Reads as: riskier than 74.2% 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 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
SC median
National median
National p25–p75
Total nurse
3.48
3.32
3.28
2.90–3.77
RN
0.37
0.33
0.39
0.25–0.58
Weekend total
2.88
3.05
3.11
—
Weekday total
3.72
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
144.6
3.48
0.37
0.98
2.13
2.88
0.0%
2025Q3
92
144.6
3.27
0.39
0.86
2.02
2.80
0.0%
2025Q2
91
148.9
3.20
0.36
0.77
2.07
2.76
0.0%
2025Q1
90
145.0
3.33
0.42
0.75
2.15
2.89
0.0%
2024Q4
92
141.5
3.42
0.41
0.84
2.17
2.88
0.0%
2024Q3
92
149.3
3.38
0.41
0.85
2.11
2.83
0.0%
2024Q2
91
142.4
3.35
0.38
0.93
2.05
2.75
0.0%
2024Q1
91
139.9
3.42
0.42
0.93
2.06
2.84
0.0%
2023Q4
92
132.2
3.49
0.40
0.97
2.12
2.80
0.0%
2023Q3
92
125.8
2.99
0.33
1.03
1.63
2.44
0.0%
2023Q2
91
122.3
2.74
0.27
1.02
1.45
2.23
0.0%
2023Q1
90
121.1
2.75
0.31
0.98
1.45
2.30
0.0%
2022Q4
92
121.2
2.96
0.35
0.92
1.69
2.61
0.0%
2022Q3
92
126.8
3.25
0.37
1.02
1.86
2.92
0.0%
2022Q2
91
131.5
3.50
0.35
0.92
2.22
3.10
0.0%
2022Q1
90
133.1
3.58
0.41
0.96
2.21
3.03
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-02
2025-12-19
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-03-02
2025-12-19
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-03-02
2025-12-19
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-01-30
2025-12-19
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2026-01-30
2024-12-23
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-01-01
2024-12-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-12-28
2024-09-12
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-10-12
2024-09-12
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-10-12
2024-09-12
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.
D
2024-10-12
2024-09-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-12
2024-06-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-17
2024-03-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-27
2023-07-21
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-08-20
2023-07-21
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-08-20
2022-08-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-09-23
2022-08-12
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
2022-09-23
2022-08-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-09-23
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
28
Owner
Role
Pct
From
Status
Source
HOANG, DUSTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-20
current
pecos_ownership
HOANG, DUSTIN
ADP OF THE SNF
—
2025-08-13
current
pecos_ownership
J PAIGE PRUITT TRUST
ADP OF THE SNF
—
2003-06-05
current
pecos_ownership
LISA P HAMBY TRUST
INDIRECT OWNERSHIP INTEREST
—
2003-06-05
current
pecos_ownership
MCCULLOUGH, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
MCCULLOUGH, THOMAS
ADP OF THE SNF
—
2025-10-10
current
pecos_ownership
NEIL L PRUITT JR TRUST
INDIRECT OWNERSHIP INTEREST
—
2003-06-05
current
pecos_ownership
NWP 2020 CHILD TR FBO NEIL L PRUITT JR
INDIRECT OWNERSHIP INTEREST
—
2025-01-14
current
pecos_ownership
PRUITT, NANCY
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
current
pecos_ownership
PRUITT, NEIL
DIRECT OWNERSHIP INTEREST
—
2007-09-27
current
pecos_ownership
PRUITT, NEIL
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-27
current
pecos_ownership
PRUITT, NEIL
INDIRECT OWNERSHIP INTEREST
—
2007-09-28
current
pecos_ownership
PRUITTHEALTH CONSULTING SERVICES INC
ADP OF THE SNF
—
2013-11-26
current
pecos_ownership
SMALL, PHILIP
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
current
pecos_ownership
UNITED HEALTH SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
UNITED HEALTH SERVICES OF SOUTH CAROLINA INC
DIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
NEIL PRUITT
INDIRECT OWNERSHIP INTEREST
99%
2007-09-28
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2006-12-19
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2006-12-19
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF SOUTH CAROLINA INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-06-28
ended 2026-05-18
pecos_ownership
NEIL PRUITT
DIRECT OWNERSHIP INTEREST
1%
2007-09-27
ended 2026-05-18
pecos_ownership
DUSTIN HOANG
ADP OF THE SNF
—
2025-08-13
ended 2026-05-18
pecos_ownership
DUSTIN HOANG
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-20
ended 2026-05-18
pecos_ownership
NANCY PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
ended 2026-05-18
pecos_ownership
NEIL PRUITT
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-27
ended 2026-05-18
pecos_ownership
PHILIP SMALL
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
ended 2026-05-18
pecos_ownership
THOMAS MCCULLOUGH
ADP OF THE SNF
—
2025-10-10
ended 2026-05-18
pecos_ownership
THOMAS MCCULLOUGH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
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
2025-06-30
$2,709,515
$583,541
$398,495
$590,962
$543,083
9
—
2024-06-30
$2,961,598
$592,436
$408,687
$548,862
$475,545
9
—
2023-06-30
$3,068,075
$793,694
$376,799
$479,453
$870,586
9
—
2022-06-30
$3,167,415
$473,762
$478,417
$459,759
$1,295,385
9
—
2021-06-30
$2,341,180
$392,030
$383,487
$613,658
$550,606
8
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 45003
acs median gross
0
$851
2024-12-31
CENSUS_ACS5
county 45003
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 45003
acs median gross
1
$1,021
2024-12-31
CENSUS_ACS5
county 45003
fmr
1
$1,114
2025-10-01
HUD_USER_FMR
county 45003
acs median gross
2
$1,024
2024-12-31
CENSUS_ACS5
county 45003
fmr
2
$1,261
2025-10-01
HUD_USER_FMR
county 45003
acs median gross
3
$1,095
2024-12-31
CENSUS_ACS5
county 45003
fmr
3
$1,627
2025-10-01
HUD_USER_FMR
county 45003
acs median gross
4
$1,408
2024-12-31
CENSUS_ACS5
county 45003
fmr
4
$1,984
2025-10-01
HUD_USER_FMR
county 45003
acs median gross
5
$1,762
2024-12-31
CENSUS_ACS5
county 45003
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
county 45003
acs recent mover gross
$1,348
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
0
$698
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
1
$716
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
2
$891
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
4
$1,668
2024-12-31
CENSUS_ACS5
zcta 29801
acs median gross
$1,059
2024-12-31
CENSUS_ACS5
zcta 29801
acs recent mover gross
$1,238
2024-12-31
CENSUS_ACS5
zip 29801
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 29801
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 110
1
$1,243
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 90
1
$1,017
2025-10-01
HUD_USER_SAFMR
zip 29801
safmr
1
$1,130
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 29801
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 110
3
$1,815
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 90
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 29801
safmr
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 110
4
$2,211
2025-10-01
HUD_USER_SAFMR
zip 29801
payment standard 90
4
$1,809
2025-10-01
HUD_USER_SAFMR
zip 29801
safmr
4
$2,010
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.