Reads as: riskier than 31.3% 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
IN median
National median
National p25–p75
Total nurse
2.85
2.85
3.28
2.90–3.77
RN
0.17
0.40
0.39
0.25–0.58
Weekend total
2.38
2.71
3.11
—
Weekday total
3.04
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.4
2.85
0.17
0.85
1.83
2.38
0.0%
2025Q3
92
57.9
2.78
0.20
0.75
1.82
2.52
0.0%
2025Q2
91
51.9
2.94
0.27
0.69
1.99
2.62
0.6%
2025Q1
90
55.3
2.77
0.26
0.63
1.88
2.66
1.0%
2024Q4
92
55.0
2.79
0.34
0.57
1.88
2.42
0.8%
2024Q3
92
57.0
2.47
0.27
0.61
1.59
2.21
0.9%
2024Q2
91
54.3
2.53
0.25
0.60
1.68
2.35
0.0%
2024Q1
91
49.7
2.59
0.25
0.71
1.63
2.51
0.0%
2023Q4
92
49.4
2.88
0.31
0.78
1.79
2.46
0.0%
2023Q3
92
48.9
2.81
0.27
0.80
1.74
2.42
0.0%
2023Q2
91
42.3
2.97
0.35
0.80
1.82
2.48
0.0%
2022Q4
92
44.6
2.67
0.22
0.80
1.66
2.47
0.0%
2022Q3
92
45.0
2.69
0.22
0.79
1.68
2.47
0.0%
2022Q2
91
41.7
3.28
0.20
1.04
2.04
2.82
0.0%
2022Q1
90
44.4
2.83
0.25
0.82
1.76
2.70
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.
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
21
D × 17E × 1F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-10-15
Health · complaint
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.
D
2025-11-21
2025-05-30
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-12
2025-05-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-12
2025-05-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-12
2025-05-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-12
2025-05-30
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-06-11
2025-01-03
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-01-17
2024-06-18
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-01
2024-04-19
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-05-08
2024-04-19
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-05-08
2024-04-19
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
2024-05-08
2024-04-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-08
2024-04-19
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-05-08
2024-01-18
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-01-29
2024-01-18
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-29
2024-01-18
Health · complaint
F0814
Dispose of garbage and refuse properly.
D
2024-01-29
2024-01-18
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2024-01-29
2023-03-17
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-03-21
2023-03-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-03-21
2023-03-17
Health
F0732
Post nurse staffing information every day.
D
2023-03-21
2023-03-17
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-03-21
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
26
Owner
Role
Pct
From
Status
Source
HENRY COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-01-01
current
pecos_ownership
DYNES, SHELDON
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
FRANKEL, ISRAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-08
current
pecos_ownership
FRANKEL, ISRAEL
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
GOODWIN, MERRY
ADP OF THE SNF
—
2018-09-03
current
pecos_ownership
HERITAGE HOUSE INC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
PIDGEON, JOHN
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
REIS, JAMES
ADP OF THE SNF
—
2023-07-31
current
pecos_ownership
REIS, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
RICHMOND IN OPERATING COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
RICHMOND IN OPERATING COMPANY, LLC
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
RICHMOND PROPCO LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
RICHMOND PROPCO LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
RING, BRIAN
CORPORATE OFFICER
—
2022-08-01
current
pecos_ownership
SHORE, MARION
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
WARE, DEBORAH
CORPORATE DIRECTOR
—
2021-08-27
current
pecos_ownership
BRIAN RING
CORPORATE OFFICER
0%
2022-08-01
ended 2026-05-18
pecos_ownership
DEBORAH WARE
CORPORATE DIRECTOR
0%
2021-08-27
ended 2026-05-18
pecos_ownership
ISRAEL FRANKEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-08
ended 2026-05-18
pecos_ownership
ISRAEL FRANKEL
ADP OF THE SNF
—
2025-01-13
ended 2026-05-18
pecos_ownership
JAMES REIS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
JAMES REIS
ADP OF THE SNF
—
2023-07-31
ended 2026-05-18
pecos_ownership
JOHN PIDGEON
CORPORATE DIRECTOR
—
2012-01-01
ended 2026-05-18
pecos_ownership
MARION SHORE
CORPORATE DIRECTOR
—
2012-01-01
ended 2026-05-18
pecos_ownership
MERRY GOODWIN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-03
ended 2026-05-18
pecos_ownership
SHELDON DYNES
CORPORATE DIRECTOR
—
2012-01-01
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
$1,001,168
$1,001,168
—
—
—
2
propco
2023-12-31
$564,214
$475,129
—
—
—
4
propco
2022-12-31
$321,694
$77,652
$244,042
—
—
5
—
2021-12-31
$331,402
$81,562
$249,840
—
—
5
—
2020-12-31
$266,593
$86,229
$180,364
—
—
5
—
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 18177
acs median gross
0
$551
2024-12-31
CENSUS_ACS5
county 18177
fmr
0
$724
2025-10-01
HUD_USER_FMR
county 18177
acs median gross
1
$611
2024-12-31
CENSUS_ACS5
county 18177
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18177
acs median gross
2
$831
2024-12-31
CENSUS_ACS5
county 18177
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18177
acs median gross
3
$976
2024-12-31
CENSUS_ACS5
county 18177
fmr
3
$1,191
2025-10-01
HUD_USER_FMR
county 18177
acs median gross
4
$1,025
2024-12-31
CENSUS_ACS5
county 18177
fmr
4
$1,266
2025-10-01
HUD_USER_FMR
county 18177
acs median gross
5
$1,183
2024-12-31
CENSUS_ACS5
county 18177
acs median gross
$815
2024-12-31
CENSUS_ACS5
county 18177
acs recent mover gross
$753
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
0
$545
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
1
$616
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
2
$843
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
3
$985
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
4
$1,105
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
5
$1,372
2024-12-31
CENSUS_ACS5
zcta 47374
acs median gross
$820
2024-12-31
CENSUS_ACS5
zcta 47374
acs recent mover gross
$755
2024-12-31
CENSUS_ACS5
zip 47374
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 47374
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 47374
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 47374
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 47374
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 47374
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 47374
safmr
4
$1,480
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.