Reads as: riskier than 41.1% 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
MA median
National median
National p25–p75
Total nurse
4.07
3.39
3.28
2.90–3.77
RN
0.59
0.39
0.39
0.25–0.58
Weekend total
3.98
3.26
3.11
—
Weekday total
4.10
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.9
4.07
0.59
1.00
2.48
3.98
0.4%
2025Q3
92
77.3
3.89
0.52
0.99
2.37
3.77
0.2%
2025Q2
91
78.9
3.79
0.52
1.00
2.27
3.61
0.9%
2025Q1
90
78.2
3.84
0.45
1.12
2.26
3.68
3.1%
2024Q4
92
78.5
3.95
0.33
1.22
2.39
3.83
0.5%
2024Q3
92
78.2
3.91
0.31
1.23
2.37
3.79
0.2%
2024Q2
91
77.5
3.72
0.41
1.10
2.20
3.40
9.9%
2024Q1
91
79.7
3.65
0.35
1.11
2.19
3.43
12.8%
2023Q4
92
76.9
3.71
0.29
1.14
2.27
3.61
13.1%
2023Q3
92
77.1
3.65
0.32
1.11
2.22
3.57
10.8%
2023Q2
91
78.7
3.68
0.27
1.17
2.24
3.58
13.6%
2023Q1
90
81.8
3.62
0.30
1.08
2.23
3.46
13.0%
2022Q4
92
76.3
3.72
0.36
1.10
2.27
3.69
18.1%
2022Q3
92
79.0
3.50
0.26
1.13
2.11
3.29
18.7%
2022Q2
91
79.0
3.50
0.32
1.14
2.05
3.36
16.7%
2022Q1
90
77.9
3.48
0.31
1.14
2.02
3.54
13.6%
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 that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2026-02-11
2025-12-02
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2025-12-26
2025-12-02
Health · complaint
F0687
Provide appropriate foot care.
D
2025-12-26
2025-04-15
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-09
2025-04-15
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-02-04
2025-04-04
Health
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.
G
2025-04-30
2025-04-04
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-04-30
2025-04-04
Health
F0641
Ensure each resident receives an accurate assessment.
B
2025-04-30
2025-04-04
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2025-04-30
2025-04-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-30
2024-03-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-19
2024-03-26
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
2024-04-19
2024-03-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-19
2024-03-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-04-19
2022-09-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-10-06
2022-09-06
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
2022-10-06
2022-09-06
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2022-10-06
2022-09-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-10-06
2022-09-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-10-06
2022-09-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-10-06
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
18
Owner
Role
Pct
From
Status
Source
MONT MARIE PROPERTY LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
MONT MARIE PROPERTY LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
YR 2013 INVESTMENT TRUST U/A/D 3/25/13
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2021-12-31
current
pecos_ownership
POSEN, MINDEE
CORPORATE OFFICER
—
2022-01-01
current
pecos_ownership
RIVARD, LISA
CORPORATE DIRECTOR
—
2019-10-14
current
pecos_ownership
MONT MARIE PROPERTY LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MONT MARIE PROPERTY LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MM PROPERTY
Corporation, partnership or other organization has financial interest in provider
91%
2020-01-01
ended 2020-12-31
hcris_a_8_1
QUINTO GUARDIAN LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
90%
2014-11-01
ended 2026-05-18
pecos_ownership
TRYKO GUARDIAN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
68%
2014-11-01
ended 2026-05-18
pecos_ownership
KOHN FAM TR GST EXEMPT UAD 3-25-13
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2021-12-31
ended 2026-05-18
pecos_ownership
NFR 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2021-12-31
ended 2026-05-18
pecos_ownership
RSBRMK HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2021-12-31
ended 2026-05-18
pecos_ownership
SK 2013 INVESTMENT TR UA 03252013
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2021-12-31
ended 2026-05-18
pecos_ownership
UKR CONSULTING LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-11-01
ended 2026-05-18
pecos_ownership
UAK 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2021-12-31
ended 2026-05-18
pecos_ownership
LISA RIVARD
W-2 MANAGING EMPLOYEE
—
2019-10-14
ended 2026-05-18
pecos_ownership
MINDEE POSEN
CORPORATE OFFICER
—
2022-01-01
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
$898,206
—
—
—
$122,400
7
propco
2023-12-31
$812,942
—
—
—
$122,400
7
propco
2022-12-31
$784,947
—
—
—
$122,400
7
propco
2021-12-31
$742,864
—
—
—
$92,400
6
propco
2020-12-31
$576,263
$63,509
—
—
$102,170
4
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
30
Geo
Kind
BR
Amount
As of
Source
county 25013
acs median gross
0
$826
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
1
$869
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
2
$1,234
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
3
$1,408
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
4
$1,461
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
5
$1,586
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
$1,136
2024-12-31
CENSUS_ACS5
county 25013
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
0
$340
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
1
$823
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
2
$1,113
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
3
$1,258
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
4
$1,156
2024-12-31
CENSUS_ACS5
zcta 01040
acs median gross
$1,021
2024-12-31
CENSUS_ACS5
zcta 01040
acs recent mover gross
$1,356
2024-12-31
CENSUS_ACS5
zip 01040
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 01040
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 01040
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 110
2
$1,892
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 90
2
$1,548
2025-10-01
HUD_USER_SAFMR
zip 01040
safmr
2
$1,720
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 110
3
$2,321
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 90
3
$1,899
2025-10-01
HUD_USER_SAFMR
zip 01040
safmr
3
$2,110
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 110
4
$2,508
2025-10-01
HUD_USER_SAFMR
zip 01040
payment standard 90
4
$2,052
2025-10-01
HUD_USER_SAFMR
zip 01040
safmr
4
$2,280
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.