Reads as: riskier than 63.2% 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
2.26
3.32
3.28
2.90–3.77
RN
0.23
0.33
0.39
0.25–0.58
Weekend total
2.37
3.05
3.11
—
Weekday total
2.22
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.4
2.26
0.23
0.65
1.39
2.37
0.0%
2025Q3
92
38.0
2.62
0.26
0.72
1.64
2.58
0.0%
2025Q2
91
40.3
2.27
0.29
0.74
1.25
2.41
0.0%
2025Q1
90
38.4
2.34
0.28
0.69
1.37
2.62
0.0%
2024Q4
92
36.0
2.86
0.29
0.94
1.63
3.10
0.0%
2024Q3
92
34.7
3.06
0.28
0.69
2.10
3.17
0.0%
2024Q2
91
35.7
2.59
0.30
0.61
1.68
2.65
0.0%
2024Q1
91
37.6
2.53
0.33
0.49
1.71
2.73
0.0%
2023Q4
92
36.7
2.62
0.32
0.47
1.84
2.73
0.0%
2023Q3
92
36.3
2.67
0.29
0.58
1.80
2.94
0.0%
2023Q2
91
37.5
2.47
0.34
0.63
1.50
2.49
0.0%
2023Q1
90
41.4
2.18
0.30
0.70
1.19
2.06
0.0%
2022Q4
92
42.1
2.85
0.27
0.81
1.77
2.65
0.0%
2022Q3
92
39.4
2.87
0.28
0.88
1.71
2.51
0.0%
2022Q2
91
41.1
2.56
0.29
0.66
1.61
1.97
0.0%
2022Q1
90
36.9
3.09
0.36
0.88
1.86
2.68
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-09-25
2025-01-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-01-19
2024-11-05
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-12-04
2024-11-05
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-12-04
2024-11-05
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-12-04
2024-11-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-04
2023-06-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-07-19
2022-09-30
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-10-28
2022-09-30
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2022-10-28
2022-09-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-10-28
2022-09-30
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
2023-01-27
2022-09-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-10-28
2022-09-30
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-10-28
2022-09-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-10-28
2022-09-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-10-28
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
28
Owner
Role
Pct
From
Status
Source
ARMSTRONG, KAYLA
ADP OF THE SNF
—
2026-03-18
current
pecos_ownership
ARMSTRONG, KAYLA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-02
current
pecos_ownership
D'ANDRADE, KENESHA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-10
current
pecos_ownership
D'ANDRADE, KENESHA
ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
HERITAGE PROPERTIES OF PICKENS, INC
INDIRECT OWNERSHIP INTEREST
—
2008-04-10
current
pecos_ownership
J PAIGE PRUITT TRUST
ADP OF THE SNF
—
2003-06-05
current
pecos_ownership
JOSEPH, KIRPICH
ADP OF THE SNF
—
2026-03-18
current
pecos_ownership
JOSEPH, KIRPICH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-05
current
pecos_ownership
LISA P HAMBY TRUST
ADP OF THE SNF
—
2003-06-05
current
pecos_ownership
NEIL L PRUITT JR TRUST
ADP OF THE SNF
—
2003-06-05
current
pecos_ownership
NWP 2020 CHILD TR FBO NEIL L PRUITT JR
INDIRECT OWNERSHIP INTEREST
—
2020-08-12
current
pecos_ownership
PRUITT, NANCY
MANAGING CONTROL - GOVERNING BODY
—
2024-05-05
current
pecos_ownership
PRUITT, NEIL
DIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
PRUITTHEALTH CONSULTING SERVICES INC
ADP OF THE SNF
—
2013-11-26
current
pecos_ownership
SMALL, PHILIP
MANAGING CONTROL - GOVERNING BODY
—
2011-01-03
current
pecos_ownership
UNITED HEALTH SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
UNITED HEALTH SERVICES OF SOUTH CAROLINA INC
DIRECT OWNERSHIP INTEREST
—
2008-12-01
current
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2008-04-16
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2008-04-16
ended 2026-05-18
pecos_ownership
NEIL PRUITT
DIRECT OWNERSHIP INTEREST
1%
2013-11-27
ended 2026-05-18
pecos_ownership
KAYLA ARMSTRONG
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-02
ended 2026-05-18
pecos_ownership
KAYLA ARMSTRONG
ADP OF THE SNF
—
2026-03-18
ended 2026-05-18
pecos_ownership
KENESHA D'ANDRADE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-10
ended 2026-05-18
pecos_ownership
KENESHA D'ANDRADE
ADP OF THE SNF
—
2025-09-24
ended 2026-05-18
pecos_ownership
KIRPICH JOSEPH
ADP OF THE SNF
—
2026-03-18
ended 2026-05-18
pecos_ownership
KIRPICH JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-05
ended 2026-05-18
pecos_ownership
NANCY PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2024-05-05
ended 2026-05-18
pecos_ownership
PHILIP SMALL
MANAGING CONTROL - GOVERNING BODY
—
2011-01-03
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
2025-06-30
$832,398
$156,941
$128,472
$130,712
$143,516
9
—
2024-06-30
$906,678
$161,276
$127,397
$116,643
$110,499
9
—
2023-06-30
$839,295
$183,772
$120,630
$139,732
$188,823
9
—
2022-06-30
$923,937
$141,507
$158,107
$112,346
$311,319
9
—
2021-06-30
$691,619
$149,048
$119,318
$115,914
$198,689
8
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 45077
acs median gross
0
$847
2024-12-31
CENSUS_ACS5
county 45077
fmr
0
$1,166
2025-10-01
HUD_USER_FMR
county 45077
acs median gross
1
$879
2024-12-31
CENSUS_ACS5
county 45077
fmr
1
$1,221
2025-10-01
HUD_USER_FMR
county 45077
acs median gross
2
$967
2024-12-31
CENSUS_ACS5
county 45077
fmr
2
$1,339
2025-10-01
HUD_USER_FMR
county 45077
acs median gross
3
$1,071
2024-12-31
CENSUS_ACS5
county 45077
fmr
3
$1,612
2025-10-01
HUD_USER_FMR
county 45077
acs median gross
4
$957
2024-12-31
CENSUS_ACS5
county 45077
fmr
4
$1,943
2025-10-01
HUD_USER_FMR
county 45077
acs median gross
$972
2024-12-31
CENSUS_ACS5
county 45077
acs recent mover gross
$1,123
2024-12-31
CENSUS_ACS5
zcta 29682
acs median gross
2
$640
2024-12-31
CENSUS_ACS5
zcta 29682
acs median gross
3
$867
2024-12-31
CENSUS_ACS5
zcta 29682
acs median gross
$836
2024-12-31
CENSUS_ACS5
zip 29682
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 29682
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 29682
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 29682
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 29682
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 110
4
$1,892
2025-10-01
HUD_USER_SAFMR
zip 29682
payment standard 90
4
$1,548
2025-10-01
HUD_USER_SAFMR
zip 29682
safmr
4
$1,720
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.