Reads as: riskier than 73.7% 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
IN median
National median
National p25–p75
Total nurse
2.48
2.85
3.28
2.90–3.77
RN
0.45
0.40
0.39
0.25–0.58
Weekend total
2.47
2.71
3.11
—
Weekday total
2.48
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.4
2.48
0.45
0.57
1.46
2.47
0.0%
2025Q3
92
49.5
2.77
0.45
0.65
1.67
2.71
0.0%
2025Q2
91
46.2
2.78
0.41
0.90
1.47
2.79
0.0%
2025Q1
90
47.8
2.61
0.36
0.95
1.30
2.53
0.0%
2024Q4
92
46.1
2.70
0.43
0.84
1.43
2.64
0.0%
2024Q3
92
49.0
2.74
0.49
0.71
1.55
2.59
0.0%
2024Q2
91
44.8
2.99
0.59
0.71
1.68
2.87
0.0%
2024Q1
91
51.9
2.73
0.53
0.56
1.65
2.61
0.0%
2023Q4
92
54.4
2.57
0.50
0.56
1.51
2.46
0.0%
2023Q3
92
55.4
2.55
0.46
0.56
1.53
2.46
0.0%
2023Q2
91
53.5
2.58
0.40
0.65
1.54
2.58
0.0%
2023Q1
90
55.9
2.52
0.34
0.52
1.66
2.40
0.0%
2022Q4
92
54.6
2.72
0.27
0.69
1.77
2.55
0.0%
2022Q3
92
57.9
2.74
0.31
0.73
1.71
2.65
0.0%
2022Q2
91
53.2
2.64
0.25
0.89
1.50
2.50
4.1%
2022Q1
90
52.1
3.94
0.34
1.36
2.23
3.72
21.7%
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
24
D × 23E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-28
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-08-20
2025-07-28
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-08-20
2025-07-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-20
2025-07-28
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-08-20
2025-07-28
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-08-20
2024-07-30
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-08-26
2024-07-30
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-08-26
2024-07-30
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
2024-08-26
2024-07-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-26
2024-07-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-26
2024-07-30
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2024-08-26
2023-11-15
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-12-06
2023-11-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-06
2023-11-15
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-12-06
2023-11-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-12-06
2023-05-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-06-07
2023-05-19
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
2023-06-07
2023-05-19
Health
F0679
Provide activities to meet all resident's needs.
D
2023-06-07
2023-05-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-07
2023-05-19
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
2023-06-07
2023-05-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-07
2023-05-19
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2023-06-07
2023-05-19
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
2023-06-07
2023-05-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2023-06-07
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
11
Owner
Role
Pct
From
Status
Source
PULASKI MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-07-01
current
pecos_ownership
BARRY, THOMAS
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
MALOTT, GREGG
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
SMITH, TODD
CONTRACTED MANAGING EMPLOYEE
—
2021-07-01
current
pecos_ownership
SNF AL REALTY LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
SNF AL REALTY LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
GREGG MALOTT
CORPORATE OFFICER
100%
2021-07-01
ended 2026-05-18
pecos_ownership
THOMAS BARRY
CORPORATE OFFICER
100%
2021-07-01
ended 2026-05-18
pecos_ownership
TODD SMITH
CONTRACTED MANAGING EMPLOYEE
100%
2021-07-01
ended 2026-05-18
pecos_ownership
SNF AL REALTY LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
SNF AL REALTY LLC
Other (financial or non-financial)
—
2021-07-01
ended 2021-12-31
hcris_a_8_1
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
$2,063,076
$1,611,363
—
—
$56,651
14
propco
2023-12-31
$2,147,339
$1,670,039
—
—
$101,855
18
propco
2022-12-31
$1,978,389
$1,406,289
—
—
$271,171
18
propco
2021-12-31
$956,299
—
—
—
$213,540
13
propco
2021-06-30
$176,319
—
$176,319
—
—
2
—
2020-12-31
$355,976
—
$355,976
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 18057
acs median gross
0
$1,264
2024-12-31
CENSUS_ACS5
county 18057
fmr
0
$1,118
2025-10-01
HUD_USER_FMR
county 18057
acs median gross
1
$1,354
2024-12-31
CENSUS_ACS5
county 18057
fmr
1
$1,267
2025-10-01
HUD_USER_FMR
county 18057
acs median gross
2
$1,608
2024-12-31
CENSUS_ACS5
county 18057
fmr
2
$1,473
2025-10-01
HUD_USER_FMR
county 18057
acs median gross
3
$1,803
2024-12-31
CENSUS_ACS5
county 18057
fmr
3
$1,907
2025-10-01
HUD_USER_FMR
county 18057
acs median gross
4
$2,311
2024-12-31
CENSUS_ACS5
county 18057
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 18057
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 18057
acs median gross
$1,574
2024-12-31
CENSUS_ACS5
county 18057
acs recent mover gross
$1,751
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
0
$1,622
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
1
$1,467
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
2
$1,689
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
3
$1,819
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
4
$2,300
2024-12-31
CENSUS_ACS5
zcta 46032
acs median gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 46032
acs recent mover gross
$1,758
2024-12-31
CENSUS_ACS5
zip 46032
payment standard 110
0
$1,705
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 90
0
$1,395
2025-10-01
HUD_USER_SAFMR
zip 46032
safmr
0
$1,550
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 110
1
$1,925
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 90
1
$1,575
2025-10-01
HUD_USER_SAFMR
zip 46032
safmr
1
$1,750
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 110
2
$2,244
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 90
2
$1,836
2025-10-01
HUD_USER_SAFMR
zip 46032
safmr
2
$2,040
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 110
3
$2,904
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 90
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 46032
safmr
3
$2,640
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 110
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 46032
payment standard 90
4
$2,916
2025-10-01
HUD_USER_SAFMR
zip 46032
safmr
4
$3,240
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.