Reads as: riskier than 61.3% 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
OR median
National median
National p25–p75
Total nurse
3.77
4.20
3.28
2.90–3.77
RN
0.37
0.41
0.39
0.25–0.58
Weekend total
3.56
3.99
3.11
—
Weekday total
3.85
4.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.5
3.77
0.37
0.85
2.55
3.56
0.0%
2025Q3
92
53.0
3.69
0.44
0.79
2.46
3.59
0.3%
2025Q2
91
52.7
3.66
0.35
0.88
2.43
3.62
2.9%
2025Q1
90
53.2
3.33
0.30
0.88
2.15
3.32
11.5%
2024Q4
92
49.9
3.38
0.33
0.95
2.10
3.27
10.9%
2024Q3
92
49.2
3.15
0.22
1.13
1.80
3.06
16.8%
2024Q2
91
46.2
3.24
0.24
1.17
1.83
3.06
15.4%
2024Q1
91
45.5
3.07
0.23
1.13
1.71
2.88
10.2%
2023Q4
92
44.8
3.30
0.25
0.98
2.06
3.13
1.1%
2023Q3
92
40.1
3.79
0.31
0.93
2.56
3.67
26.6%
2023Q2
91
42.4
3.59
0.31
0.89
2.39
3.46
39.3%
2023Q1
90
45.6
3.75
0.27
1.00
2.48
3.77
47.6%
2022Q4
92
46.2
3.53
0.28
0.86
2.39
3.46
39.3%
2022Q3
92
45.2
3.56
0.27
0.90
2.39
3.36
28.7%
2022Q2
91
42.5
3.59
0.41
0.92
2.26
3.37
28.0%
2022Q1
90
40.9
3.78
0.33
1.15
2.30
3.68
28.2%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
32
D × 24E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-12
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-04-15
2026-03-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-15
2026-03-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-15
2026-03-12
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-04-15
2026-03-12
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.
E
2026-04-15
2026-03-12
Health
F0760
Ensure that residents are free from significant medication errors.
E
2026-04-15
2026-03-12
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.
E
2026-04-15
2026-03-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-15
2025-12-11
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-01-09
2025-07-29
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-07-25
2025-04-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-19
2025-04-18
Health · complaint
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2025-05-19
2024-11-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-20
2024-11-08
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
2024-12-20
2024-11-08
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-12-20
2024-11-08
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
2024-12-20
2024-11-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-12-20
2024-10-14
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-10-28
2024-01-05
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-09
2024-01-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-02-09
2024-01-05
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-02-09
2024-01-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-02-09
2023-07-14
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-08-30
2023-07-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-08-30
2023-07-14
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
2023-08-30
2023-07-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-30
2023-07-14
Health · complaint
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-08-30
2023-07-14
Health · complaint
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
2023-08-30
2023-07-14
Health · complaint
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
2023-08-30
2023-07-14
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-08-30
2023-07-14
Health · complaint
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.
E
2023-08-30
2023-07-14
Health · complaint
F0791
Provide or obtain dental services for each resident.
D
2023-08-30
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
34
Owner
Role
Pct
From
Status
Source
MCMINNVILLE REAL ESTATE INV LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
MCMINNVILLE REAL ESTATE INV LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
2016 PORTFOLIO MASTER LEASE, LLC
ADP OF THE SNF
—
2025-03-19
current
pecos_ownership
BUTNER, NANCY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-16
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
1996-08-01
current
pecos_ownership
CURTIS, LEANN
ADP OF THE SNF
—
2026-05-01
current
pecos_ownership
CURTIS, LEANN
MANAGING CONTROL - GOVERNING BODY
—
2026-01-17
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
DIRECT OWNERSHIP INTEREST
—
1996-06-14
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-06-19
current
pecos_ownership
FLETCHER, TODD
CORPORATE OFFICER
—
2020-11-02
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
GALBRAITH, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-18
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2018-02-09
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1996-06-14
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-03-19
current
pecos_ownership
MCMINNVILLE MEDICAL INVESTORS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
1996-08-01
current
pecos_ownership
MCMINNVILLE MEDICAL INVESTORS LLC
ADP OF THE SNF
—
2014-07-01
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
PRESTON, FORREST
INDIRECT OWNERSHIP INTEREST
—
1996-08-01
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2014-07-01
current
pecos_ownership
RUDEN, NATHAN
ADP OF THE SNF
—
2026-05-01
current
pecos_ownership
RUDEN, NATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-22
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
ZIEGLER, JAMES
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
MCMINNVILLE REAL ESTATE INV LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MCMINNVILLE REAL ESTATE INV LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
MCMINNVILLE REAL ESTATE INV LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
FORREST PRESTON
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
1996-06-14
ended 2026-05-18
pecos_ownership
ANTHONY ROBBINS
W-2 MANAGING EMPLOYEE
—
2021-12-02
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1996-06-14
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-21
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
$947,868
$244,394
—
—
$353,150
7
propco
2023-12-31
$865,334
$247,973
—
—
$315,286
7
propco
2022-12-31
$866,864
$241,542
—
—
$314,413
7
propco
2021-12-31
$1,063,034
$238,569
—
—
$509,336
7
propco
2020-12-31
$1,138,481
$245,235
—
—
$571,895
7
propco
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
36
Geo
Kind
BR
Amount
As of
Source
county 41071
acs median gross
0
$1,283
2024-12-31
CENSUS_ACS5
county 41071
fmr
0
$1,570
2025-10-01
HUD_USER_FMR
county 41071
acs median gross
1
$1,211
2024-12-31
CENSUS_ACS5
county 41071
fmr
1
$1,677
2025-10-01
HUD_USER_FMR
county 41071
acs median gross
2
$1,430
2024-12-31
CENSUS_ACS5
county 41071
fmr
2
$1,922
2025-10-01
HUD_USER_FMR
county 41071
acs median gross
3
$1,792
2024-12-31
CENSUS_ACS5
county 41071
fmr
3
$2,619
2025-10-01
HUD_USER_FMR
county 41071
acs median gross
4
$2,130
2024-12-31
CENSUS_ACS5
county 41071
fmr
4
$3,109
2025-10-01
HUD_USER_FMR
county 41071
acs median gross
5
$1,318
2024-12-31
CENSUS_ACS5
county 41071
acs median gross
$1,480
2024-12-31
CENSUS_ACS5
county 41071
acs recent mover gross
$1,862
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
0
$1,337
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
1
$1,120
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
2
$1,367
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
3
$1,681
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
4
$2,008
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
5
$969
2024-12-31
CENSUS_ACS5
zcta 97128
acs median gross
$1,384
2024-12-31
CENSUS_ACS5
zcta 97128
acs recent mover gross
$1,738
2024-12-31
CENSUS_ACS5
zip 97128
payment standard 110
0
$1,617
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 90
0
$1,323
2025-10-01
HUD_USER_SAFMR
zip 97128
safmr
0
$1,470
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 110
1
$1,738
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 90
1
$1,422
2025-10-01
HUD_USER_SAFMR
zip 97128
safmr
1
$1,580
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 97128
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 110
3
$2,717
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 90
3
$2,223
2025-10-01
HUD_USER_SAFMR
zip 97128
safmr
3
$2,470
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 110
4
$3,190
2025-10-01
HUD_USER_SAFMR
zip 97128
payment standard 90
4
$2,610
2025-10-01
HUD_USER_SAFMR
zip 97128
safmr
4
$2,900
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.