Reads as: riskier than 48.0% 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 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
3.27
3.24
3.28
2.90–3.77
RN
0.26
0.38
0.39
0.25–0.58
Weekend total
3.11
3.11
3.11
—
Weekday total
3.34
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.8
3.27
0.26
0.98
2.04
3.11
2.2%
2025Q3
92
65.3
3.34
0.26
0.95
2.12
3.14
2.2%
2025Q2
91
64.7
3.17
0.22
1.07
1.87
2.97
2.5%
2025Q1
90
66.0
3.26
0.27
1.14
1.85
3.11
1.9%
2024Q4
92
66.9
3.54
0.25
1.25
2.04
3.24
2.1%
2024Q3
92
67.7
3.42
0.29
1.11
2.02
3.14
1.9%
2024Q2
91
69.4
3.21
0.23
1.32
1.66
3.08
1.9%
2024Q1
91
67.0
3.41
0.24
1.28
1.90
3.24
2.1%
2023Q4
92
66.4
3.55
0.25
1.30
2.00
3.42
2.0%
2023Q3
92
71.2
3.41
0.27
1.15
1.99
3.21
2.2%
2023Q2
91
70.0
3.43
0.21
1.23
2.00
3.16
2.3%
2023Q1
90
66.1
3.28
0.20
1.14
1.93
3.16
0.0%
2022Q4
92
61.1
3.06
0.34
0.96
1.76
3.00
0.0%
2022Q3
92
62.2
2.85
0.35
1.01
1.49
2.57
0.0%
2022Q2
91
61.4
2.68
0.50
0.83
1.35
2.48
0.1%
2022Q1
90
64.5
2.66
0.58
0.79
1.29
2.40
0.0%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-02-13
2026-01-22
Health · complaint
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
2026-02-13
2025-12-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-22
2025-12-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-22
2025-12-04
Health · complaint
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
2026-01-22
2025-12-04
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-22
2025-12-04
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-02-13
2025-12-04
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2026-02-13
2025-10-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-22
2025-10-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-12-04
2025-10-29
Health · complaint
F0687
Provide appropriate foot care.
D
2025-12-04
2025-10-29
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
G
2025-12-04
2025-08-12
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
2025-09-08
2025-08-12
Health · complaint
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
2025-09-08
2025-08-12
Health · complaint
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.
F
2025-09-08
2025-08-12
Health
F0814
Dispose of garbage and refuse properly.
F
2025-09-08
2025-08-12
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2025-09-08
2025-08-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-09-08
2025-08-12
Health
F0926
Have policies on smoking.
F
2025-09-08
2025-01-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-10
2024-10-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-18
2024-02-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-02-06
2023-12-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-09
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
14
Owner
Role
Pct
From
Status
Source
FAIRLAWN HEALTH REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
FAIRLAWN HEALTH REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
COLLERAN, BRIAN
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC
ADP OF THE SNF
—
2025-07-03
current
pecos_ownership
JACKSON, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-28
current
pecos_ownership
KRYSTOWSKI, JOHN
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
PONNAM, HARIKRISHNA CHOUDARY
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
COLLERAN FAM TR DATED 01-01-2018
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-05-01
ended 2026-05-18
pecos_ownership
FOUNDATIONS HEALTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-05-01
ended 2026-05-18
pecos_ownership
BRIAN COLLERAN
CORPORATE OFFICER
—
2020-06-01
ended 2026-05-18
pecos_ownership
CHARLES JACKSON
ADP OF THE SNF
—
2025-04-28
ended 2026-05-18
pecos_ownership
HARIKRISHNA CHOUDARY PONNAM
ADP OF THE SNF
—
2020-05-01
ended 2026-05-18
pecos_ownership
JOHN KRYSTOWSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$444,356
—
$231,081
—
—
2
propco
2023-12-31
$445,173
—
$184,320
—
—
2
propco
2022-12-31
$319,712
—
—
—
—
1
—
2021-12-31
$455,687
—
—
—
—
1
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 39153
acs median gross
0
$844
2024-12-31
CENSUS_ACS5
county 39153
fmr
0
$904
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
county 39153
fmr
1
$985
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
2
$1,080
2024-12-31
CENSUS_ACS5
county 39153
fmr
2
$1,268
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
county 39153
fmr
3
$1,547
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
4
$1,245
2024-12-31
CENSUS_ACS5
county 39153
fmr
4
$1,681
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
5
$1,119
2024-12-31
CENSUS_ACS5
county 39153
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 39153
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zcta 44333
acs median gross
1
$1,042
2024-12-31
CENSUS_ACS5
zcta 44333
acs median gross
2
$1,390
2024-12-31
CENSUS_ACS5
zcta 44333
acs median gross
3
$2,250
2024-12-31
CENSUS_ACS5
zcta 44333
acs median gross
$1,411
2024-12-31
CENSUS_ACS5
zcta 44333
acs recent mover gross
$2,182
2024-12-31
CENSUS_ACS5
zip 44333
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 44333
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 110
1
$1,133
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 90
1
$927
2025-10-01
HUD_USER_SAFMR
zip 44333
safmr
1
$1,030
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 110
2
$1,452
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 90
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 44333
safmr
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 110
3
$1,771
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 90
3
$1,449
2025-10-01
HUD_USER_SAFMR
zip 44333
safmr
3
$1,610
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 110
4
$1,925
2025-10-01
HUD_USER_SAFMR
zip 44333
payment standard 90
4
$1,575
2025-10-01
HUD_USER_SAFMR
zip 44333
safmr
4
$1,750
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.