Reads as: riskier than 48.9% 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
NH median
National median
National p25–p75
Total nurse
2.75
3.28
3.28
2.90–3.77
RN
0.35
0.52
0.39
0.25–0.58
Weekend total
2.78
3.14
3.11
—
Weekday total
2.74
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.2
2.75
0.35
0.52
1.88
2.78
4.1%
2025Q3
92
63.6
2.73
0.42
0.42
1.89
2.69
7.1%
2025Q2
91
62.8
2.61
0.41
0.38
1.82
2.59
6.8%
2025Q1
90
60.3
2.52
0.46
0.37
1.69
2.58
4.9%
2024Q4
92
59.6
2.55
0.31
0.50
1.75
2.62
16.6%
2024Q3
92
59.8
2.63
0.16
0.75
1.73
2.64
18.9%
2024Q2
91
63.2
2.67
0.17
0.63
1.87
2.60
34.3%
2024Q1
91
62.1
2.67
0.09
0.61
1.97
2.57
30.0%
2023Q4
92
63.7
2.56
0.13
0.41
2.02
2.47
24.1%
2023Q3
92
61.8
2.80
0.18
0.55
2.06
2.70
27.1%
2023Q2
91
59.3
3.57
0.24
0.65
2.68
3.45
46.5%
2023Q1
90
62.2
3.63
0.12
0.87
2.64
3.55
48.8%
2022Q4
92
58.7
4.03
0.22
0.89
2.92
3.92
51.3%
2022Q3
92
60.6
3.56
0.25
0.82
2.48
3.39
33.1%
2022Q2
91
58.0
3.31
0.17
0.81
2.33
3.20
21.3%
2022Q1
90
56.9
3.38
0.26
0.72
2.40
3.34
15.4%
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
24
B × 3C × 2D × 12E × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2025-07-25
2025-06-19
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-25
2025-06-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-07-23
2025-06-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-25
2025-06-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-25
2025-06-19
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-07-21
2024-05-07
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2024-06-21
2024-05-07
Health
F0679
Provide activities to meet all resident's needs.
D
2024-06-26
2024-05-07
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2024-06-16
2024-05-07
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
B
2024-06-18
2024-05-07
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-07-08
2024-05-07
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-05-30
2023-11-29
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-12-21
2023-11-29
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-01-12
2023-11-29
Health · complaint
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
2023-11-30
2023-11-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-29
2023-09-06
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-09-29
2023-08-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-09-19
2023-08-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-09-19
2023-06-13
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2023-07-14
2023-06-13
Health
F0732
Post nurse staffing information every day.
C
2023-07-10
2023-06-13
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
2023-07-10
2023-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-07-10
2023-06-13
Health
F0908
Keep all essential equipment working safely.
D
2023-07-14
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
43
Owner
Role
Pct
From
Status
Source
NH CATHOLIC CHARITIES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1990-01-01
current
pecos_ownership
BARRETT, KEVIN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
BERNARD, ALAIN
W-2 MANAGING EMPLOYEE
—
2018-10-01
current
pecos_ownership
BLONSKI, THOMAS
CORPORATE DIRECTOR
—
2006-07-01
current
pecos_ownership
COUGHLIN, ADAM
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
DEMERS, KATE
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
DESROSIERS, KEVIN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
FORD, PATRICK
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
HILDENBRAND, DAVID
CORPORATE OFFICER
—
2017-04-12
current
pecos_ownership
HILTON, RICHARD
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
HUARD, SUSAN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
JALBERT, JASON
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
LACROIX, JEFFREY
W-2 MANAGING EMPLOYEE
—
2017-10-03
current
pecos_ownership
LIBASCI, PETER
CORPORATE DIRECTOR
—
2016-04-01
current
pecos_ownership
MCLEAN, JEFFREY
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
MIRABLE, CATHERINE
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
MULLIKIN, ANU
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
OUELLETTE, RUSS
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
PATENAUDE, JOHN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
POWERS, EDWARD
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
RICHARDSON, SARAH
W-2 MANAGING EMPLOYEE
—
2018-10-18
current
pecos_ownership
ZIRKLE, KAREN
W-2 MANAGING EMPLOYEE
—
2018-10-18
current
pecos_ownership
DAVID HILDENBRAND
CORPORATE OFFICER
0%
2017-04-12
ended 2026-05-18
pecos_ownership
JEFFREY LACROIX
W-2 MANAGING EMPLOYEE
0%
2017-10-03
ended 2026-05-18
pecos_ownership
KAREN ZIRKLE
W-2 MANAGING EMPLOYEE
0%
2018-10-18
ended 2026-05-18
pecos_ownership
SARAH RICHARDSON
W-2 MANAGING EMPLOYEE
0%
2018-10-18
ended 2026-05-18
pecos_ownership
ADAM COUGHLIN
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
ALAIN BERNARD
W-2 MANAGING EMPLOYEE
—
2018-10-01
ended 2026-05-18
pecos_ownership
ANU MULLIKIN
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
CATHERINE MIRABLE
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
EDWARD POWERS
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
JASON JALBERT
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
JEFFREY MCLEAN
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
JOHN PATENAUDE
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
KATE DEMERS
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
KEVIN BARRETT
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
KEVIN DESROSIERS
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
PATRICK FORD
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
PETER LIBASCI
CORPORATE DIRECTOR
—
2016-04-01
ended 2026-05-18
pecos_ownership
RICHARD HILTON
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
RUSS OUELLETTE
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
SUSAN HUARD
CORPORATE DIRECTOR
—
2018-11-01
ended 2026-05-18
pecos_ownership
THOMAS BLONSKI
CORPORATE DIRECTOR
—
2006-07-01
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
2025-03-31
$606,486
—
$606,486
—
—
1
—
2024-03-31
$668,649
—
$668,649
—
—
1
—
2023-03-31
$850,733
—
—
—
—
1
—
2022-03-31
$619,278
—
$619,278
—
—
1
—
2021-03-31
$570,231
—
$570,231
—
—
1
—
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
27
Geo
Kind
BR
Amount
As of
Source
county 33007
acs median gross
1
$729
2024-12-31
CENSUS_ACS5
county 33007
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
county 33007
acs median gross
3
$1,094
2024-12-31
CENSUS_ACS5
county 33007
acs median gross
4
$1,135
2024-12-31
CENSUS_ACS5
county 33007
acs median gross
5
$1,150
2024-12-31
CENSUS_ACS5
county 33007
acs median gross
$876
2024-12-31
CENSUS_ACS5
county 33007
acs recent mover gross
$872
2024-12-31
CENSUS_ACS5
zcta 03570
acs median gross
1
$736
2024-12-31
CENSUS_ACS5
zcta 03570
acs median gross
2
$694
2024-12-31
CENSUS_ACS5
zcta 03570
acs median gross
3
$1,057
2024-12-31
CENSUS_ACS5
zcta 03570
acs median gross
$815
2024-12-31
CENSUS_ACS5
zcta 03570
acs recent mover gross
$878
2024-12-31
CENSUS_ACS5
zip 03570
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 03570
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 03570
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 110
2
$1,375
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 90
2
$1,125
2025-10-01
HUD_USER_SAFMR
zip 03570
safmr
2
$1,250
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 110
3
$1,815
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 90
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 03570
safmr
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 03570
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 03570
safmr
4
$1,660
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.