Reads as: riskier than 69.4% 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
IN median
National median
National p25–p75
Total nurse
1.76
2.85
3.28
2.90–3.77
RN
0.25
0.40
0.39
0.25–0.58
Weekend total
1.22
2.71
3.11
—
Weekday total
1.97
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.2
1.76
0.25
0.30
1.21
1.22
0.0%
2025Q3
92
61.0
2.69
0.20
0.73
1.76
2.68
30.0%
2025Q2
91
57.8
2.62
0.15
0.78
1.69
2.63
23.7%
2025Q1
90
56.0
2.83
0.24
0.79
1.81
2.77
16.2%
2024Q4
92
62.9
2.66
0.28
0.69
1.69
2.62
16.5%
2024Q3
92
58.7
2.59
0.44
0.52
1.64
2.46
14.5%
2024Q2
91
53.2
2.84
0.53
0.54
1.77
2.90
11.3%
2024Q1
91
56.5
2.63
0.33
0.74
1.56
2.77
4.8%
2023Q4
92
55.8
2.70
0.33
0.85
1.51
2.66
3.6%
2023Q3
92
53.3
2.95
0.36
0.91
1.69
2.92
4.5%
2023Q2
91
55.1
2.72
0.31
0.87
1.54
2.81
5.4%
2023Q1
90
54.7
2.74
0.24
1.04
1.46
2.84
15.1%
2022Q4
92
52.5
2.67
0.27
0.99
1.41
2.82
22.8%
2022Q3
92
46.6
2.76
0.46
0.99
1.31
2.71
32.2%
2022Q2
91
43.2
2.43
0.44
0.80
1.19
2.57
17.2%
2022Q1
90
39.6
3.11
0.33
1.08
1.70
3.24
22.3%
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
25
C × 1D × 18E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-10
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-05-12
2026-04-10
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-05-12
2026-04-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-12
2026-04-10
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2026-05-12
2025-12-09
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-12-16
2025-05-09
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-06-15
2025-05-09
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-06-15
2025-05-09
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-15
2025-05-09
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-06-15
2025-05-09
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
C
2025-06-15
2025-05-09
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-06-15
2025-05-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-15
2025-05-09
Health
F0679
Provide activities to meet all resident's needs.
E
2025-06-15
2025-05-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-06-15
2025-05-09
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
2025-06-15
2025-05-09
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-06-15
2025-05-09
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-06-15
2025-05-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-15
2024-09-24
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-11
2024-07-12
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-08-07
2024-07-12
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-08-07
2024-07-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-08-07
2024-07-12
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
2024-08-07
2024-02-08
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
2024-02-23
2024-02-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-01-10
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
31
Owner
Role
Pct
From
Status
Source
PUTNAM COUNTY HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-06-01
current
pecos_ownership
BRAY, ARNOLD
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
current
pecos_ownership
DAVIS, TONIA
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
FRY, JANICE
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
current
pecos_ownership
HEADLEY, MATTHEW
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
current
pecos_ownership
HHSS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-01
current
pecos_ownership
HOOSIER CARE PROPERTIES INC
ADP OF THE SNF
—
2015-06-01
current
pecos_ownership
HOOSIER WEST LEASING COMPANY LLC
ADP OF THE SNF
—
2012-11-06
current
pecos_ownership
LANDRY, KEITH
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
LEWIS, KATRINA
MANAGING CONTROL - GOVERNING BODY
—
2022-12-21
current
pecos_ownership
LOUDERMILK, CHRISTOPHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-19
current
pecos_ownership
MARTIN, THOMAS
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
RBB FACILITIES COMPANY LLC
ADP OF THE SNF
—
2012-11-06
current
pecos_ownership
RBB FACILITIES COMPANY LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
RBB FACILITIES COMPANY LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
RICHLAND BEAN BLOSSOM LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-06
current
pecos_ownership
RICHLAND BEAN BLOSSOM LLC
ADP OF THE SNF
—
2025-09-19
current
pecos_ownership
UNDERWOOD, WENDELL
MANAGING CONTROL - GOVERNING BODY
—
2024-05-20
current
pecos_ownership
WEATHERFORD, DENNIS
OPERATIONAL/MANAGERIAL CONTROL
—
2012-09-18
current
pecos_ownership
WOOD, MARK
MANAGING CONTROL - GOVERNING BODY
—
2024-08-05
current
pecos_ownership
ARNOLD BRAY
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
ended 2026-05-18
pecos_ownership
DENNIS WEATHERFORD
MANAGING CONTROL - GOVERNING BODY
—
2012-09-18
ended 2026-05-18
pecos_ownership
JANICE FRY
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
ended 2026-05-18
pecos_ownership
KATRINA LEWIS
MANAGING CONTROL - GOVERNING BODY
—
2022-12-21
ended 2026-05-18
pecos_ownership
KEITH LANDRY
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
MARK WOOD
MANAGING CONTROL - GOVERNING BODY
—
2024-08-05
ended 2026-05-18
pecos_ownership
MATTHEW HEADLEY
MANAGING CONTROL - GOVERNING BODY
—
2012-09-01
ended 2026-05-18
pecos_ownership
RBB FACILITIES COMPANY LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
THOMAS MARTIN
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
TONIA DAVIS
ADP OF THE SNF
—
2025-04-14
ended 2026-05-18
pecos_ownership
WENDELL UNDERWOOD
MANAGING CONTROL - GOVERNING BODY
—
2024-05-20
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
$308,050
—
—
—
—
9
propco
2023-12-31
$311,797
—
—
—
—
9
propco
2022-12-31
$315,321
—
—
—
—
9
propco
2021-12-31
$326,498
—
—
—
—
10
—
2020-12-31
$321,541
—
—
—
—
9
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 18105
acs median gross
0
$996
2024-12-31
CENSUS_ACS5
county 18105
fmr
0
$966
2025-10-01
HUD_USER_FMR
county 18105
acs median gross
1
$1,037
2024-12-31
CENSUS_ACS5
county 18105
fmr
1
$1,072
2025-10-01
HUD_USER_FMR
county 18105
acs median gross
2
$1,209
2024-12-31
CENSUS_ACS5
county 18105
fmr
2
$1,210
2025-10-01
HUD_USER_FMR
county 18105
acs median gross
3
$1,414
2024-12-31
CENSUS_ACS5
county 18105
fmr
3
$1,572
2025-10-01
HUD_USER_FMR
county 18105
acs median gross
4
$1,786
2024-12-31
CENSUS_ACS5
county 18105
fmr
4
$1,906
2025-10-01
HUD_USER_FMR
county 18105
acs median gross
5
$1,857
2024-12-31
CENSUS_ACS5
county 18105
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 18105
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zcta 47429
acs median gross
1
$484
2024-12-31
CENSUS_ACS5
zcta 47429
acs median gross
2
$1,036
2024-12-31
CENSUS_ACS5
zcta 47429
acs median gross
3
$1,388
2024-12-31
CENSUS_ACS5
zcta 47429
acs median gross
$797
2024-12-31
CENSUS_ACS5
zip 47429
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 47429
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 47429
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 47429
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 47429
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 47429
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 47429
safmr
4
$1,740
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.