Reads as: riskier than 58.1% 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 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
NC median
National median
National p25–p75
Total nurse
3.28
3.08
3.28
2.90–3.77
RN
0.93
0.30
0.39
0.25–0.58
Weekend total
2.99
2.93
3.11
—
Weekday total
3.40
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
77.1
3.28
0.93
0.40
1.96
2.99
0.0%
2025Q3
92
79.0
3.32
0.85
0.48
1.99
3.02
0.0%
2025Q2
91
69.4
3.44
0.89
0.52
2.03
3.24
0.0%
2025Q1
90
70.5
3.22
0.81
0.53
1.89
3.18
0.0%
2024Q4
92
75.0
2.90
0.76
0.51
1.62
2.84
0.0%
2024Q3
92
73.5
2.71
0.75
0.49
1.47
2.52
0.0%
2024Q2
91
72.3
2.69
0.82
0.42
1.45
2.51
0.0%
2024Q1
91
72.8
2.51
0.81
0.30
1.39
2.40
0.0%
2023Q4
92
71.4
2.58
0.80
0.26
1.52
2.43
0.0%
2023Q3
92
70.1
2.48
0.74
0.31
1.42
2.34
0.0%
2023Q2
91
69.3
2.62
0.76
0.33
1.52
2.37
0.0%
2023Q1
90
67.4
2.69
0.83
0.31
1.54
2.51
0.0%
2022Q4
92
69.2
2.58
0.78
0.34
1.47
2.31
0.0%
2022Q3
92
69.2
2.34
0.71
0.38
1.25
2.07
0.0%
2022Q2
91
68.8
2.64
0.82
0.46
1.35
2.46
0.0%
2022Q1
90
70.0
3.56
0.92
0.72
1.93
3.32
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2026-04-01
2026-03-05
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
2026-04-01
2026-03-05
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-04-01
2026-03-05
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-04-01
2024-12-18
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-01-16
2024-12-18
Health
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
2025-01-16
2024-12-18
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-01-16
2024-12-18
Health
F0679
Provide activities to meet all resident's needs.
E
2025-01-16
2024-12-18
Health
F0680
Ensure the activities program is directed by a qualified professional.
F
2025-01-16
2024-12-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-08-07
2024-12-18
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
2025-01-16
2024-12-18
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-01-16
2024-12-18
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
2025-01-16
2023-08-17
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-09-06
2023-08-17
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-09-06
2023-08-17
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2023-09-06
2023-08-17
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2023-09-06
2023-08-17
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2023-09-06
2023-08-17
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-06
2023-08-17
Health · complaint
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2023-09-06
2023-08-17
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-06
2023-08-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-27
2023-08-17
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-09-06
2023-08-17
Health · complaint
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
2023-09-06
2023-08-17
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.
E
2023-09-06
2023-08-17
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2023-09-06
2023-08-17
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-09-06
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
11
Owner
Role
Pct
From
Status
Source
NORMAN, ANGELITA
W-2 MANAGING EMPLOYEE
—
2021-03-04
current
pecos_ownership
PRUITT, NEIL
CORPORATE OFFICER
—
2006-03-17
current
pecos_ownership
PRUITTHEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-24
current
pecos_ownership
ANGELITA NORMAN
W-2 MANAGING EMPLOYEE
100%
2021-03-04
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-24
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-24
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF NORTH CAROLINA INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-09-24
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
36%
2007-09-24
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2007-09-24
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2007-09-24
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
—
2006-03-17
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
$1,640,711
$466,648
$243,587
$420,298
$244,645
9
—
2024-06-30
$1,664,228
$627,536
$222,869
$342,899
$172,955
9
—
2023-06-30
$1,536,175
$522,772
$215,626
$382,241
$176,482
9
—
2022-06-30
$1,349,516
$174,726
$260,148
$422,335
$295,586
9
—
2021-06-30
$1,509,889
$269,382
$243,471
$471,852
$336,445
8
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 37175
acs median gross
0
$3,352
2024-12-31
CENSUS_ACS5
county 37175
fmr
0
$881
2025-10-01
HUD_USER_FMR
county 37175
acs median gross
1
$642
2024-12-31
CENSUS_ACS5
county 37175
fmr
1
$887
2025-10-01
HUD_USER_FMR
county 37175
acs median gross
2
$867
2024-12-31
CENSUS_ACS5
county 37175
fmr
2
$1,164
2025-10-01
HUD_USER_FMR
county 37175
acs median gross
3
$1,175
2024-12-31
CENSUS_ACS5
county 37175
fmr
3
$1,396
2025-10-01
HUD_USER_FMR
county 37175
fmr
4
$1,749
2025-10-01
HUD_USER_FMR
county 37175
acs median gross
$967
2024-12-31
CENSUS_ACS5
county 37175
acs recent mover gross
$1,435
2024-12-31
CENSUS_ACS5
zcta 28712
acs median gross
0
$3,352
2024-12-31
CENSUS_ACS5
zcta 28712
acs median gross
2
$850
2024-12-31
CENSUS_ACS5
zcta 28712
acs median gross
3
$1,184
2024-12-31
CENSUS_ACS5
zcta 28712
acs median gross
$1,021
2024-12-31
CENSUS_ACS5
zip 28712
payment standard 110
0
$1,155
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 90
0
$945
2025-10-01
HUD_USER_SAFMR
zip 28712
safmr
0
$1,050
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 110
1
$1,166
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 90
1
$954
2025-10-01
HUD_USER_SAFMR
zip 28712
safmr
1
$1,060
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 28712
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 110
3
$1,837
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 90
3
$1,503
2025-10-01
HUD_USER_SAFMR
zip 28712
safmr
3
$1,670
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 110
4
$2,299
2025-10-01
HUD_USER_SAFMR
zip 28712
payment standard 90
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 28712
safmr
4
$2,090
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.