Reads as: riskier than 18.7% 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
3.57
3.68
3.28
2.90–3.77
RN
0.35
0.34
0.39
0.25–0.58
Weekend total
3.18
3.30
3.11
—
Weekday total
3.73
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.4
3.57
0.35
0.87
2.35
3.18
0.0%
2025Q3
92
53.3
3.62
0.28
0.94
2.40
3.23
5.2%
2025Q2
91
51.4
3.53
0.32
0.97
2.24
3.16
3.2%
2025Q1
90
50.3
3.46
0.33
0.91
2.22
3.26
2.5%
2024Q4
92
46.8
3.52
0.28
0.95
2.29
3.21
3.4%
2024Q3
92
49.9
3.40
0.31
0.85
2.23
3.13
8.4%
2024Q2
91
50.2
3.10
0.36
0.89
1.85
2.85
7.1%
2024Q1
91
50.7
3.25
0.39
0.80
2.07
2.99
6.7%
2023Q4
92
52.3
3.21
0.37
0.79
2.04
2.88
3.1%
2023Q3
92
55.9
3.17
0.34
0.78
2.05
2.85
3.0%
2023Q2
91
50.3
3.38
0.33
0.93
2.12
3.05
0.8%
2023Q1
90
50.8
3.24
0.23
0.91
2.10
2.98
1.0%
2022Q4
92
49.4
3.17
0.16
0.94
2.08
2.99
0.2%
2022Q3
92
47.1
3.27
0.20
0.85
2.22
2.90
3.5%
2022Q2
91
45.7
3.15
0.20
0.74
2.21
2.54
6.9%
2022Q1
90
44.0
3.39
0.19
0.85
2.35
2.86
7.4%
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.
Ensure each resident receives an accurate assessment.
D
2024-10-01
2024-08-21
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-10-01
2024-08-21
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-10-01
2024-07-01
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-07-31
2023-02-09
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
2023-03-17
2023-02-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-03-17
2020-01-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-01-31
2020-01-09
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
2020-01-31
2020-01-09
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
2020-01-31
2020-01-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-01-31
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
38
Owner
Role
Pct
From
Status
Source
MEDICO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-01-01
current
pecos_ownership
WASHINGTON CARE CENTER
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
WASHINGTON CARE CENTER
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
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
ALISONS 2016 FAM TR NO 2
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BEEBE 2013 CHILDRENS TR NG
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BEEBE, BOBBY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
BEEBE, ELTON
OPERATIONAL/MANAGERIAL CONTROL
—
2008-01-01
current
pecos_ownership
FELICIAS 2016 FAM TR NO 2
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
JOHNSON, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-08
current
pecos_ownership
KARIM, PARVEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-23
current
pecos_ownership
NUTRITION SYSTEMS CONSULTING INC
ADP OF THE SNF
—
2008-01-31
current
pecos_ownership
PARKINSON, TONI
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2011-07-01
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2018-03-28
current
pecos_ownership
PROVIDENCE CARE LLC
ADP OF THE SNF
—
2008-01-01
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
REGIONAL CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
REGIONAL SERVICES, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
SMART, BRIONNE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
current
pecos_ownership
STALLARD, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2008-01-01
current
pecos_ownership
TRISTAR REHAB INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
WASHINGTON CARE CENTER, LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
WASHINGTON CARE CENTER
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
WASHINGTON CARE CENTER
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
WASHINGTON CARE CENTER
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2013-11-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2008-01-01
ended 2026-05-18
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2013-11-01
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
BRIONNE SMART
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
ended 2026-05-18
pecos_ownership
DAVID STALLARD
OPERATIONAL/MANAGERIAL CONTROL
—
2008-01-01
ended 2026-05-18
pecos_ownership
DEBRA JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-08
ended 2026-05-18
pecos_ownership
PARVEZ KARIM
ADP OF THE SNF
—
2014-04-23
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
—
2011-07-01
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
2024-12-31
$135,321
—
—
—
$878
2
propco
2023-12-31
$121,146
—
—
—
$3,206
2
propco
2022-12-31
$132,954
—
—
—
$462
2
propco
2021-12-31
$73,819
—
—
—
—
1
propco
2020-12-31
$73,819
—
—
—
—
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 28151
acs median gross
0
$495
2024-12-31
CENSUS_ACS5
county 28151
fmr
0
$648
2025-10-01
HUD_USER_FMR
county 28151
acs median gross
1
$699
2024-12-31
CENSUS_ACS5
county 28151
fmr
1
$768
2025-10-01
HUD_USER_FMR
county 28151
acs median gross
2
$761
2024-12-31
CENSUS_ACS5
county 28151
fmr
2
$842
2025-10-01
HUD_USER_FMR
county 28151
acs median gross
3
$967
2024-12-31
CENSUS_ACS5
county 28151
fmr
3
$1,177
2025-10-01
HUD_USER_FMR
county 28151
acs median gross
4
$1,025
2024-12-31
CENSUS_ACS5
county 28151
fmr
4
$1,412
2025-10-01
HUD_USER_FMR
county 28151
acs median gross
5
$1,370
2024-12-31
CENSUS_ACS5
county 28151
acs median gross
$833
2024-12-31
CENSUS_ACS5
county 28151
acs recent mover gross
$894
2024-12-31
CENSUS_ACS5
zcta 38703
acs median gross
0
$1,047
2024-12-31
CENSUS_ACS5
zcta 38703
acs median gross
1
$885
2024-12-31
CENSUS_ACS5
zcta 38703
acs median gross
2
$789
2024-12-31
CENSUS_ACS5
zcta 38703
acs median gross
3
$887
2024-12-31
CENSUS_ACS5
zcta 38703
acs median gross
$875
2024-12-31
CENSUS_ACS5
zcta 38703
acs recent mover gross
$820
2024-12-31
CENSUS_ACS5
zip 38703
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 38703
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 38703
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 38703
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 38703
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 38703
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 38703
safmr
4
$1,640
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.