Reads as: riskier than 59.0% 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
FL median
National median
National p25–p75
Total nurse
4.22
3.42
3.28
2.90–3.77
RN
0.87
0.45
0.39
0.25–0.58
Weekend total
4.06
3.31
3.11
—
Weekday total
4.29
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
4.22
0.87
0.63
2.72
4.06
13.1%
2025Q3
92
51.0
3.80
0.58
0.75
2.47
3.72
40.4%
2025Q2
91
50.8
3.95
0.40
1.02
2.54
3.81
43.1%
2025Q1
90
55.0
3.41
0.43
0.65
2.34
3.31
28.4%
2024Q4
92
53.2
3.41
0.63
0.56
2.23
3.28
17.5%
2024Q3
92
44.6
3.73
0.66
0.73
2.34
3.43
20.9%
2024Q2
91
43.6
3.89
0.80
0.60
2.49
3.70
24.7%
2024Q1
91
41.9
4.10
0.95
0.63
2.52
4.01
4.4%
2023Q4
92
41.6
4.22
0.71
0.76
2.76
4.08
7.4%
2023Q3
92
45.2
4.27
0.95
0.43
2.90
4.04
5.0%
2023Q2
91
57.6
3.23
0.81
0.35
2.07
3.18
0.0%
2023Q1
90
57.8
3.38
0.76
0.45
2.17
3.16
0.0%
2022Q4
92
56.1
3.49
0.43
0.69
2.37
3.30
0.0%
2022Q3
92
54.3
3.73
0.28
0.97
2.48
3.60
5.7%
2022Q2
91
55.1
3.65
0.28
0.89
2.48
3.33
20.4%
2022Q1
90
50.8
3.83
0.34
1.00
2.48
3.69
46.7%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-07-25
2025-03-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-04-14
2025-03-19
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-04-14
2025-03-19
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
G
2025-04-14
2025-03-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-14
2023-05-11
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-06-05
2023-05-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-05
2023-05-11
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-06-05
2023-05-11
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-06-05
2023-05-11
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.
D
2023-06-05
2023-05-11
Health
F0791
Provide or obtain dental services for each resident.
D
2023-06-05
2023-05-11
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
2023-06-05
2023-05-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-05
2021-09-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-09-27
2021-09-10
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.
D
2021-09-27
2021-09-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-09-27
2021-09-10
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-09-27
2021-09-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-09-27
2021-09-10
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
2021-09-27
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
26
Owner
Role
Pct
From
Status
Source
BREA EMERITUS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-07-31
ended 2026-05-18
pecos_ownership
BROOKDALE SENIOR LIVING INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2014-07-31
ended 2026-05-18
pecos_ownership
CIBC BANK USA
5% OR GREATER MORTGAGE INTEREST
100%
2021-03-31
ended 2026-05-18
pecos_ownership
EMERITUS CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2014-07-31
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
ANNA MUNOZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
BLESILDA OLFATO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
BLESILDA OLFATO
ADP OF THE SNF
—
2025-10-09
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
MANAGING CONTROL - GOVERNING BODY
—
2018-03-09
ended 2026-05-18
pecos_ownership
CINDY KENT
MANAGING CONTROL - GOVERNING BODY
—
2020-11-20
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
EMERICAL INC
ADP OF THE SNF
—
2025-10-09
ended 2026-05-18
pecos_ownership
EMERICARE PALMER RANCH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-07-25
ended 2026-05-18
pecos_ownership
EMERICARE PALMER RANCH LLC
ADP OF THE SNF
—
2025-07-22
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
MANAGING CONTROL - GOVERNING BODY
—
2022-03-21
ended 2026-05-18
pecos_ownership
KEVIN LA MARRE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-22
ended 2026-05-18
pecos_ownership
LBMC PC
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
NIKOLAS STENGLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-08
ended 2026-05-18
pecos_ownership
ROBERT WARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
SARA STERLING
ADP OF THE SNF
—
2025-07-07
ended 2026-05-18
pecos_ownership
SARA STERLING
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
TERESA SNYDER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
WALTERS FINANCIAL SERVICES INC
ADP OF THE SNF
—
2025-07-22
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
$910,853
—
$910,853
—
—
2
—
2023-12-31
$907,256
—
$907,256
—
—
2
—
2022-12-31
$899,617
—
$899,617
—
—
2
—
2021-12-31
$969,720
—
$969,720
—
—
2
—
2020-12-31
$782,550
—
$782,550
—
—
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 12115
acs median gross
0
$1,579
2024-12-31
CENSUS_ACS5
county 12115
fmr
0
$1,418
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
1
$1,628
2024-12-31
CENSUS_ACS5
county 12115
fmr
1
$1,686
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
2
$1,789
2024-12-31
CENSUS_ACS5
county 12115
fmr
2
$1,958
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
3
$2,074
2024-12-31
CENSUS_ACS5
county 12115
fmr
3
$2,537
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
4
$2,216
2024-12-31
CENSUS_ACS5
county 12115
fmr
4
$3,027
2025-10-01
HUD_USER_FMR
county 12115
acs median gross
5
$2,963
2024-12-31
CENSUS_ACS5
county 12115
acs median gross
$1,818
2024-12-31
CENSUS_ACS5
county 12115
acs recent mover gross
$2,167
2024-12-31
CENSUS_ACS5
zcta 34238
acs median gross
0
$1,614
2024-12-31
CENSUS_ACS5
zcta 34238
acs median gross
1
$1,621
2024-12-31
CENSUS_ACS5
zcta 34238
acs median gross
2
$1,958
2024-12-31
CENSUS_ACS5
zcta 34238
acs median gross
3
$2,341
2024-12-31
CENSUS_ACS5
zcta 34238
acs median gross
$1,850
2024-12-31
CENSUS_ACS5
zcta 34238
acs recent mover gross
$2,131
2024-12-31
CENSUS_ACS5
zip 34238
payment standard 110
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 90
0
$1,530
2025-10-01
HUD_USER_SAFMR
zip 34238
safmr
0
$1,700
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 110
1
$2,222
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 90
1
$1,818
2025-10-01
HUD_USER_SAFMR
zip 34238
safmr
1
$2,020
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 110
2
$2,585
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 90
2
$2,115
2025-10-01
HUD_USER_SAFMR
zip 34238
safmr
2
$2,350
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 110
3
$3,344
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 90
3
$2,736
2025-10-01
HUD_USER_SAFMR
zip 34238
safmr
3
$3,040
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 110
4
$3,993
2025-10-01
HUD_USER_SAFMR
zip 34238
payment standard 90
4
$3,267
2025-10-01
HUD_USER_SAFMR
zip 34238
safmr
4
$3,630
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.