Reads as: riskier than 35.3% 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
MO median
National median
National p25–p75
Total nurse
3.46
2.41
3.28
2.90–3.77
RN
0.37
0.25
0.39
0.25–0.58
Weekend total
3.51
2.24
3.11
—
Weekday total
3.44
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.7
3.46
0.37
0.66
2.43
3.51
0.0%
2025Q3
92
63.0
3.22
0.34
0.63
2.25
3.37
0.0%
2025Q2
91
65.5
3.27
0.34
0.61
2.33
3.39
0.0%
2025Q1
90
64.8
3.33
0.34
0.66
2.33
3.45
0.0%
2024Q4
92
62.1
3.16
0.35
0.59
2.22
3.30
0.0%
2024Q3
92
62.6
3.21
0.33
0.69
2.20
3.35
0.0%
2024Q2
91
64.2
3.41
0.35
0.70
2.36
3.75
0.0%
2024Q1
91
68.6
3.01
0.27
0.63
2.11
2.81
0.0%
2023Q4
92
69.0
2.79
0.22
0.60
1.98
2.87
0.0%
2023Q3
92
71.3
2.96
0.21
0.59
2.17
2.90
0.0%
2023Q2
91
73.9
2.89
0.15
0.63
2.11
2.87
0.0%
2023Q1
90
72.9
2.68
0.12
0.59
1.97
2.56
0.0%
2022Q4
92
73.5
2.62
0.11
0.55
1.97
2.43
0.0%
2022Q3
92
75.2
3.09
0.11
0.67
2.30
2.77
0.0%
2022Q2
91
75.9
2.85
0.24
0.64
1.98
2.34
0.0%
2022Q1
90
69.5
2.80
0.23
0.70
1.87
2.63
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2025-10-19
2025-09-05
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
2025-10-19
2025-09-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-10-19
2025-09-05
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.
E
2025-10-19
2025-09-05
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-10-19
2025-09-05
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
2025-10-19
2025-09-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-10-19
2024-09-05
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.
D
2024-10-18
2024-09-05
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-10-18
2024-09-05
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-10-18
2024-09-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-10-18
2023-09-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-30
2023-09-25
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-10-30
2023-06-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-08-06
2023-06-22
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.
E
2023-08-06
2023-06-22
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-08-06
2023-06-22
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-08-06
2023-06-22
Health
F0675
Honor each resident's preferences, choices, values and beliefs.
E
2023-08-06
2023-06-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-08-06
2023-06-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-08-06
2023-06-22
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.
E
2023-08-06
2023-06-22
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.
E
2023-08-06
2023-06-22
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.
E
2023-08-06
2023-06-22
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2023-08-06
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
38
Owner
Role
Pct
From
Status
Source
JUCKETTE, JOYCE E
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1999-01-01
current
pecos_ownership
BIESENTHAL, NICHOLE
ADP OF THE SNF
—
2024-02-26
current
pecos_ownership
HUDLEMEYER, TERESA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
JUCKETTE MANAGEMENT SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-12-03
current
pecos_ownership
JUCKETTE, HOLLY
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
JUCKETTE, HOLLY
CORPORATE OFFICER
—
2015-11-03
current
pecos_ownership
JUCKETTE, JOYCE E
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
JUCKETTE, JOYCE E
CORPORATE DIRECTOR
—
2013-11-01
current
pecos_ownership
JUCKETTE, JOYCE E
CORPORATE OFFICER
—
2015-11-03
current
pecos_ownership
MANSOUR, KRISTIANNA
ADP OF THE SNF
—
2020-11-26
current
pecos_ownership
NEUROTH, TERI
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
NEUROTH, TERI
CORPORATE DIRECTOR
—
2015-11-03
current
pecos_ownership
PLEASANT VALLEY MANOR INC
INDIRECT OWNERSHIP INTEREST
—
2008-12-03
current
pecos_ownership
PLOWMAN, AUDREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-24
current
pecos_ownership
SABIH, LOUAY
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
STEELE, LISA
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
STEELE, LISA
CORPORATE DIRECTOR
—
2015-11-03
current
pecos_ownership
STEELE, RANDALL
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
STEELE, RANDALL
CORPORATE DIRECTOR
—
2009-07-01
current
pecos_ownership
VAUGHAN, LADONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-19
current
pecos_ownership
JOYCE E JUCKETTE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1999-01-01
ended 2026-05-18
pecos_ownership
AUDREY PLOWMAN
ADP OF THE SNF
—
2025-02-24
ended 2026-05-18
pecos_ownership
HOLLY JUCKETTE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
HOLLY JUCKETTE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
CORPORATE DIRECTOR
—
2013-11-01
ended 2026-05-18
pecos_ownership
JOYCE E JUCKETTE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
KRISTIANNA MANSOUR
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-26
ended 2026-05-18
pecos_ownership
LADONNA VAUGHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-19
ended 2026-05-18
pecos_ownership
LISA STEELE
CORPORATE OFFICER
—
2015-11-03
ended 2026-05-18
pecos_ownership
LISA STEELE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
ended 2026-05-18
pecos_ownership
LOUAY SABIH
ADP OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
NICHOLE BIESENTHAL
ADP OF THE SNF
—
2024-02-26
ended 2026-05-18
pecos_ownership
RANDALL STEELE
CORPORATE DIRECTOR
—
2009-07-01
ended 2026-05-18
pecos_ownership
RANDALL STEELE
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
TERESA HUDLEMEYER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
TERI NEUROTH
ADP OF THE SNF
—
2015-12-01
ended 2026-05-18
pecos_ownership
TERI NEUROTH
CORPORATE OFFICER
—
2015-11-03
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
2025-07-31
$117,972
—
—
—
—
1
—
2024-07-31
$115,995
—
—
—
—
1
—
2023-07-31
$82,917
—
—
—
—
1
—
2022-07-31
$116,847
—
—
—
—
1
—
2021-07-31
$114,094
—
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 29047
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 29047
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
1
$994
2024-12-31
CENSUS_ACS5
county 29047
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
2
$1,204
2024-12-31
CENSUS_ACS5
county 29047
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
3
$1,593
2024-12-31
CENSUS_ACS5
county 29047
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
4
$2,033
2024-12-31
CENSUS_ACS5
county 29047
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
5
$2,081
2024-12-31
CENSUS_ACS5
county 29047
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
county 29047
acs recent mover gross
$1,307
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
0
$832
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
1
$938
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
2
$1,139
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
3
$1,508
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
4
$1,826
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
5
$2,417
2024-12-31
CENSUS_ACS5
zcta 64068
acs median gross
$1,158
2024-12-31
CENSUS_ACS5
zcta 64068
acs recent mover gross
$1,144
2024-12-31
CENSUS_ACS5
zip 64068
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 64068
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 110
1
$1,243
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 90
1
$1,017
2025-10-01
HUD_USER_SAFMR
zip 64068
safmr
1
$1,130
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 64068
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 110
3
$1,837
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 90
3
$1,503
2025-10-01
HUD_USER_SAFMR
zip 64068
safmr
3
$1,670
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 110
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 64068
payment standard 90
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 64068
safmr
4
$1,980
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.