Reads as: riskier than 84.1% 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
MA median
National median
National p25–p75
Total nurse
3.84
3.39
3.28
2.90–3.77
RN
0.49
0.39
0.39
0.25–0.58
Weekend total
3.68
3.26
3.11
—
Weekday total
3.90
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.2
3.84
0.49
0.79
2.55
3.68
33.8%
2025Q3
92
116.2
3.60
0.39
0.86
2.36
3.48
32.8%
2025Q2
91
113.8
3.64
0.34
1.04
2.26
3.48
25.5%
2025Q1
90
116.1
3.52
0.20
1.11
2.21
3.52
21.1%
2024Q4
92
120.9
3.46
0.21
1.02
2.23
3.45
16.6%
2024Q3
92
115.7
3.52
0.33
0.99
2.21
3.48
0.0%
2024Q2
91
119.2
3.21
0.23
0.98
2.01
3.23
0.0%
2024Q1
91
113.7
3.23
0.28
0.95
2.00
3.22
0.0%
2023Q4
92
116.9
3.10
0.32
0.94
1.84
2.96
0.0%
2023Q3
92
122.9
2.92
0.25
0.85
1.82
2.91
0.0%
2023Q2
91
116.0
3.01
0.17
0.76
2.08
2.76
0.0%
2023Q1
90
103.7
2.73
0.12
0.81
1.80
2.55
0.0%
2022Q4
92
97.4
2.82
0.20
0.73
1.89
2.71
0.7%
2022Q3
92
101.8
3.07
0.19
0.81
2.07
2.98
0.0%
2022Q2
91
104.4
3.07
0.19
0.93
1.95
2.92
0.4%
2022Q1
90
103.8
3.15
0.21
0.95
1.99
3.06
3.7%
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.
Assess the resident when there is a significant change in condition
D
2026-01-19
2025-12-11
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
2026-01-19
2025-12-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-01-19
2025-12-11
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-19
2025-12-11
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.
D
2026-01-19
2025-12-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-01-19
2024-10-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-11-19
2024-08-06
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-09-14
2024-08-06
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
2024-09-14
2024-08-06
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.
E
2024-09-14
2024-08-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-09-14
2024-08-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-14
2024-08-06
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
2024-09-14
2024-08-06
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2024-09-14
2024-08-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-14
2023-12-06
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-01-19
2023-12-06
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-01-19
2023-12-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-19
2023-12-06
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-01-19
2023-12-06
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-01-19
2023-12-06
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-01-19
2023-10-12
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2023-10-10
2023-10-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-10
2023-05-31
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-07-07
2023-05-31
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-07-07
2023-05-31
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-07-07
2023-05-31
Health
F0687
Provide appropriate foot care.
D
2023-07-07
2023-05-31
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-07-07
2023-05-31
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
2023-07-07
2023-05-31
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
2023-07-07
2023-05-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-07-07
2023-05-31
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-07
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
5
Owner
Role
Pct
From
Status
Source
BEAR MOUNTAIN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-11-21
ended 2026-05-18
pecos_ownership
JOHN WYNNE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2019-11-21
ended 2026-05-18
pecos_ownership
SCOTT ZISKIN
CORPORATE OFFICER
33%
2019-11-21
ended 2026-05-18
pecos_ownership
THOMAS DOYLE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2019-11-21
ended 2026-05-18
pecos_ownership
RACHAEL DEMAIDA
W-2 MANAGING EMPLOYEE
—
2019-11-21
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$507,506
—
—
—
—
1
—
2023-12-31
$569,163
—
—
—
—
1
—
2022-12-31
$480,828
—
—
—
—
1
—
2021-12-31
$727,216
—
—
$302,434
—
2
—
2020-12-31
$477,963
—
—
$28,420
—
2
—
2019-12-31
$14,732
—
—
$2,550
—
4
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25013
acs median gross
0
$826
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
1
$869
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
2
$1,234
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
3
$1,408
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
4
$1,461
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
5
$1,586
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
$1,136
2024-12-31
CENSUS_ACS5
county 25013
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
0
$830
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
1
$977
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
2
$1,319
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
3
$1,366
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
4
$2,160
2024-12-31
CENSUS_ACS5
zcta 01089
acs median gross
$1,144
2024-12-31
CENSUS_ACS5
zcta 01089
acs recent mover gross
$1,194
2024-12-31
CENSUS_ACS5
zip 01089
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 01089
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 01089
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 01089
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 110
3
$2,101
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 90
3
$1,719
2025-10-01
HUD_USER_SAFMR
zip 01089
safmr
3
$1,910
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 110
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 01089
payment standard 90
4
$1,863
2025-10-01
HUD_USER_SAFMR
zip 01089
safmr
4
$2,070
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.