Reads as: riskier than 37.3% 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
IL median
National median
National p25–p75
Total nurse
3.84
3.13
3.28
2.90–3.77
RN
0.54
0.49
0.39
0.25–0.58
Weekend total
3.45
2.93
3.11
—
Weekday total
4.00
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.9
3.84
0.54
0.81
2.49
3.45
3.6%
2025Q3
92
45.9
3.54
0.50
0.73
2.30
3.23
5.5%
2025Q2
91
44.4
3.53
0.53
0.63
2.36
3.24
7.0%
2025Q1
90
44.6
3.42
0.59
0.56
2.27
3.12
8.0%
2024Q4
92
43.2
3.58
0.64
0.53
2.41
3.28
6.6%
2024Q3
92
42.0
3.64
0.52
0.66
2.46
3.27
7.3%
2024Q2
91
42.0
3.69
0.36
0.83
2.49
3.37
7.4%
2024Q1
91
42.1
1.22
0.11
0.30
0.81
1.25
13.2%
2023Q4
92
41.5
3.40
0.42
0.75
2.23
3.11
6.3%
2023Q3
92
38.6
3.58
0.62
0.65
2.31
3.23
0.0%
2023Q2
91
37.9
3.63
0.50
0.72
2.40
3.36
9.0%
2023Q1
90
37.9
3.70
0.52
0.71
2.46
3.25
4.0%
2022Q4
92
38.9
3.58
0.48
0.67
2.43
3.28
6.6%
2022Q3
92
38.1
3.63
0.61
0.60
2.41
3.40
8.1%
2022Q2
91
39.8
3.74
0.51
0.75
2.49
3.06
0.0%
2022Q1
90
41.6
3.33
0.43
0.73
2.16
2.74
0.0%
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-03-13
2026-03-12
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2026-03-13
2025-03-19
Health · complaint
F0839
Employ staff that are licensed, certified, or registered in accordance with state laws.
E
2025-03-19
2024-09-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-09-13
2024-09-12
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-09-13
2024-09-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-23
2024-09-12
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-09-23
2023-08-25
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-09-02
2023-08-25
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.
F
2023-09-02
2023-08-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-09-02
2023-08-25
Health
F0881
Implement a program that monitors antibiotic use.
D
2023-09-02
2023-07-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-08-03
2023-07-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-03
2023-07-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2023-08-03
2022-09-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-09-29
2022-09-12
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.
E
2022-09-29
2022-09-12
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2022-10-02
2022-09-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-09-29
2022-09-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2022-09-29
2022-09-12
Health
F0886
Perform COVID19 testing on residents and staff.
F
2022-09-29
2022-09-12
Health
F0888
Ensure staff are vaccinated for COVID-19
H
2022-09-29
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
DAUDERMAN, CHRISTINE
CORPORATE OFFICER
—
2022-02-28
current
pecos_ownership
ERNST, ASHLEY
CORPORATE OFFICER
—
2021-01-25
current
pecos_ownership
GELLY, JANELLE
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
HOOKS, DAVID
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
HOSTO, TERRI
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
RECKMAN, CAROL
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
SCHELDT, DAVID
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
SCHMIDT, MARGIE
ADP OF THE SNF
—
2019-01-21
current
pecos_ownership
SCHUELER, DEAN
ADP OF THE SNF
—
2013-03-01
current
pecos_ownership
STROHMEIER, RANDY
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
SUHRE, RICHARD
CORPORATE OFFICER
—
2019-01-21
current
pecos_ownership
UHE, LISA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
WILSON, MAKENZIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-02
current
pecos_ownership
WILSON, MAKENZIE
ADP OF THE SNF
—
2020-09-04
current
pecos_ownership
WOOD, JEREMY
CORPORATE OFFICER
—
2021-10-25
current
pecos_ownership
MAKENZIE WILSON
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-07-02
ended 2026-05-18
pecos_ownership
DEAN SCHUELER
CORPORATE DIRECTOR
0%
2013-03-01
ended 2026-05-18
pecos_ownership
ASHLEY ERNST
ADP OF THE SNF
—
2021-01-25
ended 2026-05-18
pecos_ownership
CAROL RECKMAN
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
CHRISTINE DAUDERMAN
CORPORATE OFFICER
—
2022-02-28
ended 2026-05-18
pecos_ownership
DAVID HOOKS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
DAVID SCHELDT
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
JANELLE GELLY
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JEREMY WOOD
ADP OF THE SNF
—
2021-10-25
ended 2026-05-18
pecos_ownership
LISA UHE
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
MAKENZIE WILSON
ADP OF THE SNF
—
2020-09-04
ended 2026-05-18
pecos_ownership
MARGIE SCHMIDT
CORPORATE OFFICER
—
2019-01-21
ended 2026-05-18
pecos_ownership
RANDY STROHMEIER
CORPORATE OFFICER
—
2022-01-01
ended 2026-05-18
pecos_ownership
RICHARD SUHRE
CORPORATE OFFICER
—
2019-01-21
ended 2026-05-18
pecos_ownership
TERRI HOSTO
ADP OF THE SNF
—
2020-01-01
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
32
Geo
Kind
BR
Amount
As of
Source
county 17119
acs median gross
0
$786
2024-12-31
CENSUS_ACS5
county 17119
fmr
0
$955
2025-10-01
HUD_USER_FMR
county 17119
acs median gross
1
$722
2024-12-31
CENSUS_ACS5
county 17119
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 17119
acs median gross
2
$1,044
2024-12-31
CENSUS_ACS5
county 17119
fmr
2
$1,218
2025-10-01
HUD_USER_FMR
county 17119
acs median gross
3
$1,341
2024-12-31
CENSUS_ACS5
county 17119
fmr
3
$1,568
2025-10-01
HUD_USER_FMR
county 17119
acs median gross
4
$1,371
2024-12-31
CENSUS_ACS5
county 17119
fmr
4
$1,812
2025-10-01
HUD_USER_FMR
county 17119
acs median gross
5
$1,052
2024-12-31
CENSUS_ACS5
county 17119
acs median gross
$1,024
2024-12-31
CENSUS_ACS5
county 17119
acs recent mover gross
$1,125
2024-12-31
CENSUS_ACS5
zcta 62001
acs median gross
2
$755
2024-12-31
CENSUS_ACS5
zcta 62001
acs median gross
3
$986
2024-12-31
CENSUS_ACS5
zcta 62001
acs median gross
$939
2024-12-31
CENSUS_ACS5
zcta 62001
acs recent mover gross
$750
2024-12-31
CENSUS_ACS5
zip 62001
payment standard 110
0
$836
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 90
0
$684
2025-10-01
HUD_USER_SAFMR
zip 62001
safmr
0
$760
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 62001
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 62001
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 62001
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 62001
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 62001
safmr
4
$1,480
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.