Reads as: riskier than 54.6% 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
15
2025Q4 HPRD
This facility
OK median
National median
National p25–p75
Total nurse
2.60
2.78
3.28
2.90–3.77
RN
0.10
0.18
0.39
0.25–0.58
Weekend total
2.71
2.72
3.11
—
Weekday total
2.56
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.2
2.60
0.10
0.85
1.65
2.71
0.0%
2025Q3
92
46.7
2.36
0.10
0.82
1.44
2.76
0.5%
2025Q2
91
41.2
2.79
0.13
0.94
1.72
2.97
0.0%
2025Q1
90
43.7
2.58
0.05
0.74
1.79
2.74
0.0%
2024Q4
92
44.9
2.48
0.22
0.82
1.44
2.68
0.0%
2024Q3
92
44.9
2.72
0.20
1.01
1.51
2.99
26.5%
2024Q2
91
50.8
3.00
0.03
0.46
2.52
2.86
0.0%
2024Q1
91
50.1
2.01
0.07
0.79
1.16
2.11
0.0%
2023Q4
92
52.4
2.11
0.18
0.69
1.23
1.72
0.0%
2023Q3
92
52.2
2.36
0.26
0.72
1.38
2.14
0.0%
2023Q1
90
52.8
2.62
0.21
0.55
1.85
2.67
18.0%
2022Q4
92
54.2
2.83
0.22
0.54
2.06
2.90
23.3%
2022Q3
92
53.6
2.58
0.21
0.52
1.86
2.50
26.1%
2022Q2
91
52.2
2.64
0.12
0.62
1.90
2.43
31.4%
2022Q1
90
51.9
2.71
0.17
0.53
2.01
2.58
47.5%
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.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2025-11-24
2025-11-21
Health
F0610
Respond appropriately to all alleged violations.
D
2025-11-24
2025-11-21
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
2025-11-24
2025-11-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-11-24
2025-11-21
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F
2025-12-10
2025-11-21
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
F
2025-12-10
2025-03-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-04-04
2024-10-24
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-11-18
2024-10-24
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-18
2024-10-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-11-18
2024-05-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2024-07-01
2024-05-23
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2024-07-01
2024-05-23
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-07-01
2024-05-23
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
2024-07-01
2024-05-23
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-07-01
2024-05-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-07-01
2024-05-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-07-01
2024-05-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-07-01
2024-05-23
Health · complaint
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
2024-07-01
2024-05-23
Health
F0732
Post nurse staffing information every day.
E
2024-07-01
2024-05-23
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-07-01
2024-05-23
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-07-01
2024-05-23
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2024-07-01
2024-02-08
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-05
2023-04-10
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-06-15
2023-04-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-06-15
2023-04-10
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.
D
2023-06-15
2023-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-15
2023-04-10
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2023-06-15
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
18
Owner
Role
Pct
From
Status
Source
UNDERWOOD, ADAMSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-04-01
current
pecos_ownership
HOLLAWAY, CHRISTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-19
current
pecos_ownership
HOLLAWAY, CHRISTIAN
DIRECT OWNERSHIP INTEREST
—
2024-04-01
current
pecos_ownership
JOHN, TENEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-12
current
pecos_ownership
JUDY M CRANE LIVING TRUST
ADP OF THE SNF
—
2024-10-15
current
pecos_ownership
MANOR HOME PROPERTY, LLC
ADP OF THE SNF
—
2024-11-19
current
pecos_ownership
MARCUM, NEDRA
ADP OF THE SNF
—
2024-10-14
current
pecos_ownership
UNDERWOOD, ADAMSON
ADP OF THE SNF
—
2024-10-15
current
pecos_ownership
UNDERWOOD, ADAMSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-14
current
pecos_ownership
VOYAGE MANAGEMENT OF OK, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-19
current
pecos_ownership
CHRISTIAN HOLLAWAY
DIRECT OWNERSHIP INTEREST
51%
2024-04-01
ended 2026-05-18
pecos_ownership
ADAMSON UNDERWOOD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-04-01
ended 2026-05-18
pecos_ownership
EMPIRE CAPITAL INVESTMENT, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
49%
2024-04-01
ended 2026-05-18
pecos_ownership
ADAMSON UNDERWOOD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-14
ended 2026-05-18
pecos_ownership
ADAMSON UNDERWOOD
ADP OF THE SNF
—
2024-10-15
ended 2026-05-18
pecos_ownership
CHRISTIAN HOLLAWAY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-19
ended 2026-05-18
pecos_ownership
NEDRA MARCUM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-14
ended 2026-05-18
pecos_ownership
TENEY JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-12
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
$428,967
—
—
$48,479
$44,889
6
—
2023-12-31
$202,157
—
—
—
$26,935
1
—
2022-12-31
$525,933
—
—
—
$102,851
1
—
2021-12-31
$467,521
—
—
—
$86,140
1
—
2020-12-31
$316,601
—
—
—
$61,750
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
35
Geo
Kind
BR
Amount
As of
Source
county 40109
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
county 40109
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 40109
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 40109
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
3
$1,363
2024-12-31
CENSUS_ACS5
county 40109
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 40109
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 40109
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
county 40109
acs recent mover gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
1
$729
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
2
$1,070
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
3
$1,332
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
4
$1,216
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
5
$1,683
2024-12-31
CENSUS_ACS5
zcta 73122
acs median gross
$956
2024-12-31
CENSUS_ACS5
zcta 73122
acs recent mover gross
$1,014
2024-12-31
CENSUS_ACS5
zip 73122
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 73122
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 73122
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 73122
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 110
3
$1,639
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 90
3
$1,341
2025-10-01
HUD_USER_SAFMR
zip 73122
safmr
3
$1,490
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 73122
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 73122
safmr
4
$1,660
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.