Reads as: riskier than 27.7% 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
SC median
National median
National p25–p75
Total nurse
2.95
3.32
3.28
2.90–3.77
RN
0.13
0.33
0.39
0.25–0.58
Weekend total
2.89
3.05
3.11
—
Weekday total
2.98
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.3
2.95
0.13
0.98
1.84
2.89
22.6%
2025Q3
92
83.6
2.83
0.08
0.93
1.81
2.83
24.7%
2025Q2
91
80.3
2.93
0.07
1.03
1.83
2.92
19.4%
2025Q1
90
80.3
2.90
0.06
1.04
1.80
2.90
15.2%
2024Q4
92
82.1
2.90
0.06
1.01
1.83
2.96
7.6%
2024Q3
92
82.4
2.92
0.12
0.95
1.85
2.90
5.8%
2024Q2
91
84.3
2.91
0.14
0.89
1.88
2.92
19.6%
2024Q1
91
84.0
2.91
0.11
0.94
1.86
2.88
18.9%
2023Q4
92
82.6
2.88
0.09
0.95
1.84
2.87
14.4%
2023Q3
92
80.2
2.95
0.16
0.91
1.88
2.95
21.5%
2023Q2
91
82.1
2.99
0.22
0.88
1.89
2.90
24.8%
2023Q1
90
81.2
2.85
0.22
0.93
1.71
2.84
29.8%
2022Q4
92
79.3
2.83
0.19
0.87
1.77
2.80
31.7%
2022Q3
92
77.8
2.71
0.17
0.86
1.68
2.62
45.4%
2022Q2
91
81.0
2.74
0.23
0.82
1.70
2.47
48.6%
2022Q1
90
77.3
2.93
0.18
0.87
1.87
2.77
36.5%
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.
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
D × 9F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-04-23
2025-04-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-21
2025-04-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-05-02
2025-04-16
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-05-02
2025-04-16
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
2025-05-02
2024-05-09
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-05-20
2024-05-09
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-05-30
2024-05-09
Health
F0732
Post nurse staffing information every day.
F
2024-05-20
2024-05-09
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-05-30
2024-05-09
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.
F
2024-05-20
2024-05-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-20
2024-05-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-05-30
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
6
Owner
Role
Pct
From
Status
Source
THI OF SOUTH CAROLINA, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-01-14
current
pecos_ownership
SMITH, LACEY
CORPORATE OFFICER
—
2024-01-29
current
pecos_ownership
HUNT VALLEY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2010-02-09
ended 2026-05-18
pecos_ownership
MURRAY FORMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-03-28
ended 2026-05-18
pecos_ownership
THI OF BALTIMORE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2007-07-01
ended 2026-05-18
pecos_ownership
LACEY SMITH
CORPORATE OFFICER
—
2024-01-29
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
2024-09-30
$501,930
—
—
—
$85,953
1
—
2023-09-30
$461,813
—
—
—
$79,557
1
—
2022-09-30
$394,873
—
—
—
$62,216
1
—
2021-09-30
$353,891
—
—
—
$52,489
1
—
2020-09-30
$352,534
—
—
—
$52,588
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
35
Geo
Kind
BR
Amount
As of
Source
county 45083
acs median gross
0
$1,049
2024-12-31
CENSUS_ACS5
county 45083
fmr
0
$1,034
2025-10-01
HUD_USER_FMR
county 45083
acs median gross
1
$1,025
2024-12-31
CENSUS_ACS5
county 45083
fmr
1
$1,083
2025-10-01
HUD_USER_FMR
county 45083
acs median gross
2
$1,032
2024-12-31
CENSUS_ACS5
county 45083
fmr
2
$1,187
2025-10-01
HUD_USER_FMR
county 45083
acs median gross
3
$1,174
2024-12-31
CENSUS_ACS5
county 45083
fmr
3
$1,439
2025-10-01
HUD_USER_FMR
county 45083
acs median gross
4
$1,432
2024-12-31
CENSUS_ACS5
county 45083
fmr
4
$1,661
2025-10-01
HUD_USER_FMR
county 45083
acs median gross
5
$1,953
2024-12-31
CENSUS_ACS5
county 45083
acs median gross
$1,084
2024-12-31
CENSUS_ACS5
county 45083
acs recent mover gross
$1,227
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
0
$1,050
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
1
$924
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
2
$995
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
3
$1,207
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
4
$685
2024-12-31
CENSUS_ACS5
zcta 29303
acs median gross
$1,044
2024-12-31
CENSUS_ACS5
zcta 29303
acs recent mover gross
$1,077
2024-12-31
CENSUS_ACS5
zip 29303
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 29303
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 29303
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 29303
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 29303
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 110
4
$1,749
2025-10-01
HUD_USER_SAFMR
zip 29303
payment standard 90
4
$1,431
2025-10-01
HUD_USER_SAFMR
zip 29303
safmr
4
$1,590
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.