Reads as: riskier than 64.4% 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
IA median
National median
National p25–p75
Total nurse
3.43
3.15
3.28
2.90–3.77
RN
0.56
0.46
0.39
0.25–0.58
Weekend total
3.10
2.96
3.11
—
Weekday total
3.56
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.3
3.43
0.56
0.42
2.44
3.10
40.6%
2025Q3
92
44.8
3.79
0.73
0.39
2.68
3.49
34.9%
2025Q2
91
44.1
3.84
0.76
0.31
2.77
3.51
29.6%
2025Q1
90
38.3
3.26
0.92
0.13
2.21
3.19
8.1%
2024Q4
92
43.0
3.60
0.60
0.61
2.39
3.47
24.6%
2024Q3
92
44.2
3.46
0.59
0.63
2.24
3.13
29.6%
2024Q2
91
43.9
3.35
0.57
0.64
2.15
3.13
45.4%
2024Q1
91
43.6
3.47
0.52
0.67
2.28
3.19
50.9%
2023Q4
92
40.0
3.64
0.64
0.75
2.25
3.40
53.9%
2023Q3
92
38.0
3.58
0.57
0.79
2.22
3.56
38.4%
2023Q2
91
37.2
3.55
0.52
0.76
2.27
3.38
46.2%
2023Q1
90
39.8
3.65
0.36
0.89
2.41
3.73
40.6%
2022Q4
92
38.8
3.55
0.46
0.80
2.29
3.43
43.2%
2022Q3
92
39.6
3.89
0.54
0.81
2.54
3.66
35.8%
2022Q2
91
40.7
4.00
0.62
0.76
2.63
3.55
35.3%
2022Q1
90
41.9
2.36
0.66
0.77
0.94
2.21
54.5%
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-02-12
2026-01-14
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2026-02-12
2026-01-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-12
2025-11-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-06
2024-11-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-03
2024-11-14
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-12-03
2024-11-14
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
2024-12-03
2024-11-14
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-12-03
2024-11-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-03
2024-11-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-03
2024-11-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-12-03
2024-11-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-12-03
2024-07-21
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2024-08-21
2024-07-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-21
2023-10-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-03
2023-10-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-03
2023-10-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-03
2023-10-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-11-03
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
AMERICAN BAPTIST HOMES OF THE MIDWEST
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ALLEN, RYAN
CORPORATE DIRECTOR
—
2012-05-01
current
pecos_ownership
BLATNIK, ANDREA
CORPORATE OFFICER
—
2013-07-01
current
pecos_ownership
DAVIDSON, ROGER
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
FORD, ASHLEY
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
HANSON, PHILLIP
CORPORATE DIRECTOR
—
2012-05-01
current
pecos_ownership
HONGSLO, JEFFREY
CORPORATE DIRECTOR
—
2006-11-01
current
pecos_ownership
JOHNSON, DOROTHY
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
JOHNSON, JAMES
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
KILLIAN, GEORGE
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
KOTZ, CHRISTINA
W-2 MANAGING EMPLOYEE
—
2019-08-01
current
pecos_ownership
NAUSLAR, TIM
W-2 MANAGING EMPLOYEE
—
2014-05-01
current
pecos_ownership
NEIMAN, RUTH
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
PETERS, MARSHALL
CORPORATE DIRECTOR
—
2012-05-01
current
pecos_ownership
VAN DER BEEK, BRUCE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
VANOSTRAM, STEVEN
CORPORATE DIRECTOR
—
2012-05-01
current
pecos_ownership
VAUGHN-GRAY, STEPHANIE
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
WAGONER FORD, ANNE
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
WHITAKER, BRUCE
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
ZYGARLICKE, MELISSA
CORPORATE OFFICER
—
2019-08-01
current
pecos_ownership
ANDREA BLATNIK
CORPORATE OFFICER
0%
2013-07-01
ended 2026-05-18
pecos_ownership
ANNE WAGONER FORD
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
ASHLEY FORD
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
BRUCE VAN DER BEEK
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
BRUCE WHITAKER
CORPORATE DIRECTOR
0%
2014-01-01
ended 2026-05-18
pecos_ownership
CHRISTINA KOTZ
W-2 MANAGING EMPLOYEE
0%
2019-08-01
ended 2026-05-18
pecos_ownership
DOROTHY JOHNSON
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
GEORGE KILLIAN
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
JAMES JOHNSON
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
JEFFREY HONGSLO
CORPORATE DIRECTOR
0%
2006-11-01
ended 2026-05-18
pecos_ownership
MARSHALL PETERS
CORPORATE DIRECTOR
0%
2012-05-01
ended 2026-05-18
pecos_ownership
MELISSA ZYGARLICKE
CORPORATE OFFICER
0%
2019-08-01
ended 2026-05-18
pecos_ownership
PHILLIP HANSON
CORPORATE DIRECTOR
0%
2012-05-01
ended 2026-05-18
pecos_ownership
ROGER DAVIDSON
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
RUTH NEIMAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RYAN ALLEN
CORPORATE DIRECTOR
0%
2012-05-01
ended 2026-05-18
pecos_ownership
STEPHANIE VAUGHN-GRAY
CORPORATE DIRECTOR
0%
2019-08-01
ended 2026-05-18
pecos_ownership
STEVEN VANOSTRAM
CORPORATE DIRECTOR
0%
2012-05-01
ended 2026-05-18
pecos_ownership
TIM NAUSLAR
W-2 MANAGING EMPLOYEE
0%
2014-05-01
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
2025-08-31
$361,868
—
—
—
—
1
—
2024-08-31
$385,101
—
—
—
—
1
—
2023-08-31
$376,865
—
—
—
—
1
—
2022-08-31
$330,222
—
—
—
—
1
—
2021-08-31
$336,457
—
—
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 19165
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 19165
acs median gross
1
$563
2024-12-31
CENSUS_ACS5
county 19165
fmr
1
$838
2025-10-01
HUD_USER_FMR
county 19165
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
county 19165
fmr
2
$919
2025-10-01
HUD_USER_FMR
county 19165
acs median gross
3
$933
2024-12-31
CENSUS_ACS5
county 19165
fmr
3
$1,278
2025-10-01
HUD_USER_FMR
county 19165
acs median gross
4
$875
2024-12-31
CENSUS_ACS5
county 19165
fmr
4
$1,309
2025-10-01
HUD_USER_FMR
county 19165
acs median gross
5
$1,397
2024-12-31
CENSUS_ACS5
county 19165
acs median gross
$783
2024-12-31
CENSUS_ACS5
county 19165
acs recent mover gross
$584
2024-12-31
CENSUS_ACS5
zcta 51537
acs median gross
1
$533
2024-12-31
CENSUS_ACS5
zcta 51537
acs median gross
2
$782
2024-12-31
CENSUS_ACS5
zcta 51537
acs median gross
3
$1,058
2024-12-31
CENSUS_ACS5
zcta 51537
acs median gross
5
$1,397
2024-12-31
CENSUS_ACS5
zcta 51537
acs median gross
$790
2024-12-31
CENSUS_ACS5
zip 51537
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 51537
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 110
1
$990
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 90
1
$810
2025-10-01
HUD_USER_SAFMR
zip 51537
safmr
1
$900
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 51537
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 51537
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 110
4
$1,551
2025-10-01
HUD_USER_SAFMR
zip 51537
payment standard 90
4
$1,269
2025-10-01
HUD_USER_SAFMR
zip 51537
safmr
4
$1,410
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.