Reads as: riskier than 10.0% 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 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
MO median
National median
National p25–p75
Total nurse
3.01
2.41
3.28
2.90–3.77
RN
0.08
0.25
0.39
0.25–0.58
Weekend total
3.17
2.24
3.11
—
Weekday total
2.95
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.6
3.01
0.08
0.74
2.20
3.17
0.0%
2025Q3
92
48.6
2.76
0.04
0.73
1.99
3.13
0.0%
2025Q2
91
51.7
2.81
0.04
0.72
2.05
2.68
0.0%
2025Q1
90
51.6
2.57
0.04
0.71
1.82
2.76
0.0%
2024Q4
92
53.5
2.50
0.03
0.68
1.79
2.52
0.0%
2024Q3
92
54.2
2.59
0.10
0.68
1.82
2.77
0.0%
2024Q2
91
52.7
2.64
0.11
0.67
1.86
2.65
0.0%
2024Q1
91
53.4
2.72
0.02
0.61
2.09
2.89
0.0%
2023Q4
92
56.5
2.60
0.03
0.56
2.01
2.50
0.0%
2023Q3
92
64.1
2.52
0.02
0.66
1.84
2.47
0.0%
2023Q2
91
71.0
2.36
0.02
0.51
1.83
2.19
0.0%
2023Q1
90
70.9
1.96
0.01
0.52
1.43
1.82
0.0%
2022Q4
92
65.6
2.73
0.06
0.64
2.02
2.44
0.0%
2022Q3
92
66.0
2.65
0.05
0.68
1.93
2.52
0.0%
2022Q2
91
68.3
2.72
0.03
0.61
2.08
2.49
0.0%
2022Q1
90
67.5
2.59
0.02
0.61
1.96
2.56
20.2%
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
26
D × 13E × 7F × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-12-11
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-01-24
2023-12-11
Health
F0679
Provide activities to meet all resident's needs.
E
2024-01-24
2023-12-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-01-24
2023-12-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-24
2023-12-11
Health
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
2024-01-24
2023-12-11
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
2024-01-24
2023-12-11
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2024-01-24
2023-12-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-24
2023-12-11
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-02-08
2022-05-17
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-06-30
2022-05-17
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2022-06-30
2022-05-17
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-06-30
2022-05-17
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
2022-06-30
2022-05-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-06-30
2022-05-17
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2022-06-30
2022-05-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-06-30
2019-07-12
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2019-08-24
2019-07-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2019-08-24
2019-07-12
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
2019-08-24
2019-07-12
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2019-08-24
2019-07-12
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2019-08-24
2019-07-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-08-24
2019-07-12
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
2019-08-24
2019-07-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-08-24
2019-07-12
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2019-08-24
2019-07-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2019-08-24
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
40
Owner
Role
Pct
From
Status
Source
JUCKETTE, JOYCE E
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-11-05
current
pecos_ownership
BIESENTHAL, NICHOLE
ADP OF THE SNF
—
2024-02-26
current
pecos_ownership
HUDLEMEYER, TERESA
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
INDEPENDENCE MANOR INC
ADP OF THE SNF
—
2008-12-03
current
pecos_ownership
INDEPENDENCE MANOR INC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
JUCKETTE MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2008-12-03
current
pecos_ownership
JUCKETTE MANAGEMENT SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
JUCKETTE, HOLLY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-03
current
pecos_ownership
JUCKETTE, HOLLY
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
JUCKETTE, JOYCE E
CORPORATE OFFICER
—
2015-11-03
current
pecos_ownership
JUCKETTE, JOYCE E
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
JUCKETTE, JOYCE E
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-11
current
pecos_ownership
MANSOUR, KRISTIANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-26
current
pecos_ownership
NEUROTH, TERI
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
NEUROTH, TERI
CORPORATE DIRECTOR
—
2015-11-03
current
pecos_ownership
PLOWMAN, AUDREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-24
current
pecos_ownership
SABIH, LOUAY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SHEBIEL, KAYANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-06
current
pecos_ownership
STEELE, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
STEELE, LISA
CORPORATE DIRECTOR
—
2015-11-03
current
pecos_ownership
STEELE, RANDALL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
STEELE, RANDALL
CORPORATE DIRECTOR
—
2009-07-01
current
pecos_ownership
JOYCE E JUCKETTE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-11-05
ended 2026-05-18
pecos_ownership
AUDREY PLOWMAN
ADP OF THE SNF
—
2025-02-24
ended 2026-05-18
pecos_ownership
HOLLY JUCKETTE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
HOLLY JUCKETTE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-11
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
KAYANNA SHEBIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-06
ended 2026-05-18
pecos_ownership
KRISTIANNA MANSOUR
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-26
ended 2026-05-18
pecos_ownership
LISA STEELE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
ended 2026-05-18
pecos_ownership
LISA STEELE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
LOUAY SABIH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
NICHOLE BIESENTHAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-26
ended 2026-05-18
pecos_ownership
RANDALL STEELE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
RANDALL STEELE
CORPORATE DIRECTOR
—
2009-07-01
ended 2026-05-18
pecos_ownership
TERESA HUDLEMEYER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
TERI NEUROTH
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
TERI NEUROTH
CORPORATE OFFICER
—
2015-11-03
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
2024-11-30
$112,584
—
—
—
—
1
—
2023-11-30
$80,477
—
—
—
—
1
—
2022-11-30
$98,413
—
—
—
—
1
—
2021-11-30
$110,738
—
—
—
—
1
—
2020-11-30
$94,522
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 29095
acs median gross
0
$938
2024-12-31
CENSUS_ACS5
county 29095
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
1
$1,024
2024-12-31
CENSUS_ACS5
county 29095
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
2
$1,179
2024-12-31
CENSUS_ACS5
county 29095
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
3
$1,422
2024-12-31
CENSUS_ACS5
county 29095
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
4
$1,731
2024-12-31
CENSUS_ACS5
county 29095
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 29095
acs median gross
$1,197
2024-12-31
CENSUS_ACS5
county 29095
acs recent mover gross
$1,373
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
0
$1,061
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
1
$1,022
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
2
$1,204
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
3
$1,486
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
4
$2,320
2024-12-31
CENSUS_ACS5
zcta 64055
acs median gross
$1,166
2024-12-31
CENSUS_ACS5
zcta 64055
acs recent mover gross
$1,474
2024-12-31
CENSUS_ACS5
zip 64055
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 64055
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 110
1
$1,188
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 90
1
$972
2025-10-01
HUD_USER_SAFMR
zip 64055
safmr
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 64055
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 64055
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 110
4
$2,090
2025-10-01
HUD_USER_SAFMR
zip 64055
payment standard 90
4
$1,710
2025-10-01
HUD_USER_SAFMR
zip 64055
safmr
4
$1,900
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.