Reads as: riskier than 38.2% 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
KS median
National median
National p25–p75
Total nurse
2.61
3.03
3.28
2.90–3.77
RN
0.26
0.44
0.39
0.25–0.58
Weekend total
2.55
2.87
3.11
—
Weekday total
2.63
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
2.61
0.26
0.39
1.96
2.55
0.0%
2025Q3
92
47.4
2.35
0.27
0.40
1.68
2.30
0.0%
2025Q2
91
44.8
2.38
0.17
0.44
1.77
2.31
0.0%
2025Q1
90
45.0
2.57
0.14
0.53
1.90
2.50
0.0%
2024Q4
92
46.9
2.45
0.17
0.48
1.80
2.46
0.0%
2024Q3
92
47.6
2.30
0.13
0.52
1.66
2.19
0.0%
2024Q2
91
42.8
2.19
0.15
0.54
1.51
2.04
0.0%
2024Q1
91
43.5
2.37
0.24
0.65
1.49
2.32
0.0%
2023Q4
92
44.7
2.16
0.20
0.66
1.30
2.16
0.0%
2023Q3
92
42.9
2.30
0.18
0.69
1.43
2.21
0.0%
2023Q2
91
40.5
2.12
0.17
0.66
1.29
1.81
0.0%
2023Q1
90
42.9
2.25
0.16
0.57
1.52
2.03
0.0%
2022Q4
92
40.0
2.22
0.17
0.51
1.55
2.06
0.0%
2022Q3
92
41.2
2.16
0.16
0.66
1.35
1.94
0.0%
2022Q2
91
44.3
2.21
0.14
0.67
1.40
1.85
0.0%
2022Q1
90
43.2
2.13
0.16
0.54
1.43
1.98
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-31
2025-07-01
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-31
2025-07-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-31
2025-07-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-31
2025-07-01
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
E
2025-07-31
2025-07-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-31
2025-07-01
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-07-31
2025-07-01
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-07-31
2025-07-01
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
C
2025-07-31
2025-07-01
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-07-31
2024-06-25
Health · complaint
F0741
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
D
2024-07-12
2024-06-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-12
2024-02-27
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-03-11
2024-02-27
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-11
2024-02-27
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-03-11
2024-02-27
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2024-03-11
2023-08-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-05
2023-08-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-05
2023-08-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-05
2023-08-17
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
2023-09-05
2023-08-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-05
2023-08-17
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-09-05
2023-08-17
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-09-05
2023-08-17
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-09-05
2021-12-02
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
2021-12-31
2021-12-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-12-31
2021-12-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2021-12-31
2021-12-02
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-12-31
2021-12-02
Health
F0732
Post nurse staffing information every day.
C
2021-12-31
2021-12-02
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
2021-12-31
2021-12-02
Health
F0881
Implement a program that monitors antibiotic use.
F
2021-12-31
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
39
Owner
Role
Pct
From
Status
Source
BHNV 2 LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
GOLDSTEIN, AVROHOM
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
HALBERSTAM, MIRIAM
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
HALBERSTAM, MOSHE
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
KAMNA HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
KANSAS SNF HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MAD FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
MARGULIES, ZISHA
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MIDWEST SNF HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2019-11-01
current
pecos_ownership
MRC SNF MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
MRC SNF MANAGEMENT LLC
ADP OF THE SNF
—
2025-03-12
current
pecos_ownership
MRCMM II LLC
DIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
NATR TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
NZM HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
PENNINGTON, SUSAN
ADP OF THE SNF
—
2025-03-12
current
pecos_ownership
PENNINGTON, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
PETERSEN, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
PETERSEN, MARK
ADP OF THE SNF
—
2025-03-12
current
pecos_ownership
RARMNA HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RATR TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
RECOVER-CARE HEALTHCARE LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RNR HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
THOMAS, ANGIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
WETR TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
100%
2019-11-01
ended 2019-12-31
hcris_a_8_1
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
RECOVER-CARE EMPORIA SNF REALTY LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
AVROHOM GOLDSTEIN
INDIRECT OWNERSHIP INTEREST
23%
2025-02-28
ended 2026-05-18
pecos_ownership
ZISHA MARGULIES
INDIRECT OWNERSHIP INTEREST
23%
2025-02-28
ended 2026-05-18
pecos_ownership
MIRIAM HALBERSTAM
INDIRECT OWNERSHIP INTEREST
3%
2025-02-28
ended 2026-05-18
pecos_ownership
MOSHE HALBERSTAM
INDIRECT OWNERSHIP INTEREST
3%
2025-02-28
ended 2026-05-18
pecos_ownership
ANGIE THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
MARK PETERSEN
ADP OF THE SNF
—
2025-03-12
ended 2026-05-18
pecos_ownership
MARK PETERSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
SUSAN PENNINGTON
ADP OF THE SNF
—
2025-03-12
ended 2026-05-18
pecos_ownership
SUSAN PENNINGTON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,162,878
$408,281
—
$241,027
—
3
propco
2023-12-31
$955,231
$330,882
—
$185,136
—
3
propco
2022-12-31
$705,429
$271,279
—
—
—
2
propco
2021-12-31
$577,327
$236,357
—
—
—
2
propco
2020-12-31
$442,747
$212,854
—
—
$29,204
2
propco
2019-12-31
$74,102
$41,297
—
—
$3,426
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 20111
acs median gross
0
$705
2024-12-31
CENSUS_ACS5
county 20111
fmr
0
$624
2025-10-01
HUD_USER_FMR
county 20111
acs median gross
1
$639
2024-12-31
CENSUS_ACS5
county 20111
fmr
1
$668
2025-10-01
HUD_USER_FMR
county 20111
acs median gross
2
$836
2024-12-31
CENSUS_ACS5
county 20111
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20111
acs median gross
3
$1,019
2024-12-31
CENSUS_ACS5
county 20111
fmr
3
$1,142
2025-10-01
HUD_USER_FMR
county 20111
acs median gross
4
$1,232
2024-12-31
CENSUS_ACS5
county 20111
fmr
4
$1,381
2025-10-01
HUD_USER_FMR
county 20111
acs median gross
5
$1,545
2024-12-31
CENSUS_ACS5
county 20111
acs median gross
$817
2024-12-31
CENSUS_ACS5
county 20111
acs recent mover gross
$724
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
0
$708
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
1
$642
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
2
$841
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
3
$1,012
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
4
$1,226
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
5
$1,557
2024-12-31
CENSUS_ACS5
zcta 66801
acs median gross
$822
2024-12-31
CENSUS_ACS5
zcta 66801
acs recent mover gross
$724
2024-12-31
CENSUS_ACS5
zip 66801
payment standard 110
0
$693
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 90
0
$567
2025-10-01
HUD_USER_SAFMR
zip 66801
safmr
0
$630
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 110
1
$748
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 90
1
$612
2025-10-01
HUD_USER_SAFMR
zip 66801
safmr
1
$680
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 66801
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 110
3
$1,276
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 90
3
$1,044
2025-10-01
HUD_USER_SAFMR
zip 66801
safmr
3
$1,160
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 110
4
$1,540
2025-10-01
HUD_USER_SAFMR
zip 66801
payment standard 90
4
$1,260
2025-10-01
HUD_USER_SAFMR
zip 66801
safmr
4
$1,400
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.