Reads as: riskier than 88.5% 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
MI median
National median
National p25–p75
Total nurse
3.11
3.52
3.28
2.90–3.77
RN
0.49
0.47
0.39
0.25–0.58
Weekend total
3.15
3.32
3.11
—
Weekday total
3.09
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
74.1
3.11
0.49
0.52
2.10
3.15
0.0%
2025Q3
92
73.4
2.89
0.60
0.43
1.86
2.82
0.0%
2025Q2
91
70.0
2.92
0.53
0.45
1.95
2.92
0.0%
2025Q1
90
69.6
2.71
0.52
0.43
1.76
2.78
0.0%
2024Q4
92
68.5
2.97
0.56
0.39
2.02
3.01
0.0%
2024Q3
92
71.6
2.56
0.52
0.39
1.64
2.67
0.0%
2024Q2
91
69.5
2.46
0.46
0.52
1.49
2.45
0.0%
2024Q1
91
70.2
2.18
0.51
0.46
1.21
2.10
0.0%
2023Q4
92
76.0
2.07
0.51
0.50
1.07
2.05
0.0%
2023Q3
92
74.7
2.55
0.63
0.57
1.36
2.26
0.0%
2023Q2
91
73.5
2.40
0.56
0.44
1.40
2.18
0.0%
2023Q1
90
72.1
2.58
0.45
0.53
1.61
2.49
0.0%
2022Q4
92
74.0
2.40
0.44
0.49
1.48
2.31
0.0%
2022Q3
92
73.2
2.29
0.55
0.48
1.25
2.06
6.8%
2022Q2
91
73.9
2.36
0.61
0.46
1.29
2.12
0.0%
2022Q1
90
73.5
1.53
0.20
0.33
1.00
1.44
52.3%
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.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
G
2026-05-06
2026-04-09
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-05-06
2025-12-16
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
2026-01-13
2025-12-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-01-13
2025-05-06
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-21
2024-10-16
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2024-11-07
2024-02-29
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-28
2024-02-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-03-28
2024-02-29
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-28
2024-02-29
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
2024-03-28
2024-02-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-28
2024-02-29
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
2024-03-28
2024-02-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-28
2023-10-11
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-11-06
2023-06-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-21
2023-03-07
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-04-07
2023-03-07
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-04-07
2023-03-07
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-04-07
2023-03-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-07
2023-03-07
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-04-07
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
17
Owner
Role
Pct
From
Status
Source
CHRISTIAN PARK LAND CO
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
CHRISTIAN PARK LAND CO
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
BOND, MARYANN
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
CHRISTIAN PARK LAND COMPANY LLC
ADP OF THE SNF
—
2004-08-02
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-08-02
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
IRISH, COLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
ADP OF THE SNF
—
2004-08-02
current
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
ADP OF THE SNF
—
2004-08-02
current
pecos_ownership
QAZI, MOHAMMAD
ADP OF THE SNF
—
2004-08-02
current
pecos_ownership
CHRISTIAN PARK LAND CO
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MOHAMMAD QAZI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2004-08-02
ended 2026-05-18
pecos_ownership
ANIS KHAN
MANAGING CONTROL - GOVERNING BODY
—
2004-08-02
ended 2026-05-18
pecos_ownership
CHRISTIAN PARK LAND CO
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CHRISTIAN PARK LAND CO
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
COLIN IRISH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARYANN BOND
ADP OF THE SNF
—
2025-01-06
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$891,900
$216,586
$594,740
—
—
3
propco
2023-12-31
$901,831
$214,479
$657,765
—
—
3
propco
2022-12-31
$934,661
$214,475
$702,575
—
—
3
propco
2021-12-31
$865,006
—
$612,211
—
—
2
propco
2020-12-31
$1,093,923
$285,078
$648,739
—
$160,106
2
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
34
Geo
Kind
BR
Amount
As of
Source
county 26041
acs median gross
0
$667
2024-12-31
CENSUS_ACS5
county 26041
fmr
0
$714
2025-10-01
HUD_USER_FMR
county 26041
acs median gross
1
$454
2024-12-31
CENSUS_ACS5
county 26041
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 26041
acs median gross
2
$800
2024-12-31
CENSUS_ACS5
county 26041
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 26041
acs median gross
3
$977
2024-12-31
CENSUS_ACS5
county 26041
fmr
3
$1,288
2025-10-01
HUD_USER_FMR
county 26041
acs median gross
4
$1,265
2024-12-31
CENSUS_ACS5
county 26041
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 26041
acs median gross
$692
2024-12-31
CENSUS_ACS5
county 26041
acs recent mover gross
$782
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
0
$682
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
1
$423
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
2
$768
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
3
$906
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
4
$982
2024-12-31
CENSUS_ACS5
zcta 49829
acs median gross
$661
2024-12-31
CENSUS_ACS5
zcta 49829
acs recent mover gross
$928
2024-12-31
CENSUS_ACS5
zip 49829
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 49829
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 49829
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 49829
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 49829
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 49829
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 49829
safmr
4
$1,640
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.