Reads as: riskier than 25.2% 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.
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
MN median
National median
National p25–p75
Total nurse
4.70
3.49
3.28
2.90–3.77
RN
1.13
0.65
0.39
0.25–0.58
Weekend total
4.55
3.32
3.11
—
Weekday total
4.76
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
145.8
4.70
1.13
0.55
3.02
4.55
0.0%
2025Q3
92
146.5
4.74
0.99
0.60
3.15
4.62
0.0%
2025Q2
91
148.1
4.67
1.07
0.54
3.06
4.54
0.0%
2025Q1
90
147.5
4.66
1.08
0.57
3.01
4.60
0.0%
2024Q4
92
146.4
4.75
1.07
0.60
3.08
4.66
0.0%
2024Q3
92
150.8
4.47
1.04
0.50
2.93
4.30
0.0%
2024Q2
91
147.8
4.56
1.04
0.52
3.00
4.39
0.0%
2024Q1
91
146.9
4.58
1.09
0.51
2.99
4.45
0.0%
2023Q4
92
148.6
4.55
0.97
0.62
2.96
4.49
0.0%
2023Q3
92
148.7
4.67
1.00
0.65
3.03
4.62
0.0%
2023Q2
91
148.7
4.47
1.07
0.63
2.77
4.34
0.0%
2023Q1
90
147.6
4.28
1.05
0.55
2.68
4.24
0.0%
2022Q4
92
147.9
4.30
1.00
0.56
2.74
4.23
0.0%
2022Q3
92
150.7
4.32
0.93
0.57
2.81
4.16
0.0%
2022Q2
91
149.4
4.27
0.97
0.55
2.75
4.16
0.0%
2022Q1
90
145.2
4.23
0.96
0.52
2.75
4.09
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-04-01
2026-02-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-01
2026-02-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-01
2025-11-18
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-12-19
2025-01-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-28
2025-01-16
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-02-28
2025-01-16
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-02-28
2025-01-16
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
2025-02-28
2025-01-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-28
2025-01-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-28
2025-01-16
Health
F0811
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
D
2025-02-28
2025-01-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-02-28
2024-07-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-08-07
2024-07-16
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-07
2024-07-16
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-08-07
2024-06-04
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-07-22
2023-09-07
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-10-27
2023-06-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-08-16
2023-06-23
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-08-11
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
57
Owner
Role
Pct
From
Status
Source
BEESE, MARK
CORPORATE DIRECTOR
—
2022-02-09
current
pecos_ownership
BENT, CHRISTINE
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
current
pecos_ownership
CARLSON, DAVID
CORPORATE DIRECTOR
—
2011-05-01
current
pecos_ownership
CARTWRIGHT, EILEEN
MANAGING CONTROL - GOVERNING BODY
—
2017-02-01
current
pecos_ownership
FAIRBAIRN, SCOTT
ADP OF THE SNF
—
2025-02-10
current
pecos_ownership
FAIRBAIRN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
FLACK, SHARON
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
HALVA, KURT
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
current
pecos_ownership
HARAHAN, TANA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
current
pecos_ownership
HOKANSON, TIMOTHY
ADP OF THE SNF
—
2025-01-27
current
pecos_ownership
HOKANSON, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
JARCHO, RUTH
CORPORATE OFFICER
—
2017-02-01
current
pecos_ownership
KUBAT, NIKKI
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-16
current
pecos_ownership
KUEHN, JOHN
CORPORATE DIRECTOR
—
2002-03-01
current
pecos_ownership
LOSE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
current
pecos_ownership
MCCHESNEY, JULIE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-02
current
pecos_ownership
MCLEAN, ERICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-14
current
pecos_ownership
MOUNT OLIVET CAREVIEW HOME
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
MYSLIVECEK, GRIFFIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
OLSON, TRUDY
CORPORATE DIRECTOR
—
2012-02-23
current
pecos_ownership
OPTIZ, HEIDI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
current
pecos_ownership
PAGE, GREG
MANAGING CONTROL - GOVERNING BODY
—
2017-02-01
current
pecos_ownership
PETERSON, DALE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
SCHWAB, DESIREE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-31
current
pecos_ownership
TELLEEN, WILLIAM
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
current
pecos_ownership
TURNER, CAIRO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-05
current
pecos_ownership
VETSCH, GORDY
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
current
pecos_ownership
WHITE, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
YOUNGDAHL, PETER
CORPORATE DIRECTOR
—
2017-02-01
current
pecos_ownership
ADAM WHITE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
CAIRO TURNER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-05
ended 2026-05-18
pecos_ownership
CHRISTINE BENT
CORPORATE OFFICER
—
2022-02-09
ended 2026-05-18
pecos_ownership
DALE PETERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
DAVID CARLSON
CORPORATE DIRECTOR
—
2011-05-01
ended 2026-05-18
pecos_ownership
DAVID LOSE
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
ended 2026-05-18
pecos_ownership
DESIREE SCHWAB
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-31
ended 2026-05-18
pecos_ownership
EILEEN CARTWRIGHT
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
ERICK MCLEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-14
ended 2026-05-18
pecos_ownership
GORDY VETSCH
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
ended 2026-05-18
pecos_ownership
GREG PAGE
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
GRIFFIN MYSLIVECEK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
HEIDI OPTIZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
ended 2026-05-18
pecos_ownership
JOHN KUEHN
MANAGING CONTROL - GOVERNING BODY
—
2002-03-01
ended 2026-05-18
pecos_ownership
JULIE MCCHESNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-02
ended 2026-05-18
pecos_ownership
KURT HALVA
MANAGING CONTROL - GOVERNING BODY
—
2022-02-09
ended 2026-05-18
pecos_ownership
MARK BEESE
CORPORATE DIRECTOR
—
2022-02-09
ended 2026-05-18
pecos_ownership
NIKKI KUBAT
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-16
ended 2026-05-18
pecos_ownership
PETER YOUNGDAHL
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
RUTH JARCHO
CORPORATE OFFICER
—
2017-02-01
ended 2026-05-18
pecos_ownership
SCOTT FAIRBAIRN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
SCOTT FAIRBAIRN
ADP OF THE SNF
—
2025-02-10
ended 2026-05-18
pecos_ownership
SHARON FLACK
CORPORATE OFFICER
—
2016-07-01
ended 2026-05-18
pecos_ownership
TANA HARAHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
ended 2026-05-18
pecos_ownership
TIMOTHY HOKANSON
ADP OF THE SNF
—
2025-01-27
ended 2026-05-18
pecos_ownership
TIMOTHY HOKANSON
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
TRUDY OLSON
CORPORATE DIRECTOR
—
2012-02-23
ended 2026-05-18
pecos_ownership
WILLIAM TELLEEN
CORPORATE DIRECTOR
—
2022-02-09
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
$85,989
—
—
—
—
6
—
2023-12-31
$85,476
—
—
—
—
6
—
2022-12-31
$86,476
—
—
—
—
6
—
2021-12-31
$87,377
—
—
—
—
6
—
2020-12-31
$85,574
—
—
—
—
6
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 27053
acs median gross
0
$1,141
2024-12-31
CENSUS_ACS5
county 27053
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
1
$1,293
2024-12-31
CENSUS_ACS5
county 27053
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
2
$1,677
2024-12-31
CENSUS_ACS5
county 27053
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
3
$1,963
2024-12-31
CENSUS_ACS5
county 27053
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
4
$2,216
2024-12-31
CENSUS_ACS5
county 27053
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
5
$1,999
2024-12-31
CENSUS_ACS5
county 27053
acs median gross
$1,487
2024-12-31
CENSUS_ACS5
county 27053
acs recent mover gross
$1,628
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
0
$1,140
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
1
$1,198
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
2
$1,839
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
3
$2,345
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
4
$3,250
2024-12-31
CENSUS_ACS5
zcta 55419
acs median gross
$1,609
2024-12-31
CENSUS_ACS5
zcta 55419
acs recent mover gross
$1,652
2024-12-31
CENSUS_ACS5
zip 55419
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 55419
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 110
1
$1,661
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 90
1
$1,359
2025-10-01
HUD_USER_SAFMR
zip 55419
safmr
1
$1,510
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 110
2
$2,024
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 90
2
$1,656
2025-10-01
HUD_USER_SAFMR
zip 55419
safmr
2
$1,840
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 110
3
$2,684
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 90
3
$2,196
2025-10-01
HUD_USER_SAFMR
zip 55419
safmr
3
$2,440
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 110
4
$2,992
2025-10-01
HUD_USER_SAFMR
zip 55419
payment standard 90
4
$2,448
2025-10-01
HUD_USER_SAFMR
zip 55419
safmr
4
$2,720
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.