Reads as: riskier than 94.4% 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
KS median
National median
National p25–p75
Total nurse
2.78
3.03
3.28
2.90–3.77
RN
0.30
0.44
0.39
0.25–0.58
Weekend total
2.58
2.87
3.11
—
Weekday total
2.86
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.1
2.78
0.30
0.56
1.93
2.58
2.2%
2025Q3
92
73.6
3.07
0.39
0.66
2.01
2.96
5.2%
2025Q2
91
69.8
2.79
0.39
0.59
1.81
2.76
6.0%
2025Q1
90
73.6
2.83
0.47
0.55
1.80
2.77
10.2%
2024Q4
92
71.7
2.83
0.55
0.47
1.81
2.73
8.3%
2024Q3
92
72.6
2.88
0.50
0.47
1.91
2.76
7.5%
2024Q2
91
81.7
2.81
0.30
0.58
1.93
2.73
15.3%
2024Q1
91
81.5
2.71
0.30
0.60
1.80
2.65
17.8%
2023Q4
92
77.0
2.65
0.35
0.55
1.74
2.59
17.8%
2023Q3
92
70.5
2.75
0.38
0.56
1.81
2.74
14.9%
2023Q2
91
72.1
2.72
0.45
0.46
1.80
2.64
15.8%
2023Q1
90
76.7
2.50
0.45
0.41
1.64
2.35
5.7%
2022Q4
92
78.2
2.46
0.45
0.41
1.60
2.35
6.3%
2022Q3
92
76.3
2.64
0.48
0.42
1.73
2.50
8.1%
2022Q2
91
74.4
3.06
0.78
0.32
1.96
2.78
6.4%
2022Q1
90
78.3
3.09
0.71
0.44
1.94
2.91
0.1%
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.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2024-12-05
2024-10-21
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
2024-12-05
2024-10-21
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.
D
2024-12-05
2024-10-21
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-05
2024-10-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-05
2024-10-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-05
2024-10-21
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-12-05
2024-10-21
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-12-05
2024-10-21
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-12-05
2024-10-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-05
2024-10-21
Health
F0908
Keep all essential equipment working safely.
E
2024-12-05
2024-10-21
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-12-05
2024-05-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-05-06
2024-03-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-23
2022-12-19
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-01-19
2022-12-19
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-01-19
2022-12-19
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.
D
2023-01-19
2022-12-19
Health
F0679
Provide activities to meet all resident's needs.
D
2023-01-19
2022-12-19
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
2023-01-19
2022-12-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-01-19
2022-12-19
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-01-19
2022-12-19
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
2023-01-19
2022-12-19
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-01-19
2022-12-19
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.
D
2023-01-19
2022-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-01-19
2021-05-13
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
2021-05-27
2021-05-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2021-05-27
2021-05-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-05-27
2021-05-13
Health
F0880
Provide and implement an infection prevention and control program.
F
2021-05-27
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
30
Owner
Role
Pct
From
Status
Source
BAILEY, AMY
ADP OF THE SNF
—
2025-07-03
current
pecos_ownership
BAILEY, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
BHNV LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
GARNER, MINDI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
GARNER, MINDI
ADP OF THE SNF
—
2025-05-26
current
pecos_ownership
HALBERSTAM, MIRIAM
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
HALBERSTAM, MOSHE
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
HEARTLAND RECOVERY LLC
DIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
KAMNA HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
KANSAS HEALTHCARE HOLDINGS 200 LLC
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
KFAR HABOR LLC
ADP OF THE SNF
—
2025-06-09
current
pecos_ownership
MAD FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
MARGULIES, ZISHA
CORPORATE DIRECTOR
—
2025-07-01
current
pecos_ownership
MRC SNF MANAGEMENT LLC
ADP OF THE SNF
—
2025-05-26
current
pecos_ownership
MRC SNF MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
NATR TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
RARMNA HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
RATR TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
RECOVER-CARE SNF HOLDINGS 200 LLC
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
RNR HOLDINGS LLC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
WETR TRUST
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
ZM SNF HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-07-01
current
pecos_ownership
AVROHOM GOLDSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2025-07-01
ended 2026-05-18
pecos_ownership
ZISHA MARGULIES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2025-07-01
ended 2026-05-18
pecos_ownership
MIRIAM HALBERSTAM
INDIRECT OWNERSHIP INTEREST
2%
2025-07-01
ended 2026-05-18
pecos_ownership
MOSHE HALBERSTAM
INDIRECT OWNERSHIP INTEREST
2%
2025-07-01
ended 2026-05-18
pecos_ownership
AMY BAILEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
AMY BAILEY
ADP OF THE SNF
—
2025-07-03
ended 2026-05-18
pecos_ownership
MINDI GARNER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
MINDI GARNER
ADP OF THE SNF
—
2025-05-26
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
2025-06-30
$2,712,131
—
—
—
$695,496
0
—
2024-06-30
$2,315,075
—
—
—
$661,317
0
—
2023-06-30
$2,390,042
—
—
—
$706,239
0
—
2022-06-30
$2,178,003
—
—
—
$589,099
0
—
2021-06-30
$2,306,378
—
—
—
$676,554
1
—
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 20037
acs median gross
0
$706
2024-12-31
CENSUS_ACS5
county 20037
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 20037
acs median gross
1
$638
2024-12-31
CENSUS_ACS5
county 20037
fmr
1
$687
2025-10-01
HUD_USER_FMR
county 20037
acs median gross
2
$866
2024-12-31
CENSUS_ACS5
county 20037
fmr
2
$901
2025-10-01
HUD_USER_FMR
county 20037
acs median gross
3
$1,070
2024-12-31
CENSUS_ACS5
county 20037
fmr
3
$1,253
2025-10-01
HUD_USER_FMR
county 20037
acs median gross
4
$530
2024-12-31
CENSUS_ACS5
county 20037
fmr
4
$1,511
2025-10-01
HUD_USER_FMR
county 20037
acs median gross
$849
2024-12-31
CENSUS_ACS5
county 20037
acs recent mover gross
$911
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
0
$735
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
1
$686
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
2
$875
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
3
$1,125
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
4
$518
2024-12-31
CENSUS_ACS5
zcta 66762
acs median gross
$861
2024-12-31
CENSUS_ACS5
zcta 66762
acs recent mover gross
$940
2024-12-31
CENSUS_ACS5
zip 66762
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 66762
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 66762
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 66762
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 66762
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 66762
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 66762
safmr
4
$1,560
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.