Reads as: riskier than 7.6% 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
15
2025Q4 HPRD
This facility
PA median
National median
National p25–p75
Total nurse
4.25
3.38
3.28
2.90–3.77
RN
0.62
0.45
0.39
0.25–0.58
Weekend total
4.28
3.27
3.11
—
Weekday total
4.24
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.8
4.25
0.62
1.10
2.53
4.28
3.4%
2025Q3
92
46.3
4.08
0.60
1.05
2.43
3.99
2.5%
2025Q2
91
45.4
4.57
0.64
1.20
2.73
4.58
3.8%
2025Q1
90
46.0
4.24
0.65
1.16
2.43
4.22
4.0%
2024Q4
92
46.8
4.23
0.61
1.07
2.54
4.14
3.7%
2024Q3
92
47.4
4.03
0.62
1.02
2.39
3.94
4.8%
2024Q2
91
46.7
4.08
0.64
1.04
2.41
4.05
9.9%
2024Q1
91
44.4
4.14
0.64
1.08
2.43
4.08
3.1%
2023Q4
92
46.0
4.04
0.59
1.02
2.43
4.04
11.7%
2023Q2
91
48.2
3.66
0.57
0.83
2.27
3.63
36.7%
2023Q1
90
45.4
3.51
0.66
0.82
2.03
3.51
31.4%
2022Q4
92
46.8
3.39
0.61
0.81
1.97
3.53
30.3%
2022Q3
92
46.4
3.44
0.64
0.89
1.91
3.48
20.3%
2022Q2
91
47.6
3.36
0.48
0.90
1.98
3.38
15.5%
2022Q1
90
46.9
3.56
0.54
0.84
2.19
3.47
15.7%
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
7
B × 1C × 1D × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-16
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
B
2025-06-13
2025-05-16
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
2025-06-13
2024-06-13
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
2024-07-02
2023-07-07
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-08-01
2023-07-07
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.
C
2023-08-01
2023-07-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-01
2023-07-07
Health
F0814
Dispose of garbage and refuse properly.
D
2023-08-01
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
13
Owner
Role
Pct
From
Status
Source
CHANDLER HALL HEALTH SERVICES, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2003-03-01
current
pecos_ownership
BAYARDI, ELIZABETH
CORPORATE OFFICER
—
2022-07-12
current
pecos_ownership
DONNELLY, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-12
current
pecos_ownership
JOHNSON, SHERRIN
CORPORATE OFFICER
—
2022-07-12
current
pecos_ownership
LANDENBERGER, CHRISTINE
CORPORATE OFFICER
—
2022-07-12
current
pecos_ownership
SHEEHAN, PAUL
CORPORATE OFFICER
—
2022-07-12
current
pecos_ownership
WHITMAN, JOHN
CORPORATE DIRECTOR
—
2022-07-12
current
pecos_ownership
CHRISTINE LANDENBERGER
CORPORATE OFFICER
—
2022-07-12
ended 2026-05-18
pecos_ownership
CHRISTOPHER DONNELLY
ADP OF THE SNF
—
2022-07-12
ended 2026-05-18
pecos_ownership
ELIZABETH BAYARDI
CORPORATE OFFICER
—
2022-07-12
ended 2026-05-18
pecos_ownership
JOHN WHITMAN
CORPORATE OFFICER
—
2022-07-12
ended 2026-05-18
pecos_ownership
PAUL SHEEHAN
CORPORATE OFFICER
—
2022-07-12
ended 2026-05-18
pecos_ownership
SHERRIN JOHNSON
CORPORATE OFFICER
—
2022-07-12
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-12-31
$201,517
—
—
—
—
2
—
2021-12-31
$533,806
—
—
—
—
2
—
2020-12-31
$557,856
—
—
—
—
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 42017
acs median gross
0
$1,234
2024-12-31
CENSUS_ACS5
county 42017
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
1
$1,375
2024-12-31
CENSUS_ACS5
county 42017
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
2
$1,702
2024-12-31
CENSUS_ACS5
county 42017
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42017
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
4
$2,322
2024-12-31
CENSUS_ACS5
county 42017
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
5
$2,410
2024-12-31
CENSUS_ACS5
county 42017
acs median gross
$1,605
2024-12-31
CENSUS_ACS5
county 42017
acs recent mover gross
$1,835
2024-12-31
CENSUS_ACS5
zcta 18940
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
zcta 18940
acs median gross
2
$2,126
2024-12-31
CENSUS_ACS5
zcta 18940
acs median gross
3
$2,331
2024-12-31
CENSUS_ACS5
zcta 18940
acs median gross
4
$3,053
2024-12-31
CENSUS_ACS5
zcta 18940
acs median gross
$2,086
2024-12-31
CENSUS_ACS5
zcta 18940
acs recent mover gross
$2,819
2024-12-31
CENSUS_ACS5
zip 18940
payment standard 110
0
$2,299
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 90
0
$1,881
2025-10-01
HUD_USER_SAFMR
zip 18940
safmr
0
$2,090
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 110
1
$2,508
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 90
1
$2,052
2025-10-01
HUD_USER_SAFMR
zip 18940
safmr
1
$2,280
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 110
2
$2,981
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 90
2
$2,439
2025-10-01
HUD_USER_SAFMR
zip 18940
safmr
2
$2,710
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 110
3
$3,575
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 90
3
$2,925
2025-10-01
HUD_USER_SAFMR
zip 18940
safmr
3
$3,250
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 110
4
$3,993
2025-10-01
HUD_USER_SAFMR
zip 18940
payment standard 90
4
$3,267
2025-10-01
HUD_USER_SAFMR
zip 18940
safmr
4
$3,630
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.