Reads as: riskier than 1.4% 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
15
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
4.69
3.33
3.28
2.90–3.77
RN
0.75
0.43
0.39
0.25–0.58
Weekend total
4.89
3.03
3.11
—
Weekday total
4.61
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.9
4.69
0.75
1.14
2.80
4.89
0.0%
2025Q3
92
27.0
4.75
0.68
1.28
2.79
4.90
0.0%
2025Q1
90
30.2
4.18
0.55
1.19
2.44
4.42
0.3%
2024Q4
92
31.1
4.21
0.73
1.15
2.33
4.24
0.0%
2024Q3
92
31.4
4.09
0.73
1.04
2.32
4.30
0.0%
2024Q2
91
30.6
4.35
0.66
1.23
2.46
4.48
0.2%
2024Q1
91
30.9
4.22
0.57
1.20
2.46
4.38
3.4%
2023Q4
92
31.3
4.11
0.60
1.16
2.34
4.22
3.9%
2023Q3
92
31.6
4.11
0.59
1.20
2.32
4.16
2.8%
2023Q2
91
31.0
4.26
0.62
1.24
2.40
4.25
0.1%
2023Q1
90
31.1
4.16
0.57
1.17
2.42
4.28
1.7%
2022Q4
92
30.4
4.42
0.66
1.29
2.47
4.41
1.1%
2022Q3
92
30.2
4.24
0.66
1.19
2.39
4.25
2.6%
2022Q2
91
29.4
4.50
0.66
1.19
2.66
4.55
2.1%
2022Q1
90
29.4
4.47
0.69
1.03
2.75
4.57
2.0%
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
13
C × 1D × 5E × 6F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-20
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2026-01-19
2024-03-21
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2024-04-05
2024-03-21
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-04-05
2024-03-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-04-05
2021-11-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2021-12-15
2021-11-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-12-15
2021-11-10
Health
F0760
Ensure that residents are free from significant medication errors.
D
2021-12-15
2021-11-10
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
2021-12-15
2021-11-10
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.
D
2021-12-15
2021-11-10
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2021-12-15
2021-11-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-12-15
2021-11-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-12-15
2021-11-10
Health
F0908
Keep all essential equipment working safely.
E
2021-12-15
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
FGS. INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-07-10
current
pecos_ownership
ALLABAUGH, FREDRICK
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ANDREWS, JILL
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
BUNNELL, KATHY
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
HALBERT, ROGER
CORPORATE DIRECTOR
—
2017-01-02
current
pecos_ownership
HYLE, TIMOTHY
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
KEENAN, MICHAEL
CORPORATE OFFICER
—
2001-01-01
current
pecos_ownership
LACEY, JOAN
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
LANOUETTE, DAWN
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
MACKEY, PATRICIA
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
MARTINICHIO, JOHN
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
RONEY, MARY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SEIER, JUDITH
W-2 MANAGING EMPLOYEE
—
2014-12-15
current
pecos_ownership
SEVEY, KYLE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WAGER, ELSIE
CORPORATE DIRECTOR
—
2011-01-01
current
pecos_ownership
WEBSTER, ERIC
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
DAWN LANOUETTE
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
ELSIE WAGER
CORPORATE DIRECTOR
0%
2011-01-01
ended 2026-05-18
pecos_ownership
ERIC WEBSTER
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
FREDRICK ALLABAUGH
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JILL ANDREWS
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
JOAN LACEY
CORPORATE DIRECTOR
0%
2012-01-01
ended 2026-05-18
pecos_ownership
JOHN MARTINICHIO
CORPORATE DIRECTOR
0%
2012-01-01
ended 2026-05-18
pecos_ownership
KATHY BUNNELL
CORPORATE DIRECTOR
0%
2016-01-01
ended 2026-05-18
pecos_ownership
KYLE SEVEY
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL KEENAN
CORPORATE OFFICER
0%
2001-01-01
ended 2026-05-18
pecos_ownership
PATRICIA MACKEY
CORPORATE OFFICER
0%
2015-01-01
ended 2026-05-18
pecos_ownership
ROGER HALBERT
CORPORATE DIRECTOR
0%
2017-01-02
ended 2026-05-18
pecos_ownership
TIMOTHY HYLE
CORPORATE DIRECTOR
0%
2017-01-01
ended 2026-05-18
pecos_ownership
JUDITH SEIER
W-2 MANAGING EMPLOYEE
—
2014-12-15
ended 2026-05-18
pecos_ownership
MARY RONEY
CORPORATE DIRECTOR
—
2021-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 36007
acs median gross
0
$726
2024-12-31
CENSUS_ACS5
county 36007
fmr
0
$783
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
1
$755
2024-12-31
CENSUS_ACS5
county 36007
fmr
1
$868
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
county 36007
fmr
2
$1,103
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
3
$1,139
2024-12-31
CENSUS_ACS5
county 36007
fmr
3
$1,412
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
4
$1,212
2024-12-31
CENSUS_ACS5
county 36007
fmr
4
$1,622
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
5
$1,408
2024-12-31
CENSUS_ACS5
county 36007
acs median gross
$941
2024-12-31
CENSUS_ACS5
county 36007
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
0
$705
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
1
$780
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
3
$1,097
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
4
$1,346
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
5
$1,320
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
$903
2024-12-31
CENSUS_ACS5
zcta 13760
acs recent mover gross
$942
2024-12-31
CENSUS_ACS5
zip 13760
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
4
$1,749
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
4
$1,431
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
4
$1,590
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.