Reads as: riskier than 33.3% 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
16
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
2.78
3.13
3.28
2.90–3.77
RN
0.58
0.49
0.39
0.25–0.58
Weekend total
2.57
2.93
3.11
—
Weekday total
2.86
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
48.0
2.78
0.58
0.30
1.90
2.57
0.0%
2025Q3
92
48.5
2.89
0.51
0.46
1.93
2.53
0.0%
2025Q2
91
49.3
2.84
0.44
0.45
1.95
2.51
0.0%
2025Q1
90
46.1
3.14
0.58
0.40
2.17
2.76
0.0%
2024Q4
92
46.6
3.08
0.54
0.45
2.10
2.71
0.8%
2024Q3
92
50.5
3.04
0.39
0.53
2.12
2.73
1.6%
2024Q2
91
53.5
2.96
0.34
0.53
2.09
2.60
6.0%
2024Q1
91
51.5
3.09
0.41
0.55
2.12
2.79
6.8%
2023Q4
92
54.3
3.05
0.56
0.32
2.17
2.72
21.3%
2023Q3
92
56.4
2.93
0.41
0.39
2.13
2.69
20.2%
2023Q2
91
48.7
3.25
0.28
0.61
2.36
2.91
15.1%
2023Q1
90
53.1
3.11
0.39
0.48
2.24
2.71
15.6%
2022Q4
92
50.7
3.43
0.48
0.42
2.52
3.14
15.4%
2022Q3
92
51.6
2.79
0.38
0.39
2.03
2.59
16.8%
2022Q2
91
47.0
2.94
0.35
0.49
2.10
2.83
19.5%
2022Q1
90
13.3
10.80
1.40
1.90
7.50
10.54
14.1%
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
22
C × 1D × 10E × 8F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-01-28
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
2025-02-10
2024-11-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-13
2024-11-21
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.
E
2024-12-13
2024-11-21
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2024-12-13
2024-11-21
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
C
2024-12-13
2024-11-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-12-13
2024-11-21
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-12-13
2024-11-21
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2024-12-13
2024-05-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-11
2024-01-19
Health
F0610
Respond appropriately to all alleged violations.
D
2024-02-09
2024-01-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-09
2024-01-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-09
2024-01-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-02-09
2024-01-19
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-02-09
2024-01-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-09
2024-01-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-02-09
2024-01-19
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-02-09
2024-01-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-02-09
2022-10-21
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2022-11-11
2022-10-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2022-11-11
2022-10-21
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.
E
2022-11-11
2022-10-21
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2022-11-11
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
14
Owner
Role
Pct
From
Status
Source
AKERS, LYNN
CORPORATE DIRECTOR
—
2020-10-28
current
pecos_ownership
BIERITZ, JONATHAN
CORPORATE DIRECTOR
—
2022-07-20
current
pecos_ownership
BROWN, JIM
CORPORATE DIRECTOR
—
2020-10-28
current
pecos_ownership
KLECKNER, DUANNE
CORPORATE DIRECTOR
—
2020-10-28
current
pecos_ownership
SILVER, JOMARIE
W-2 MANAGING EMPLOYEE
—
2022-06-29
current
pecos_ownership
SILVER, JOMARIE
CORPORATE DIRECTOR
—
2022-04-28
current
pecos_ownership
UNDERWOOD, DAVID
CORPORATE OFFICER
—
2020-10-28
current
pecos_ownership
JOMARIE SILVER
W-2 MANAGING EMPLOYEE
100%
2022-06-29
ended 2026-05-18
pecos_ownership
JOMARIE SILVER
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-04-28
ended 2026-05-18
pecos_ownership
DUANNE KLECKNER
CORPORATE DIRECTOR
50%
2020-10-28
ended 2026-05-18
pecos_ownership
DAVID UNDERWOOD
CORPORATE OFFICER
10%
2020-10-28
ended 2026-05-18
pecos_ownership
JIM BROWN
CORPORATE DIRECTOR
10%
2020-10-28
ended 2026-05-18
pecos_ownership
JONATHAN BIERITZ
CORPORATE DIRECTOR
10%
2022-07-20
ended 2026-05-18
pecos_ownership
LYNN AKERS
CORPORATE DIRECTOR
10%
2020-10-28
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
36
Geo
Kind
BR
Amount
As of
Source
county 17089
acs median gross
0
$1,090
2024-12-31
CENSUS_ACS5
county 17089
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17089
acs median gross
1
$1,175
2024-12-31
CENSUS_ACS5
county 17089
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17089
acs median gross
2
$1,451
2024-12-31
CENSUS_ACS5
county 17089
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17089
acs median gross
3
$1,771
2024-12-31
CENSUS_ACS5
county 17089
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17089
acs median gross
4
$1,883
2024-12-31
CENSUS_ACS5
county 17089
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17089
acs median gross
5
$1,770
2024-12-31
CENSUS_ACS5
county 17089
acs median gross
$1,453
2024-12-31
CENSUS_ACS5
county 17089
acs recent mover gross
$1,632
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
0
$887
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
1
$1,040
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
2
$1,287
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
3
$1,575
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
4
$1,530
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
5
$1,801
2024-12-31
CENSUS_ACS5
zcta 60505
acs median gross
$1,316
2024-12-31
CENSUS_ACS5
zcta 60505
acs recent mover gross
$1,432
2024-12-31
CENSUS_ACS5
zip 60505
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 60505
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 110
1
$1,573
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 90
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 60505
safmr
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 60505
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 110
3
$2,277
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 90
3
$1,863
2025-10-01
HUD_USER_SAFMR
zip 60505
safmr
3
$2,070
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 60505
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 60505
safmr
4
$2,400
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.