Reads as: riskier than 76.1% 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
2.18
2.85
3.28
2.90–3.77
RN
0.18
0.40
0.39
0.25–0.58
Weekend total
2.02
2.71
3.11
—
Weekday total
2.25
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.0
2.18
0.18
0.60
1.40
2.02
0.1%
2025Q3
92
64.0
2.24
0.26
0.53
1.45
2.19
0.4%
2025Q2
91
65.7
2.19
0.36
0.40
1.43
2.15
0.4%
2025Q1
90
69.4
1.99
0.25
0.39
1.35
2.01
0.0%
2024Q4
92
73.0
2.03
0.11
0.60
1.32
1.91
0.0%
2024Q3
92
72.5
1.92
0.10
0.42
1.39
1.83
0.0%
2024Q2
91
77.8
2.09
0.13
0.46
1.50
1.89
0.0%
2024Q1
91
82.0
1.82
0.16
0.30
1.36
1.75
0.0%
2023Q4
92
85.5
1.99
0.05
0.43
1.50
1.91
0.0%
2023Q3
92
85.2
2.05
0.07
0.45
1.53
2.12
16.1%
2023Q2
91
89.1
2.06
0.03
0.64
1.39
1.83
27.1%
2023Q1
90
91.1
1.91
0.07
0.59
1.25
1.76
23.8%
2022Q4
92
91.5
1.81
0.12
0.46
1.24
1.72
14.6%
2022Q3
92
86.4
2.43
0.18
0.64
1.61
2.42
37.1%
2022Q2
91
91.9
2.75
0.13
0.84
1.79
2.60
58.1%
2022Q1
90
95.5
2.22
0.11
0.66
1.45
2.00
47.7%
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
23
D × 15E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
—
2026-01-09
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-01-30
2026-01-09
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-01-30
2026-01-09
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-01-30
2026-01-09
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-01-30
2026-01-09
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
2026-01-30
2026-01-09
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2026-01-30
2026-01-09
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-01-30
2026-01-09
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2026-01-30
2025-01-27
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
2025-02-06
2024-06-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-01
2024-06-14
Health · complaint
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
2024-07-01
2024-03-08
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2024-03-26
2024-03-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-26
2024-03-08
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
2024-03-26
2024-03-08
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
2024-03-26
2024-03-08
Health
F0814
Dispose of garbage and refuse properly.
E
2024-03-26
2024-03-08
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-03-26
2024-03-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-26
2024-03-08
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.
E
2024-03-26
2023-08-31
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2023-09-22
2023-06-19
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-06-22
2023-06-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-22
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
31
Owner
Role
Pct
From
Status
Source
1201 DALY SNF REALTY
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
1201 DALY SNF REALTY
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
ADAMS COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-11-01
ended 2026-05-18
pecos_ownership
MAJESTIC CARE OF NEW HAVEN LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-08-01
ended 2026-05-18
pecos_ownership
1201 DALY SNF REALTY
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
1201 DALY SNF REALTY
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
1201 DALY SNF REALTY
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
ANGELA REWA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-23
ended 2026-05-18
pecos_ownership
ANZHELIKA SHATROV
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
ended 2026-05-18
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
DEYANIRA CHEN
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
ERIC WOLFE
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
JAMES ALEXANDER
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
MANAGING CONTROL - GOVERNING BODY
—
2015-11-01
ended 2026-05-18
pecos_ownership
LORRI MAPLES
ADP OF THE SNF
—
2024-06-03
ended 2026-05-18
pecos_ownership
LTC CONSULTING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
MAJESTIC MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
MAJESTIC MANAGEMENT LLC
ADP OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
MARGARET CHAMBERLAIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
ended 2026-05-18
pecos_ownership
MDG MAJESTIC PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
MDG REAL ESTATE GLOBAL LIMITED
ADP OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
PAUL PRUITT
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
ROBERT RUSSELL
ADP OF THE SNF
—
2024-04-08
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
MANAGING CONTROL - GOVERNING BODY
—
2020-07-14
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
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
$1,826,065
$712,136
—
—
$483,073
17
propco
2023-12-31
$2,516,148
$1,006,822
—
—
$909,510
18
propco
2022-12-31
$1,868,639
$966,019
—
—
$397,805
14
propco
2021-12-31
$1,689,966
$779,896
—
—
$265,076
14
propco
2020-12-31
$1,940,295
$1,332,154
—
—
$113,809
12
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
35
Geo
Kind
BR
Amount
As of
Source
county 18003
acs median gross
0
$867
2024-12-31
CENSUS_ACS5
county 18003
fmr
0
$892
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
1
$854
2024-12-31
CENSUS_ACS5
county 18003
fmr
1
$916
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
2
$1,052
2024-12-31
CENSUS_ACS5
county 18003
fmr
2
$1,113
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
3
$1,157
2024-12-31
CENSUS_ACS5
county 18003
fmr
3
$1,381
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 18003
fmr
4
$1,512
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
5
$1,265
2024-12-31
CENSUS_ACS5
county 18003
acs median gross
$1,021
2024-12-31
CENSUS_ACS5
county 18003
acs recent mover gross
$1,142
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
0
$490
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
1
$791
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
2
$1,022
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
3
$1,120
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
4
$2,122
2024-12-31
CENSUS_ACS5
zcta 46774
acs median gross
$1,014
2024-12-31
CENSUS_ACS5
zcta 46774
acs recent mover gross
$1,229
2024-12-31
CENSUS_ACS5
zip 46774
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 46774
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 46774
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 46774
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 46774
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 46774
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 46774
safmr
4
$1,510
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.