1729 Miller Street East, Burley, ID 83318 · CCN 135081 · chain QUEST FLP
Composite
28.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
68
Model
v1.2
Reads as: riskier than 28.2% 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.
ML signals — parallel engine
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.8 vs natl
FULLMER CHAD
18 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
MCSPADDEN DARIN
21 facilities
connection
Owner spans multiple chains
5 chains
MCSPADDEN DARIN
17 facilities
connection
Owner spans multiple chains
5 chains
FULLMER CHAD
14 facilities
connection
Owner fleet enforcement cluster
46% fined
CRUMP JASON
11 facilities
connection
Owner fleet enforcement cluster
42% fined
WHITE DEREK
12 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
14
2025Q4 HPRD
This facility
ID median
National median
National p25–p75
Total nurse
2.52
3.34
3.28
2.90–3.77
RN
0.62
0.51
0.39
0.25–0.58
Weekend total
2.35
3.05
3.11
—
Weekday total
2.58
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.1
2.52
0.62
0.43
1.47
2.35
3.7%
2025Q3
92
55.0
2.75
0.59
0.46
1.70
2.46
9.2%
2025Q2
91
56.0
2.62
0.59
0.26
1.77
2.48
5.3%
2025Q1
90
54.8
2.57
0.54
0.35
1.68
2.54
1.4%
2024Q4
92
55.4
2.63
0.64
0.34
1.65
2.54
4.8%
2024Q3
92
55.8
2.75
0.44
0.48
1.83
2.51
11.4%
2024Q2
91
54.1
2.77
0.57
0.43
1.76
2.48
4.9%
2024Q1
91
54.8
2.85
0.52
0.49
1.84
2.72
1.0%
2023Q4
92
55.0
2.97
0.41
0.60
1.97
2.91
2.1%
2023Q3
92
53.6
2.93
0.47
0.54
1.93
2.81
0.7%
2023Q2
91
52.6
2.97
0.50
0.55
1.93
2.92
3.0%
2023Q1
90
50.1
2.82
0.51
0.59
1.72
2.69
1.3%
2022Q2
91
52.9
2.36
0.52
0.32
1.53
2.19
5.4%
2022Q1
90
53.8
2.22
0.37
0.40
1.45
2.20
0.8%
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
30
D × 19E × 6F × 2G × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-30
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.
D
2025-07-03
2025-05-30
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-03
2025-05-30
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-07-03
2025-05-30
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-07-03
2025-05-30
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-07-03
2025-05-30
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-07-03
2025-05-30
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-07-03
2025-05-30
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-07-03
2025-05-30
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-03
2022-05-27
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2022-06-25
2022-05-27
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-06-25
2022-05-27
Health
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.
D
2022-06-25
2022-05-27
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-02-01
2022-05-27
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
2022-06-25
2022-05-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2022-06-25
2022-05-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2022-09-01
2022-05-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2022-09-01
2022-05-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-06-25
2022-05-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-06-25
2022-05-27
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
2022-09-01
2022-05-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-06-25
2022-05-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-09-01
2022-05-27
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2022-06-25
2019-04-11
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
2019-04-26
2019-04-11
Health
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
2019-04-26
2019-04-11
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
2019-04-26
2019-04-11
Health
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.
E
2019-04-26
2019-04-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2019-04-26
2019-04-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-04-26
2019-04-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-04-26
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
28
Owner
Role
Pct
From
Status
Source
BRP HEALTH MANAGEMENT SYSTEMS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-12-01
current
pecos_ownership
BRP HEALTH MANAGEMENT SYSTEMS INC
ADP OF THE SNF
—
2025-06-12
current
pecos_ownership
BRP HEALTH MANAGEMENT SYSTEMS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-01
current
pecos_ownership
BURLEY SKILLED NURSING FACILITY, LLC
ADP OF THE SNF
—
2008-06-01
current
pecos_ownership
CHAROLAIS CARE I, INC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
CHAROLAIS CARE I, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-10-28
current
pecos_ownership
CRUMP, JASON
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
EELIR FLP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-11-01
current
pecos_ownership
FULLMER, CHAD
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
GIES, FLORIAN
ADP OF THE SNF
—
2018-11-01
current
pecos_ownership
MCSPADDEN, DARIN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
MEYER, DAWN
ADP OF THE SNF
—
2018-11-01
current
pecos_ownership
MOORE, THOMAS
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
QUEST FLP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
RONNMARK FLP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-11-01
current
pecos_ownership
SNAKE RIVER HEALTHCARE LLC
ADP OF THE SNF
—
2025-06-12
current
pecos_ownership
SNAKE RIVER HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-11-01
current
pecos_ownership
SNAKE RIVER HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-01
current
pecos_ownership
TAKAYAMA FLP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-11-01
current
pecos_ownership
TOWER BRIDGE FLP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-11-01
current
pecos_ownership
WHITE, DEREK
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
CHAD FULLMER
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
DARIN MCSPADDEN
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
DAWN MEYER
ADP OF THE SNF
—
2018-11-01
ended 2026-05-18
pecos_ownership
DEREK WHITE
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
FLORIAN GIES
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-01
ended 2026-05-18
pecos_ownership
JASON CRUMP
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
THOMAS MOORE
CORPORATE DIRECTOR
—
2018-11-01
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
$582,158
—
—
$269,903
$78,478
6
—
2023-12-31
$570,730
—
—
$259,995
$100,821
3
—
2022-12-31
$554,937
—
—
$245,801
$119,250
3
—
2021-12-31
$223,749
—
—
—
—
1
—
2020-12-31
$259,355
—
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 16031
acs median gross
0
$883
2024-12-31
CENSUS_ACS5
county 16031
fmr
0
$778
2025-10-01
HUD_USER_FMR
county 16031
acs median gross
1
$765
2024-12-31
CENSUS_ACS5
county 16031
fmr
1
$783
2025-10-01
HUD_USER_FMR
county 16031
acs median gross
2
$894
2024-12-31
CENSUS_ACS5
county 16031
fmr
2
$1,028
2025-10-01
HUD_USER_FMR
county 16031
acs median gross
3
$1,031
2024-12-31
CENSUS_ACS5
county 16031
fmr
3
$1,430
2025-10-01
HUD_USER_FMR
county 16031
acs median gross
4
$1,206
2024-12-31
CENSUS_ACS5
county 16031
fmr
4
$1,725
2025-10-01
HUD_USER_FMR
county 16031
acs median gross
5
$1,625
2024-12-31
CENSUS_ACS5
county 16031
acs median gross
$1,000
2024-12-31
CENSUS_ACS5
county 16031
acs recent mover gross
$1,088
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
0
$883
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
1
$732
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
2
$903
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
3
$1,031
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
4
$1,221
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
5
$1,613
2024-12-31
CENSUS_ACS5
zcta 83318
acs median gross
$1,004
2024-12-31
CENSUS_ACS5
zcta 83318
acs recent mover gross
$1,093
2024-12-31
CENSUS_ACS5
zip 83318
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 83318
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 110
1
$858
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 90
1
$702
2025-10-01
HUD_USER_SAFMR
zip 83318
safmr
1
$780
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 83318
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 83318
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 83318
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 83318
safmr
4
$1,710
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.