Reads as: riskier than 10.2% 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 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
14
2025Q4 HPRD
This facility
WY median
National median
National p25–p75
Total nurse
4.92
3.23
3.28
2.90–3.77
RN
1.80
0.56
0.39
0.25–0.58
Weekend total
4.83
3.13
3.11
—
Weekday total
4.95
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.0
4.92
1.80
0.26
2.85
4.83
0.0%
2025Q3
92
32.9
5.10
1.64
0.39
3.07
4.92
3.2%
2025Q2
91
30.5
5.65
1.81
0.47
3.37
5.50
7.4%
2025Q1
90
27.3
6.22
1.99
0.49
3.74
6.24
5.1%
2024Q4
92
26.3
6.28
2.36
0.38
3.54
6.15
1.6%
2024Q3
92
27.4
6.26
1.85
0.46
3.94
5.72
0.0%
2023Q4
92
36.9
4.88
0.26
0.06
4.56
4.88
0.0%
2023Q3
92
35.5
1.18
0.07
0.20
0.91
0.93
2.5%
2023Q2
91
33.0
3.30
0.17
0.81
2.31
2.88
14.2%
2023Q1
90
25.0
5.79
0.46
1.39
3.95
5.34
15.6%
2022Q4
92
28.3
1.63
0.21
0.18
1.24
1.67
13.2%
2022Q3
92
29.2
4.92
0.86
0.72
3.33
4.53
8.4%
2022Q2
91
33.4
3.89
0.00
0.00
3.89
3.33
20.5%
2022Q1
90
34.4
5.26
1.39
0.00
3.87
4.90
11.3%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-03-20
2026-02-03
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2026-03-20
2026-02-03
Health · complaint
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
2026-03-20
2025-11-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2025-03-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-04-18
2025-03-13
Health · complaint
F0679
Provide activities to meet all resident's needs.
E
2025-04-18
2025-03-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2025-04-18
2025-03-13
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
2025-05-22
2025-03-13
Health · complaint
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
C
2025-04-16
2025-03-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2025-05-16
2025-03-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-04-18
2025-03-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-04-18
2025-03-13
Health · complaint
F0881
Implement a program that monitors antibiotic use.
F
2025-05-22
2025-03-13
Health · complaint
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2025-05-16
2025-03-13
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-05-22
2024-04-04
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-05-19
2024-03-20
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-05-04
2024-03-20
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.
F
2024-05-04
2024-03-20
Health · complaint
F0732
Post nurse staffing information every day.
B
2024-05-04
2024-03-20
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F
2024-07-01
2024-02-01
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
F
2024-02-23
2024-02-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-02-23
2024-02-01
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
G
2024-01-05
2024-02-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-01-05
2024-02-01
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
2024-02-23
2024-02-01
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-23
2022-11-17
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
2022-12-09
2022-11-17
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2022-12-11
2022-11-17
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
2022-12-08
2022-11-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-01-19
2022-11-17
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
2022-12-10
2022-11-17
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2022-12-09
2022-11-17
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-12-09
2022-11-17
Health
F0881
Implement a program that monitors antibiotic use.
E
2022-12-10
2022-11-17
Health
F0888
Ensure staff are vaccinated for COVID-19
C
2022-12-10
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
49
Owner
Role
Pct
From
Status
Source
ALTERNATIVE ELDER LIVING INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-05-01
current
pecos_ownership
ALSUP, TOBIE
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
BEALER, CATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
BEALER, CATHY
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
BOEDECKER, BROCK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
CARLSON, TONYA
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
COULTER, SHIRLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
DAVIS, JERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
DAWSON, ALLISON
MANAGING CONTROL - GOVERNING BODY
—
2024-05-06
current
pecos_ownership
GARBER, RICHARD
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
GROSS, SIERRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
KESSNER, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
MAGUIRE, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
MCCAFFERTY, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
ADP OF THE SNF
—
2025-05-20
current
pecos_ownership
MISCHKE, RON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
MORGAN, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
OETKEN, ERIN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
RIEDER, ROSEMARY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SHASSETZ, JENNIFER
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
SINCLAIR, CODY
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
STRALEY, TENILLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
STUTTE, NATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
WALLICK, CATHERINE
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
WILLIAMS, KIMBERLEE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
CATHERINE WALLICK
CORPORATE DIRECTOR
0%
2013-01-01
ended 2026-05-18
pecos_ownership
ELIZABETH MAGUIRE
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
KIMBERLEE WILLIAMS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
ALLISON DAWSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
BROCK BOEDECKER
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
CATHY BEALER
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
CATHY BEALER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
CODY SINCLAIR
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
DAWN MORGAN
MANAGING CONTROL - GOVERNING BODY
—
2024-05-06
ended 2026-05-18
pecos_ownership
ERIN OETKEN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
JENNIFER SHASSETZ
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
JERRY DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
KEVIN KESSNER
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
MICHAEL MCCAFFERTY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
NATHAN STUTTE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
RICHARD GARBER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
RON MISCHKE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
ROSEMARY RIEDER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
ended 2026-05-18
pecos_ownership
SHIRLEY COULTER
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
SIERRA GROSS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
TENILLE STRALEY
ADP OF THE SNF
—
2024-05-06
ended 2026-05-18
pecos_ownership
TOBIE ALSUP
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
ended 2026-05-18
pecos_ownership
TONYA CARLSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
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
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 56033
acs median gross
0
$856
2024-12-31
CENSUS_ACS5
county 56033
fmr
0
$855
2025-10-01
HUD_USER_FMR
county 56033
acs median gross
1
$529
2024-12-31
CENSUS_ACS5
county 56033
fmr
1
$860
2025-10-01
HUD_USER_FMR
county 56033
acs median gross
2
$1,046
2024-12-31
CENSUS_ACS5
county 56033
fmr
2
$1,129
2025-10-01
HUD_USER_FMR
county 56033
acs median gross
3
$1,263
2024-12-31
CENSUS_ACS5
county 56033
fmr
3
$1,354
2025-10-01
HUD_USER_FMR
county 56033
fmr
4
$1,891
2025-10-01
HUD_USER_FMR
county 56033
acs median gross
$939
2024-12-31
CENSUS_ACS5
county 56033
acs recent mover gross
$1,052
2024-12-31
CENSUS_ACS5
zcta 82801
acs median gross
0
$856
2024-12-31
CENSUS_ACS5
zcta 82801
acs median gross
1
$534
2024-12-31
CENSUS_ACS5
zcta 82801
acs median gross
2
$1,053
2024-12-31
CENSUS_ACS5
zcta 82801
acs median gross
3
$1,324
2024-12-31
CENSUS_ACS5
zcta 82801
acs median gross
$930
2024-12-31
CENSUS_ACS5
zcta 82801
acs recent mover gross
$1,050
2024-12-31
CENSUS_ACS5
zip 82801
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 82801
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 82801
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 82801
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 82801
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 110
4
$2,068
2025-10-01
HUD_USER_SAFMR
zip 82801
payment standard 90
4
$1,692
2025-10-01
HUD_USER_SAFMR
zip 82801
safmr
4
$1,880
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.