Reads as: riskier than 12.9% 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
KY median
National median
National p25–p75
Total nurse
4.45
3.11
3.28
2.90–3.77
RN
0.72
0.41
0.39
0.25–0.58
Weekend total
4.31
3.01
3.11
—
Weekday total
4.50
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
128.4
4.45
0.72
0.96
2.77
4.31
0.0%
2025Q3
92
127.3
4.62
0.66
1.00
2.96
4.46
0.0%
2025Q2
91
127.1
4.34
0.62
0.94
2.79
4.20
0.0%
2025Q1
90
126.4
4.42
0.68
0.94
2.80
4.35
0.0%
2024Q4
92
126.7
4.22
0.60
0.97
2.65
4.01
0.2%
2024Q3
92
130.9
4.00
0.56
1.00
2.43
3.86
2.9%
2024Q2
91
127.5
4.06
0.55
0.98
2.54
3.81
4.9%
2024Q1
91
128.1
4.28
0.49
1.10
2.69
4.19
0.1%
2023Q4
92
127.0
3.93
0.44
1.07
2.43
3.74
11.5%
2023Q3
92
129.4
3.57
0.53
0.84
2.21
3.23
12.3%
2023Q2
91
129.2
3.66
0.59
0.79
2.28
3.29
8.1%
2023Q1
90
126.9
3.56
0.57
0.76
2.23
3.23
6.0%
2022Q4
92
124.4
3.17
0.40
0.84
1.93
2.99
9.0%
2022Q3
92
114.3
3.98
0.48
1.04
2.46
3.68
8.2%
2022Q2
91
119.3
3.85
0.44
0.99
2.42
3.46
8.8%
2022Q1
90
113.8
4.16
0.39
1.20
2.57
3.91
5.9%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-06-26
2025-06-05
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-06-26
2025-06-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-06-26
2024-06-28
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2024-08-06
2024-06-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-08-06
2024-06-28
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
2024-08-06
2019-03-28
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2019-04-19
2019-03-28
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-04-19
2019-03-28
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
2019-04-19
2019-03-28
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2019-04-19
2019-03-28
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2019-04-19
2019-03-28
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
2019-04-19
2019-03-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2019-04-19
2019-03-28
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-04-19
2019-03-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-04-19
2019-03-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-04-19
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
33
Owner
Role
Pct
From
Status
Source
ADDINGTON, STEPHEN
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
ASHLAND HOSPITAL CORPORATION
DIRECT OWNERSHIP INTEREST
—
2022-12-01
current
pecos_ownership
BEYOND BLUE CORPORATION
INDIRECT OWNERSHIP INTEREST
—
2021-04-01
current
pecos_ownership
BIRDWHISTELL, MARK
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
BLANKENSHIP, JANE
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BURNETTE, THOMAS
CORPORATE DIRECTOR
—
2010-02-02
current
pecos_ownership
CLIFTON, STEVEN
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
COLLINS, CRAIG
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
COX, PENNY
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
DIPAOLA, ROBERT
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
DUGAS, GINA
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
JONES, DAVID
CORPORATE DIRECTOR
—
2010-03-03
current
pecos_ownership
MARKS, SARA
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
MONDAY, ERIC
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
ROYAL BLUE HEALTH, LLC
INDIRECT OWNERSHIP INTEREST
—
2021-04-01
current
pecos_ownership
STEWART, JOHN
CORPORATE DIRECTOR
—
2017-10-01
current
pecos_ownership
STEWART, LAURIE
CORPORATE DIRECTOR
—
2026-02-12
current
pecos_ownership
UNIVERSITY OF KENTUCKY
INDIRECT OWNERSHIP INTEREST
—
2022-12-01
current
pecos_ownership
ASHLAND HOSPITAL CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-02-01
ended 2026-05-18
pecos_ownership
CRAIG COLLINS
CORPORATE DIRECTOR
0%
2021-04-01
ended 2026-05-18
pecos_ownership
DAVID JONES
CORPORATE DIRECTOR
0%
2010-03-03
ended 2026-05-18
pecos_ownership
ERIC MONDAY
CORPORATE DIRECTOR
0%
2021-04-01
ended 2026-05-18
pecos_ownership
GINA DUGAS
CORPORATE DIRECTOR
0%
2022-12-01
ended 2026-05-18
pecos_ownership
JOHN STEWART
CORPORATE DIRECTOR
0%
2017-10-01
ended 2026-05-18
pecos_ownership
LAURIE STEWART
CORPORATE DIRECTOR
0%
2026-02-12
ended 2026-05-18
pecos_ownership
MARK BIRDWHISTELL
CORPORATE DIRECTOR
0%
2021-04-01
ended 2026-05-18
pecos_ownership
PENNY COX
CORPORATE DIRECTOR
0%
2022-12-01
ended 2026-05-18
pecos_ownership
ROBERT DIPAOLA
CORPORATE DIRECTOR
0%
2022-12-01
ended 2026-05-18
pecos_ownership
SARA MARKS
CORPORATE OFFICER
0%
2022-12-01
ended 2026-05-18
pecos_ownership
STEPHEN ADDINGTON
CORPORATE DIRECTOR
0%
2021-04-01
ended 2026-05-18
pecos_ownership
STEVEN CLIFTON
CORPORATE OFFICER
0%
2022-12-01
ended 2026-05-18
pecos_ownership
THOMAS BURNETTE
CORPORATE DIRECTOR
0%
2010-02-02
ended 2026-05-18
pecos_ownership
JANE BLANKENSHIP
ADP OF THE SNF
—
2024-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 21019
acs median gross
0
$410
2024-12-31
CENSUS_ACS5
county 21019
fmr
0
$848
2025-10-01
HUD_USER_FMR
county 21019
acs median gross
1
$636
2024-12-31
CENSUS_ACS5
county 21019
fmr
1
$853
2025-10-01
HUD_USER_FMR
county 21019
acs median gross
2
$869
2024-12-31
CENSUS_ACS5
county 21019
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 21019
acs median gross
3
$952
2024-12-31
CENSUS_ACS5
county 21019
fmr
3
$1,249
2025-10-01
HUD_USER_FMR
county 21019
acs median gross
4
$1,304
2024-12-31
CENSUS_ACS5
county 21019
fmr
4
$1,410
2025-10-01
HUD_USER_FMR
county 21019
acs median gross
5
$1,323
2024-12-31
CENSUS_ACS5
county 21019
acs median gross
$849
2024-12-31
CENSUS_ACS5
county 21019
acs recent mover gross
$976
2024-12-31
CENSUS_ACS5
zcta 41102
acs median gross
1
$589
2024-12-31
CENSUS_ACS5
zcta 41102
acs median gross
2
$748
2024-12-31
CENSUS_ACS5
zcta 41102
acs median gross
3
$877
2024-12-31
CENSUS_ACS5
zcta 41102
acs median gross
4
$1,253
2024-12-31
CENSUS_ACS5
zcta 41102
acs median gross
$795
2024-12-31
CENSUS_ACS5
zcta 41102
acs recent mover gross
$791
2024-12-31
CENSUS_ACS5
zip 41102
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 41102
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 110
1
$946
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 90
1
$774
2025-10-01
HUD_USER_SAFMR
zip 41102
safmr
1
$860
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 41102
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 41102
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 41102
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 41102
safmr
4
$1,420
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.