWNERSHIP INTEREST
3%
2017-12-16
ended 2026-05-18
pecos_ownership
GILBERT WOOD
INDIRECT OWNERSHIP INTEREST
2%
2017-12-16
ended 2026-05-18
pecos_ownership
JORDAN ANDERSON
INDIRECT OWNERSHIP INTEREST
2%
2021-10-01
ended 2026-05-18
pecos_ownership
TRAVIS GULLEDGE
INDIRECT OWNERSHIP INTEREST
1%
2021-10-01
ended 2026-05-18
pecos_ownership
AMBER ABBY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-17
ended 2026-05-18
pecos_ownership
CAROLINE MARTIN
ADP OF THE SNF
—
2023-02-06
ended 2026-05-18
pecos_ownership
JORDAN ANDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
TRAVIS GULLEDGE
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
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
34
Geo
Kind
BR
Amount
As of
Source
county 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66215
acs median gross
1
$1,265
2024-12-31
CENSUS_ACS5
zcta 66215
acs median gross
2
$1,377
2024-12-31
CENSUS_ACS5
zcta 66215
acs median gross
3
$1,706
2024-12-31
CENSUS_ACS5
zcta 66215
acs median gross
4
$2,068
2024-12-31
CENSUS_ACS5
zcta 66215
acs median gross
$1,406
2024-12-31
CENSUS_ACS5
zcta 66215
acs recent mover gross
$1,393
2024-12-31
CENSUS_ACS5
zip 66215
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 66215
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 110
1
$1,518
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 90
1
$1,242
2025-10-01
HUD_USER_SAFMR
zip 66215
safmr
1
$1,380
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 66215
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 110
3
$2,233
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 90
3
$1,827
2025-10-01
HUD_USER_SAFMR
zip 66215
safmr
3
$2,030
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 66215
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 66215
safmr
4
$2,420
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.