Reads as: riskier than 51.4% 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
CA median
National median
National p25–p75
Total nurse
3.32
3.95
3.28
2.90–3.77
RN
0.38
0.38
0.39
0.25–0.58
Weekend total
3.35
3.79
3.11
—
Weekday total
3.31
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.5
3.32
0.38
0.80
2.15
3.35
0.0%
2025Q3
92
88.2
3.26
0.41
0.72
2.14
3.26
0.0%
2025Q2
91
85.9
3.19
0.46
0.73
2.01
3.36
0.0%
2025Q1
90
89.3
3.53
0.40
0.82
2.31
3.56
0.0%
2024Q4
92
88.0
3.49
0.43
0.80
2.26
3.51
0.0%
2024Q3
92
85.2
3.47
0.46
0.79
2.22
3.49
0.0%
2024Q2
91
87.1
3.54
0.45
0.80
2.29
3.53
0.0%
2024Q1
91
87.1
3.48
0.44
0.68
2.36
3.51
0.0%
2023Q4
92
82.9
3.42
0.42
0.64
2.36
3.44
0.0%
2023Q3
92
84.6
3.44
0.41
0.73
2.30
3.46
0.0%
2023Q2
91
91.3
3.34
0.39
0.67
2.28
3.36
0.0%
2023Q1
90
89.4
3.39
0.33
0.79
2.27
3.41
0.0%
2022Q4
92
84.7
3.59
0.23
0.92
2.44
3.57
0.0%
2022Q3
92
83.8
3.56
0.23
0.88
2.45
3.54
0.0%
2022Q2
91
81.0
3.52
0.20
0.84
2.48
3.51
0.0%
2022Q1
90
90.5
3.40
0.20
0.67
2.52
3.40
0.0%
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
29
D × 22E × 5F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-22
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2025-12-26
2025-12-11
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2026-01-04
2025-12-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-01-04
2024-08-16
Health · complaint
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.
E
2024-08-19
2024-06-27
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-16
2024-06-27
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-07-16
2024-06-27
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
2024-07-16
2024-06-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-07-16
2024-06-27
Health
F0687
Provide appropriate foot care.
D
2024-07-16
2024-06-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-07-16
2024-06-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-16
2024-06-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-06
2024-06-06
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-06-26
2024-06-06
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-26
2024-04-23
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
2024-05-02
2024-04-23
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-05-02
2024-03-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-04-18
2024-01-12
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.
D
2024-02-11
2024-01-11
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-08
2023-11-09
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2023-11-15
2022-02-18
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
2022-04-11
2022-02-18
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-04-11
2022-02-18
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2022-04-11
2022-02-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-04-11
2022-02-18
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
2022-04-11
2022-02-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-04-11
2022-02-18
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2022-04-11
2022-02-18
Health
F0814
Dispose of garbage and refuse properly.
D
2022-04-11
2022-02-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-04-11
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
23
Owner
Role
Pct
From
Status
Source
WINDSOR HAYSAC HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-06-30
current
pecos_ownership
25919 GADING ROAD PROPCO LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
9560 PICO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
ABUDAYEH, NABIL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
ANTELOPE HOLDINGS I, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
ANTELOPE REALTY HOLDINGS I, LLC
ADP OF THE SNF
—
2025-07-31
current
pecos_ownership
NEWGEN ADMINISTRATIVE SERVICES, LLC
ADP OF THE SNF
—
2025-07-28
current
pecos_ownership
NEWGEN ADMINISTRATIVE SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-30
current
pecos_ownership
PICO AR LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
PRESTON-FOO, CARMEN
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
ROBIN, AARON
CORPORATE OFFICER
—
2023-08-14
current
pecos_ownership
ROBIN, AARON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
SHAW, PAMELA
ADP OF THE SNF
—
2023-06-30
current
pecos_ownership
TRESS, AVROHOM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
TRESS, AVROHOM
CORPORATE OFFICER
—
2023-08-14
current
pecos_ownership
WINDSOR OXFORD HOLDING COMPANY, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
AARON ROBIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-06-30
ended 2026-05-18
pecos_ownership
AVROHOM TRESS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-06-30
ended 2026-05-18
pecos_ownership
AARON ROBIN
CORPORATE OFFICER
—
2023-08-14
ended 2026-05-18
pecos_ownership
AVROHOM TRESS
CORPORATE OFFICER
—
2023-08-14
ended 2026-05-18
pecos_ownership
CARMEN PRESTON-FOO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
ended 2026-05-18
pecos_ownership
NABIL ABUDAYEH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
PAMELA SHAW
ADP OF THE SNF
—
2023-06-30
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
$289,471
—
$289,471
—
—
2
propco
2023-12-31
$175,754
—
$175,754
—
—
2
—
2022-12-31
$803,742
—
$803,742
—
—
1
—
2021-12-31
$644,902
—
$644,902
—
—
1
—
2020-12-31
$495,520
—
$495,520
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 06001
acs median gross
0
$1,746
2024-12-31
CENSUS_ACS5
county 06001
fmr
0
$2,142
2025-10-01
HUD_USER_FMR
county 06001
acs median gross
1
$2,046
2024-12-31
CENSUS_ACS5
county 06001
fmr
1
$2,385
2025-10-01
HUD_USER_FMR
county 06001
acs median gross
2
$2,552
2024-12-31
CENSUS_ACS5
county 06001
fmr
2
$2,912
2025-10-01
HUD_USER_FMR
county 06001
acs median gross
3
$3,051
2024-12-31
CENSUS_ACS5
county 06001
fmr
3
$3,724
2025-10-01
HUD_USER_FMR
county 06001
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 06001
fmr
4
$4,413
2025-10-01
HUD_USER_FMR
county 06001
acs median gross
5
$3,410
2024-12-31
CENSUS_ACS5
county 06001
acs median gross
$2,357
2024-12-31
CENSUS_ACS5
county 06001
acs recent mover gross
$2,636
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
0
$2,037
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
1
$2,132
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
2
$2,396
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
3
$2,875
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 94544
acs median gross
$2,373
2024-12-31
CENSUS_ACS5
zcta 94544
acs recent mover gross
$2,535
2024-12-31
CENSUS_ACS5
zip 94544
payment standard 110
0
$2,310
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 90
0
$1,890
2025-10-01
HUD_USER_SAFMR
zip 94544
safmr
0
$2,100
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 110
1
$2,563
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 90
1
$2,097
2025-10-01
HUD_USER_SAFMR
zip 94544
safmr
1
$2,330
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 110
2
$3,135
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 90
2
$2,565
2025-10-01
HUD_USER_SAFMR
zip 94544
safmr
2
$2,850
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 110
3
$4,004
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 90
3
$3,276
2025-10-01
HUD_USER_SAFMR
zip 94544
safmr
3
$3,640
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 110
4
$4,752
2025-10-01
HUD_USER_SAFMR
zip 94544
payment standard 90
4
$3,888
2025-10-01
HUD_USER_SAFMR
zip 94544
safmr
4
$4,320
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.