Reads as: riskier than 38.5% 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
IN median
National median
National p25–p75
Total nurse
2.95
2.85
3.28
2.90–3.77
RN
0.17
0.40
0.39
0.25–0.58
Weekend total
2.71
2.71
3.11
—
Weekday total
3.05
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.6
2.95
0.17
0.79
1.99
2.71
0.0%
2025Q3
92
94.4
2.96
0.17
0.85
1.94
2.68
0.0%
2025Q2
91
92.3
3.17
0.24
0.85
2.08
2.77
0.0%
2025Q1
90
93.5
3.04
0.18
0.84
2.02
2.72
0.0%
2024Q4
92
90.3
2.84
0.12
0.80
1.92
2.55
0.0%
2024Q3
92
92.3
2.81
0.19
0.79
1.83
2.56
0.0%
2024Q2
91
94.0
2.84
0.17
0.82
1.84
2.60
0.0%
2024Q1
91
90.6
2.87
0.20
0.86
1.81
2.61
0.8%
2023Q4
92
87.6
2.92
0.17
0.90
1.84
2.71
2.8%
2023Q3
92
85.1
2.95
0.17
0.91
1.87
2.78
3.9%
2023Q2
91
80.6
2.89
0.11
0.96
1.81
2.62
2.1%
2023Q1
90
77.4
3.17
0.13
1.00
2.05
2.87
6.8%
2022Q4
92
77.0
2.89
0.13
0.98
1.78
2.61
6.6%
2022Q3
92
77.7
2.76
0.08
0.93
1.75
2.42
1.1%
2022Q2
91
77.0
2.49
0.14
0.61
1.74
2.21
2.3%
2022Q1
90
73.8
2.44
0.15
0.72
1.57
2.23
1.0%
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
23
D × 23
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-31
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-30
2026-03-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-30
2026-03-31
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-30
2026-03-31
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-04-30
2026-03-31
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2026-04-30
2025-03-21
Health · complaint
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
2025-04-10
2025-01-13
Health
F0679
Provide activities to meet all resident's needs.
D
2025-02-13
2025-01-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-13
2025-01-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-02-13
2025-01-13
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-02-13
2025-01-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-13
2025-01-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-02-13
2024-07-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-24
2024-02-09
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-03-10
2024-02-09
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
2024-03-10
2024-02-09
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
2024-03-10
2024-02-09
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
2024-03-10
2024-02-09
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
2024-03-10
2024-02-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-10
2023-10-06
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2023-10-27
2023-10-06
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-10-27
2023-08-18
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
2023-09-09
2023-08-18
Health · complaint
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
2023-09-09
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
44
Owner
Role
Pct
From
Status
Source
AMERICAN SENIOR COMMUNITIES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-04-01
current
pecos_ownership
AMERICAN SENIOR COMMUNITIES LLC
ADP OF THE SNF
—
2026-03-30
current
pecos_ownership
BABCOCK, PAUL
CORPORATE OFFICER
—
2020-09-30
current
pecos_ownership
CAINE, VIRGINIA
CORPORATE OFFICER
—
1994-01-10
current
pecos_ownership
CHIES, STEVEN
MANAGING CONTROL - GOVERNING BODY
—
2016-03-17
current
pecos_ownership
DICE, MARK
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
DRUMMER, CARL
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
GINTER, ERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-17
current
pecos_ownership
GINTER, ERIN
ADP OF THE SNF
—
2026-03-30
current
pecos_ownership
HANIFY, THOMAS
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HARRIS, LISA
CORPORATE OFFICER
—
2003-12-22
current
pecos_ownership
HORN, BRENDA
CORPORATE DIRECTOR
—
2023-12-01
current
pecos_ownership
JACKSON, BLAKE
MANAGING CONTROL - GOVERNING BODY
—
2015-04-01
current
pecos_ownership
JACKSON, ETHAN
MANAGING CONTROL - GOVERNING BODY
—
2015-04-01
current
pecos_ownership
JACKSON, MARK
MANAGING CONTROL - GOVERNING BODY
—
2015-04-01
current
pecos_ownership
JACKSON, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2024-05-14
current
pecos_ownership
JACKSON, WESSLEY
MANAGING CONTROL - GOVERNING BODY
—
2015-04-01
current
pecos_ownership
JUSTICE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2015-04-01
current
pecos_ownership
KELSEY, DONNA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-18
current
pecos_ownership
LAZARD, ROBERT
CORPORATE DIRECTOR
—
2021-01-29
current
pecos_ownership
MANTRAVADI, GEETA
CORPORATE DIRECTOR
—
2021-07-21
current
pecos_ownership
PAYNE, MONICA
CORPORATE DIRECTOR
—
2021-08-09
current
pecos_ownership
SHANE, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
SINGLETON, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-15
current
pecos_ownership
STITLE, STEPHEN
MANAGING CONTROL - GOVERNING BODY
—
2016-03-16
current
pecos_ownership
VAN CAMP, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
WOLFRAM, DONALD
ADP OF THE SNF
—
2026-03-30
current
pecos_ownership
WOLFRAM, DONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-11
current
pecos_ownership
WRIGHT, THERESSA
MANAGING CONTROL - GOVERNING BODY
—
2021-05-21
current
pecos_ownership
AMERICAN SENIOR COMMUNITIES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2003-01-01
ended 2026-05-18
pecos_ownership
BRENDA HORN
CORPORATE DIRECTOR
—
2023-12-01
ended 2026-05-18
pecos_ownership
CARL DRUMMER
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
ERIN GINTER
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-17
ended 2026-05-18
pecos_ownership
GEETA MANTRAVADI
CORPORATE DIRECTOR
—
2021-07-21
ended 2026-05-18
pecos_ownership
LISA HARRIS
CORPORATE OFFICER
—
2003-12-22
ended 2026-05-18
pecos_ownership
MARK DICE
CONTRACTED MANAGING EMPLOYEE
—
2023-06-01
ended 2026-05-18
pecos_ownership
MICHELLE SINGLETON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-15
ended 2026-05-18
pecos_ownership
MOHAMMED JAHANGIR
CONTRACTED MANAGING EMPLOYEE
—
2022-09-30
ended 2026-05-18
pecos_ownership
MONICA PAYNE
CORPORATE DIRECTOR
—
2021-08-09
ended 2026-05-18
pecos_ownership
PAUL BABCOCK
CORPORATE OFFICER
—
2020-09-30
ended 2026-05-18
pecos_ownership
ROBERT LAZARD
CORPORATE DIRECTOR
—
2021-01-29
ended 2026-05-18
pecos_ownership
STEVEN VAN CAMP
CONTRACTED MANAGING EMPLOYEE
—
2019-09-06
ended 2026-05-18
pecos_ownership
THOMAS HANIFY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
VIRGINIA CAINE
CORPORATE OFFICER
—
1994-01-10
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
$654,094
—
—
—
—
13
—
2023-12-31
$574,920
—
—
—
—
13
—
2022-12-31
$560,610
—
—
—
—
13
—
2021-12-31
$552,278
—
—
—
—
13
—
2020-12-31
$531,716
—
—
—
—
14
—
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 18141
acs median gross
0
$858
2024-12-31
CENSUS_ACS5
county 18141
fmr
0
$898
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
1
$905
2024-12-31
CENSUS_ACS5
county 18141
fmr
1
$1,105
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
2
$1,092
2024-12-31
CENSUS_ACS5
county 18141
fmr
2
$1,292
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
3
$1,197
2024-12-31
CENSUS_ACS5
county 18141
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 18141
fmr
4
$1,711
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
5
$1,404
2024-12-31
CENSUS_ACS5
county 18141
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
county 18141
acs recent mover gross
$1,164
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
1
$882
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
2
$1,119
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
3
$1,177
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
4
$1,304
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
5
$1,058
2024-12-31
CENSUS_ACS5
zcta 46545
acs median gross
$1,027
2024-12-31
CENSUS_ACS5
zcta 46545
acs recent mover gross
$1,037
2024-12-31
CENSUS_ACS5
zip 46545
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 46545
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 46545
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 110
2
$1,463
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 90
2
$1,197
2025-10-01
HUD_USER_SAFMR
zip 46545
safmr
2
$1,330
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 110
3
$1,771
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 90
3
$1,449
2025-10-01
HUD_USER_SAFMR
zip 46545
safmr
3
$1,610
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 110
4
$1,936
2025-10-01
HUD_USER_SAFMR
zip 46545
payment standard 90
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 46545
safmr
4
$1,760
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.