Reads as: riskier than 12.1% 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 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
NC median
National median
National p25–p75
Total nurse
3.57
3.08
3.28
2.90–3.77
RN
0.58
0.30
0.39
0.25–0.58
Weekend total
3.39
2.93
3.11
—
Weekday total
3.64
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
167.0
3.57
0.58
0.56
2.43
3.39
0.0%
2025Q3
92
162.3
3.77
0.66
0.53
2.58
3.55
0.0%
2025Q2
91
160.5
3.61
0.57
0.58
2.45
3.34
0.0%
2025Q1
90
154.8
3.72
0.57
0.68
2.46
3.50
0.0%
2024Q4
92
153.3
3.62
0.62
0.66
2.34
3.44
0.0%
2024Q3
92
157.3
3.37
0.74
0.50
2.13
3.16
0.0%
2024Q2
91
160.3
3.08
0.68
0.48
1.93
2.89
0.0%
2024Q1
91
157.1
3.13
0.62
0.51
2.00
3.05
0.0%
2023Q4
92
160.9
2.84
0.59
0.49
1.76
2.71
0.0%
2023Q3
92
158.2
2.71
0.55
0.47
1.69
2.63
0.0%
2023Q2
91
148.6
2.96
0.54
0.58
1.84
2.63
0.0%
2023Q1
90
148.1
2.65
0.48
0.48
1.70
2.31
0.0%
2022Q4
92
148.7
2.77
0.54
0.45
1.79
2.41
0.0%
2022Q3
92
144.5
2.83
0.56
0.48
1.79
2.44
0.0%
2022Q2
91
140.1
3.52
0.55
0.53
2.44
2.87
0.0%
2022Q1
90
135.1
3.65
0.63
0.64
2.38
2.81
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
3
D × 2E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-11-06
2024-07-11
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-08-01
2024-07-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-08-01
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
58
Owner
Role
Pct
From
Status
Source
ABERNETHY, JULIUS
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
ALCORN, GREGORY
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
BOLICK, LAWRENCE
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
BRANCH, ANTHONY
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
CLAPP, KENNETH
CORPORATE DIRECTOR
—
2025-10-01
current
pecos_ownership
ERDMAN, CHARLES
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
EVERYAGE
DIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
EVERYAGE
ADP OF THE SNF
—
2025-12-15
current
pecos_ownership
GILLIAM, JEFFREY J
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
GRAY, PAUL
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
HORTON, MICHELLE
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
HOWELL, PARKER
CORPORATE DIRECTOR
—
2013-10-01
current
pecos_ownership
JONES, ASHLEY
ADP OF THE SNF
—
2015-03-26
current
pecos_ownership
JONES, TAMMY
CORPORATE OFFICER
—
2023-02-01
current
pecos_ownership
LARSON, SEAN
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
MADDOX, LAMONT
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
MARCH, MILLS
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
MCINTOSH, AMBER
ADP OF THE SNF
—
2013-03-11
current
pecos_ownership
REIMANN, AIMEE
CORPORATE OFFICER
—
2013-06-01
current
pecos_ownership
SLOAN, HEATHER
CORPORATE OFFICER
—
2025-04-12
current
pecos_ownership
SMITH, SHANE
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
STONE, SUSAN
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
STREET, JODY
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
SULLIVAN, DIANA
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
SYRIA, LEE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-10-01
current
pecos_ownership
SYRIA, LEE
CORPORATE OFFICER
—
2012-10-01
current
pecos_ownership
THIE, RONALD
ADP OF THE SNF
—
2015-10-01
current
pecos_ownership
TOBIN, CORY
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
WILEY, MARGARET
CORPORATE DIRECTOR
—
2018-10-01
current
pecos_ownership
WOOD, KATHY
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
LEE SYRIA
OPERATIONAL/MANAGERIAL CONTROL
0%
2013-10-01
ended 2026-05-18
pecos_ownership
AIMEE REIMANN
CORPORATE OFFICER
—
2013-06-01
ended 2026-05-18
pecos_ownership
AMBER MCINTOSH
ADP OF THE SNF
—
2013-03-11
ended 2026-05-18
pecos_ownership
ANTHONY BRANCH
CORPORATE DIRECTOR
—
2017-10-01
ended 2026-05-18
pecos_ownership
ASHLEY JONES
ADP OF THE SNF
—
2015-03-26
ended 2026-05-18
pecos_ownership
CHARLES ERDMAN
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
CORY TOBIN
ADP OF THE SNF
—
2020-10-01
ended 2026-05-18
pecos_ownership
DIANA SULLIVAN
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
GREGORY ALCORN
ADP OF THE SNF
—
2021-10-01
ended 2026-05-18
pecos_ownership
HEATHER SLOAN
CORPORATE OFFICER
—
2025-04-12
ended 2026-05-18
pecos_ownership
JEFFREY J GILLIAM
ADP OF THE SNF
—
2020-10-01
ended 2026-05-18
pecos_ownership
JODY STREET
ADP OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
JULIUS ABERNETHY
ADP OF THE SNF
—
2022-10-01
ended 2026-05-18
pecos_ownership
KATHY WOOD
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
KENNETH CLAPP
CORPORATE DIRECTOR
—
2025-10-01
ended 2026-05-18
pecos_ownership
LAMONT MADDOX
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
LAWRENCE BOLICK
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
LEE SYRIA
CORPORATE OFFICER
—
2012-10-01
ended 2026-05-18
pecos_ownership
MARGARET WILEY
ADP OF THE SNF
—
2018-10-01
ended 2026-05-18
pecos_ownership
MICHELLE HORTON
CORPORATE DIRECTOR
—
2022-10-01
ended 2026-05-18
pecos_ownership
MILLS MARCH
CORPORATE DIRECTOR
—
2017-10-01
ended 2026-05-18
pecos_ownership
PARKER HOWELL
CORPORATE DIRECTOR
—
2013-10-01
ended 2026-05-18
pecos_ownership
PAUL GRAY
ADP OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
RONALD THIE
ADP OF THE SNF
—
2015-10-01
ended 2026-05-18
pecos_ownership
SEAN LARSON
ADP OF THE SNF
—
2019-01-01
ended 2026-05-18
pecos_ownership
SHANE SMITH
ADP OF THE SNF
—
2022-10-01
ended 2026-05-18
pecos_ownership
SUSAN STONE
ADP OF THE SNF
—
2025-10-01
ended 2026-05-18
pecos_ownership
TAMMY JONES
CORPORATE OFFICER
—
2023-02-01
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
2024-09-30
$2,892,321
—
$1,575,183
$1,317,138
—
6
—
2023-09-30
$2,561,305
—
$1,650,029
$911,276
—
6
—
2022-09-30
$1,486,112
—
$1,486,112
—
—
3
—
2021-09-30
$1,616,138
—
—
—
$87,745
3
—
2020-09-30
$1,486,973
—
$1,486,973
—
—
3
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 37035
acs median gross
0
$818
2024-12-31
CENSUS_ACS5
county 37035
fmr
0
$858
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
1
$887
2024-12-31
CENSUS_ACS5
county 37035
fmr
1
$908
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
2
$923
2024-12-31
CENSUS_ACS5
county 37035
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
3
$1,118
2024-12-31
CENSUS_ACS5
county 37035
fmr
3
$1,372
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
4
$1,111
2024-12-31
CENSUS_ACS5
county 37035
fmr
4
$1,660
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
$965
2024-12-31
CENSUS_ACS5
county 37035
acs recent mover gross
$1,197
2024-12-31
CENSUS_ACS5
zcta 28658
acs median gross
1
$911
2024-12-31
CENSUS_ACS5
zcta 28658
acs median gross
2
$886
2024-12-31
CENSUS_ACS5
zcta 28658
acs median gross
3
$1,043
2024-12-31
CENSUS_ACS5
zcta 28658
acs median gross
4
$1,161
2024-12-31
CENSUS_ACS5
zcta 28658
acs median gross
$948
2024-12-31
CENSUS_ACS5
zcta 28658
acs recent mover gross
$992
2024-12-31
CENSUS_ACS5
zip 28658
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 28658
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 28658
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 28658
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 110
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 90
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 28658
safmr
3
$1,500
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 28658
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 28658
safmr
4
$1,820
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.