Reads as: riskier than 57.4% 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
MS median
National median
National p25–p75
Total nurse
2.91
3.68
3.28
2.90–3.77
RN
0.40
0.34
0.39
0.25–0.58
Weekend total
2.39
3.30
3.11
—
Weekday total
3.11
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.5
2.91
0.40
0.84
1.67
2.39
1.8%
2025Q3
92
53.6
3.14
0.34
0.79
2.01
2.82
6.8%
2025Q2
91
55.0
3.10
0.37
0.80
1.93
2.69
9.6%
2025Q1
90
52.8
3.25
0.45
0.76
2.04
2.82
6.4%
2024Q4
92
54.6
3.29
0.40
0.85
2.04
2.93
6.7%
2024Q3
92
53.5
3.25
0.25
0.93
2.08
2.86
5.7%
2024Q2
91
55.1
3.05
0.19
1.05
1.81
2.48
6.6%
2024Q1
91
51.2
3.28
0.17
1.06
2.06
2.83
6.6%
2023Q4
92
53.8
3.32
0.25
1.01
2.05
2.75
4.3%
2023Q3
92
53.6
3.31
0.18
0.97
2.15
2.84
4.5%
2023Q2
91
52.6
3.33
0.15
1.04
2.15
2.87
2.6%
2023Q1
90
55.3
2.97
0.18
0.93
1.85
2.58
2.3%
2022Q4
92
54.1
3.34
0.30
0.92
2.12
2.89
3.6%
2022Q3
92
52.5
3.28
0.30
0.86
2.12
2.85
10.0%
2022Q2
91
49.6
3.32
0.20
1.06
2.06
2.79
12.9%
2022Q1
90
44.7
3.78
0.11
1.33
2.34
3.42
14.8%
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 residents are fully informed and understand their health status, care and treatments.
F
2026-04-22
2026-03-19
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-04-22
2026-03-19
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
E
2026-04-22
2026-03-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-22
2026-03-19
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
2026-04-22
2026-03-19
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
2026-04-22
2026-03-19
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
2026-04-22
2026-03-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-04-22
2026-03-19
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
2026-04-22
2026-03-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-22
2024-10-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-18
2024-10-30
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-11-18
2024-10-30
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2024-11-18
2024-10-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-11-18
2024-10-30
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
2024-11-18
2024-10-30
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-11-18
2024-10-30
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
2024-11-18
2024-10-30
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-11-18
2023-08-17
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-09-18
2023-08-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-18
2023-08-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-18
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
55
Owner
Role
Pct
From
Status
Source
MISSISSIPPI EXTENDED CARE CENTERS
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
MISSISSIPPI EXTENDED CARE CENTERS
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
ELTON G. BEEBE SR IRRV CHILDRENS TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
85%
2023-10-01
current
pecos_ownership
ACCOUNT MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
ADMINISTRATIVE SYSTEMS INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
BEEBE, BOBBY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
BEEBE, BOBBY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
BEEBE, ELTON
CORPORATE DIRECTOR
—
1993-01-01
current
pecos_ownership
BEEBE, ELTON
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
ELTON G BEEBE SR IRRV GRNDCHILDRENS TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
ELTON G. BEEBE SR IRRV CHILDRENS TR
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
HEALTH CARE SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
HEALTH CARE SERVICES, INC.
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KEEN, RACHEL
CORPORATE OFFICER
—
2013-01-01
current
pecos_ownership
LINDA MAYNOR
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
LOGGINS, ROBERTA
ADP OF THE SNF
—
2022-02-28
current
pecos_ownership
MALHOTRA, SUNIL
ADP OF THE SNF
—
2017-07-22
current
pecos_ownership
MISSISSIPPI EXTENDED CARE CENTERS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
NUTRITION SYSTEMS CONSULTING INC
ADP OF THE SNF
—
2008-01-31
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2015-11-15
current
pecos_ownership
PARKINSON, TONI
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PATHWAY MANAGEMENT INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2014-01-01
current
pecos_ownership
PROVIDENCE CARE LLC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
REGIONAL CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
REGIONAL SERVICES, INC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
SADLER, ALISON
CORPORATE DIRECTOR
—
2005-01-01
current
pecos_ownership
SADLER, ALISON
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
STALLARD, DAVID
CORPORATE OFFICER
—
2004-09-14
current
pecos_ownership
STALLARD, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
STALLARD, DAVID
CORPORATE DIRECTOR
—
1997-01-01
current
pecos_ownership
STALLARD, FELICIA
CORPORATE DIRECTOR
—
2005-01-01
current
pecos_ownership
STALLARD, FELICIA
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
current
pecos_ownership
TRISTAR REHAB INC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
WHITE, RUBY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-04
current
pecos_ownership
BOBBY BEEBE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-01-01
ended 2026-05-18
pecos_ownership
MISSISSIPPI EXTENDED CARE CENTERS
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MISSISSIPPI EXTENDED CARE CENTERS
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MISSISSIPPI EXTENDED CARE CENTERS
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ALISON SADLER
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
ended 2026-05-18
pecos_ownership
ALISON SADLER
CORPORATE DIRECTOR
—
2005-01-01
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
ADP OF THE SNF
—
2010-01-01
ended 2026-05-18
pecos_ownership
DAVID STALLARD
CORPORATE OFFICER
—
2004-09-14
ended 2026-05-18
pecos_ownership
DAVID STALLARD
CORPORATE DIRECTOR
—
1997-01-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
CORPORATE DIRECTOR
—
1993-01-01
ended 2026-05-18
pecos_ownership
FELICIA STALLARD
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-01
ended 2026-05-18
pecos_ownership
FELICIA STALLARD
CORPORATE DIRECTOR
—
2005-01-01
ended 2026-05-18
pecos_ownership
RACHEL KEEN
CORPORATE OFFICER
—
2013-01-01
ended 2026-05-18
pecos_ownership
ROBERTA LOGGINS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-28
ended 2026-05-18
pecos_ownership
RUBY WHITE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-04
ended 2026-05-18
pecos_ownership
SUNIL MALHOTRA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-22
ended 2026-05-18
pecos_ownership
TONI PARKINSON
ADP OF THE SNF
—
2010-01-01
ended 2026-05-18
pecos_ownership
TONI PARKINSON
CORPORATE OFFICER
—
2015-11-15
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
$240,683
—
—
—
$957
2
propco
2023-12-31
$233,576
—
—
—
$1,678
2
propco
2022-12-31
$299,724
—
—
—
$1,072
2
propco
2021-12-31
$108,166
—
—
—
—
1
propco
2020-12-31
$110,795
—
—
—
—
1
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 28033
acs median gross
0
$1,382
2024-12-31
CENSUS_ACS5
county 28033
fmr
0
$1,060
2025-10-01
HUD_USER_FMR
county 28033
acs median gross
1
$1,244
2024-12-31
CENSUS_ACS5
county 28033
fmr
1
$1,154
2025-10-01
HUD_USER_FMR
county 28033
acs median gross
2
$1,392
2024-12-31
CENSUS_ACS5
county 28033
fmr
2
$1,274
2025-10-01
HUD_USER_FMR
county 28033
acs median gross
3
$1,537
2024-12-31
CENSUS_ACS5
county 28033
fmr
3
$1,683
2025-10-01
HUD_USER_FMR
county 28033
acs median gross
4
$2,053
2024-12-31
CENSUS_ACS5
county 28033
fmr
4
$1,959
2025-10-01
HUD_USER_FMR
county 28033
acs median gross
5
$1,832
2024-12-31
CENSUS_ACS5
county 28033
acs median gross
$1,451
2024-12-31
CENSUS_ACS5
county 28033
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 38637
acs median gross
1
$1,323
2024-12-31
CENSUS_ACS5
zcta 38637
acs median gross
2
$1,505
2024-12-31
CENSUS_ACS5
zcta 38637
acs median gross
3
$1,454
2024-12-31
CENSUS_ACS5
zcta 38637
acs median gross
4
$1,452
2024-12-31
CENSUS_ACS5
zcta 38637
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
zcta 38637
acs recent mover gross
$1,723
2024-12-31
CENSUS_ACS5
zip 38637
payment standard 110
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 90
0
$1,053
2025-10-01
HUD_USER_SAFMR
zip 38637
safmr
0
$1,170
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 38637
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 110
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 90
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 38637
safmr
2
$1,400
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 38637
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 110
4
$2,365
2025-10-01
HUD_USER_SAFMR
zip 38637
payment standard 90
4
$1,935
2025-10-01
HUD_USER_SAFMR
zip 38637
safmr
4
$2,150
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.