Reads as: riskier than 48.1% 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 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
TN median
National median
National p25–p75
Total nurse
3.86
3.28
3.28
2.90–3.77
RN
0.92
0.34
0.39
0.25–0.58
Weekend total
3.65
3.10
3.11
—
Weekday total
3.94
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.2
3.86
0.92
0.55
2.40
3.65
0.0%
2025Q3
92
61.7
3.66
0.88
0.51
2.27
3.53
0.0%
2025Q2
91
62.8
3.66
0.99
0.32
2.35
3.37
0.6%
2025Q1
90
62.6
3.59
0.77
0.62
2.21
3.48
0.0%
2024Q4
92
60.6
3.80
0.62
0.90
2.28
3.70
0.0%
2024Q3
92
57.8
4.00
0.60
1.00
2.39
4.05
4.0%
2024Q2
91
57.3
3.87
0.73
0.83
2.31
3.84
9.7%
2024Q1
91
57.7
3.72
0.65
0.80
2.27
3.74
9.3%
2023Q4
92
57.8
3.76
0.70
0.84
2.22
3.90
4.9%
2023Q3
92
59.0
3.75
0.69
0.82
2.25
3.42
4.7%
2023Q2
91
58.1
3.67
0.85
0.67
2.15
3.29
0.0%
2023Q1
90
58.2
3.65
0.84
0.65
2.17
3.40
0.0%
2022Q4
92
57.3
3.72
0.88
0.62
2.22
3.35
0.0%
2022Q3
92
58.4
3.75
0.91
0.64
2.21
3.64
0.0%
2022Q2
91
55.4
4.38
0.90
0.70
2.78
4.17
0.0%
2022Q1
90
51.1
4.41
0.92
0.54
2.94
4.30
1.3%
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
6
D × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2022-04-20
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-04-25
2022-04-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-05-03
2019-01-29
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-02-18
2019-01-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-02-18
2019-01-29
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-02-18
2019-01-29
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
2019-02-18
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
37
Owner
Role
Pct
From
Status
Source
HERITAGE INVESTMENT PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
70%
2016-01-07
current
pecos_ownership
COOPER, JOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
37%
2007-08-08
current
pecos_ownership
HARPETH GREEN PROPERTIES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2007-08-08
current
pecos_ownership
LCS TN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2007-08-08
current
pecos_ownership
LOWE, WHITSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2016-01-07
current
pecos_ownership
BIRD, JOHN
CORPORATE OFFICER
—
2024-02-15
current
pecos_ownership
COOPER, JOHN
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
HARPETH GREEN PROPERTIES, LLC
ADP OF THE SNF
—
2016-01-01
current
pecos_ownership
JORDAN, DAHLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-05
current
pecos_ownership
JORDAN, DAHLEN
ADP OF THE SNF
—
2025-04-21
current
pecos_ownership
LAHEY, DANIEL
CORPORATE OFFICER
—
2024-02-15
current
pecos_ownership
PINNACLE BANK
5% OR GREATER MORTGAGE INTEREST
—
2016-01-07
current
pecos_ownership
SHAW, GELYNNA
CORPORATE OFFICER
—
2024-02-15
current
pecos_ownership
SHERMAN, DEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
current
pecos_ownership
SHERMAN, DEVIN
ADP OF THE SNF
—
2025-04-21
current
pecos_ownership
TAGATZ, JON
OPERATIONAL/MANAGERIAL CONTROL
—
2007-08-08
current
pecos_ownership
UHLEMANN, BRIDGETTE
CORPORATE OFFICER
—
2024-02-15
current
pecos_ownership
VICTOR, JASON
CORPORATE OFFICER
—
2018-01-01
current
pecos_ownership
JOHN COOPER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
37%
2007-08-08
ended 2026-05-18
pecos_ownership
LCS HOLDING COMPANY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2021-12-27
ended 2026-05-18
pecos_ownership
LIFE CARE COMPANIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2010-07-01
ended 2026-05-18
pecos_ownership
LIFE CARE SERVICES COMMUNITIES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2007-08-08
ended 2026-05-18
pecos_ownership
WHITSON LOWE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2016-01-07
ended 2026-05-18
pecos_ownership
RCI LEGACY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2021-12-28
ended 2026-05-18
pecos_ownership
REDWOOD HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2021-12-28
ended 2026-05-18
pecos_ownership
OAK INVESTMENT TRUST II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2021-12-28
ended 2026-05-18
pecos_ownership
BRIDGETTE UHLEMANN
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
DANIEL LAHEY
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
GELYNNA SHAW
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
JASON VICTOR
CORPORATE OFFICER
0%
2018-01-01
ended 2026-05-18
pecos_ownership
JOHN BIRD
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
JOHN COOPER
CORPORATE OFFICER
0%
2025-01-01
ended 2026-05-18
pecos_ownership
DAHLEN JORDAN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-05
ended 2026-05-18
pecos_ownership
DAHLEN JORDAN
ADP OF THE SNF
—
2025-04-21
ended 2026-05-18
pecos_ownership
DEVIN SHERMAN
ADP OF THE SNF
—
2025-04-21
ended 2026-05-18
pecos_ownership
DEVIN SHERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
ended 2026-05-18
pecos_ownership
JON TAGATZ
OPERATIONAL/MANAGERIAL CONTROL
—
2007-08-08
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 47187
acs median gross
0
$1,716
2024-12-31
CENSUS_ACS5
county 47187
fmr
0
$1,507
2025-10-01
HUD_USER_FMR
county 47187
acs median gross
1
$1,769
2024-12-31
CENSUS_ACS5
county 47187
fmr
1
$1,578
2025-10-01
HUD_USER_FMR
county 47187
acs median gross
2
$1,916
2024-12-31
CENSUS_ACS5
county 47187
fmr
2
$1,730
2025-10-01
HUD_USER_FMR
county 47187
acs median gross
3
$2,226
2024-12-31
CENSUS_ACS5
county 47187
fmr
3
$2,211
2025-10-01
HUD_USER_FMR
county 47187
acs median gross
4
$2,568
2024-12-31
CENSUS_ACS5
county 47187
fmr
4
$2,696
2025-10-01
HUD_USER_FMR
county 47187
acs median gross
5
$3,049
2024-12-31
CENSUS_ACS5
county 47187
acs median gross
$1,969
2024-12-31
CENSUS_ACS5
county 47187
acs recent mover gross
$2,220
2024-12-31
CENSUS_ACS5
zcta 37027
acs median gross
1
$1,720
2024-12-31
CENSUS_ACS5
zcta 37027
acs median gross
2
$2,126
2024-12-31
CENSUS_ACS5
zcta 37027
acs median gross
3
$2,373
2024-12-31
CENSUS_ACS5
zcta 37027
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 37027
acs median gross
$2,202
2024-12-31
CENSUS_ACS5
zcta 37027
acs recent mover gross
$2,404
2024-12-31
CENSUS_ACS5
zip 37027
payment standard 110
0
$2,343
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 90
0
$1,917
2025-10-01
HUD_USER_SAFMR
zip 37027
safmr
0
$2,130
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 110
1
$2,453
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 90
1
$2,007
2025-10-01
HUD_USER_SAFMR
zip 37027
safmr
1
$2,230
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 110
2
$2,684
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 90
2
$2,196
2025-10-01
HUD_USER_SAFMR
zip 37027
safmr
2
$2,440
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 110
3
$3,432
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 90
3
$2,808
2025-10-01
HUD_USER_SAFMR
zip 37027
safmr
3
$3,120
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 110
4
$4,180
2025-10-01
HUD_USER_SAFMR
zip 37027
payment standard 90
4
$3,420
2025-10-01
HUD_USER_SAFMR
zip 37027
safmr
4
$3,800
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.