Reads as: riskier than 15.7% 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
OH median
National median
National p25–p75
Total nurse
3.47
3.24
3.28
2.90–3.77
RN
0.28
0.38
0.39
0.25–0.58
Weekend total
3.58
3.11
3.11
—
Weekday total
3.42
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
22.4
3.47
0.28
0.94
2.24
3.58
0.0%
2025Q3
92
23.2
3.43
0.29
0.92
2.22
3.46
0.0%
2025Q2
91
22.2
3.30
0.34
0.90
2.06
3.40
0.0%
2025Q1
90
22.7
3.20
0.26
0.99
1.95
3.21
0.0%
2024Q4
92
23.5
3.13
0.16
1.06
1.91
3.15
0.0%
2024Q3
92
22.5
3.27
0.20
1.14
1.93
3.20
0.0%
2024Q2
91
22.0
3.14
0.10
1.16
1.87
3.12
0.0%
2024Q1
91
20.2
3.27
0.14
1.23
1.91
3.31
0.0%
2023Q4
92
19.9
3.52
0.14
1.36
2.02
3.75
3.7%
2023Q3
92
20.5
3.32
0.17
1.20
1.95
3.45
2.0%
2023Q2
91
21.9
3.15
0.28
0.89
1.98
3.15
0.8%
2023Q1
90
23.1
2.96
0.34
0.82
1.79
3.01
5.7%
2022Q4
92
22.5
3.18
0.45
0.73
2.01
2.97
3.7%
2022Q3
92
21.4
3.42
0.48
0.75
2.19
3.26
3.3%
2022Q2
91
23.7
2.90
0.48
0.66
1.76
2.88
24.0%
2022Q1
90
20.5
2.95
0.85
0.34
1.77
3.20
17.9%
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
34
C × 1D × 23E × 3F × 6G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-08-27
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2023-09-13
2022-05-16
Health
F0637
Assess the resident when there is a significant change in condition
D
2022-07-05
2022-05-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-07-05
2022-05-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-05
2022-05-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-07-05
2022-05-16
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
2022-07-05
2022-05-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-07-05
2022-05-16
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.
F
2022-07-05
2022-05-16
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
2022-07-05
2022-05-16
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
2022-07-05
2022-05-16
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-07-05
2022-05-16
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2022-07-05
2020-02-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2020-03-13
2020-02-13
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2020-03-13
2020-02-13
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2020-03-13
2020-02-13
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
2020-03-06
2020-02-13
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2020-03-13
2020-02-13
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2020-03-13
2020-02-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2020-03-13
2020-02-13
Health
F0679
Provide activities to meet all resident's needs.
D
2020-03-13
2020-02-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2020-03-13
2020-02-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2020-03-13
2020-02-13
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2020-03-13
2020-02-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-03-13
2020-02-13
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2020-03-13
2020-02-13
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
2020-03-13
2020-02-13
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
2020-03-13
2020-02-13
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2020-03-13
2020-02-13
Health
F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
D
2020-03-13
2020-02-13
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2020-03-13
2020-02-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2020-03-13
2020-02-13
Health
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
2020-03-13
2020-02-13
Health
F0881
Implement a program that monitors antibiotic use.
D
2020-03-13
2020-02-13
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2020-03-13
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
9
Owner
Role
Pct
From
Status
Source
BERGSTEN, PAUL
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
BERRYMAN, WHITNEY
W-2 MANAGING EMPLOYEE
—
2020-12-14
current
pecos_ownership
DAPORE, MATTHEW
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
WHEATON, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2014-09-01
current
pecos_ownership
HILLSTONE HEALTHCARE INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-09-01
ended 2026-05-18
pecos_ownership
PAUL BERGSTEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
60%
2017-09-01
ended 2026-05-18
pecos_ownership
MATTHEW DAPORE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2017-09-01
ended 2026-05-18
pecos_ownership
ANTHONY WHEATON
OPERATIONAL/MANAGERIAL CONTROL
—
2014-09-01
ended 2026-05-18
pecos_ownership
WHITNEY BERRYMAN
W-2 MANAGING EMPLOYEE
—
2020-12-14
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
$319,098
—
—
—
—
5
—
2023-12-31
$225,827
—
—
$18,900
—
4
—
2022-12-31
$79,999
—
—
—
—
1
—
2021-12-31
$55,890
—
—
—
—
1
—
2020-12-31
$49,660
—
—
—
—
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 39145
acs median gross
0
$443
2024-12-31
CENSUS_ACS5
county 39145
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 39145
acs median gross
1
$538
2024-12-31
CENSUS_ACS5
county 39145
fmr
1
$808
2025-10-01
HUD_USER_FMR
county 39145
acs median gross
2
$750
2024-12-31
CENSUS_ACS5
county 39145
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39145
acs median gross
3
$940
2024-12-31
CENSUS_ACS5
county 39145
fmr
3
$1,328
2025-10-01
HUD_USER_FMR
county 39145
acs median gross
4
$1,056
2024-12-31
CENSUS_ACS5
county 39145
fmr
4
$1,466
2025-10-01
HUD_USER_FMR
county 39145
acs median gross
5
$1,625
2024-12-31
CENSUS_ACS5
county 39145
acs median gross
$742
2024-12-31
CENSUS_ACS5
county 39145
acs recent mover gross
$707
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
0
$368
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
1
$512
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
2
$767
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
3
$967
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
4
$1,043
2024-12-31
CENSUS_ACS5
zcta 45662
acs median gross
$738
2024-12-31
CENSUS_ACS5
zcta 45662
acs recent mover gross
$618
2024-12-31
CENSUS_ACS5
zip 45662
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 45662
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 45662
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 45662
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 45662
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 45662
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 45662
safmr
4
$1,470
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.