Reads as: riskier than 48.6% 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 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
0.48
3.52
3.28
2.90–3.77
RN
0.01
0.47
0.39
0.25–0.58
Weekend total
0.43
3.32
3.11
—
Weekday total
0.50
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.2
0.48
0.01
0.00
0.47
0.43
0.0%
2025Q3
92
58.3
4.82
0.82
0.04
3.95
4.73
0.0%
2025Q2
91
57.4
4.61
0.85
0.02
3.74
4.57
0.0%
2025Q1
90
58.4
4.83
0.80
0.05
3.98
4.79
0.0%
2024Q4
92
58.2
5.15
0.80
0.05
4.30
5.12
0.0%
2024Q3
92
58.2
5.01
0.84
0.04
4.14
4.96
0.0%
2024Q2
91
58.3
4.64
0.82
0.03
3.78
4.62
0.0%
2024Q1
91
58.4
4.50
0.80
0.06
3.64
4.46
0.0%
2023Q4
92
57.8
4.63
0.82
0.06
3.75
4.61
0.0%
2023Q3
92
58.6
4.50
0.81
0.04
3.66
4.50
0.0%
2023Q2
91
58.3
4.52
0.84
0.03
3.66
4.49
0.0%
2023Q1
90
58.8
4.49
0.80
0.06
3.63
4.46
0.0%
2022Q4
92
58.7
4.54
0.80
0.05
3.69
4.48
0.0%
2022Q3
92
58.7
4.55
0.83
0.05
3.67
4.48
0.0%
2022Q2
91
57.2
4.62
0.89
0.00
3.73
4.56
0.0%
2022Q1
90
56.9
4.68
0.88
0.01
3.80
4.54
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
10
D × 2F × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-29
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
2025-07-07
2025-05-29
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-07-07
2025-05-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-07
2025-05-29
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
2025-07-07
2024-05-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-30
2024-05-08
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.
F
2024-06-30
2024-05-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-30
2024-05-08
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-06-30
2023-05-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-12
2023-05-18
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2023-06-27
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
32
Owner
Role
Pct
From
Status
Source
PORTAGE HOLDING COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-04-17
current
pecos_ownership
GROOMS, JOHN
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
HEINONEN, RYAN
W-2 MANAGING EMPLOYEE
—
2022-01-10
current
pecos_ownership
HISTORIC LIFEPOINT HOSPITALS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-04-17
current
pecos_ownership
HSC MANAGER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2013-12-01
current
pecos_ownership
LAWRENCE, CHARLOTTE
CORPORATE OFFICER
—
2022-02-10
current
pecos_ownership
LEGACY LIFEPOINT HEALTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-04-17
current
pecos_ownership
LIFEPOINT HOLDINGS 2 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-04-17
current
pecos_ownership
LIFEPOINT HOSPITALS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-04-17
current
pecos_ownership
MONTE, CHRISTOPHER
CORPORATE OFFICER
—
2013-04-17
current
pecos_ownership
PEKARSKE, EMILY
CONTRACTED MANAGING EMPLOYEE
—
2021-01-05
current
pecos_ownership
POLITE, ELMER
CORPORATE OFFICER
—
2020-12-14
current
pecos_ownership
POPPELL, MARCUS
CORPORATE OFFICER
—
2018-11-16
current
pecos_ownership
PORTAGE HEALTH FOUNDATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2013-12-01
current
pecos_ownership
RIALS, LOREN
CORPORATE OFFICER
—
2023-11-09
current
pecos_ownership
DSB ACQUISITION LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
80%
2018-11-16
ended 2026-05-18
pecos_ownership
LIFEPOINT HEALTH INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
80%
2018-11-16
ended 2026-05-18
pecos_ownership
BRUCE RUKKILA
OTHER
0%
2019-08-05
ended 2026-05-18
pecos_ownership
CHARLOTTE LAWRENCE
CORPORATE OFFICER
0%
2022-02-10
ended 2026-05-18
pecos_ownership
CHRISTOPHER MONTE
CORPORATE OFFICER
0%
2013-04-17
ended 2026-05-18
pecos_ownership
ELMER POLITE
CORPORATE OFFICER
0%
2020-12-14
ended 2026-05-18
pecos_ownership
EMILY PEKARSKE
CONTRACTED MANAGING EMPLOYEE
0%
2021-01-05
ended 2026-05-18
pecos_ownership
JOHN GROOMS
CORPORATE OFFICER
0%
2016-11-01
ended 2026-05-18
pecos_ownership
KEVIN STORE
OTHER
0%
2016-11-01
ended 2026-05-18
pecos_ownership
KRISTINE WEIDNER
OTHER
0%
2017-06-01
ended 2026-05-18
pecos_ownership
LOREN RIALS
CORPORATE OFFICER
0%
2023-11-09
ended 2026-05-18
pecos_ownership
MARCUS POPPELL
CORPORATE OFFICER
0%
2018-11-16
ended 2026-05-18
pecos_ownership
MARCUS POPPELL
OTHER
0%
2013-12-01
ended 2026-05-18
pecos_ownership
RYAN HEINONEN
W-2 MANAGING EMPLOYEE
0%
2022-01-10
ended 2026-05-18
pecos_ownership
TERESA WILLIAMS
OTHER
0%
2024-05-31
ended 2026-05-18
pecos_ownership
TIMOTHY LABONTE
OTHER
0%
2020-05-07
ended 2026-05-18
pecos_ownership
WILLIAM LISTON
OTHER
0%
2013-11-30
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
33
Geo
Kind
BR
Amount
As of
Source
county 26061
acs median gross
0
$821
2024-12-31
CENSUS_ACS5
county 26061
fmr
0
$795
2025-10-01
HUD_USER_FMR
county 26061
acs median gross
1
$626
2024-12-31
CENSUS_ACS5
county 26061
fmr
1
$800
2025-10-01
HUD_USER_FMR
county 26061
acs median gross
2
$893
2024-12-31
CENSUS_ACS5
county 26061
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 26061
acs median gross
3
$1,167
2024-12-31
CENSUS_ACS5
county 26061
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 26061
acs median gross
4
$1,787
2024-12-31
CENSUS_ACS5
county 26061
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 26061
acs median gross
$840
2024-12-31
CENSUS_ACS5
county 26061
acs recent mover gross
$1,010
2024-12-31
CENSUS_ACS5
zcta 49930
acs median gross
0
$1,714
2024-12-31
CENSUS_ACS5
zcta 49930
acs median gross
1
$657
2024-12-31
CENSUS_ACS5
zcta 49930
acs median gross
2
$867
2024-12-31
CENSUS_ACS5
zcta 49930
acs median gross
3
$1,185
2024-12-31
CENSUS_ACS5
zcta 49930
acs median gross
$841
2024-12-31
CENSUS_ACS5
zcta 49930
acs recent mover gross
$1,000
2024-12-31
CENSUS_ACS5
zip 49930
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 49930
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 49930
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 49930
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 49930
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 49930
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 49930
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.