Reads as: riskier than 22.7% 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 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
CA median
National median
National p25–p75
Total nurse
7.99
3.95
3.28
2.90–3.77
RN
1.51
0.38
0.39
0.25–0.58
Weekend total
7.66
3.79
3.11
—
Weekday total
8.12
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
96.8
7.99
1.51
3.21
3.27
7.66
4.8%
2025Q3
92
98.0
7.75
1.41
3.17
3.17
7.60
3.5%
2025Q2
91
100.9
7.52
1.33
3.22
2.97
7.28
2.7%
2025Q1
90
100.6
7.43
1.30
3.11
3.02
7.31
3.8%
2024Q4
92
99.9
8.16
1.26
3.56
3.34
7.87
5.5%
2024Q3
92
99.1
8.12
1.35
3.63
3.14
7.76
9.6%
2024Q2
91
100.8
8.35
1.25
3.71
3.39
7.99
17.3%
2024Q1
91
97.7
8.50
1.18
3.91
3.41
8.03
21.8%
2023Q4
92
99.6
8.23
1.30
3.76
3.16
7.76
25.3%
2023Q3
92
104.7
7.67
1.19
3.77
2.71
7.46
23.2%
2023Q2
91
101.4
7.72
1.34
3.63
2.74
7.42
21.2%
2023Q1
90
100.5
7.42
1.37
3.47
2.59
7.44
15.7%
2022Q4
92
101.1
6.78
1.35
3.21
2.22
6.59
10.1%
2022Q3
92
107.4
5.60
1.43
2.00
2.17
5.52
6.3%
2022Q2
91
106.1
6.69
1.50
2.66
2.53
6.71
8.9%
2022Q1
90
95.2
7.30
1.58
2.91
2.82
7.24
3.7%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-02-23
2026-01-30
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-02-23
2026-01-30
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
2026-02-23
2026-01-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-02-23
2026-01-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-23
2026-01-30
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2026-02-23
2026-01-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-23
2026-01-30
Health
F0814
Dispose of garbage and refuse properly.
E
2026-02-23
2026-01-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-23
2026-01-30
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-02-23
2025-01-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
—
2024-12-06
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-12-27
2024-12-06
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
2024-12-27
2024-12-06
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2024-12-27
2024-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-12-27
2024-12-06
Health
F0814
Dispose of garbage and refuse properly.
E
2024-12-27
2024-12-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-27
2024-12-06
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-12-27
2023-12-14
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-01-12
2023-12-14
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
K
2024-01-12
2023-12-14
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2024-01-12
2023-12-14
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
2024-01-12
2023-12-14
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
2024-01-12
2023-12-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-12
2023-12-14
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.
E
2024-01-12
2023-12-14
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-01-12
2023-12-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-01-12
2023-12-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-12
2023-12-14
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2024-01-12
2023-12-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-01-12
2023-11-03
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-07
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
52
Owner
Role
Pct
From
Status
Source
ANDERSON, DONALD
ADP OF THE SNF
—
2016-12-20
current
pecos_ownership
BLAIR, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-01
current
pecos_ownership
BUCK, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
CRAWFORD, ISIAAH
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
DUFAULT, KARIN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
ELMOUCHI, DARRYL
CORPORATE OFFICER
—
2025-04-01
current
pecos_ownership
GHATAN, BIJAN
ADP OF THE SNF
—
2014-04-01
current
pecos_ownership
GOEDERS, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-26
current
pecos_ownership
HEJNA, DIANE
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-01
current
pecos_ownership
HOFFMAN, GREGORY
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
HUGHES, PHYLLIS
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
HUGHES, PHYLLIS
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
KINGSTON, MARY BETH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
LYONS, MARY
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
MARKHAM, DONNA
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MARTIN, JAMES
CORPORATE OFFICER
—
2023-01-13
current
pecos_ownership
MURPHY, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
NEWSOM, ANNA
ADP OF THE SNF
—
2022-05-13
current
pecos_ownership
O'QUINN, MARVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
PROVIDENCE HEALTH & SERVICES
INDIRECT OWNERSHIP INTEREST
—
2016-07-01
current
pecos_ownership
PROVIDENCE HEALTH & SERVICES
ADP OF THE SNF
—
2025-11-14
current
pecos_ownership
PROVIDENCE HEALTH & SERVICES - WASHINGTON
ADP OF THE SNF
—
2025-11-14
current
pecos_ownership
PROVIDENCE HEALTH & SERVICES - WASHINGTON
INDIRECT OWNERSHIP INTEREST
—
2008-09-30
current
pecos_ownership
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
DIRECT OWNERSHIP INTEREST
—
2007-01-26
current
pecos_ownership
PROVIDENCE ST. JOSEPH HEALTH
INDIRECT OWNERSHIP INTEREST
—
2016-07-01
current
pecos_ownership
PROVIDENCE ST. JOSEPH HEALTH
ADP OF THE SNF
—
2025-11-14
current
pecos_ownership
RICKS, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-05
current
pecos_ownership
RIOJAS, ROGELIO
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
SORENSON, CHARLES
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
SPRUNK, ERIC
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BIJAN GHATAN
CONTRACTED MANAGING EMPLOYEE
0%
2014-04-01
ended 2026-05-18
pecos_ownership
ANNA NEWSOM
CORPORATE OFFICER
—
2022-05-13
ended 2026-05-18
pecos_ownership
CAROL PACINI
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
CHARLES SORENSON
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
DIANE HEJNA
CORPORATE DIRECTOR
—
2016-07-01
ended 2026-05-18
pecos_ownership
DONALD ANDERSON
CORPORATE OFFICER
—
2016-12-20
ended 2026-05-18
pecos_ownership
DONNA MARKHAM
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
ERIC SPRUNK
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
ERIK WEXLER
CORPORATE OFFICER
—
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY HOFFMAN
CORPORATE OFFICER
—
2020-10-01
ended 2026-05-18
pecos_ownership
ISIAAH CRAWFORD
CORPORATE DIRECTOR
—
2012-02-01
ended 2026-05-18
pecos_ownership
JAMES MARTIN
CORPORATE OFFICER
—
2023-01-13
ended 2026-05-18
pecos_ownership
JAMES WATSON
CORPORATE OFFICER
—
2019-06-05
ended 2026-05-18
pecos_ownership
JOHN GOEDERS
W-2 MANAGING EMPLOYEE
—
2020-06-26
ended 2026-05-18
pecos_ownership
MARVIN O'QUINN
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
MARY BETH KINGSTON
CORPORATE DIRECTOR
—
2022-09-01
ended 2026-05-18
pecos_ownership
MARY LYONS
CORPORATE DIRECTOR
—
2016-07-01
ended 2026-05-18
pecos_ownership
MICHAEL MURPHY
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
MICHAEL RICKS
W-2 MANAGING EMPLOYEE
—
2023-11-05
ended 2026-05-18
pecos_ownership
PHYLLIS HUGHES
CORPORATE DIRECTOR
—
2016-07-01
ended 2026-05-18
pecos_ownership
PROVIDENCE HEALTH & SERVICES - WASHINGTON
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-13
ended 2026-05-18
pecos_ownership
RICHARD BLAIR
CORPORATE DIRECTOR
—
2016-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
0
$1,607
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
1
$1,906
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
2
$2,634
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 90732
acs median gross
$2,656
2024-12-31
CENSUS_ACS5
zcta 90732
acs recent mover gross
$3,240
2024-12-31
CENSUS_ACS5
zip 90732
payment standard 110
0
$3,113
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 90
0
$2,547
2025-10-01
HUD_USER_SAFMR
zip 90732
safmr
0
$2,830
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 110
1
$3,487
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 90
1
$2,853
2025-10-01
HUD_USER_SAFMR
zip 90732
safmr
1
$3,170
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 110
2
$4,345
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 90
2
$3,555
2025-10-01
HUD_USER_SAFMR
zip 90732
safmr
2
$3,950
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 110
3
$5,511
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 90
3
$4,509
2025-10-01
HUD_USER_SAFMR
zip 90732
safmr
3
$5,010
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 110
4
$6,138
2025-10-01
HUD_USER_SAFMR
zip 90732
payment standard 90
4
$5,022
2025-10-01
HUD_USER_SAFMR
zip 90732
safmr
4
$5,580
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.