Reads as: riskier than 74.5% 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
NE median
National median
National p25–p75
Total nurse
1.86
2.88
3.28
2.90–3.77
RN
0.37
0.42
0.39
0.25–0.58
Weekend total
1.76
2.75
3.11
—
Weekday total
1.90
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
37.8
1.86
0.37
0.19
1.30
1.76
21.1%
2025Q3
92
35.8
2.32
0.39
0.17
1.76
2.19
16.6%
2025Q2
91
36.3
2.33
0.39
0.28
1.66
2.08
11.0%
2025Q1
90
34.2
2.33
0.35
0.38
1.60
2.26
18.7%
2024Q4
92
35.6
2.67
0.53
0.36
1.78
2.61
14.6%
2024Q3
92
39.8
2.70
0.53
0.09
2.09
2.56
14.7%
2024Q2
91
38.6
2.77
0.55
0.14
2.09
2.72
17.1%
2024Q1
91
36.5
2.55
0.33
0.25
1.97
2.50
18.0%
2023Q4
92
32.2
2.47
0.31
0.21
1.95
2.40
43.1%
2023Q3
92
34.0
1.97
0.29
0.28
1.40
1.60
0.0%
2023Q2
91
36.4
2.21
0.26
0.15
1.80
1.93
1.5%
2023Q1
90
40.2
3.97
0.75
0.35
2.87
3.47
44.7%
2022Q4
92
44.4
2.19
0.40
0.16
1.63
1.99
0.3%
2022Q3
92
43.7
3.41
0.62
0.26
2.54
2.89
17.1%
2022Q2
91
37.3
3.72
0.51
0.29
2.92
3.19
6.3%
2022Q1
90
37.6
0.54
0.02
0.09
0.42
0.64
96.1%
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
31
C × 2D × 20E × 7G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-24
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-05-08
2026-03-24
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
—
2026-03-24
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-08
2025-12-18
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-01
2025-12-18
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-02-01
2025-12-18
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-01
2025-12-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-02-01
2025-12-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-02-01
2025-12-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-01
2025-12-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2026-02-01
2025-12-18
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-02-01
2025-12-18
Health
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
E
2026-02-01
2024-12-05
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
C
2025-01-19
2024-12-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-19
2024-12-05
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.
E
2025-01-19
2024-12-05
Health
F0732
Post nurse staffing information every day.
C
2025-01-19
2024-12-05
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.
E
2025-01-19
2024-12-05
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-01-19
2024-12-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-19
2024-12-05
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-01-19
2024-08-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-06
2023-11-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-12-29
2023-11-14
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-12-29
2023-11-14
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2023-12-29
2023-11-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-29
2023-11-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-29
2023-11-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-12-29
2023-11-14
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2023-12-29
2023-09-27
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-27
2023-09-27
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-10-27
2023-09-27
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.
D
2023-10-27
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
16
Owner
Role
Pct
From
Status
Source
ARBOR CARE CENTERS LLC
ADP OF THE SNF
—
2025-04-23
current
pecos_ownership
ARBOR CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
KLAASMEYER, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
KLAASMEYER, JESSICA
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
KLAASMEYER, KENNETH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
KLAASMEYER, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
MCNEILL, TRISHTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
current
pecos_ownership
MCWHORTER, EVERETT
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
SPANEL, ALAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
AARON KLAASMEYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2020-10-01
ended 2026-05-18
pecos_ownership
JESSICA KLAASMEYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-05-01
ended 2026-05-18
pecos_ownership
KENNETH KLAASMEYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2020-10-01
ended 2026-05-18
pecos_ownership
LINDA KLAASMEYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2020-10-01
ended 2026-05-18
pecos_ownership
ALAN SPANEL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
ended 2026-05-18
pecos_ownership
EVERETT MCWHORTER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
ended 2026-05-18
pecos_ownership
TRISHTIAN MCNEILL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-06
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
31
Geo
Kind
BR
Amount
As of
Source
county 31119
acs median gross
0
$594
2024-12-31
CENSUS_ACS5
county 31119
fmr
0
$684
2025-10-01
HUD_USER_FMR
county 31119
acs median gross
1
$739
2024-12-31
CENSUS_ACS5
county 31119
fmr
1
$758
2025-10-01
HUD_USER_FMR
county 31119
acs median gross
2
$920
2024-12-31
CENSUS_ACS5
county 31119
fmr
2
$992
2025-10-01
HUD_USER_FMR
county 31119
acs median gross
3
$1,087
2024-12-31
CENSUS_ACS5
county 31119
fmr
3
$1,285
2025-10-01
HUD_USER_FMR
county 31119
acs median gross
4
$1,358
2024-12-31
CENSUS_ACS5
county 31119
fmr
4
$1,524
2025-10-01
HUD_USER_FMR
county 31119
acs median gross
5
$1,075
2024-12-31
CENSUS_ACS5
county 31119
acs median gross
$881
2024-12-31
CENSUS_ACS5
county 31119
acs recent mover gross
$1,019
2024-12-31
CENSUS_ACS5
zcta 68748
acs median gross
2
$873
2024-12-31
CENSUS_ACS5
zcta 68748
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
zcta 68748
acs median gross
$962
2024-12-31
CENSUS_ACS5
zip 68748
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 68748
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 68748
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 68748
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 68748
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 68748
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 68748
safmr
4
$1,490
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.