Reads as: riskier than 43.9% 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
OH median
National median
National p25–p75
Total nurse
4.00
3.24
3.28
2.90–3.77
RN
0.87
0.38
0.39
0.25–0.58
Weekend total
3.67
3.11
3.11
—
Weekday total
4.13
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
30.1
4.00
0.87
0.84
2.28
3.67
16.8%
2025Q3
92
36.1
3.57
0.67
0.55
2.36
3.39
24.9%
2025Q2
91
38.4
3.42
0.60
0.61
2.22
3.22
28.1%
2025Q1
90
33.7
3.83
0.69
0.62
2.51
3.68
30.4%
2024Q4
92
33.0
4.06
0.80
0.64
2.63
3.80
21.9%
2024Q3
92
35.7
3.77
0.73
0.54
2.50
3.48
29.7%
2024Q2
91
36.7
3.57
0.53
0.70
2.33
3.38
29.0%
2024Q1
91
39.9
3.30
0.56
0.57
2.17
2.97
19.2%
2023Q4
92
41.1
3.20
0.53
0.57
2.11
2.96
23.0%
2023Q3
92
36.6
3.24
0.46
0.68
2.09
3.17
18.2%
2023Q2
91
38.3
3.23
0.46
0.61
2.16
3.22
20.1%
2023Q1
90
40.5
3.22
0.55
0.48
2.18
3.24
10.9%
2022Q4
92
40.3
3.13
0.68
0.50
1.95
3.03
0.0%
2022Q3
92
36.5
2.87
0.68
0.53
1.67
2.68
0.0%
2022Q2
91
33.7
3.17
0.78
0.57
1.83
3.06
0.0%
2022Q1
90
32.9
3.38
0.84
0.57
1.96
3.09
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
11
D × 10F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-05-01
2026-04-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-01
2026-02-17
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-02-18
2026-02-17
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-18
2024-09-05
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
2024-10-01
2024-09-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-01
2019-06-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-07-22
2019-06-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-07-22
2019-06-13
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
2019-07-22
2019-06-13
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2019-07-22
2019-06-13
Health
F0880
Provide and implement an infection prevention and control program.
F
2019-07-22
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
41
Owner
Role
Pct
From
Status
Source
BLANCHARD VALLEY HEALTH SYSTEM
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-12-31
current
pecos_ownership
BEIDELSCHIES, TIM
OPERATIONAL/MANAGERIAL CONTROL
—
2003-02-24
current
pecos_ownership
BROUGH, MICHAEL
TRUSTEE OF THE SNF
—
2021-07-01
current
pecos_ownership
COSIANO, FRANK
TRUSTEE OF THE SNF
—
2015-07-01
current
pecos_ownership
CYTLAK, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
DOWLING, JAMES
TRUSTEE OF THE SNF
—
2018-01-01
current
pecos_ownership
EDGINGTON, ANNETTE
TRUSTEE OF THE SNF
—
2023-07-01
current
pecos_ownership
HOPKINS, WILLIAM
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
JONES, GINGER
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
KENNARD, DAN
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
KROETZ, ELIZABETH
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
LAUSE, THOMAS
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
LEWIS, MYRON
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
LONGO, JOSEPH
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
MALARKY, DONALD
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
OVERTON, KIRBY
TRUSTEE OF THE SNF
—
2024-07-01
current
pecos_ownership
POLDER, RICHARD
CORPORATE DIRECTOR
—
2012-08-30
current
pecos_ownership
REINEKE, JOHN
TRUSTEE OF THE SNF
—
2018-07-01
current
pecos_ownership
SCHERER, AMY
ADP OF THE SNF
—
2017-04-16
current
pecos_ownership
SHRADER, JEFFERY
TRUSTEE OF THE SNF
—
2021-07-01
current
pecos_ownership
WEBB, ADELE
TRUSTEE OF THE SNF
—
2018-01-01
current
pecos_ownership
ADELE WEBB
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
ANNETTE EDGINGTON
CORPORATE DIRECTOR
0%
2023-07-01
ended 2026-05-18
pecos_ownership
DAN KENNARD
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
DONALD MALARKY
CORPORATE DIRECTOR
0%
2023-07-01
ended 2026-05-18
pecos_ownership
ELIZABETH KROETZ
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
FRANK COSIANO
CORPORATE DIRECTOR
0%
2015-07-01
ended 2026-05-18
pecos_ownership
GINGER JONES
CORPORATE DIRECTOR
0%
2015-05-01
ended 2026-05-18
pecos_ownership
JAMES DOWLING
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
JEFFERY SHRADER
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
JOHN REINEKE
CORPORATE DIRECTOR
0%
2018-07-01
ended 2026-05-18
pecos_ownership
JOSEPH LONGO
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
KIRBY OVERTON
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
MICHAEL BROUGH
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
MYRON LEWIS
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RICHARD POLDER
CORPORATE DIRECTOR
0%
2012-08-30
ended 2026-05-18
pecos_ownership
THOMAS LAUSE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM HOPKINS
CORPORATE DIRECTOR
0%
2022-07-01
ended 2026-05-18
pecos_ownership
AMY SCHERER
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-16
ended 2026-05-18
pecos_ownership
DAVID CYTLAK
ADP OF THE SNF
—
2010-01-01
ended 2026-05-18
pecos_ownership
TIM BEIDELSCHIES
OPERATIONAL/MANAGERIAL CONTROL
—
2003-02-24
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
$718,722
—
—
—
—
1
—
2023-12-31
$807,520
—
—
—
—
1
—
2022-12-31
$722,034
—
—
—
—
1
—
2021-12-31
$673,737
—
—
—
—
1
—
2020-12-31
$703,518
—
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 39063
acs median gross
0
$591
2024-12-31
CENSUS_ACS5
county 39063
fmr
0
$777
2025-10-01
HUD_USER_FMR
county 39063
acs median gross
1
$696
2024-12-31
CENSUS_ACS5
county 39063
fmr
1
$859
2025-10-01
HUD_USER_FMR
county 39063
acs median gross
2
$1,030
2024-12-31
CENSUS_ACS5
county 39063
fmr
2
$1,127
2025-10-01
HUD_USER_FMR
county 39063
acs median gross
3
$1,154
2024-12-31
CENSUS_ACS5
county 39063
fmr
3
$1,484
2025-10-01
HUD_USER_FMR
county 39063
acs median gross
4
$1,344
2024-12-31
CENSUS_ACS5
county 39063
fmr
4
$1,693
2025-10-01
HUD_USER_FMR
county 39063
acs median gross
5
$470
2024-12-31
CENSUS_ACS5
county 39063
acs median gross
$979
2024-12-31
CENSUS_ACS5
county 39063
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zcta 44830
acs median gross
1
$537
2024-12-31
CENSUS_ACS5
zcta 44830
acs median gross
2
$834
2024-12-31
CENSUS_ACS5
zcta 44830
acs median gross
3
$868
2024-12-31
CENSUS_ACS5
zcta 44830
acs median gross
4
$920
2024-12-31
CENSUS_ACS5
zcta 44830
acs median gross
$809
2024-12-31
CENSUS_ACS5
zcta 44830
acs recent mover gross
$933
2024-12-31
CENSUS_ACS5
zip 44830
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 44830
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 44830
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 44830
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 44830
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 44830
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 44830
safmr
4
$1,380
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.