Reads as: riskier than 71.4% 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
MO median
National median
National p25–p75
Total nurse
3.07
2.41
3.28
2.90–3.77
RN
0.45
0.25
0.39
0.25–0.58
Weekend total
2.83
2.24
3.11
—
Weekday total
3.17
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
115.5
3.07
0.45
0.94
1.69
2.83
5.8%
2025Q3
92
114.3
3.20
0.47
0.96
1.77
2.98
2.3%
2025Q2
91
115.0
3.16
0.47
0.88
1.80
2.88
8.5%
2025Q1
90
115.4
3.10
0.55
0.89
1.65
2.88
9.4%
2024Q4
92
114.3
3.12
0.54
0.89
1.70
2.99
12.3%
2024Q3
92
113.3
3.21
0.44
1.05
1.73
3.03
13.1%
2024Q2
91
108.6
3.19
0.51
1.04
1.64
2.88
4.6%
2024Q1
91
111.0
3.14
0.43
1.09
1.62
3.07
0.0%
2023Q4
92
110.9
3.35
0.36
1.15
1.84
3.26
0.0%
2023Q3
92
107.8
3.59
0.34
1.30
1.95
3.55
0.0%
2023Q2
91
103.9
3.60
0.33
1.26
2.01
3.67
0.0%
2023Q1
90
102.4
3.24
0.35
1.14
1.76
2.99
0.0%
2022Q4
92
90.7
3.87
0.45
1.28
2.14
3.63
0.0%
2022Q3
92
101.1
3.66
0.91
0.53
2.22
3.52
0.0%
2022Q2
91
106.9
3.67
1.27
0.39
2.01
3.44
0.0%
2022Q1
90
103.6
3.24
1.42
0.41
1.41
3.06
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
20
D × 9E × 9F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-30
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-04-29
2025-01-14
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-02-27
2025-01-14
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
2025-02-27
2025-01-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-27
2025-01-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-02-27
2024-07-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-09
2023-07-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-16
2023-07-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-08-16
2023-07-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-08-16
2023-07-05
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
2023-08-16
2023-07-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-16
2023-07-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-16
2021-08-30
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2021-10-12
2021-08-30
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2021-10-12
2021-08-30
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2021-10-12
2021-08-30
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
2021-10-12
2021-08-30
Health
F0732
Post nurse staffing information every day.
E
2021-10-12
2021-08-30
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.
E
2021-10-12
2021-08-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-10-12
2021-08-30
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
E
2021-10-12
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
46
Owner
Role
Pct
From
Status
Source
BARBARICK, HEATH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
current
pecos_ownership
CHINNERY, CARL
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
CLEMENTS, GABRIEL
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
COLUMBATTO, ANTHONY
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
COLUMBATTO, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
DEMAREST, DIANE
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
DYKMAN, TIMOTHY
CORPORATE DIRECTOR
—
2025-08-06
current
pecos_ownership
GALEASSI, RENEE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-09-20
current
pecos_ownership
GROSS, MELVIN
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
HAM, JAMES
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
HARRELSON, LINDA
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
HOVERSTEN, TAMI
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
HOVERSTEN, TAMI
ADP OF THE SNF
—
2026-02-13
current
pecos_ownership
JOHN KNOX VILLAGE
ADP OF THE SNF
—
—
current
pecos_ownership
JOHNSON, LAURIE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-11
current
pecos_ownership
MILAKOVICH, SHERRI
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
PREMIERLIFE
OPERATIONAL/MANAGERIAL CONTROL
—
2006-05-11
current
pecos_ownership
ROBB, CHARLES
CORPORATE DIRECTOR
—
2016-12-01
current
pecos_ownership
SEGGERMAN, STEVEN
ADP OF THE SNF
—
2025-05-03
current
pecos_ownership
SMITH, TINA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
THE ZIEGLER COMPANIES, INC.
ADP OF THE SNF
—
2024-03-08
current
pecos_ownership
TIMBERLAKE, MARIA
CORPORATE OFFICER
—
2007-09-30
current
pecos_ownership
TWENTER, KATHRYN
ADP OF THE SNF
—
2026-01-23
current
pecos_ownership
WAHL, DALOIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-02
current
pecos_ownership
WEISS STAFFING SOLUTIONS
ADP OF THE SNF
—
2015-09-21
current
pecos_ownership
ANTHONY COLUMBATTO
CORPORATE OFFICER
—
2021-07-01
ended 2026-05-18
pecos_ownership
ANTHONY COLUMBATTO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
CARL CHINNERY
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
CHARLES ROBB
CORPORATE DIRECTOR
—
2016-12-01
ended 2026-05-18
pecos_ownership
DALOIS WAHL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-02
ended 2026-05-18
pecos_ownership
DIANE DEMAREST
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
GABRIEL CLEMENTS
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
HEATH BARBARICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-14
ended 2026-05-18
pecos_ownership
JAMES HAM
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
KATHRYN TWENTER
ADP OF THE SNF
—
2026-01-23
ended 2026-05-18
pecos_ownership
LAURIE JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-11
ended 2026-05-18
pecos_ownership
LINDA HARRELSON
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
MARIA TIMBERLAKE
CORPORATE OFFICER
—
2007-09-30
ended 2026-05-18
pecos_ownership
MELVIN GROSS
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
RENEE GALEASSI
ADP OF THE SNF
—
2015-09-20
ended 2026-05-18
pecos_ownership
SHERRI MILAKOVICH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
ended 2026-05-18
pecos_ownership
STEVEN SEGGERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-03
ended 2026-05-18
pecos_ownership
TAMI HOVERSTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
ended 2026-05-18
pecos_ownership
TAMI HOVERSTEN
ADP OF THE SNF
—
2026-02-13
ended 2026-05-18
pecos_ownership
TIMOTHY DYKMAN
CORPORATE DIRECTOR
—
2025-08-06
ended 2026-05-18
pecos_ownership
TINA SMITH
CORPORATE DIRECTOR
—
2024-07-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-03-31
$9,178,412
—
—
—
$1,476,755
0
—
2022-03-31
$10,779,408
—
—
—
$1,819,595
0
—
2021-03-31
$11,792,091
—
—
—
$1,842,716
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
35
Geo
Kind
BR
Amount
As of
Source
county 29095
acs median gross
0
$938
2024-12-31
CENSUS_ACS5
county 29095
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
1
$1,024
2024-12-31
CENSUS_ACS5
county 29095
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
2
$1,179
2024-12-31
CENSUS_ACS5
county 29095
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
3
$1,422
2024-12-31
CENSUS_ACS5
county 29095
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
4
$1,731
2024-12-31
CENSUS_ACS5
county 29095
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 29095
acs median gross
$1,197
2024-12-31
CENSUS_ACS5
county 29095
acs recent mover gross
$1,373
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
0
$962
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
1
$1,667
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
2
$1,840
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
3
$1,476
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
4
$2,414
2024-12-31
CENSUS_ACS5
zcta 64081
acs median gross
$1,627
2024-12-31
CENSUS_ACS5
zcta 64081
acs recent mover gross
$1,626
2024-12-31
CENSUS_ACS5
zip 64081
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 64081
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 110
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 90
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 64081
safmr
1
$1,300
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 110
2
$1,628
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 90
2
$1,332
2025-10-01
HUD_USER_SAFMR
zip 64081
safmr
2
$1,480
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 110
3
$2,123
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 90
3
$1,737
2025-10-01
HUD_USER_SAFMR
zip 64081
safmr
3
$1,930
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 110
4
$2,519
2025-10-01
HUD_USER_SAFMR
zip 64081
payment standard 90
4
$2,061
2025-10-01
HUD_USER_SAFMR
zip 64081
safmr
4
$2,290
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.