Reads as: riskier than 35.1% 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
1.71
3.03
3.28
2.90–3.77
RN
0.27
0.44
0.39
0.25–0.58
Weekend total
1.74
2.87
3.11
—
Weekday total
1.70
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
49.5
1.71
0.27
0.14
1.30
1.74
0.1%
2025Q3
92
48.7
1.78
0.44
0.05
1.29
1.75
0.0%
2025Q2
91
49.1
1.77
0.48
0.01
1.28
1.68
0.0%
2025Q1
90
49.9
1.67
0.50
0.01
1.17
1.65
0.0%
2024Q4
92
48.9
2.03
0.47
0.08
1.48
1.90
0.0%
2024Q3
92
49.6
2.06
0.46
0.07
1.53
1.81
0.0%
2024Q2
91
49.6
2.01
0.35
0.01
1.65
1.83
0.1%
2024Q1
91
49.3
1.83
0.27
0.01
1.55
1.73
0.0%
2023Q4
92
50.2
1.64
0.26
0.03
1.35
1.59
0.0%
2023Q3
92
46.9
1.73
0.29
0.06
1.38
1.81
0.0%
2023Q2
91
47.7
1.85
0.27
0.10
1.48
1.90
0.0%
2023Q1
90
48.0
1.46
0.28
0.11
1.07
1.53
0.0%
2022Q4
92
44.9
1.45
0.41
0.03
1.01
1.38
0.0%
2022Q3
92
41.9
1.33
0.40
0.05
0.88
1.30
13.6%
2022Q2
91
43.2
1.77
0.31
0.21
1.25
1.46
21.2%
2022Q1
90
43.3
1.58
0.28
0.30
1.00
1.21
26.4%
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.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
J
2025-08-29
2024-10-17
Health · complaint
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2024-11-08
2024-10-17
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-11-08
2024-10-17
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2024-11-08
2024-10-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-08
2023-05-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-27
2023-05-15
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
C
2023-06-27
2023-05-15
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-06-27
2023-05-15
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-06-27
2023-05-15
Health
F0679
Provide activities to meet all resident's needs.
E
2023-06-27
2023-05-15
Health
F0680
Ensure the activities program is directed by a qualified professional.
E
2023-06-27
2023-05-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-27
2023-05-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-27
2023-05-15
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2023-06-27
2023-05-15
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
2023-06-27
2023-05-15
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-06-27
2023-05-15
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-06-27
2021-12-01
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.
E
2021-12-16
2021-12-01
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
2021-12-16
2021-12-01
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-12-16
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
FIESTER, ROCHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
current
pecos_ownership
HESTON, TIMOTHY
ADP OF THE SNF
—
2025-02-06
current
pecos_ownership
HESTON, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
current
pecos_ownership
KANSAS HEALTHCARE HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
MAD FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
MORRIS, STEPHANIE
ADP OF THE SNF
—
2025-02-06
current
pecos_ownership
MORRIS, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
current
pecos_ownership
MRC REVENUE LLC
ADP OF THE SNF
—
2025-01-30
current
pecos_ownership
MRC REVENUE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
current
pecos_ownership
MRC SNF MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
MRC SNF MANAGEMENT LLC
ADP OF THE SNF
—
2025-01-30
current
pecos_ownership
NATR TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RARMNA HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RATR TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RNR HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
SHKIYAS HACHAMA SNF REALTY
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
SHKIYAS HACHAMA SNF REALTY
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
WETR TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
SHKIYAS HACHAMA SNF REALTY
Individual has financial interest in both related organization and provider
100%
2022-08-15
ended 2022-12-31
hcris_a_8_1
RECOVER-CARE HEARTLAND LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-08-15
ended 2026-05-18
pecos_ownership
RECOVER-CARE SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2025-02-28
ended 2026-05-18
pecos_ownership
AVROHOM GOLDSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2025-02-28
ended 2026-05-18
pecos_ownership
BHNV 2 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2025-02-28
ended 2026-05-18
pecos_ownership
ZISHA MARGULIES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2025-02-28
ended 2026-05-18
pecos_ownership
MOSHE HALBERSTAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2025-02-28
ended 2026-05-18
pecos_ownership
ROCHELLE FIESTER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
ended 2026-05-18
pecos_ownership
STEPHANIE MORRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
ended 2026-05-18
pecos_ownership
STEPHANIE MORRIS
ADP OF THE SNF
—
2025-02-06
ended 2026-05-18
pecos_ownership
TIMOTHY HESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
ended 2026-05-18
pecos_ownership
TIMOTHY HESTON
ADP OF THE SNF
—
2025-02-06
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$841,158
$122,806
—
$160,246
—
3
propco
2023-12-31
$733,789
$116,336
—
$179,611
—
3
propco
2022-12-31
$159,517
$19,516
—
—
—
2
propco
2022-08-14
$25,549
—
$25,549
—
—
2
—
2022-06-30
$207,230
—
$207,230
—
—
3
—
2021-06-30
$216,290
—
$216,290
—
—
2
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 20177
acs median gross
0
$671
2024-12-31
CENSUS_ACS5
county 20177
fmr
0
$792
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
1
$760
2024-12-31
CENSUS_ACS5
county 20177
fmr
1
$820
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
2
$1,017
2024-12-31
CENSUS_ACS5
county 20177
fmr
2
$1,057
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
3
$1,230
2024-12-31
CENSUS_ACS5
county 20177
fmr
3
$1,392
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
4
$1,414
2024-12-31
CENSUS_ACS5
county 20177
fmr
4
$1,411
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
5
$1,607
2024-12-31
CENSUS_ACS5
county 20177
acs median gross
$1,000
2024-12-31
CENSUS_ACS5
county 20177
acs recent mover gross
$1,036
2024-12-31
CENSUS_ACS5
zcta 66606
acs median gross
1
$752
2024-12-31
CENSUS_ACS5
zcta 66606
acs median gross
2
$1,058
2024-12-31
CENSUS_ACS5
zcta 66606
acs median gross
3
$1,246
2024-12-31
CENSUS_ACS5
zcta 66606
acs median gross
$999
2024-12-31
CENSUS_ACS5
zcta 66606
acs recent mover gross
$931
2024-12-31
CENSUS_ACS5
zip 66606
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 66606
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 66606
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 66606
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 66606
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 66606
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 66606
safmr
4
$1,460
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.