Reads as: riskier than 7.5% 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
OH median
National median
National p25–p75
Total nurse
3.75
3.24
3.28
2.90–3.77
RN
0.87
0.38
0.39
0.25–0.58
Weekend total
3.44
3.11
3.11
—
Weekday total
3.88
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.0
3.75
0.87
0.58
2.30
3.44
0.0%
2025Q3
92
46.4
3.65
0.83
0.55
2.27
3.35
0.0%
2025Q2
91
44.8
3.78
0.83
0.61
2.34
3.46
0.0%
2025Q1
90
45.7
3.59
0.73
0.65
2.21
3.31
0.0%
2024Q4
92
49.4
3.33
0.65
0.58
2.11
3.17
0.0%
2024Q3
92
47.2
3.26
0.59
0.68
1.99
3.04
0.0%
2024Q2
91
47.7
3.39
0.56
0.71
2.12
3.21
0.0%
2024Q1
91
48.4
3.44
0.53
0.76
2.15
3.18
0.0%
2023Q4
92
50.1
3.36
0.49
0.77
2.11
3.12
0.0%
2023Q3
92
51.0
3.06
0.47
0.76
1.83
2.81
0.0%
2023Q2
91
49.5
2.73
0.46
0.65
1.62
2.65
0.0%
2023Q1
90
44.1
2.79
0.44
0.70
1.65
2.58
0.0%
2022Q4
92
40.1
2.88
0.51
0.64
1.74
2.56
0.0%
2022Q3
92
41.5
2.74
0.38
0.75
1.60
2.44
0.0%
2022Q2
91
40.0
2.79
0.25
1.00
1.54
2.65
0.0%
2022Q1
90
38.7
2.85
0.12
1.28
1.46
2.79
0.0%
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
20
D × 19F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-24
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-03-23
2026-02-24
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-03-23
2025-04-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-09
2025-04-03
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
2025-05-09
2025-04-03
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
2025-05-09
2025-04-03
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2025-05-09
2025-04-03
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-05-09
2022-10-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-11-09
2022-10-12
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2022-11-09
2022-10-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-11-09
2022-10-12
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2022-11-09
2022-10-12
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-11-09
2022-10-12
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-11-09
2022-10-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-11-09
2022-10-12
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
2022-11-09
2022-10-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-11-09
2022-10-12
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
2022-11-09
2022-10-12
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-11-09
2022-10-12
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
2022-11-09
2022-10-12
Health
F0881
Implement a program that monitors antibiotic use.
D
2022-11-09
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
60
Owner
Role
Pct
From
Status
Source
L&L REALTY
Individual has financial interest in both related organization and provider
60%
2023-01-01
current
hcris_a_8_1
L&L REALTY
Individual has financial interest in both related organization and provider
60%
2024-01-01
current
hcris_a_8_1
LANCIA, GUIRINO
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2008-11-12
current
pecos_ownership
BARCROFT, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-08-01
current
pecos_ownership
BOWMAN, KASI
ADP OF THE SNF
—
2021-04-26
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
CRANE, SHANE
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
D'ANNIBALLE AND COMPANY, INC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DALTON, DEBBIE
ADP OF THE SNF
—
2016-01-16
current
pecos_ownership
DALTON, LESLIE
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
DALTON, THOMAS
ADP OF THE SNF
—
2019-02-04
current
pecos_ownership
FERRELL, KRISTY
ADP OF THE SNF
—
2021-07-23
current
pecos_ownership
FIGEL, JOHN
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
G & G AGENCY, LLC
ADP OF THE SNF
—
2002-08-01
current
pecos_ownership
GREEN, MEGAN
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
HUNTINGTON BANK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
JP MORGAN CHASE, N.A.
ADP OF THE SNF
—
2006-05-18
current
pecos_ownership
KEENAN, KARIN
ADP OF THE SNF
—
—
current
pecos_ownership
KELLER, LISA
ADP OF THE SNF
—
1991-08-22
current
pecos_ownership
L & L REALTY HOLDING COMPANY, LLC
ADP OF THE SNF
—
1995-09-25
current
pecos_ownership
LANCIA, GIUSEPPE
DIRECT OWNERSHIP INTEREST
—
1992-11-01
current
pecos_ownership
LANCIA, GIUSEPPE
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
current
pecos_ownership
LANCIA, GUIRINO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
current
pecos_ownership
LANCIA, GUIRINO
ADP OF THE SNF
—
1992-11-01
current
pecos_ownership
LANCIA, JOSEPH
ADP OF THE SNF
—
2010-12-01
current
pecos_ownership
NEWLIN, BARBARA
ADP OF THE SNF
—
—
current
pecos_ownership
NOLAN, JANET
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
PNC BANK
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-16
current
pecos_ownership
PNC BANK
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
RAMSEY, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-26
current
pecos_ownership
RENEWAL REHAB LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
RIGGLE, SUSAN
ADP OF THE SNF
—
2016-01-19
current
pecos_ownership
WESBANCO BANK, INC.
ADP OF THE SNF
—
2005-09-13
current
pecos_ownership
ZAKOVICH, PARIS
OPERATIONAL/MANAGERIAL CONTROL
—
2004-11-11
current
pecos_ownership
GIUSEPPE LANCIA
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2008-11-12
ended 2026-05-18
pecos_ownership
L&L REALTY
Individual has financial interest in both related organization and provider
60%
2022-01-01
ended 2022-12-31
hcris_a_8_1
L&L REALTY
Individual has financial interest in both related organization and provider
60%
2021-01-01
ended 2021-12-31
hcris_a_8_1
L&L REALTY
Individual has financial interest in both related organization and provider
60%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GIUSEPPE LANCIA
DIRECT OWNERSHIP INTEREST
54%
1992-11-01
ended 2026-05-18
pecos_ownership
GUIRINO LANCIA
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2008-11-12
ended 2026-05-18
pecos_ownership
ANGELA BARCROFT
OPERATIONAL/MANAGERIAL CONTROL
—
2016-08-01
ended 2026-05-18
pecos_ownership
BARBARA NEWLIN
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
DEBBIE DALTON
ADP OF THE SNF
—
2016-01-16
ended 2026-05-18
pecos_ownership
GIUSEPPE LANCIA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
ended 2026-05-18
pecos_ownership
GUIRINO LANCIA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
ended 2026-05-18
pecos_ownership
GUIRINO LANCIA
ADP OF THE SNF
—
1992-11-01
ended 2026-05-18
pecos_ownership
HEATHER RAMSEY
ADP OF THE SNF
—
2022-07-26
ended 2026-05-18
pecos_ownership
JANET NOLAN
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
JOHN FIGEL
ADP OF THE SNF
—
2019-01-01
ended 2026-05-18
pecos_ownership
JOSEPH LANCIA
ADP OF THE SNF
—
2010-12-01
ended 2026-05-18
pecos_ownership
KARIN KEENAN
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
KASI BOWMAN
ADP OF THE SNF
—
2021-04-26
ended 2026-05-18
pecos_ownership
KRISTY FERRELL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-23
ended 2026-05-18
pecos_ownership
LESLIE DALTON
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
LISA KELLER
ADP OF THE SNF
—
1991-08-22
ended 2026-05-18
pecos_ownership
MEGAN GREEN
ADP OF THE SNF
—
2022-03-01
ended 2026-05-18
pecos_ownership
PARIS ZAKOVICH
OPERATIONAL/MANAGERIAL CONTROL
—
2004-11-11
ended 2026-05-18
pecos_ownership
SHANE CRANE
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
SUSAN RIGGLE
ADP OF THE SNF
—
2016-01-19
ended 2026-05-18
pecos_ownership
THOMAS DALTON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-04
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
$853,729
—
—
—
$766,237
3
propco
2023-12-31
$115,460
—
—
—
—
2
propco
2022-12-31
$97,200
—
—
—
—
2
propco
2021-12-31
$97,200
—
—
—
—
2
propco
2020-12-31
$97,200
—
—
—
—
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 39081
acs median gross
0
$818
2024-12-31
CENSUS_ACS5
county 39081
fmr
0
$752
2025-10-01
HUD_USER_FMR
county 39081
acs median gross
1
$516
2024-12-31
CENSUS_ACS5
county 39081
fmr
1
$757
2025-10-01
HUD_USER_FMR
county 39081
acs median gross
2
$842
2024-12-31
CENSUS_ACS5
county 39081
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39081
acs median gross
3
$985
2024-12-31
CENSUS_ACS5
county 39081
fmr
3
$1,285
2025-10-01
HUD_USER_FMR
county 39081
acs median gross
4
$1,161
2024-12-31
CENSUS_ACS5
county 39081
fmr
4
$1,482
2025-10-01
HUD_USER_FMR
county 39081
acs median gross
5
$1,149
2024-12-31
CENSUS_ACS5
county 39081
acs median gross
$835
2024-12-31
CENSUS_ACS5
county 39081
acs recent mover gross
$877
2024-12-31
CENSUS_ACS5
zcta 43953
acs median gross
1
$646
2024-12-31
CENSUS_ACS5
zcta 43953
acs median gross
2
$920
2024-12-31
CENSUS_ACS5
zcta 43953
acs median gross
3
$1,142
2024-12-31
CENSUS_ACS5
zcta 43953
acs median gross
4
$1,147
2024-12-31
CENSUS_ACS5
zcta 43953
acs median gross
$899
2024-12-31
CENSUS_ACS5
zcta 43953
acs recent mover gross
$1,082
2024-12-31
CENSUS_ACS5
zip 43953
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 43953
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 43953
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 43953
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 43953
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 43953
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 43953
safmr
4
$1,660
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.