Reads as: riskier than 52.7% 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
NC median
National median
National p25–p75
Total nurse
3.27
3.08
3.28
2.90–3.77
RN
0.22
0.30
0.39
0.25–0.58
Weekend total
2.93
2.93
3.11
—
Weekday total
3.40
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
117.7
3.27
0.22
1.15
1.89
2.93
0.0%
2025Q3
92
120.6
3.44
0.29
1.10
2.06
3.13
0.0%
2025Q2
91
128.4
3.49
0.22
0.98
2.29
3.17
0.0%
2025Q1
90
128.9
3.40
0.26
0.87
2.27
3.22
0.0%
2024Q4
92
128.4
3.29
0.24
0.83
2.22
3.14
0.0%
2024Q3
92
122.5
3.29
0.24
0.83
2.22
3.08
0.0%
2024Q2
91
123.0
3.30
0.18
0.97
2.14
3.11
0.7%
2024Q1
91
115.6
3.57
0.19
1.04
2.34
3.39
0.0%
2023Q4
92
111.6
3.50
0.21
1.06
2.22
3.23
0.0%
2023Q3
92
114.4
3.20
0.22
0.78
2.20
3.00
1.5%
2023Q2
91
121.2
2.83
0.13
0.79
1.92
2.56
17.5%
2023Q1
90
122.6
2.90
0.10
0.98
1.81
2.58
21.9%
2022Q4
92
123.2
2.47
0.14
0.70
1.62
2.19
19.6%
2022Q3
92
115.7
3.22
0.22
0.97
2.02
3.12
11.0%
2022Q2
91
100.3
3.62
0.24
1.08
2.30
3.47
3.7%
2022Q1
90
100.4
3.48
0.28
1.11
2.09
3.22
8.8%
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-12-01
2025-11-18
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-12-01
2025-11-18
Health
F0732
Post nurse staffing information every day.
C
2025-12-01
2025-03-31
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.
K
2025-04-25
2025-03-31
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-04-25
2025-03-31
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
K
2025-04-25
2025-03-31
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-04-25
2025-03-31
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2025-04-25
2025-03-31
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
K
2025-04-25
2024-08-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-08-26
2024-08-01
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2024-08-26
2024-08-01
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-08-26
2024-08-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-08-26
2024-08-01
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2024-08-26
2024-08-01
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
2024-08-26
2024-08-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-26
2024-06-07
Health · complaint
F0728
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
D
2024-08-01
2023-06-23
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-07-21
2023-06-23
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
2023-07-21
2023-06-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-21
2023-06-23
Health · complaint
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.
F
2023-07-21
2023-06-23
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-07-21
2023-06-23
Health
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
B
2023-07-21
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
20
Owner
Role
Pct
From
Status
Source
WHITE OAK MANOR INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2002-10-01
ended 2026-05-18
pecos_ownership
NEWMAN MCDADE
W-2 MANAGING EMPLOYEE
25%
2023-11-27
ended 2026-05-18
pecos_ownership
WHITE OAK MANAGEMENT, INC.
OPERATIONAL/MANAGERIAL CONTROL
24%
2002-10-01
ended 2026-05-18
pecos_ownership
BETH CECIL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2022-02-01
ended 2026-05-18
pecos_ownership
DOROTHY CECIL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2022-02-01
ended 2026-05-18
pecos_ownership
JENI FEESER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2022-02-01
ended 2026-05-18
pecos_ownership
DOUGLAS CECIL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
2022-02-01
ended 2026-05-18
pecos_ownership
OLIVER CECIL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2022-02-01
ended 2026-05-18
pecos_ownership
BETH CECIL
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
DOROTHY CECIL
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
DOUGLAS CECIL
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
DOUGLAS CECIL
CORPORATE OFFICER
5%
2012-10-01
ended 2026-05-18
pecos_ownership
JENI FEESER
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
JOHN BARBER
CORPORATE OFFICER
5%
2012-10-01
ended 2026-05-18
pecos_ownership
JOHN BARBER
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
LEANN SIMPSON TAROKH
CONTRACTED MANAGING EMPLOYEE
5%
2024-02-28
ended 2026-05-18
pecos_ownership
OLIVER CECIL
CORPORATE OFFICER
5%
2012-10-01
ended 2026-05-18
pecos_ownership
OLIVER CECIL
CORPORATE DIRECTOR
5%
2004-05-07
ended 2026-05-18
pecos_ownership
DAVID HANEY
CORPORATE OFFICER
1%
2012-10-01
ended 2026-05-18
pecos_ownership
DAVID HANEY
CORPORATE DIRECTOR
—
2004-05-07
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-09-30
$685,615
—
—
—
—
2
—
2022-09-30
$1,130,199
—
—
—
—
2
—
2021-09-30
$966,544
—
—
—
—
2
—
2020-09-30
$993,547
—
—
—
—
2
—
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 37001
acs median gross
0
$863
2024-12-31
CENSUS_ACS5
county 37001
fmr
0
$992
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
1
$1,003
2024-12-31
CENSUS_ACS5
county 37001
fmr
1
$1,230
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
2
$1,023
2024-12-31
CENSUS_ACS5
county 37001
fmr
2
$1,348
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
3
$1,134
2024-12-31
CENSUS_ACS5
county 37001
fmr
3
$1,670
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
4
$1,856
2024-12-31
CENSUS_ACS5
county 37001
fmr
4
$1,972
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
5
$1,358
2024-12-31
CENSUS_ACS5
county 37001
acs median gross
$1,064
2024-12-31
CENSUS_ACS5
county 37001
acs recent mover gross
$1,434
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
1
$651
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
2
$863
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
3
$1,086
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
$915
2024-12-31
CENSUS_ACS5
zcta 27217
acs recent mover gross
$1,227
2024-12-31
CENSUS_ACS5
zip 27217
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
4
$1,730
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.