Reads as: riskier than 33.2% 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 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
CA median
National median
National p25–p75
Total nurse
7.04
3.95
3.28
2.90–3.77
RN
1.34
0.38
0.39
0.25–0.58
Weekend total
7.00
3.79
3.11
—
Weekday total
7.05
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.3
7.04
1.34
2.45
3.25
7.00
0.0%
2025Q3
92
86.3
7.25
1.08
2.78
3.38
7.23
0.0%
2025Q2
91
86.6
7.30
1.09
2.83
3.38
7.27
0.0%
2025Q1
90
85.7
7.09
1.05
2.80
3.23
7.00
0.0%
2024Q4
92
83.8
7.13
1.07
2.74
3.32
7.04
0.0%
2024Q3
92
82.9
6.06
0.99
2.18
2.89
6.01
0.0%
2024Q2
91
82.9
7.28
1.22
2.56
3.50
7.15
0.0%
2024Q1
91
80.0
7.44
1.21
2.58
3.65
7.30
0.0%
2023Q4
92
80.6
7.00
1.31
2.33
3.36
6.82
0.0%
2023Q3
92
80.1
7.00
1.36
2.25
3.40
6.81
0.0%
2023Q2
91
79.9
6.77
1.29
2.28
3.19
6.57
0.0%
2023Q1
90
79.9
5.59
1.09
1.92
2.58
5.62
0.0%
2022Q4
92
77.8
6.71
1.24
2.37
3.10
6.63
0.0%
2022Q3
92
74.1
7.13
1.32
2.57
3.24
6.91
0.0%
2022Q2
91
76.2
3.19
0.58
1.15
1.46
3.17
0.0%
2022Q1
90
78.4
6.55
1.23
2.41
2.92
6.32
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
25
D × 20E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-02
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
2025-05-23
2025-05-02
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-05-23
2025-05-02
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.
D
2025-05-23
2025-05-02
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
2025-05-23
2025-05-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-23
2025-05-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-23
2024-05-16
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
2024-06-16
2024-05-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-16
2024-05-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-06-16
2024-05-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-16
2024-05-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-16
2024-03-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-27
2023-11-01
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2023-11-11
2023-06-22
Health
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
2023-07-22
2023-06-22
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-07-22
2023-06-22
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
2023-07-22
2023-06-22
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-07-22
2023-06-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-22
2023-06-22
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-22
2023-06-22
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
2023-07-22
2023-06-22
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-07-22
2023-06-22
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
2023-07-22
2023-06-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-07-22
2023-06-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-22
2023-06-22
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-07-22
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
39
Owner
Role
Pct
From
Status
Source
BUTERA, MICHAEL
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
CAMPBELL, ROBERT
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
EVANS, WILLIAM
CORPORATE OFFICER
—
2022-10-30
current
pecos_ownership
EVANS, WILLIAM
W-2 MANAGING EMPLOYEE
—
2015-02-15
current
pecos_ownership
GENSLER, DAN
CORPORATE OFFICER
—
2011-01-24
current
pecos_ownership
HOWARD, CHRISTOPHER
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
JANKIEWICZ, JOSEPH
CORPORATE DIRECTOR
—
2018-02-01
current
pecos_ownership
LENNARD, WILLIAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
METZGER, SCOTT
CORPORATE OFFICER
—
2016-12-01
current
pecos_ownership
MONROE, PHILIP
CORPORATE OFFICER
—
2016-12-01
current
pecos_ownership
MONTGOMERY, MARLENA
W-2 MANAGING EMPLOYEE
—
2019-08-01
current
pecos_ownership
PHILLIPS, VERNON
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
PLUMB, PAUL
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
SHARP HEALTHCARE
OPERATIONAL/MANAGERIAL CONTROL
—
1994-07-01
current
pecos_ownership
SMISEK, TOM
CORPORATE OFFICER
—
2018-07-23
current
pecos_ownership
SOMMER, CAROL
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
STANLEY, SYDNEY
CORPORATE DIRECTOR
—
2021-11-01
current
pecos_ownership
SWEENEY, DAVID
CORPORATE DIRECTOR
—
2017-06-01
current
pecos_ownership
WANKE, CAROL
W-2 MANAGING EMPLOYEE
—
—
current
pecos_ownership
WOIWODE, MICHAEL
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
CAROL SOMMER
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
CAROL WANKE
W-2 MANAGING EMPLOYEE
—
—
ended 2026-05-18
pecos_ownership
CHRISTOPHER HOWARD
CORPORATE OFFICER
—
2019-03-01
ended 2026-05-18
pecos_ownership
DAN GENSLER
CORPORATE OFFICER
—
2011-01-24
ended 2026-05-18
pecos_ownership
DAVID SWEENEY
CORPORATE DIRECTOR
—
2017-06-01
ended 2026-05-18
pecos_ownership
JOSEPH JANKIEWICZ
CORPORATE DIRECTOR
—
2018-02-01
ended 2026-05-18
pecos_ownership
MARLENA MONTGOMERY
CORPORATE DIRECTOR
—
2019-08-01
ended 2026-05-18
pecos_ownership
MICHAEL BUTERA
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
MICHAEL WOIWODE
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
PAUL PLUMB
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
PHILIP MONROE
CORPORATE OFFICER
—
2016-12-01
ended 2026-05-18
pecos_ownership
ROBERT CAMPBELL
CORPORATE DIRECTOR
—
2021-06-01
ended 2026-05-18
pecos_ownership
SCOTT METZGER
CORPORATE OFFICER
—
2016-12-01
ended 2026-05-18
pecos_ownership
SYDNEY STANLEY
CORPORATE DIRECTOR
—
2021-11-01
ended 2026-05-18
pecos_ownership
TOM SMISEK
CORPORATE OFFICER
—
2018-07-23
ended 2026-05-18
pecos_ownership
VERNON PHILLIPS
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
WILLIAM EVANS
W-2 MANAGING EMPLOYEE
—
2015-02-15
ended 2026-05-18
pecos_ownership
WILLIAM EVANS
CORPORATE OFFICER
—
2022-10-30
ended 2026-05-18
pecos_ownership
WILLIAM LENNARD
CORPORATE DIRECTOR
—
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
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.
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 06073
acs median gross
0
$1,761
2024-12-31
CENSUS_ACS5
county 06073
fmr
0
$2,288
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
1
$1,888
2024-12-31
CENSUS_ACS5
county 06073
fmr
1
$2,459
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
2
$2,290
2024-12-31
CENSUS_ACS5
county 06073
fmr
2
$3,001
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
3
$2,826
2024-12-31
CENSUS_ACS5
county 06073
fmr
3
$3,998
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
4
$3,451
2024-12-31
CENSUS_ACS5
county 06073
fmr
4
$4,845
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06073
acs median gross
$2,246
2024-12-31
CENSUS_ACS5
county 06073
acs recent mover gross
$2,729
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
0
$2,547
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
1
$2,343
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
2
$3,237
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 92118
acs median gross
$3,257
2024-12-31
CENSUS_ACS5
zcta 92118
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 92118
payment standard 110
0
$3,773
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 90
0
$3,087
2025-10-01
HUD_USER_SAFMR
zip 92118
safmr
0
$3,430
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 110
1
$4,059
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 90
1
$3,321
2025-10-01
HUD_USER_SAFMR
zip 92118
safmr
1
$3,690
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 110
2
$4,950
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 90
2
$4,050
2025-10-01
HUD_USER_SAFMR
zip 92118
safmr
2
$4,500
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 110
3
$6,589
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 90
3
$5,391
2025-10-01
HUD_USER_SAFMR
zip 92118
safmr
3
$5,990
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 110
4
$7,997
2025-10-01
HUD_USER_SAFMR
zip 92118
payment standard 90
4
$6,543
2025-10-01
HUD_USER_SAFMR
zip 92118
safmr
4
$7,270
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.