260 Hospital Drive, South Williamson, KY 41503 · CCN 185172
Composite
6.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
34
Model
v1.2
Reads as: riskier than 6.1% 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 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
KY median
National median
National p25–p75
Total nurse
5.43
3.11
3.28
2.90–3.77
RN
0.72
0.41
0.39
0.25–0.58
Weekend total
5.05
3.01
3.11
—
Weekday total
5.58
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
18.7
5.43
0.72
2.23
2.48
5.05
0.0%
2025Q3
92
20.0
4.89
0.49
2.11
2.30
4.58
0.0%
2025Q2
91
20.4
5.06
0.25
2.61
2.19
4.68
0.0%
2025Q1
90
20.1
4.89
0.32
2.45
2.13
4.36
0.0%
2024Q4
92
18.3
5.10
0.31
2.75
2.03
4.86
0.0%
2024Q3
92
18.4
4.37
0.19
2.32
1.86
3.94
0.0%
2024Q2
91
19.3
5.17
0.26
2.45
2.46
4.71
0.0%
2024Q1
91
20.0
4.96
0.28
2.36
2.33
4.74
0.0%
2023Q4
92
19.9
4.92
0.28
2.45
2.19
4.79
0.0%
2023Q3
92
21.1
4.85
0.27
2.40
2.18
4.65
0.0%
2023Q2
91
22.0
4.44
0.21
2.27
1.96
4.27
0.0%
2023Q1
90
20.2
4.69
0.24
2.49
1.96
4.42
0.0%
2022Q4
92
17.0
5.93
0.31
2.94
2.69
5.33
0.0%
2022Q3
92
16.4
5.92
0.32
2.75
2.85
5.78
0.0%
2022Q2
91
18.2
5.70
0.38
2.73
2.58
5.32
0.1%
2022Q1
90
16.2
5.22
0.26
2.77
2.19
5.14
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
12
D × 9E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-27
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2025-07-30
2025-06-27
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-07-30
2025-06-27
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2025-07-30
2025-06-27
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
D
2025-07-30
2025-06-18
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
2025-07-03
2023-03-03
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-04-27
2023-03-03
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
2023-04-27
2023-03-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-27
2023-03-03
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2023-04-27
2023-03-03
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.
F
2023-04-27
2023-03-03
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2023-04-27
2023-03-03
Health
F0926
Have policies on smoking.
D
2023-04-27
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
48
Owner
Role
Pct
From
Status
Source
ALLMAN, KEN
CORPORATE DIRECTOR
—
2019-11-08
current
pecos_ownership
ANDERSON, JOANN
CORPORATE DIRECTOR
—
2017-11-02
current
pecos_ownership
BERGMAN, SONYA
CORPORATE OFFICER
—
2021-11-05
current
pecos_ownership
BRAMAN, MARIA
CORPORATE OFFICER
—
2016-03-07
current
pecos_ownership
CAMPBELL, DUSTIN
CORPORATE DIRECTOR
—
2022-11-11
current
pecos_ownership
COLEY, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
COLEY, JENNIFER
ADP OF THE SNF
—
2025-12-24
current
pecos_ownership
COUCH, GREGORY
CORPORATE DIRECTOR
—
2013-11-08
current
pecos_ownership
DUNN, SAMUEL
CORPORATE DIRECTOR
—
2021-11-05
current
pecos_ownership
ELLIS, MARTHA
CORPORATE DIRECTOR
—
2024-11-08
current
pecos_ownership
EVANS, RANDALL
CORPORATE DIRECTOR
—
2013-11-08
current
pecos_ownership
FRANCIS, GARETT
ADP OF THE SNF
—
2025-12-24
current
pecos_ownership
FRANCIS, GARETT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
GABBARD, BYRON
CORPORATE OFFICER
—
2023-11-02
current
pecos_ownership
HARRIS, HOLLIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-10
current
pecos_ownership
HOLLON, JEFFREY
CORPORATE DIRECTOR
—
2012-11-02
current
pecos_ownership
JOHNSON, VANESSA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-05
current
pecos_ownership
LEE, CHRISTI
CORPORATE OFFICER
—
2021-11-05
current
pecos_ownership
MASSEY, ANDREA
CORPORATE DIRECTOR
—
2019-11-08
current
pecos_ownership
NEWMAN, KAREN
CORPORATE DIRECTOR
—
2019-11-08
current
pecos_ownership
RUST, MICHAEL
CORPORATE DIRECTOR
—
2019-11-08
current
pecos_ownership
SIZEMORE, ONZIE
CORPORATE DIRECTOR
—
2014-11-05
current
pecos_ownership
VAUGHN, PAULA
ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
VAUGHN, PAULA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-12
current
pecos_ownership
ANDREA MASSEY
CORPORATE DIRECTOR
—
2019-11-08
ended 2026-05-18
pecos_ownership
BYRON GABBARD
CORPORATE OFFICER
—
2023-11-02
ended 2026-05-18
pecos_ownership
CHRISTI LEE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-05
ended 2026-05-18
pecos_ownership
DUSTIN CAMPBELL
CORPORATE DIRECTOR
—
2022-11-11
ended 2026-05-18
pecos_ownership
GARETT FRANCIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
ended 2026-05-18
pecos_ownership
GARETT FRANCIS
ADP OF THE SNF
—
2025-12-24
ended 2026-05-18
pecos_ownership
GREGORY COUCH
CORPORATE DIRECTOR
—
2013-11-08
ended 2026-05-18
pecos_ownership
HOLLIE HARRIS
CORPORATE OFFICER
—
2021-05-10
ended 2026-05-18
pecos_ownership
JEFFREY HOLLON
CORPORATE DIRECTOR
—
2012-11-02
ended 2026-05-18
pecos_ownership
JENNIFER COLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
JENNIFER COLEY
ADP OF THE SNF
—
2025-12-24
ended 2026-05-18
pecos_ownership
JOANN ANDERSON
CORPORATE DIRECTOR
—
2017-11-02
ended 2026-05-18
pecos_ownership
KAREN NEWMAN
CORPORATE DIRECTOR
—
2019-11-08
ended 2026-05-18
pecos_ownership
KEN ALLMAN
CORPORATE DIRECTOR
—
2019-11-08
ended 2026-05-18
pecos_ownership
MARIA BRAMAN
CORPORATE OFFICER
—
2016-03-07
ended 2026-05-18
pecos_ownership
MARTHA ELLIS
CORPORATE DIRECTOR
—
2024-11-08
ended 2026-05-18
pecos_ownership
MICHAEL RUST
CORPORATE DIRECTOR
—
2019-11-08
ended 2026-05-18
pecos_ownership
ONZIE SIZEMORE
CORPORATE DIRECTOR
—
2014-11-05
ended 2026-05-18
pecos_ownership
PAULA VAUGHN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-12
ended 2026-05-18
pecos_ownership
PAULA VAUGHN
ADP OF THE SNF
—
2025-12-04
ended 2026-05-18
pecos_ownership
RANDALL EVANS
CORPORATE DIRECTOR
—
2013-11-08
ended 2026-05-18
pecos_ownership
SAMUEL DUNN
CORPORATE DIRECTOR
—
2021-11-05
ended 2026-05-18
pecos_ownership
SONYA BERGMAN
CORPORATE OFFICER
—
2021-11-05
ended 2026-05-18
pecos_ownership
VANESSA JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-05
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
28
Geo
Kind
BR
Amount
As of
Source
county 21195
acs median gross
0
$655
2024-12-31
CENSUS_ACS5
county 21195
fmr
0
$698
2025-10-01
HUD_USER_FMR
county 21195
acs median gross
1
$571
2024-12-31
CENSUS_ACS5
county 21195
fmr
1
$745
2025-10-01
HUD_USER_FMR
county 21195
acs median gross
2
$916
2024-12-31
CENSUS_ACS5
county 21195
fmr
2
$977
2025-10-01
HUD_USER_FMR
county 21195
acs median gross
3
$1,005
2024-12-31
CENSUS_ACS5
county 21195
fmr
3
$1,171
2025-10-01
HUD_USER_FMR
county 21195
acs median gross
4
$1,429
2024-12-31
CENSUS_ACS5
county 21195
fmr
4
$1,552
2025-10-01
HUD_USER_FMR
county 21195
acs median gross
$858
2024-12-31
CENSUS_ACS5
county 21195
acs recent mover gross
$722
2024-12-31
CENSUS_ACS5
zcta 41503
acs median gross
$723
2024-12-31
CENSUS_ACS5
zip 41503
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 41503
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 41503
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 41503
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 110
3
$1,298
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 90
3
$1,062
2025-10-01
HUD_USER_SAFMR
zip 41503
safmr
3
$1,180
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 41503
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 41503
safmr
4
$1,560
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.