Reads as: riskier than 9.3% 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 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
15
2025Q4 HPRD
This facility
VT median
National median
National p25–p75
Total nurse
3.44
3.66
3.28
2.90–3.77
RN
0.54
0.54
0.39
0.25–0.58
Weekend total
3.41
3.46
3.11
—
Weekday total
3.44
3.81
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.6
3.44
0.54
0.52
2.38
3.41
29.8%
2025Q3
92
41.8
3.63
0.53
0.58
2.52
3.44
32.8%
2025Q2
91
42.6
3.67
0.50
0.59
2.58
3.46
18.7%
2025Q1
90
41.5
3.61
0.40
0.76
2.45
3.41
27.6%
2024Q4
92
42.1
3.49
0.25
0.77
2.46
3.38
38.8%
2024Q3
92
41.9
3.64
0.27
0.91
2.45
3.43
34.8%
2024Q2
91
40.4
3.92
0.22
1.04
2.66
3.71
34.6%
2024Q1
91
38.8
4.29
0.26
1.26
2.77
4.10
49.9%
2023Q4
92
40.6
3.89
0.22
1.00
2.66
3.65
52.1%
2023Q2
91
41.1
3.66
0.15
0.82
2.69
3.39
42.4%
2023Q1
90
41.0
3.79
0.22
1.00
2.57
3.38
39.7%
2022Q4
92
39.6
3.49
0.16
1.03
2.30
3.33
43.5%
2022Q3
92
39.5
3.31
0.38
0.83
2.10
3.06
32.0%
2022Q2
91
40.5
2.25
0.16
0.59
1.50
1.97
18.4%
2022Q1
90
38.5
3.73
0.23
1.05
2.45
3.30
41.0%
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
2026-03-13
2026-02-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-03-30
2026-02-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-30
2026-02-19
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-03-30
2026-02-19
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.
F
2026-03-30
2026-02-19
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
2026-03-30
2025-11-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-12-04
2024-12-18
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2025-02-01
2024-12-18
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-02-01
2024-12-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-01
2024-12-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-01
2024-05-15
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
C
—
2024-02-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-22
2024-01-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-22
2023-10-11
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.
E
2023-11-11
2023-10-11
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
2023-11-11
2023-10-11
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.
E
2023-11-11
2023-10-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-11-11
2023-10-11
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
G
2023-11-11
2023-10-11
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
2023-11-11
2023-10-11
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-11-11
2023-08-09
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-09-01
2023-07-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-08-18
2023-07-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-18
2023-07-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-08-18
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
18
Owner
Role
Pct
From
Status
Source
FRANCIS E CHENEY JR ESTATE
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-02-01
current
pecos_ownership
ATWOOD, DALE
ADP OF THE SNF
—
2024-07-15
current
pecos_ownership
BERGERON, TRAVIS
ADP OF THE SNF
—
2025-01-23
current
pecos_ownership
BERGERON, TRAVIS
CORPORATE OFFICER
—
2025-01-25
current
pecos_ownership
CUMMINGS, HOLLY
ADP OF THE SNF
—
2025-01-28
current
pecos_ownership
FATIGATI, MARIA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
current
pecos_ownership
RICE, WARREN
CORPORATE OFFICER
—
2025-01-28
current
pecos_ownership
RUSSELL, PATRICIA
GENERAL PARTNERSHIP INTEREST
—
1999-01-01
current
pecos_ownership
RUSSELL, PATRICIA
5% OR GREATER SECURITY INTEREST
—
2000-01-01
current
pecos_ownership
WELLS FARGO BANK, N.A.
5% OR GREATER MORTGAGE INTEREST
—
2007-02-10
current
pecos_ownership
PATRICIA RUSSELL
5% OR GREATER SECURITY INTEREST
50%
2000-01-01
ended 2026-05-18
pecos_ownership
PATRICIA RUSSELL
GENERAL PARTNERSHIP INTEREST
50%
1999-01-01
ended 2026-05-18
pecos_ownership
HOLLY CUMMINGS
CORPORATE OFFICER
0%
2025-01-28
ended 2026-05-18
pecos_ownership
WARREN RICE
CORPORATE OFFICER
0%
2025-01-28
ended 2026-05-18
pecos_ownership
DALE ATWOOD
CORPORATE OFFICER
—
2024-07-15
ended 2026-05-18
pecos_ownership
MARIA FATIGATI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
ended 2026-05-18
pecos_ownership
TRAVIS BERGERON
ADP OF THE SNF
—
2025-01-23
ended 2026-05-18
pecos_ownership
TRAVIS BERGERON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-25
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
23
Geo
Kind
BR
Amount
As of
Source
county 50019
acs median gross
0
$1,057
2024-12-31
CENSUS_ACS5
county 50019
acs median gross
1
$785
2024-12-31
CENSUS_ACS5
county 50019
acs median gross
2
$954
2024-12-31
CENSUS_ACS5
county 50019
acs median gross
3
$973
2024-12-31
CENSUS_ACS5
county 50019
acs median gross
4
$882
2024-12-31
CENSUS_ACS5
county 50019
acs median gross
$892
2024-12-31
CENSUS_ACS5
county 50019
acs recent mover gross
$882
2024-12-31
CENSUS_ACS5
zcta 05839
acs median gross
$973
2024-12-31
CENSUS_ACS5
zip 05839
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 05839
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 110
1
$946
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 90
1
$774
2025-10-01
HUD_USER_SAFMR
zip 05839
safmr
1
$860
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 05839
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 05839
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 05839
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 05839
safmr
4
$1,730
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.