Reads as: riskier than 20.3% 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
KS median
National median
National p25–p75
Total nurse
2.79
3.03
3.28
2.90–3.77
RN
0.35
0.44
0.39
0.25–0.58
Weekend total
2.72
2.87
3.11
—
Weekday total
2.82
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.6
2.79
0.35
0.67
1.77
2.72
0.0%
2025Q3
92
56.7
2.83
0.41
0.65
1.77
2.68
0.1%
2025Q2
91
57.1
2.87
0.54
0.56
1.78
2.63
0.0%
2025Q1
90
55.7
3.10
0.53
0.58
1.99
2.86
0.0%
2024Q4
92
54.7
3.16
0.52
0.59
2.06
2.85
0.0%
2024Q3
92
56.6
3.04
0.55
0.51
1.99
2.76
0.0%
2024Q2
91
58.4
2.76
0.51
0.45
1.81
2.54
0.0%
2024Q1
91
56.7
2.64
0.53
0.40
1.71
2.46
0.0%
2023Q4
92
56.4
2.62
0.62
0.40
1.60
2.27
0.0%
2023Q3
92
52.7
2.79
0.70
0.37
1.73
2.53
0.0%
2023Q2
91
52.9
2.88
0.69
0.42
1.76
2.57
0.0%
2023Q1
90
54.0
3.01
0.67
0.43
1.90
2.80
0.0%
2022Q4
92
55.5
2.74
0.61
0.55
1.57
2.52
0.0%
2022Q3
92
56.2
2.56
0.62
0.43
1.51
2.17
0.0%
2022Q2
91
58.2
2.64
0.59
0.42
1.62
2.15
0.0%
2022Q1
90
56.1
2.42
0.58
0.44
1.39
2.00
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.
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
21
D × 13E × 3F × 4G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-07-24
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
2024-08-30
2024-07-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-30
2024-07-24
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
2024-08-30
2024-07-24
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2024-08-30
2024-07-24
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-08-30
2022-07-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2022-08-05
2022-07-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-08-05
2022-07-06
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
2022-08-05
2022-07-06
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
2022-08-05
2022-07-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-08-05
2021-01-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2021-02-08
2021-01-12
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2021-02-08
2021-01-12
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2021-02-08
2021-01-12
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2021-02-08
2021-01-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-02-08
2021-01-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2021-02-08
2021-01-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2021-02-08
2021-01-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-02-08
2021-01-12
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.
D
2021-02-08
2021-01-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2021-02-08
2021-01-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2021-02-08
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
47
Owner
Role
Pct
From
Status
Source
AGGBF TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
BHNV 2 LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
BHNV PROPERTY HOLDINGS 2 LLC
ADP OF THE SNF
—
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
KAMNA HOLDINGS PROPERTY LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
KANSAS SNF HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
MAD FAMILY HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MARGULIES, ZISHA
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MAYFIELD, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
MIDWEST SNF HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MRC SNF MANAGEMENT LLC
ADP OF THE SNF
—
2025-02-11
current
pecos_ownership
MRC SNF MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
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
NZM PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
PETRO-SAKUR, CAMERON
ADP OF THE SNF
—
2025-02-11
current
pecos_ownership
PETRO-SAKUR, CAMERON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
RARMNA HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RATR TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RECOVER-CARE HEALTHCARE LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RECOVER-CARE HEALTHCARE PROPERTY LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
RNR HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
RY 3910 TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
SALINA KS PROPERTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
SALINA KS PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2025-06-12
current
pecos_ownership
SALINA KS PROPERTY HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
SALINA KS PROPERTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
SEIM, HEATHER
ADP OF THE SNF
—
2025-02-11
current
pecos_ownership
SEIM, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
WETR TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
ZMRY 3910 LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
SALINA KS PROPERTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
SALINA KS PROPERTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
100%
2020-03-16
ended 2020-12-31
hcris_a_8_1
SALINA KS PROPERTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
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
AMANDA MAYFIELD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
CAMERON PETRO-SAKUR
ADP OF THE SNF
—
2025-02-11
ended 2026-05-18
pecos_ownership
CAMERON PETRO-SAKUR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
HEATHER SEIM
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
ended 2026-05-18
pecos_ownership
HEATHER SEIM
ADP OF THE SNF
—
2025-02-11
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
$1,742,988
$724,019
—
$376,891
—
3
propco
2023-12-31
$1,773,483
$554,179
—
$411,970
—
3
propco
2022-12-31
$1,245,335
$768,333
—
—
—
2
propco
2021-12-31
$1,092,950
$659,451
—
—
—
2
propco
2020-12-31
$611,434
$360,952
—
—
$31,528
2
propco
2020-03-15
$4,871
—
$2,849
—
—
2
—
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 20169
acs median gross
0
$832
2024-12-31
CENSUS_ACS5
county 20169
fmr
0
$765
2025-10-01
HUD_USER_FMR
county 20169
acs median gross
1
$694
2024-12-31
CENSUS_ACS5
county 20169
fmr
1
$770
2025-10-01
HUD_USER_FMR
county 20169
acs median gross
2
$967
2024-12-31
CENSUS_ACS5
county 20169
fmr
2
$1,009
2025-10-01
HUD_USER_FMR
county 20169
acs median gross
3
$1,164
2024-12-31
CENSUS_ACS5
county 20169
fmr
3
$1,222
2025-10-01
HUD_USER_FMR
county 20169
acs median gross
4
$1,066
2024-12-31
CENSUS_ACS5
county 20169
fmr
4
$1,336
2025-10-01
HUD_USER_FMR
county 20169
acs median gross
5
$1,683
2024-12-31
CENSUS_ACS5
county 20169
acs median gross
$961
2024-12-31
CENSUS_ACS5
county 20169
acs recent mover gross
$1,132
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
0
$832
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
1
$692
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
2
$969
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
3
$1,175
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
4
$1,053
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
5
$1,685
2024-12-31
CENSUS_ACS5
zcta 67401
acs median gross
$960
2024-12-31
CENSUS_ACS5
zcta 67401
acs recent mover gross
$1,133
2024-12-31
CENSUS_ACS5
zip 67401
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 67401
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 67401
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 67401
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 67401
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 110
4
$1,496
2025-10-01
HUD_USER_SAFMR
zip 67401
payment standard 90
4
$1,224
2025-10-01
HUD_USER_SAFMR
zip 67401
safmr
4
$1,360
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.