Reads as: riskier than 27.2% 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 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
LA median
National median
National p25–p75
Total nurse
3.68
3.38
3.28
2.90–3.77
RN
0.17
0.10
0.39
0.25–0.58
Weekend total
3.25
3.09
3.11
—
Weekday total
3.85
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
88.7
3.68
0.17
0.85
2.67
3.25
0.0%
2025Q3
92
92.2
3.56
0.07
0.91
2.58
3.10
0.0%
2025Q2
91
87.2
3.57
0.03
0.99
2.54
3.08
3.3%
2025Q1
90
88.2
3.37
0.05
0.96
2.36
2.96
4.7%
2024Q4
92
89.0
3.46
0.10
0.93
2.44
3.06
4.7%
2024Q3
92
91.8
3.65
0.08
0.97
2.60
3.22
8.7%
2024Q2
91
99.7
3.57
0.10
1.02
2.45
3.07
11.5%
2024Q1
91
101.7
3.29
0.11
0.99
2.20
2.96
8.8%
2023Q4
92
100.6
3.50
0.14
1.03
2.33
2.95
9.6%
2023Q3
92
104.9
3.44
0.21
1.00
2.23
2.81
8.6%
2023Q2
91
112.0
3.46
0.20
1.02
2.25
2.55
9.7%
2023Q1
90
117.3
3.12
0.20
0.86
2.06
2.50
11.6%
2022Q4
92
115.1
2.88
0.20
0.93
1.75
2.43
13.0%
2022Q3
92
109.3
2.90
0.16
0.92
1.81
2.60
10.8%
2022Q2
91
105.0
3.10
0.25
0.99
1.86
2.64
7.2%
2022Q1
90
111.8
3.00
0.23
1.07
1.71
2.61
12.5%
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.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2026-02-27
2025-04-16
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-05-16
2025-04-16
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2025-05-16
2025-04-16
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
2025-05-16
2025-04-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-16
2025-04-16
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
2025-05-16
2024-05-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-06-07
2024-03-06
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.
E
2024-03-29
2024-03-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-29
2024-03-06
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-03-29
2024-03-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-03-29
2024-01-24
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
E
2024-01-26
2024-01-24
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.
D
2024-01-26
2024-01-24
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-01-26
2023-09-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-12
2023-09-14
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-10-12
2023-09-14
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.
E
2023-10-12
2023-09-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-10-12
2023-09-14
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2023-10-12
2023-06-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-21
2023-06-27
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-07-21
2023-06-27
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-07-21
2023-06-27
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-21
2023-06-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-07-21
2023-06-27
Health · complaint
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2023-07-21
2023-03-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-04-13
2023-03-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-04-13
2023-03-16
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2023-04-13
2023-03-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2023-04-13
2023-03-16
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2023-04-13
2023-03-16
Health
F0885
Report COVID19 data to residents and families.
E
2023-04-13
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
45
Owner
Role
Pct
From
Status
Source
MEDICO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
85%
2009-08-01
current
pecos_ownership
TRANS-MED LLC
Corporation, partnership or other organization has financial interest in provider
27%
2023-01-01
current
hcris_a_8_1
TRANS-MED LLC
Corporation, partnership or other organization has financial interest in provider
27%
2024-01-01
current
hcris_a_8_1
DAVID & FELICIA STALLARD CHILD TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2009-08-01
current
pecos_ownership
ELTON GLYNN BEEBE JR. & NANCY DOTY BEEBE IRRV TR UA
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2009-08-01
current
pecos_ownership
ACCOUNT MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
ADMINISTRATIVE SYSTEMS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
ALISONS 2016 FAM TR NO 2
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BEEBE 2013 CHILDRENS TR NG
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BEEBE, BOBBY
ADP OF THE SNF
—
2013-01-01
current
pecos_ownership
BEEBE, ELTON
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-01
current
pecos_ownership
BEEBE, ELTON
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BEVERLY, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-29
current
pecos_ownership
FELICIAS 2016 FAM TR NO 2
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GERARD AND ALISON DANOS CHILDRENS TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-01
current
pecos_ownership
GUILLOT, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2013-12-05
current
pecos_ownership
JOSEPH & ALISON SADLER CHILDREN TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-01
current
pecos_ownership
LTC HIM CONSULTING INC
ADP OF THE SNF
—
2007-04-01
current
pecos_ownership
PARKINSON, TONI
CORPORATE OFFICER
—
2015-11-15
current
pecos_ownership
PARKINSON, TONI
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
PATHWAY MANAGEMENT OF LOUISIANA LLC
ADP OF THE SNF
—
2013-01-01
current
pecos_ownership
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLC
ADP OF THE SNF
—
2010-12-31
current
pecos_ownership
PINION, LOREN
ADP OF THE SNF
—
2015-01-05
current
pecos_ownership
PROVIDENCE CARE LLC
ADP OF THE SNF
—
2009-08-01
current
pecos_ownership
PROVIDER PROFESSIONAL SERVICES INC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
STALLARD, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-01
current
pecos_ownership
TRANS MED LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
TRISTAR REHAB INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
VERDIN ENTERPRISES, LLC
ADP OF THE SNF
—
2021-11-01
current
pecos_ownership
TRANS-MED LLC
Corporation, partnership or other organization has financial interest in provider
33%
2020-01-01
ended 2020-12-31
hcris_a_8_1
TRANS-MED LLC
Individual has financial interest in both related organization and provider
33%
2021-01-01
ended 2021-12-31
hcris_a_8_1
TRANS-MED LLC
Corporation, partnership or other organization has financial interest in provider
33%
2022-01-01
ended 2022-12-31
hcris_a_8_1
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2013-11-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2009-08-01
ended 2026-05-18
pecos_ownership
QSST TR FOR FELICIA BEEBE STALLARD AND HER DESCENDANTS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2013-11-01
ended 2026-05-18
pecos_ownership
ANGELA BEVERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-29
ended 2026-05-18
pecos_ownership
BOBBY BEEBE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-01-01
ended 2026-05-18
pecos_ownership
DAVID GUILLOT
ADP OF THE SNF
—
2013-12-05
ended 2026-05-18
pecos_ownership
DAVID STALLARD
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-01
ended 2026-05-18
pecos_ownership
ELTON BEEBE
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
LOREN PINION
ADP OF THE SNF
—
2015-01-05
ended 2026-05-18
pecos_ownership
TONI PARKINSON
CORPORATE OFFICER
—
2015-11-15
ended 2026-05-18
pecos_ownership
TONI PARKINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$109,192
—
—
—
—
8
propco
2023-12-31
$103,006
—
—
—
—
8
propco
2022-12-31
$99,769
—
—
—
—
8
propco
2021-12-31
$100,114
—
—
—
—
8
propco
2020-12-31
$103,533
—
—
—
—
8
propco
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 22079
acs median gross
0
$795
2024-12-31
CENSUS_ACS5
county 22079
fmr
0
$728
2025-10-01
HUD_USER_FMR
county 22079
acs median gross
1
$738
2024-12-31
CENSUS_ACS5
county 22079
fmr
1
$780
2025-10-01
HUD_USER_FMR
county 22079
acs median gross
2
$901
2024-12-31
CENSUS_ACS5
county 22079
fmr
2
$994
2025-10-01
HUD_USER_FMR
county 22079
acs median gross
3
$1,144
2024-12-31
CENSUS_ACS5
county 22079
fmr
3
$1,342
2025-10-01
HUD_USER_FMR
county 22079
acs median gross
4
$1,025
2024-12-31
CENSUS_ACS5
county 22079
fmr
4
$1,523
2025-10-01
HUD_USER_FMR
county 22079
acs median gross
5
$1,552
2024-12-31
CENSUS_ACS5
county 22079
acs median gross
$950
2024-12-31
CENSUS_ACS5
county 22079
acs recent mover gross
$1,090
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
0
$782
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
1
$724
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
2
$891
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
3
$1,203
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
4
$1,537
2024-12-31
CENSUS_ACS5
zcta 71301
acs median gross
$927
2024-12-31
CENSUS_ACS5
zcta 71301
acs recent mover gross
$1,049
2024-12-31
CENSUS_ACS5
zip 71301
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 71301
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 71301
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 71301
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 110
3
$1,452
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 90
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 71301
safmr
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 110
4
$1,650
2025-10-01
HUD_USER_SAFMR
zip 71301
payment standard 90
4
$1,350
2025-10-01
HUD_USER_SAFMR
zip 71301
safmr
4
$1,500
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.