Reads as: riskier than 76.8% 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 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
11
2025Q4 HPRD
This facility
LA median
National median
National p25–p75
Total nurse
4.07
3.38
3.28
2.90–3.77
RN
0.10
0.10
0.39
0.25–0.58
Weekend total
3.51
3.09
3.11
—
Weekday total
4.28
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.1
4.07
0.10
0.96
3.01
3.51
0.0%
2025Q3
92
112.6
4.22
0.07
0.93
3.22
3.61
0.0%
2025Q2
91
113.4
4.17
0.07
0.86
3.24
3.58
0.0%
2025Q1
90
110.1
4.07
0.10
0.85
3.12
3.46
0.7%
2024Q4
92
109.2
4.08
0.11
0.80
3.16
3.43
1.4%
2024Q3
92
111.5
3.90
0.05
0.91
2.94
3.44
4.9%
2024Q2
91
103.5
4.21
0.03
1.00
3.18
3.63
4.0%
2024Q1
91
93.1
4.21
0.10
0.97
3.15
3.82
0.0%
2023Q4
92
88.6
4.06
0.04
1.07
2.95
3.49
0.4%
2023Q3
92
73.7
4.19
0.01
1.09
3.08
3.70
3.6%
2023Q2
91
58.2
4.16
0.00
1.27
2.88
3.49
4.0%
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 each resident receives an accurate assessment.
D
2025-12-31
2025-12-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-12-31
2024-10-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-11-18
2024-10-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-18
2024-10-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-11-18
2024-10-09
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-11-18
2024-10-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-11-18
2024-10-09
Health
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.
D
2024-11-18
2024-10-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-18
2024-10-09
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2024-11-18
2024-10-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-11-18
2024-10-09
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-11-18
2024-10-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-18
2024-10-09
Health
F0881
Implement a program that monitors antibiotic use.
F
2024-11-18
2024-10-09
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-11-18
2024-03-19
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-04-19
2024-03-19
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
2024-04-19
2023-11-01
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-12-16
2023-11-01
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.
E
2023-12-16
2023-11-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-12-16
2023-11-01
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
2023-12-16
2023-11-01
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
2023-12-16
2023-11-01
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-12-16
2023-11-01
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-12-16
2023-11-01
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-16
2023-11-01
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-12-16
2023-11-01
Health
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
D
2023-12-16
2023-11-01
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-12-16
2023-08-30
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-10-06
2023-08-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-09-01
2023-08-01
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-01
2023-08-01
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-09-01
2023-08-01
Health · complaint
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
2023-09-01
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
20
Owner
Role
Pct
From
Status
Source
COMMCARE CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-09-30
current
pecos_ownership
COMMCARE MANAGEMENT CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-30
current
pecos_ownership
FORD, MICHAEL
CORPORATE DIRECTOR
—
2022-09-30
current
pecos_ownership
GARDNER, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-30
current
pecos_ownership
HARVEY PSARELLIS, DAWN
CORPORATE OFFICER
—
2022-09-30
current
pecos_ownership
HUDSON, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-30
current
pecos_ownership
LUNDBERG, ALEC
W-2 MANAGING EMPLOYEE
—
2022-09-30
current
pecos_ownership
MANGUN, GAROLD
CORPORATE OFFICER
—
2022-09-30
current
pecos_ownership
PLAISANCE, WAYNE
CORPORATE DIRECTOR
—
2020-09-30
current
pecos_ownership
PRECHTER, PATRICIA
CORPORATE OFFICER
—
2022-09-30
current
pecos_ownership
TUCKER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-30
current
pecos_ownership
GAROLD MANGUN
CORPORATE DIRECTOR
25%
2022-09-30
ended 2026-05-18
pecos_ownership
MICHAEL FORD
CORPORATE DIRECTOR
25%
2022-09-30
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
CORPORATE DIRECTOR
25%
2022-09-30
ended 2026-05-18
pecos_ownership
WAYNE PLAISANCE
CORPORATE DIRECTOR
25%
2020-09-30
ended 2026-05-18
pecos_ownership
ALEC LUNDBERG
CORPORATE OFFICER
20%
2022-09-30
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
W-2 MANAGING EMPLOYEE
20%
2022-09-30
ended 2026-05-18
pecos_ownership
GEORGE GARDNER
OPERATIONAL/MANAGERIAL CONTROL
20%
2022-09-30
ended 2026-05-18
pecos_ownership
JAMES TUCKER
OPERATIONAL/MANAGERIAL CONTROL
20%
2022-09-30
ended 2026-05-18
pecos_ownership
MARY HUDSON
W-2 MANAGING EMPLOYEE
0%
2022-09-30
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$357,049
—
—
$139,099
$86,599
2
—
2024-06-30
$420,287
—
—
$202,993
$61,294
3
—
2023-06-30
$139,146
—
—
$49,311
$18,790
2
—
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 22019
acs median gross
0
$953
2024-12-31
CENSUS_ACS5
county 22019
fmr
0
$921
2025-10-01
HUD_USER_FMR
county 22019
acs median gross
1
$857
2024-12-31
CENSUS_ACS5
county 22019
fmr
1
$928
2025-10-01
HUD_USER_FMR
county 22019
acs median gross
2
$1,113
2024-12-31
CENSUS_ACS5
county 22019
fmr
2
$1,217
2025-10-01
HUD_USER_FMR
county 22019
acs median gross
3
$1,200
2024-12-31
CENSUS_ACS5
county 22019
fmr
3
$1,459
2025-10-01
HUD_USER_FMR
county 22019
acs median gross
4
$1,667
2024-12-31
CENSUS_ACS5
county 22019
fmr
4
$1,611
2025-10-01
HUD_USER_FMR
county 22019
acs median gross
5
$649
2024-12-31
CENSUS_ACS5
county 22019
acs median gross
$1,109
2024-12-31
CENSUS_ACS5
county 22019
acs recent mover gross
$1,140
2024-12-31
CENSUS_ACS5
zcta 70607
acs median gross
1
$871
2024-12-31
CENSUS_ACS5
zcta 70607
acs median gross
2
$1,129
2024-12-31
CENSUS_ACS5
zcta 70607
acs median gross
3
$1,174
2024-12-31
CENSUS_ACS5
zcta 70607
acs median gross
4
$1,536
2024-12-31
CENSUS_ACS5
zcta 70607
acs median gross
$1,128
2024-12-31
CENSUS_ACS5
zcta 70607
acs recent mover gross
$1,308
2024-12-31
CENSUS_ACS5
zip 70607
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 70607
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 110
1
$968
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 90
1
$792
2025-10-01
HUD_USER_SAFMR
zip 70607
safmr
1
$880
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 110
2
$1,265
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 90
2
$1,035
2025-10-01
HUD_USER_SAFMR
zip 70607
safmr
2
$1,150
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 70607
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 110
4
$1,672
2025-10-01
HUD_USER_SAFMR
zip 70607
payment standard 90
4
$1,368
2025-10-01
HUD_USER_SAFMR
zip 70607
safmr
4
$1,520
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.