250 WEST SOCIAL ROW ROAD, CENTERVILLE, OH 45458 · CCN 366466 · chain FOUNDATIONS HEALTH LLC
Composite
14.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
Model
v1.2
Reads as: riskier than 14.4% 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
OH median
National median
National p25–p75
Total nurse
3.77
3.24
3.28
2.90–3.77
RN
0.56
0.38
0.39
0.25–0.58
Weekend total
3.38
3.11
3.11
—
Weekday total
3.93
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.2
3.77
0.56
1.17
2.04
3.38
0.0%
2025Q3
92
109.6
3.60
0.40
1.25
1.96
3.22
0.0%
2025Q2
91
111.8
3.54
0.41
1.19
1.93
3.26
0.0%
2025Q1
90
113.0
3.48
0.42
1.16
1.91
3.13
0.0%
2024Q4
92
111.7
3.64
0.44
1.18
2.02
3.29
0.0%
2024Q3
92
111.5
3.30
0.42
1.13
1.75
3.02
0.0%
2024Q2
91
109.0
3.36
0.47
1.28
1.62
2.90
3.0%
2024Q1
91
104.4
3.29
0.42
1.28
1.59
2.96
12.1%
2023Q4
92
93.6
3.04
0.46
1.05
1.53
2.67
0.0%
2023Q3
92
86.4
2.97
0.40
0.98
1.59
2.70
0.2%
2023Q2
91
79.3
3.11
0.32
1.13
1.67
2.78
4.6%
2023Q1
90
83.4
3.01
0.28
1.05
1.68
2.72
3.8%
2022Q4
92
83.1
2.94
0.29
1.07
1.57
2.67
2.4%
2022Q3
92
79.7
2.75
0.28
1.01
1.46
2.54
1.5%
2022Q2
91
76.2
3.20
0.31
1.22
1.67
2.94
17.2%
2022Q1
90
75.9
3.33
0.39
1.13
1.81
3.12
20.2%
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
14
D × 10E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-10-03
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-10-17
2024-10-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-17
2024-10-03
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-10-17
2024-10-03
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
2024-10-17
2024-02-22
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-29
2024-02-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-02-29
2023-11-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-18
2022-12-07
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
2023-01-17
2022-12-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-01-17
2022-12-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-01-17
2019-10-10
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2019-11-22
2019-10-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-11-22
2019-10-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-11-22
2019-10-10
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2019-11-22
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
15
Owner
Role
Pct
From
Status
Source
CENTERVILLE HEALTH REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
CENTERVILLE HEALTH REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
COLLERAN, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-01
current
pecos_ownership
FERGUSON, HAROLD
ADP OF THE SNF
—
2021-03-01
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-01
current
pecos_ownership
GROVE, NICOLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-23
current
pecos_ownership
KRYSTOWSKI, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-01
current
pecos_ownership
COLLERAN FAM TR DATED 01-01-2018
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-03-01
ended 2026-05-18
pecos_ownership
F&H REALTY
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
FOUNDATIONS HEALTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-03-01
ended 2026-05-18
pecos_ownership
BRIAN COLLERAN
CORPORATE OFFICER
—
2021-03-01
ended 2026-05-18
pecos_ownership
HAROLD FERGUSON
ADP OF THE SNF
—
2021-03-01
ended 2026-05-18
pecos_ownership
JOHN KRYSTOWSKI
CORPORATE OFFICER
—
2021-03-01
ended 2026-05-18
pecos_ownership
NICOLE GROVE
ADP OF THE SNF
—
2021-08-23
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
$1,666,235
—
$367,513
—
—
2
propco
2023-12-31
$1,662,528
—
$229,025
—
—
2
propco
2022-12-31
$1,150,242
—
—
—
—
1
—
2021-12-31
$1,127,567
—
—
—
—
1
—
2020-12-31
$1,400,188
—
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 39113
acs median gross
0
$728
2024-12-31
CENSUS_ACS5
county 39113
fmr
0
$928
2025-10-01
HUD_USER_FMR
county 39113
acs median gross
1
$816
2024-12-31
CENSUS_ACS5
county 39113
fmr
1
$1,009
2025-10-01
HUD_USER_FMR
county 39113
acs median gross
2
$1,011
2024-12-31
CENSUS_ACS5
county 39113
fmr
2
$1,273
2025-10-01
HUD_USER_FMR
county 39113
acs median gross
3
$1,199
2024-12-31
CENSUS_ACS5
county 39113
fmr
3
$1,651
2025-10-01
HUD_USER_FMR
county 39113
acs median gross
4
$1,282
2024-12-31
CENSUS_ACS5
county 39113
fmr
4
$1,817
2025-10-01
HUD_USER_FMR
county 39113
acs median gross
5
$1,470
2024-12-31
CENSUS_ACS5
county 39113
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 39113
acs recent mover gross
$1,198
2024-12-31
CENSUS_ACS5
zcta 45458
acs median gross
0
$841
2024-12-31
CENSUS_ACS5
zcta 45458
acs median gross
1
$991
2024-12-31
CENSUS_ACS5
zcta 45458
acs median gross
2
$1,433
2024-12-31
CENSUS_ACS5
zcta 45458
acs median gross
3
$1,433
2024-12-31
CENSUS_ACS5
zcta 45458
acs median gross
$1,366
2024-12-31
CENSUS_ACS5
zcta 45458
acs recent mover gross
$1,534
2024-12-31
CENSUS_ACS5
zip 45458
payment standard 110
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 90
0
$1,053
2025-10-01
HUD_USER_SAFMR
zip 45458
safmr
0
$1,170
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 45458
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 45458
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 45458
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 110
4
$2,530
2025-10-01
HUD_USER_SAFMR
zip 45458
payment standard 90
4
$2,070
2025-10-01
HUD_USER_SAFMR
zip 45458
safmr
4
$2,300
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.