Reads as: riskier than 31.1% 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
14
2025Q4 HPRD
This facility
AL median
National median
National p25–p75
Total nurse
4.47
3.37
3.28
2.90–3.77
RN
0.49
0.43
0.39
0.25–0.58
Weekend total
3.93
3.04
3.11
—
Weekday total
4.69
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.1
4.47
0.49
1.19
2.80
3.93
0.0%
2025Q3
92
60.0
4.65
0.50
1.13
3.02
4.08
0.0%
2025Q2
91
58.5
4.89
0.53
1.11
3.25
4.38
0.0%
2025Q1
90
56.6
4.96
0.53
1.15
3.27
4.45
0.0%
2024Q4
92
58.3
2.45
0.32
0.59
1.54
2.21
0.0%
2024Q3
92
57.1
2.61
0.31
0.62
1.68
2.30
0.0%
2024Q2
91
54.6
2.81
0.34
0.65
1.82
2.49
0.0%
2024Q1
91
55.9
2.88
0.37
0.63
1.88
2.54
0.0%
2023Q3
92
59.9
2.81
0.40
0.72
1.70
2.36
0.0%
2023Q2
91
52.7
3.19
0.46
0.81
1.92
2.65
0.0%
2023Q1
90
51.5
3.23
0.46
0.83
1.94
2.67
0.0%
2022Q4
92
49.6
3.35
0.47
0.90
1.98
2.88
0.0%
2022Q3
92
49.2
3.33
0.39
0.91
2.02
2.96
0.0%
2022Q1
90
47.2
3.54
0.38
1.04
2.11
3.07
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
1
D × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2019-01-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-03-07
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
SASSER, STALLION
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-01
current
pecos_ownership
WILLIAMS, SALLEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-01
current
pecos_ownership
LISHMAN, LAURA
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
MEDCHOICE PHARMACY SERVICES, LLC
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
SASSER ENTERPRISES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
current
pecos_ownership
SASSER ENTERPRISES INC
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
SASSER, STALLION
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
current
pecos_ownership
SASSER, STALLION
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
STEWART, ELDRIDGE
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
WE CARE OF CAMDEN INC.
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
WILLIAMS, SALLEE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
current
pecos_ownership
WILLIAMS, SALLEE
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
SALLEE WILLIAMS
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-01
ended 2026-05-18
pecos_ownership
STALLION SASSER
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-10-01
ended 2026-05-18
pecos_ownership
WE CARE OF CAMDEN INC.
Individual has financial interest in both related organization and provider
50%
2020-07-01
ended 2021-06-30
hcris_a_8_1
WE CARE OF CAMDEN INC.
Individual has financial interest in both related organization and provider
50%
2021-07-01
ended 2022-06-30
hcris_a_8_1
ELDRIDGE STEWART
ADP OF THE SNF
—
2025-01-16
ended 2026-05-18
pecos_ownership
LAURA LISHMAN
ADP OF THE SNF
—
2025-01-16
ended 2026-05-18
pecos_ownership
SALLEE WILLIAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
ended 2026-05-18
pecos_ownership
SALLEE WILLIAMS
ADP OF THE SNF
—
2025-01-16
ended 2026-05-18
pecos_ownership
STALLION SASSER
ADP OF THE SNF
—
2025-01-16
ended 2026-05-18
pecos_ownership
STALLION SASSER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
ended 2026-05-18
pecos_ownership
WE CARE OF CAMDEN INC.
Individual has financial interest in both related organization and provider
—
2022-07-01
ended 2023-06-30
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-06-30
$239,328
$38,649
—
—
$1,249
5
propco
2023-06-30
$243,218
$38,649
—
—
$758
5
propco
2022-06-30
$238,304
$38,649
—
—
—
5
propco
2021-06-30
$227,309
$38,650
—
—
—
5
propco
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
28
Geo
Kind
BR
Amount
As of
Source
county 01131
fmr
0
$632
2025-10-01
HUD_USER_FMR
county 01131
fmr
1
$656
2025-10-01
HUD_USER_FMR
county 01131
acs median gross
2
$593
2024-12-31
CENSUS_ACS5
county 01131
fmr
2
$843
2025-10-01
HUD_USER_FMR
county 01131
acs median gross
3
$1,051
2024-12-31
CENSUS_ACS5
county 01131
fmr
3
$1,079
2025-10-01
HUD_USER_FMR
county 01131
acs median gross
4
$974
2024-12-31
CENSUS_ACS5
county 01131
fmr
4
$1,261
2025-10-01
HUD_USER_FMR
county 01131
acs median gross
$745
2024-12-31
CENSUS_ACS5
zcta 36726
acs median gross
1
$525
2024-12-31
CENSUS_ACS5
zcta 36726
acs median gross
2
$569
2024-12-31
CENSUS_ACS5
zcta 36726
acs median gross
3
$1,053
2024-12-31
CENSUS_ACS5
zcta 36726
acs median gross
$956
2024-12-31
CENSUS_ACS5
zip 36726
payment standard 110
0
$704
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 90
0
$576
2025-10-01
HUD_USER_SAFMR
zip 36726
safmr
0
$640
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 110
1
$748
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 90
1
$612
2025-10-01
HUD_USER_SAFMR
zip 36726
safmr
1
$680
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 110
2
$946
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 90
2
$774
2025-10-01
HUD_USER_SAFMR
zip 36726
safmr
2
$860
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 110
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 90
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 36726
safmr
3
$1,200
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 110
4
$1,419
2025-10-01
HUD_USER_SAFMR
zip 36726
payment standard 90
4
$1,161
2025-10-01
HUD_USER_SAFMR
zip 36726
safmr
4
$1,290
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.