Reads as: riskier than 5.0% 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 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
12
2025Q4 HPRD
This facility
MD median
National median
National p25–p75
Total nurse
3.62
3.32
3.28
2.90–3.77
RN
0.76
0.47
0.39
0.25–0.58
Weekend total
3.66
3.17
3.11
—
Weekday total
3.61
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
35.0
3.62
0.76
0.57
2.29
3.66
5.9%
2025Q3
92
37.1
3.94
0.71
0.67
2.56
3.71
8.6%
2025Q2
91
40.3
3.71
0.54
0.51
2.66
3.54
0.0%
2025Q1
90
41.7
3.72
0.45
0.79
2.48
3.51
5.9%
2024Q4
92
41.3
3.86
0.51
0.72
2.63
3.75
7.3%
2024Q3
92
42.0
3.78
0.51
0.84
2.42
3.43
9.2%
2024Q2
91
39.0
3.79
0.44
0.78
2.57
3.80
9.2%
2024Q1
91
42.2
3.61
0.46
0.82
2.33
3.44
9.7%
2023Q4
92
40.7
3.67
0.51
0.80
2.36
3.67
9.0%
2023Q3
92
41.4
3.56
0.56
0.83
2.16
3.48
13.7%
2023Q2
91
40.2
3.78
0.51
0.95
2.33
3.61
8.8%
2023Q1
90
41.3
3.70
0.46
0.91
2.34
3.53
6.0%
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
12
B × 2C × 1D × 8F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-30
2026-03-30
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-04-30
2026-03-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-30
2025-06-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-07-31
2025-06-23
Health · complaint
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-31
2025-06-23
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-31
2025-06-23
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-31
2025-06-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-07-31
2025-06-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-31
2022-06-17
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2022-07-14
2022-06-17
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
B
2022-07-14
2022-06-17
Health
F0732
Post nurse staffing information every day.
C
2022-07-14
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
34
Owner
Role
Pct
From
Status
Source
ACKERMAN, REMI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
BAUTISTA-O'DONNELL, AIRA
ADP OF THE SNF
—
2025-07-17
current
pecos_ownership
BAUTISTA-O'DONNELL, AIRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
BEGGS, MARK
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
CHESTER, SHANETRICA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
current
pecos_ownership
COOK, LARRY
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
ENSOR, SCOTT
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
MOORE, ANDREW
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
NESLINE, VINCE
CORPORATE OFFICER
—
2020-12-20
current
pecos_ownership
PALUMBO, FRANK
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
PURKANTO, ANDRI
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
RICHARDSON, CANDACE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
SILKMAN, CORY
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
WERTHEIMER, DEBRA
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
WESSEL, TIM
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
WEXLER, ASTRID
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
WOLFORD, LORI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
AIRA BAUTISTA-O'DONNELL
ADP OF THE SNF
—
2025-07-17
ended 2026-05-18
pecos_ownership
AIRA BAUTISTA-O'DONNELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
ANDREW MOORE
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
ANDRI PURKANTO
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
ASTRID WEXLER
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
CANDACE RICHARDSON
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
CORY SILKMAN
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
DEBRA WERTHEIMER
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
FRANK PALUMBO
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
LARRY COOK
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
LORI WOLFORD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
MARK BEGGS
CORPORATE OFFICER
—
2022-12-01
ended 2026-05-18
pecos_ownership
REMI ACKERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
SCOTT ENSOR
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
SHANETRICA CHESTER
ADP OF THE SNF
—
2025-03-31
ended 2026-05-18
pecos_ownership
TIM WESSEL
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
VINCE NESLINE
CORPORATE OFFICER
—
2020-12-20
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
35
Geo
Kind
BR
Amount
As of
Source
county 24005
acs median gross
0
$1,403
2024-12-31
CENSUS_ACS5
county 24005
fmr
0
$1,362
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
1
$1,360
2024-12-31
CENSUS_ACS5
county 24005
fmr
1
$1,511
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
2
$1,664
2024-12-31
CENSUS_ACS5
county 24005
fmr
2
$1,857
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
3
$1,948
2024-12-31
CENSUS_ACS5
county 24005
fmr
3
$2,358
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
4
$2,180
2024-12-31
CENSUS_ACS5
county 24005
fmr
4
$2,611
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
5
$2,076
2024-12-31
CENSUS_ACS5
county 24005
acs median gross
$1,627
2024-12-31
CENSUS_ACS5
county 24005
acs recent mover gross
$1,814
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
0
$575
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
1
$1,365
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
2
$1,751
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
3
$2,098
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
4
$2,277
2024-12-31
CENSUS_ACS5
zcta 21286
acs median gross
$1,605
2024-12-31
CENSUS_ACS5
zcta 21286
acs recent mover gross
$1,785
2024-12-31
CENSUS_ACS5
zip 21286
payment standard 110
0
$1,529
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 90
0
$1,251
2025-10-01
HUD_USER_SAFMR
zip 21286
safmr
0
$1,390
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 110
1
$1,705
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 90
1
$1,395
2025-10-01
HUD_USER_SAFMR
zip 21286
safmr
1
$1,550
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 110
2
$2,090
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 90
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 21286
safmr
2
$1,900
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 110
3
$2,651
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 90
3
$2,169
2025-10-01
HUD_USER_SAFMR
zip 21286
safmr
3
$2,410
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 110
4
$2,937
2025-10-01
HUD_USER_SAFMR
zip 21286
payment standard 90
4
$2,403
2025-10-01
HUD_USER_SAFMR
zip 21286
safmr
4
$2,670
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.