Reads as: riskier than 32.9% 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
OH median
National median
National p25–p75
Total nurse
3.32
3.24
3.28
2.90–3.77
RN
0.47
0.38
0.39
0.25–0.58
Weekend total
3.21
3.11
3.11
—
Weekday total
3.36
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.5
3.32
0.47
0.77
2.07
3.21
0.0%
2025Q3
92
99.7
3.40
0.44
0.75
2.20
3.21
0.0%
2025Q2
91
96.7
3.37
0.30
0.84
2.23
3.24
0.0%
2025Q1
90
95.5
3.19
0.38
0.78
2.03
3.09
0.0%
2024Q4
92
90.3
3.43
0.48
0.79
2.15
3.30
0.0%
2024Q3
92
93.4
3.31
0.44
0.80
2.06
3.16
0.0%
2024Q2
91
97.8
3.39
0.33
0.81
2.26
3.23
0.0%
2024Q1
91
98.0
3.34
0.32
0.77
2.26
3.28
0.0%
2023Q4
92
96.7
3.34
0.39
0.71
2.23
3.31
0.0%
2023Q3
92
98.9
3.38
0.41
0.74
2.23
3.37
0.0%
2023Q2
91
95.5
3.41
0.31
0.82
2.28
3.33
0.0%
2023Q1
90
95.7
3.10
0.22
0.81
2.06
2.98
0.0%
2022Q4
92
88.7
3.17
0.26
0.78
2.12
3.05
0.0%
2022Q3
92
86.6
3.18
0.32
0.80
2.06
3.05
0.9%
2022Q2
91
82.8
2.92
0.42
0.70
1.80
2.77
2.5%
2022Q1
90
81.1
2.89
0.35
0.71
1.83
2.78
3.0%
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
34
D × 24E × 7F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-10
2026-02-26
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-10
2025-12-11
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-01-12
2025-12-11
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-01-12
2025-12-11
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-01-12
2025-12-11
Health · complaint
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
2026-01-12
2025-12-11
Health · complaint
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-01-12
2025-12-11
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-01-12
2025-01-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-01-31
2024-09-14
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-10-04
2024-02-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-18
2024-02-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-18
2024-02-06
Health · complaint
F0687
Provide appropriate foot care.
D
2024-03-18
2024-02-06
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-18
2023-10-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-11-17
2023-10-19
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-11-17
2023-10-19
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-11-17
2023-10-19
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
2023-11-17
2023-10-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-17
2023-10-19
Health
F0814
Dispose of garbage and refuse properly.
F
2023-11-17
2023-09-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-19
2023-09-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-19
2023-09-07
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-10-19
2023-06-20
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
E
2023-07-07
2023-06-20
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-07-07
2020-02-27
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2020-03-25
2020-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2020-03-25
2019-01-16
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2019-02-06
2019-01-16
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2019-02-06
2019-01-16
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
2019-02-06
2019-01-16
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
2019-02-06
2019-01-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-02-06
2019-01-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-02-06
2019-01-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-02-06
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
32
Owner
Role
Pct
From
Status
Source
WESTLAKE RE INV LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
WESTLAKE RE INV LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
CROSS, CINDY
CORPORATE OFFICER
—
1994-04-21
current
pecos_ownership
FLETCHER, TODD
CORPORATE OFFICER
—
2020-11-02
current
pecos_ownership
FLETCHER, TODD
CORPORATE DIRECTOR
—
2021-05-01
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
KERN, SAMANTHA
W-2 MANAGING EMPLOYEE
—
2018-08-20
current
pecos_ownership
LAY, LISA
CORPORATE DIRECTOR
—
2017-04-24
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2018-02-08
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1996-05-01
current
pecos_ownership
PRESTON, FORREST
CORPORATE OFFICER
—
—
current
pecos_ownership
SWANKER, RICHARD
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-21
current
pecos_ownership
ZIEGLER, JAMES
CORPORATE DIRECTOR
—
2001-09-18
current
pecos_ownership
ZIEGLER, JAMES
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
FORREST PRESTON
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
ended 2026-05-18
pecos_ownership
WESTLAKE RE INV LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
WESTLAKE RE INV LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
WESTLAKE RE INV LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
CINDY CROSS
CORPORATE OFFICER
—
1994-04-21
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
CORPORATE DIRECTOR
—
2001-09-18
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-21
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE DIRECTOR
—
2017-04-24
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE OFFICER
—
2018-02-08
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE OFFICER
—
2011-04-01
ended 2026-05-18
pecos_ownership
SAMANTHA KERN
W-2 MANAGING EMPLOYEE
—
2018-08-20
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
CORPORATE OFFICER
—
2020-11-02
ended 2026-05-18
pecos_ownership
TODD FLETCHER
CORPORATE DIRECTOR
—
2021-05-01
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
$1,037,330
$95,608
—
—
—
5
propco
2023-12-31
$993,714
$107,538
—
—
—
5
propco
2022-12-31
$936,483
$124,334
—
—
—
5
propco
2021-12-31
$1,039,757
$135,219
—
—
—
5
propco
2020-12-31
$1,156,425
—
—
—
$551,172
5
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
36
Geo
Kind
BR
Amount
As of
Source
county 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
0
$1,733
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
1
$1,569
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
2
$1,505
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
3
$1,609
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
4
$2,262
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
5
$1,900
2024-12-31
CENSUS_ACS5
zcta 44145
acs median gross
$1,570
2024-12-31
CENSUS_ACS5
zcta 44145
acs recent mover gross
$1,747
2024-12-31
CENSUS_ACS5
zip 44145
payment standard 110
0
$1,408
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
0
$1,152
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
0
$1,280
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
1
$1,606
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
1
$1,314
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
1
$1,460
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
2
$1,936
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
2
$1,760
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
3
$2,486
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
3
$2,034
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
3
$2,260
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 110
4
$2,662
2025-10-01
HUD_USER_SAFMR
zip 44145
payment standard 90
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 44145
safmr
4
$2,420
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.