Reads as: riskier than 25.4% 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
IN median
National median
National p25–p75
Total nurse
4.53
2.85
3.28
2.90–3.77
RN
0.74
0.40
0.39
0.25–0.58
Weekend total
4.21
2.71
3.11
—
Weekday total
4.65
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
30.3
4.53
0.74
0.85
2.94
4.21
7.3%
2025Q3
92
22.6
5.60
1.20
0.76
3.63
5.59
0.0%
2025Q2
91
20.5
5.51
1.18
0.78
3.55
5.33
2.8%
2025Q1
90
22.4
5.24
1.06
0.80
3.38
5.15
8.0%
2024Q4
92
25.3
5.37
0.96
0.66
3.75
5.10
18.4%
2024Q3
92
23.9
5.06
1.12
0.51
3.43
4.84
27.3%
2024Q2
91
18.1
4.54
0.96
0.78
2.80
4.04
7.9%
2024Q1
91
18.4
0.51
0.07
0.09
0.34
0.41
44.5%
2023Q4
92
20.0
2.88
0.88
0.53
1.47
2.67
7.6%
2023Q3
92
20.6
2.94
1.11
0.24
1.59
2.55
3.6%
2023Q2
91
19.5
2.37
0.75
0.00
1.62
1.88
0.0%
2023Q1
90
20.9
3.18
1.04
0.36
1.77
2.45
10.8%
2022Q4
92
20.8
2.73
0.80
0.55
1.38
2.20
0.0%
2022Q3
92
22.1
2.98
0.60
0.55
1.83
2.26
0.0%
2022Q2
91
22.6
3.42
0.81
0.62
1.99
2.90
0.0%
2022Q1
90
25.8
3.44
0.71
0.45
2.28
3.31
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
15
D × 15
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-30
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-05-29
2026-03-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-29
2026-03-30
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-05-29
2026-03-30
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
2026-05-29
2025-03-28
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2025-05-02
2025-03-28
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-05-02
2025-03-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-02
2025-03-28
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-02
2024-02-09
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
2024-03-22
2024-02-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-22
2024-02-09
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.
D
2024-03-22
2024-02-09
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-03-22
2024-02-09
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
2024-03-22
2024-02-09
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
2024-03-22
2024-02-09
Health
F0791
Provide or obtain dental services for each resident.
D
2024-03-22
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
58
Owner
Role
Pct
From
Status
Source
AHLBRAND, ERIC
ADP OF THE SNF
—
2024-07-15
current
pecos_ownership
ASBURY TOWERS RETIREMENT COMMUNITY INC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
BECK, KRISTY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
BENNETT, ADAM
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
CASE, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
DICKERSON, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
FLATT, MARTHA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
GATLIN, DON
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
HEALTH MANAGEMENT ADVISORS INC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
HOMLER, JUSTIN
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
HOSKINS, JESSIE
ADP OF THE SNF
—
2024-11-11
current
pecos_ownership
HUTTON, CHARLES
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
JAROSINSKI, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
KAUFFMAN, CLINTON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
KING, DARBY
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
LEMAN, VALERIE
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
MALOTT, GREGG
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
current
pecos_ownership
MALOTT, GREGG
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
MCBRIDE, BRENDA
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
MCKAY, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
MENORA FINACIAL CORP
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
MENORA, SHALOM
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
NORTH SALEM STATE BANK
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
PULASKI MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
ROOSE, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
ROSE, AUDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
SAVAGE, JOHN
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
SMITH, JENNIFER
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
SMITH, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
STERLING HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
THOMAS, DARRELL
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
WHITE, TAYLOR
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
ADAM BENNETT
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
ASHLEY DICKERSON
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
AUDRA ROSE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
BRENDA MCBRIDE
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
CHARLES HUTTON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
CLINTON KAUFFMAN
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
DARBY KING
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
DARRELL THOMAS
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
DON GATLIN
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
ERIC AHLBRAND
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
ended 2026-05-18
pecos_ownership
GREGG MALOTT
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
GREGG MALOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
ended 2026-05-18
pecos_ownership
JENNIFER ROOSE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
JENNIFER SMITH
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
JESSIE HOSKINS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-11
ended 2026-05-18
pecos_ownership
JOHN SAVAGE
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
JUSTIN HOMLER
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
KRISTY BECK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
LISA SMITH
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
MARTHA FLATT
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
MICHAEL MCKAY
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
MICHELLE CASE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
SHALOM MENORA
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
STEPHEN JAROSINSKI
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
TAYLOR WHITE
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
VALERIE LEMAN
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$245,772
—
—
—
—
1
—
2024-06-30
$289,579
—
—
—
—
1
—
2023-12-31
$558,423
—
—
—
—
1
—
2022-12-31
$568,583
—
—
—
—
1
—
2021-12-31
$561,285
—
—
—
—
1
—
2020-12-31
$581,680
—
—
—
—
1
—
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 18133
fmr
0
$738
2025-10-01
HUD_USER_FMR
county 18133
acs median gross
1
$738
2024-12-31
CENSUS_ACS5
county 18133
fmr
1
$843
2025-10-01
HUD_USER_FMR
county 18133
acs median gross
2
$871
2024-12-31
CENSUS_ACS5
county 18133
fmr
2
$1,030
2025-10-01
HUD_USER_FMR
county 18133
acs median gross
3
$1,200
2024-12-31
CENSUS_ACS5
county 18133
fmr
3
$1,390
2025-10-01
HUD_USER_FMR
county 18133
acs median gross
4
$1,089
2024-12-31
CENSUS_ACS5
county 18133
fmr
4
$1,634
2025-10-01
HUD_USER_FMR
county 18133
acs median gross
$884
2024-12-31
CENSUS_ACS5
county 18133
acs recent mover gross
$775
2024-12-31
CENSUS_ACS5
zcta 46135
acs median gross
1
$755
2024-12-31
CENSUS_ACS5
zcta 46135
acs median gross
2
$919
2024-12-31
CENSUS_ACS5
zcta 46135
acs median gross
3
$1,249
2024-12-31
CENSUS_ACS5
zcta 46135
acs median gross
$918
2024-12-31
CENSUS_ACS5
zcta 46135
acs recent mover gross
$1,029
2024-12-31
CENSUS_ACS5
zip 46135
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 46135
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 46135
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 46135
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 46135
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 46135
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 46135
safmr
4
$1,620
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.