Reads as: riskier than 57.9% 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
14
2025Q4 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
3.27
3.03
3.28
2.90–3.77
RN
0.48
0.44
0.39
0.25–0.58
Weekend total
3.25
2.87
3.11
—
Weekday total
3.28
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
28.9
3.27
0.48
0.41
2.37
3.25
0.3%
2025Q3
92
28.1
3.47
0.47
0.51
2.50
3.41
4.1%
2025Q2
91
29.8
3.32
0.44
0.46
2.42
3.37
2.9%
2025Q1
90
28.5
3.68
0.51
0.43
2.75
3.71
12.6%
2024Q4
92
28.9
3.84
0.49
0.66
2.69
4.23
21.7%
2024Q3
92
27.3
3.79
0.55
0.46
2.78
4.00
7.7%
2024Q2
91
25.9
3.57
0.65
0.34
2.58
3.64
4.4%
2024Q1
91
27.4
3.63
0.47
0.36
2.80
3.80
5.2%
2023Q4
92
27.9
3.28
0.47
0.45
2.37
3.50
6.2%
2023Q3
92
28.2
3.35
0.56
0.31
2.48
3.35
10.5%
2022Q4
92
24.9
3.07
0.66
0.53
1.89
3.07
15.5%
2022Q3
92
23.4
3.39
0.61
0.54
2.24
3.43
14.6%
2022Q2
91
28.3
3.41
0.62
0.35
2.43
3.40
11.4%
2022Q1
90
24.6
3.47
0.67
0.38
2.42
3.50
5.0%
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.
Ensure that residents are free from significant medication errors.
J
2024-09-12
2024-09-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-11
2024-09-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-26
2024-09-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-09-26
2024-09-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-26
2024-09-12
Health
F0814
Dispose of garbage and refuse properly.
F
2024-09-26
2024-09-12
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-09-26
2022-12-20
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-01-06
2022-12-20
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-01-06
2022-12-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-01-06
2022-12-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-01-06
2022-12-20
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
2023-01-06
2022-12-20
Health
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
2023-01-06
2022-12-20
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2023-01-06
2022-12-20
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
2023-01-06
2021-06-21
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2021-07-14
2021-06-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2021-07-14
2021-06-21
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.
E
2021-07-14
2021-06-21
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-07-14
2021-06-21
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
2021-07-14
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
30
Owner
Role
Pct
From
Status
Source
PRESBYTERIAN MANORS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BONNEY, ROBERT
CORPORATE DIRECTOR
—
2019-04-23
current
pecos_ownership
BRENNECKE, GARY
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
COOK, JAMES
CORPORATE DIRECTOR
—
2012-07-01
current
pecos_ownership
GOODWIN, JOHN
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
HARRIS, DANIEL
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
HIND, SHERRY
CORPORATE OFFICER
—
—
current
pecos_ownership
MCKELL, ELIZABETH
CORPORATE DIRECTOR
—
2012-07-01
current
pecos_ownership
MILLER, JOAN
CORPORATE OFFICER
—
1997-09-01
current
pecos_ownership
MORRISON, AARON
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
NELSON, ELEANOR
CORPORATE DIRECTOR
—
2010-07-01
current
pecos_ownership
OWENS, MELANIE
CORPORATE OFFICER
—
2017-07-10
current
pecos_ownership
PEGUES, MAEGEN
W-2 MANAGING EMPLOYEE
—
2013-10-15
current
pecos_ownership
PRESBYTERIAN MANORS OF MID-AMERICA INC
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
SHOGREN, BRUCE
CORPORATE OFFICER
—
1996-08-05
current
pecos_ownership
TAYLOR, WILLIAM
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
AARON MORRISON
CORPORATE DIRECTOR
—
2015-07-01
ended 2026-05-18
pecos_ownership
BRUCE SHOGREN
CORPORATE OFFICER
—
1996-08-05
ended 2026-05-18
pecos_ownership
DANIEL HARRIS
CORPORATE DIRECTOR
—
2019-07-01
ended 2026-05-18
pecos_ownership
ELEANOR NELSON
CORPORATE DIRECTOR
—
2010-07-01
ended 2026-05-18
pecos_ownership
ELIZABETH MCKELL
CORPORATE DIRECTOR
—
2012-07-01
ended 2026-05-18
pecos_ownership
GARY BRENNECKE
CORPORATE DIRECTOR
—
2015-07-01
ended 2026-05-18
pecos_ownership
JAMES COOK
CORPORATE DIRECTOR
—
2012-07-01
ended 2026-05-18
pecos_ownership
JOAN MILLER
CORPORATE OFFICER
—
1997-09-01
ended 2026-05-18
pecos_ownership
JOHN GOODWIN
CORPORATE DIRECTOR
—
2018-07-01
ended 2026-05-18
pecos_ownership
MAEGEN PEGUES
W-2 MANAGING EMPLOYEE
—
2013-10-15
ended 2026-05-18
pecos_ownership
MELANIE OWENS
CORPORATE OFFICER
—
2017-07-10
ended 2026-05-18
pecos_ownership
ROBERT BONNEY
CORPORATE DIRECTOR
—
2019-04-23
ended 2026-05-18
pecos_ownership
SHERRY HIND
CORPORATE OFFICER
—
—
ended 2026-05-18
pecos_ownership
WILLIAM TAYLOR
CORPORATE OFFICER
—
2015-07-01
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
2025-06-30
$379,354
—
—
—
—
1
—
2024-06-30
$370,592
—
—
—
—
1
—
2023-06-30
$321,936
—
—
—
—
1
—
2022-06-30
$312,986
—
—
—
—
1
—
2021-06-30
$311,243
—
—
—
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 20099
acs median gross
0
$555
2024-12-31
CENSUS_ACS5
county 20099
fmr
0
$605
2025-10-01
HUD_USER_FMR
county 20099
acs median gross
1
$517
2024-12-31
CENSUS_ACS5
county 20099
fmr
1
$668
2025-10-01
HUD_USER_FMR
county 20099
acs median gross
2
$792
2024-12-31
CENSUS_ACS5
county 20099
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20099
acs median gross
3
$936
2024-12-31
CENSUS_ACS5
county 20099
fmr
3
$1,052
2025-10-01
HUD_USER_FMR
county 20099
acs median gross
4
$633
2024-12-31
CENSUS_ACS5
county 20099
fmr
4
$1,209
2025-10-01
HUD_USER_FMR
county 20099
acs median gross
$746
2024-12-31
CENSUS_ACS5
county 20099
acs recent mover gross
$798
2024-12-31
CENSUS_ACS5
zcta 67357
acs median gross
0
$587
2024-12-31
CENSUS_ACS5
zcta 67357
acs median gross
1
$516
2024-12-31
CENSUS_ACS5
zcta 67357
acs median gross
2
$783
2024-12-31
CENSUS_ACS5
zcta 67357
acs median gross
3
$948
2024-12-31
CENSUS_ACS5
zcta 67357
acs median gross
$759
2024-12-31
CENSUS_ACS5
zcta 67357
acs recent mover gross
$769
2024-12-31
CENSUS_ACS5
zip 67357
payment standard 110
0
$682
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 90
0
$558
2025-10-01
HUD_USER_SAFMR
zip 67357
safmr
0
$620
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 110
1
$759
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 90
1
$621
2025-10-01
HUD_USER_SAFMR
zip 67357
safmr
1
$690
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 110
2
$990
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 90
2
$810
2025-10-01
HUD_USER_SAFMR
zip 67357
safmr
2
$900
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 110
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 90
3
$972
2025-10-01
HUD_USER_SAFMR
zip 67357
safmr
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 110
4
$1,430
2025-10-01
HUD_USER_SAFMR
zip 67357
payment standard 90
4
$1,170
2025-10-01
HUD_USER_SAFMR
zip 67357
safmr
4
$1,300
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.