Reads as: riskier than 68.3% 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
3.01
3.52
3.28
2.90–3.77
RN
0.53
0.47
0.39
0.25–0.58
Weekend total
3.04
3.32
3.11
—
Weekday total
3.00
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
77.5
3.01
0.53
0.45
2.03
3.04
0.1%
2025Q3
92
78.2
3.20
0.56
0.47
2.17
3.09
0.0%
2025Q2
91
78.0
3.15
0.54
0.62
1.98
2.88
0.0%
2025Q1
90
77.2
3.18
0.53
0.68
1.98
2.91
0.0%
2024Q4
92
78.6
3.05
0.53
0.59
1.92
2.90
0.0%
2024Q3
92
76.5
3.22
0.52
0.63
2.07
2.98
0.0%
2024Q2
91
77.7
3.27
0.52
0.64
2.12
3.04
0.0%
2024Q1
91
75.2
3.24
0.44
0.69
2.10
3.17
0.0%
2023Q4
92
77.7
3.36
0.46
0.72
2.19
3.24
0.0%
2023Q3
92
81.1
3.26
0.43
0.69
2.14
3.00
0.0%
2023Q2
91
77.6
3.38
0.55
0.64
2.18
3.08
0.0%
2023Q1
90
77.1
2.95
0.47
0.62
1.85
2.68
0.0%
2022Q4
92
75.1
3.07
0.47
0.61
1.99
2.85
0.0%
2022Q3
92
68.2
3.23
0.42
0.72
2.08
2.98
0.0%
2022Q2
91
69.8
3.03
0.36
0.69
1.98
2.75
0.0%
2022Q1
90
67.3
3.19
0.34
0.71
2.14
2.93
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-08-28
2025-03-06
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-04-03
2025-03-06
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-04-03
2025-03-06
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-04-03
2024-07-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-08-16
2024-03-20
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-04-17
2024-03-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-17
2024-03-20
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-04-17
2024-03-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-17
2024-03-20
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
2024-04-17
2024-03-20
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-04-17
2024-03-20
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
2024-04-17
2023-02-16
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-03-23
2023-02-16
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-03-23
2023-02-16
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
2023-03-23
2023-02-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-03-23
2023-02-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-03-23
2023-02-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-03-23
2023-02-16
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
2023-03-23
2023-02-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-03-23
2023-02-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-23
2023-02-16
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-03-23
2023-02-16
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.
D
2023-03-23
2023-02-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-03-23
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
16
Owner
Role
Pct
From
Status
Source
DECKERVILLE SENIOR LEASIN
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
DECKERVILLE SENIOR LEASIN
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
BUTTAR, NICK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-01
current
pecos_ownership
KHAN, ANIS
MANAGING CONTROL - GOVERNING BODY
—
1999-10-01
current
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
ADP OF THE SNF
—
1999-10-01
current
pecos_ownership
QAZI, MOHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-01
current
pecos_ownership
REGENTIN, KERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-03
current
pecos_ownership
DECKERVILLE SENIOR LEASIN
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%
1999-10-01
ended 2026-05-18
pecos_ownership
ANIS KHAN
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-01
ended 2026-05-18
pecos_ownership
DECKERVILLE SENIOR LEASIN
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
DECKERVILLE SENIOR LEASIN
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
KERRY REGENTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-03
ended 2026-05-18
pecos_ownership
NICK BUTTAR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
2024-12-31
$1,000,386
$274,667
$643,277
—
—
3
propco
2023-12-31
$984,985
$272,195
$672,790
—
—
3
propco
2022-12-31
$930,029
$216,921
$660,121
—
—
3
propco
2021-12-31
$781,510
—
$571,151
—
—
3
propco
2020-12-31
$943,160
$164,767
$643,193
—
$135,200
3
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
33
Geo
Kind
BR
Amount
As of
Source
county 26151
acs median gross
0
$414
2024-12-31
CENSUS_ACS5
county 26151
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 26151
acs median gross
1
$601
2024-12-31
CENSUS_ACS5
county 26151
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 26151
acs median gross
2
$835
2024-12-31
CENSUS_ACS5
county 26151
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 26151
acs median gross
3
$961
2024-12-31
CENSUS_ACS5
county 26151
fmr
3
$1,253
2025-10-01
HUD_USER_FMR
county 26151
acs median gross
4
$836
2024-12-31
CENSUS_ACS5
county 26151
fmr
4
$1,316
2025-10-01
HUD_USER_FMR
county 26151
acs median gross
5
$1,068
2024-12-31
CENSUS_ACS5
county 26151
acs median gross
$807
2024-12-31
CENSUS_ACS5
county 26151
acs recent mover gross
$818
2024-12-31
CENSUS_ACS5
zcta 48427
acs median gross
1
$591
2024-12-31
CENSUS_ACS5
zcta 48427
acs median gross
2
$792
2024-12-31
CENSUS_ACS5
zcta 48427
acs median gross
3
$921
2024-12-31
CENSUS_ACS5
zcta 48427
acs median gross
4
$854
2024-12-31
CENSUS_ACS5
zcta 48427
acs median gross
$816
2024-12-31
CENSUS_ACS5
zip 48427
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 48427
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 48427
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 48427
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 48427
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 110
4
$1,452
2025-10-01
HUD_USER_SAFMR
zip 48427
payment standard 90
4
$1,188
2025-10-01
HUD_USER_SAFMR
zip 48427
safmr
4
$1,320
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.