1251 WHITE MOUNTAIN HIGHWAY, NORTH CONWAY, NH 03860 · CCN 305084 · chain 603 HEALTHCARE LLC
Composite
78.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
87
Model
v1.2
Reads as: riskier than 78.2% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.0 vs natl
MARTIN CHRISTOPHER
8 facilities
connection
Owner spans multiple chains
4 chains
MARTIN CHRISTOPHER
8 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
NH median
National median
National p25–p75
Total nurse
3.62
3.28
3.28
2.90–3.77
RN
0.79
0.52
0.39
0.25–0.58
Weekend total
3.21
3.14
3.11
—
Weekday total
3.79
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
67.7
3.62
0.79
0.77
2.06
3.21
15.9%
2025Q3
92
52.8
3.72
0.91
0.70
2.11
3.41
0.9%
2025Q2
91
47.6
3.56
0.82
0.77
1.98
3.35
3.0%
2025Q1
90
50.7
3.43
0.61
0.99
1.83
3.40
8.4%
2024Q4
92
48.1
3.83
0.32
1.48
2.03
3.49
13.4%
2024Q3
92
48.0
2.76
0.45
0.67
1.64
2.70
27.7%
2024Q2
91
47.8
2.90
0.47
0.83
1.60
2.88
27.9%
2024Q1
91
56.8
2.73
0.33
0.88
1.52
2.52
33.7%
2023Q4
92
59.2
2.85
0.27
0.93
1.65
2.85
21.6%
2023Q3
92
61.0
2.69
0.55
0.61
1.53
2.73
8.4%
2023Q2
91
66.4
2.91
0.66
0.56
1.69
2.78
12.6%
2023Q1
90
69.0
2.80
0.52
0.73
1.54
2.71
16.9%
2022Q4
92
70.1
2.45
0.64
0.48
1.34
2.36
2.9%
2022Q3
92
73.2
2.48
0.53
0.50
1.45
2.39
6.7%
2022Q2
91
73.4
2.63
0.55
0.50
1.59
2.59
4.2%
2022Q1
90
72.5
2.70
0.44
0.63
1.64
2.57
1.6%
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.
Provide enough food/fluids to maintain a resident's health.
D
2025-09-16
2025-02-21
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
2025-04-05
2025-02-21
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-03-21
2025-02-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-03
2025-02-21
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
2025-03-18
2025-02-21
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
2025-03-28
2025-02-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-27
2024-09-12
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-10-29
2024-09-12
Health
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.
D
2024-11-01
2024-09-12
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-10-12
2024-09-12
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-11-07
2024-09-12
Health
F0679
Provide activities to meet all resident's needs.
D
2024-11-05
2024-09-12
Health
F0680
Ensure the activities program is directed by a qualified professional.
E
2024-10-05
2024-09-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-01
2024-09-12
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.
F
2024-11-05
2024-09-12
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-11-05
2024-09-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-10-12
2024-09-12
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
2024-10-25
2024-09-12
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
C
2024-10-23
2024-09-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-10-04
2024-09-12
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2024-11-04
2024-05-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-05-02
2024-02-01
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.
D
2024-02-28
2023-11-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-12-04
2023-11-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-12-04
2023-11-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-11-09
2023-11-08
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
2023-12-16
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
13
Owner
Role
Pct
From
Status
Source
BLACK MOUNTAIN PEAK HEALTHCARE, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-25
current
pecos_ownership
PR NH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
current
pecos_ownership
RR NH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
current
pecos_ownership
603 HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-28
current
pecos_ownership
HERNANDEZ, AMANDA
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
MARTIN, CHRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-04
current
pecos_ownership
STEVENSON, SEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
PHILIP RAUSMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
ended 2026-05-18
pecos_ownership
ROBERT RAUSMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-02-19
ended 2026-05-18
pecos_ownership
SEAN STEVENSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-02-19
ended 2026-05-18
pecos_ownership
AMANDA HERNANDEZ
ADP OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
CHRIS MARTIN
ADP OF THE SNF
—
2024-11-04
ended 2026-05-18
pecos_ownership
SEAN STEVENSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
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
$1,350,916
—
$306,383
$220,973
$765,809
5
—
2023-12-31
$2,234,914
—
$452,135
$558,721
$1,194,874
5
—
2022-12-31
$2,401,266
—
$531,764
$574,467
$1,270,651
5
—
2021-12-31
$2,471,161
—
$565,045
$511,275
$1,370,457
5
—
2020-12-31
$1,814,779
—
$475,434
$517,963
$797,579
9
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
25
Geo
Kind
BR
Amount
As of
Source
county 33003
acs median gross
1
$888
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
2
$1,250
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
3
$1,657
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
4
$1,632
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
5
$1,361
2024-12-31
CENSUS_ACS5
county 33003
acs median gross
$1,195
2024-12-31
CENSUS_ACS5
county 33003
acs recent mover gross
$1,730
2024-12-31
CENSUS_ACS5
zcta 03860
acs median gross
1
$868
2024-12-31
CENSUS_ACS5
zcta 03860
acs median gross
2
$1,140
2024-12-31
CENSUS_ACS5
zcta 03860
acs median gross
$1,033
2024-12-31
CENSUS_ACS5
zip 03860
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 03860
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 03860
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 110
2
$1,672
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 90
2
$1,368
2025-10-01
HUD_USER_SAFMR
zip 03860
safmr
2
$1,520
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 03860
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 110
4
$2,772
2025-10-01
HUD_USER_SAFMR
zip 03860
payment standard 90
4
$2,268
2025-10-01
HUD_USER_SAFMR
zip 03860
safmr
4
$2,520
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.