Reads as: riskier than 31.9% 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
IN median
National median
National p25–p75
Total nurse
3.52
2.85
3.28
2.90–3.77
RN
0.39
0.40
0.39
0.25–0.58
Weekend total
3.54
2.71
3.11
—
Weekday total
3.52
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.3
3.52
0.39
0.68
2.46
3.54
0.0%
2025Q3
92
87.9
3.70
0.45
0.65
2.60
3.50
0.0%
2025Q2
91
87.0
3.74
0.51
0.61
2.62
3.52
0.0%
2025Q1
90
90.2
3.55
0.53
0.59
2.42
3.36
0.0%
2024Q4
92
95.2
3.23
0.55
0.49
2.19
2.97
0.0%
2024Q3
92
97.2
3.02
0.55
0.47
2.00
2.80
0.0%
2024Q2
91
100.9
2.97
0.58
0.42
1.97
2.82
0.0%
2024Q1
91
96.0
3.11
0.55
0.46
2.09
2.86
0.0%
2023Q4
92
91.0
3.06
0.57
0.42
2.07
2.93
0.0%
2023Q3
92
90.8
3.30
0.72
0.38
2.20
3.16
0.0%
2023Q2
91
89.6
3.35
0.72
0.47
2.16
3.12
0.0%
2023Q1
90
92.9
3.48
0.66
0.55
2.28
3.29
0.0%
2022Q4
92
95.9
3.68
0.64
0.55
2.49
3.47
0.0%
2022Q3
92
103.1
3.43
0.60
0.54
2.30
3.18
0.0%
2022Q2
91
95.8
3.39
0.62
0.55
2.23
3.09
0.0%
2022Q1
90
97.3
3.46
0.68
0.61
2.17
3.13
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
11
C × 2D × 7E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-26
2025-08-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-26
2024-10-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-10-25
2024-10-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-25
2024-10-01
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-10-25
2023-10-31
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
C
2023-11-30
2023-10-31
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-11-30
2023-10-31
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2023-11-30
2023-10-31
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-11-30
2023-10-31
Health
F0732
Post nurse staffing information every day.
C
2023-11-30
2023-10-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-30
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
51
Owner
Role
Pct
From
Status
Source
GREENE COUNTY GENERAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-10-01
current
pecos_ownership
ABRAMS, NATHAN
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
ANDERSON, JUSTIN
ADP OF THE SNF
—
2010-09-24
current
pecos_ownership
ANDERSON, NANCY
ADP OF THE SNF
—
1991-08-13
current
pecos_ownership
BEDWELL, HARRY
CORPORATE DIRECTOR
—
2019-06-01
current
pecos_ownership
CRANE, MICHAEL
CORPORATE DIRECTOR
—
2016-06-01
current
pecos_ownership
FULLER, JIMMY
CORPORATE DIRECTOR
—
2019-06-01
current
pecos_ownership
GAMBLE, MICHAEL
CORPORATE OFFICER
—
2018-03-15
current
pecos_ownership
GLENBURN HOME
ADP OF THE SNF
—
2013-10-01
current
pecos_ownership
GRAVES, RICK
CORPORATE DIRECTOR
—
2013-10-01
current
pecos_ownership
GREENE COUNTY GENERAL HOSPITAL
ADP OF THE SNF
—
2025-11-06
current
pecos_ownership
GUM, AMY
ADP OF THE SNF
—
2022-01-03
current
pecos_ownership
HAMILTON, CHERYL
CORPORATE DIRECTOR
—
2020-05-31
current
pecos_ownership
HUDSON, NANCY
CORPORATE DIRECTOR
—
2020-09-01
current
pecos_ownership
JOHANNINGSMEIER, JEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-19
current
pecos_ownership
KRAMER, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2014-09-29
current
pecos_ownership
MARTINDALE, AMY
ADP OF THE SNF
—
2014-05-01
current
pecos_ownership
MASON, LEORA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-21
current
pecos_ownership
MICHAEL, EDWARD
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
POWERS, PETER
CORPORATE DIRECTOR
—
2015-06-01
current
pecos_ownership
PRINCE, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-03-11
current
pecos_ownership
REETZ, BRENDA
CORPORATE OFFICER
—
2013-10-01
current
pecos_ownership
ROSE, SHARON
ADP OF THE SNF
—
2024-06-10
current
pecos_ownership
TIEMAN, SARAH
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
UBELHOR, MATTHEW
CORPORATE DIRECTOR
—
2024-04-16
current
pecos_ownership
WARRICK, TIMOTHY
CORPORATE DIRECTOR
—
2016-06-01
current
pecos_ownership
WITTMER, REBECCA
CORPORATE OFFICER
—
2023-07-14
current
pecos_ownership
AMY GUM
CORPORATE OFFICER
95%
2022-01-03
ended 2026-05-18
pecos_ownership
BRENDA REETZ
CORPORATE OFFICER
5%
2013-10-01
ended 2026-05-18
pecos_ownership
AMY MARTINDALE
CORPORATE OFFICER
0%
2014-05-01
ended 2026-05-18
pecos_ownership
MICHAEL GAMBLE
CORPORATE OFFICER
0%
2018-03-15
ended 2026-05-18
pecos_ownership
REBECCA WITTMER
CORPORATE OFFICER
0%
2023-07-14
ended 2026-05-18
pecos_ownership
CHERYL HAMILTON
CORPORATE DIRECTOR
—
2020-05-31
ended 2026-05-18
pecos_ownership
EDWARD MICHAEL
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
HARRY BEDWELL
CORPORATE DIRECTOR
—
2019-06-01
ended 2026-05-18
pecos_ownership
JEAN JOHANNINGSMEIER
CORPORATE OFFICER
—
2017-12-19
ended 2026-05-18
pecos_ownership
JIMMY FULLER
CORPORATE DIRECTOR
—
2019-06-01
ended 2026-05-18
pecos_ownership
JUSTIN ANDERSON
ADP OF THE SNF
—
2010-09-24
ended 2026-05-18
pecos_ownership
LEORA MASON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-21
ended 2026-05-18
pecos_ownership
MARY PRINCE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-03-11
ended 2026-05-18
pecos_ownership
MATTHEW UBELHOR
CORPORATE DIRECTOR
—
2024-04-16
ended 2026-05-18
pecos_ownership
MICHAEL CRANE
CORPORATE DIRECTOR
—
2016-06-01
ended 2026-05-18
pecos_ownership
MICHELLE KRAMER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-09-29
ended 2026-05-18
pecos_ownership
NANCY ANDERSON
ADP OF THE SNF
—
1991-08-13
ended 2026-05-18
pecos_ownership
NANCY HUDSON
CORPORATE DIRECTOR
—
2020-09-01
ended 2026-05-18
pecos_ownership
NATHAN ABRAMS
CORPORATE DIRECTOR
—
2013-01-01
ended 2026-05-18
pecos_ownership
PETER POWERS
CORPORATE DIRECTOR
—
2015-06-01
ended 2026-05-18
pecos_ownership
RICK GRAVES
CORPORATE DIRECTOR
—
2013-10-01
ended 2026-05-18
pecos_ownership
SARAH TIEMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
SHARON ROSE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-10
ended 2026-05-18
pecos_ownership
TIMOTHY WARRICK
CORPORATE DIRECTOR
—
2016-06-01
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
$449,413
—
—
—
—
0
—
2023-12-31
$445,457
—
—
—
—
0
—
2022-12-31
$454,391
—
—
—
—
0
—
2021-12-31
$444,689
—
—
—
—
0
—
2020-12-31
$302,035
—
—
—
—
0
—
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 18055
acs median gross
0
$666
2024-12-31
CENSUS_ACS5
county 18055
fmr
0
$724
2025-10-01
HUD_USER_FMR
county 18055
acs median gross
1
$485
2024-12-31
CENSUS_ACS5
county 18055
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18055
acs median gross
2
$849
2024-12-31
CENSUS_ACS5
county 18055
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18055
acs median gross
3
$986
2024-12-31
CENSUS_ACS5
county 18055
fmr
3
$1,206
2025-10-01
HUD_USER_FMR
county 18055
acs median gross
4
$1,350
2024-12-31
CENSUS_ACS5
county 18055
fmr
4
$1,330
2025-10-01
HUD_USER_FMR
county 18055
acs median gross
$797
2024-12-31
CENSUS_ACS5
county 18055
acs recent mover gross
$770
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
0
$682
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
1
$490
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
2
$870
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
3
$982
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
4
$1,521
2024-12-31
CENSUS_ACS5
zcta 47441
acs median gross
$772
2024-12-31
CENSUS_ACS5
zcta 47441
acs recent mover gross
$734
2024-12-31
CENSUS_ACS5
zip 47441
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 47441
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 47441
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47441
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 47441
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 110
4
$1,463
2025-10-01
HUD_USER_SAFMR
zip 47441
payment standard 90
4
$1,197
2025-10-01
HUD_USER_SAFMR
zip 47441
safmr
4
$1,330
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.