Reads as: riskier than 48.2% 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
4.66
3.03
3.28
2.90–3.77
RN
0.23
0.44
0.39
0.25–0.58
Weekend total
4.34
2.87
3.11
—
Weekday total
4.78
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.8
4.66
0.23
1.64
2.78
4.34
14.8%
2025Q3
92
53.0
4.76
0.19
1.64
2.92
4.45
4.2%
2025Q2
91
54.4
4.82
0.25
1.78
2.79
4.53
9.8%
2025Q1
90
64.8
4.73
0.27
1.68
2.78
4.46
10.8%
2024Q4
92
62.4
4.81
0.28
1.76
2.77
4.53
10.8%
2024Q3
92
62.1
4.81
0.40
1.67
2.74
4.51
11.6%
2024Q2
91
59.7
5.15
0.38
1.67
3.10
4.78
6.2%
2024Q1
91
64.5
5.19
0.42
1.51
3.25
4.81
21.9%
2023Q4
92
62.2
4.29
0.42
1.77
2.09
3.93
9.3%
2023Q3
92
62.6
4.20
0.41
1.86
1.92
3.79
7.4%
2023Q2
91
83.2
3.37
0.30
1.55
1.52
3.08
0.6%
2023Q1
90
76.5
4.16
0.47
1.67
2.03
4.04
8.1%
2022Q4
92
65.2
4.50
0.60
1.68
2.22
4.29
2.6%
2022Q3
92
66.9
4.97
0.52
1.67
2.77
4.85
10.4%
2022Q2
91
68.5
4.78
0.60
1.57
2.61
4.66
13.7%
2022Q1
90
60.4
4.89
0.56
1.58
2.75
5.01
20.4%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-02-18
2026-01-15
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-02-18
2026-01-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-02-18
2026-01-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-18
2026-01-15
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2026-02-18
2026-01-15
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-02-18
2026-01-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-18
2026-01-15
Health
F0814
Dispose of garbage and refuse properly.
C
2026-02-18
2026-01-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2026-02-18
2025-04-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-03-31
2024-03-18
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-04-24
2024-03-18
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-04-24
2024-03-18
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2024-04-24
2024-03-18
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-04-24
2024-03-18
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
2024-04-24
2024-03-18
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-04-24
2024-03-18
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-04-24
2024-03-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-24
2024-03-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-24
2024-03-18
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-04-24
2024-03-18
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-04-24
2024-03-18
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
2024-04-24
2024-03-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-24
2024-03-18
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-04-24
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
12
Owner
Role
Pct
From
Status
Source
DELINE, KENNETH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
39%
2018-09-06
current
pecos_ownership
DART, BRADLEY
CORPORATE OFFICER
—
2018-09-06
current
pecos_ownership
ESMAS, BARTOLOME
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-06
current
pecos_ownership
MEDEXEC HEXIS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-06
current
pecos_ownership
MURDOCK, MONTE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-06
current
pecos_ownership
SHEARER, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-06
current
pecos_ownership
VERITAS MANAGEMENT GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-06
current
pecos_ownership
ANDREW SHEARER
CORPORATE OFFICER
50%
2018-09-06
ended 2026-05-18
pecos_ownership
BARTOLOME ESMAS
OPERATIONAL/MANAGERIAL CONTROL
50%
2018-09-06
ended 2026-05-18
pecos_ownership
BRADLEY DART
CORPORATE OFFICER
50%
2018-09-06
ended 2026-05-18
pecos_ownership
MONTE MURDOCK
OPERATIONAL/MANAGERIAL CONTROL
50%
2018-09-06
ended 2026-05-18
pecos_ownership
KENNETH DELINE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
39%
2018-09-06
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
35
Geo
Kind
BR
Amount
As of
Source
county 20173
acs median gross
0
$793
2024-12-31
CENSUS_ACS5
county 20173
fmr
0
$782
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 20173
fmr
1
$849
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
2
$1,007
2024-12-31
CENSUS_ACS5
county 20173
fmr
2
$1,099
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
3
$1,258
2024-12-31
CENSUS_ACS5
county 20173
fmr
3
$1,444
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
4
$1,539
2024-12-31
CENSUS_ACS5
county 20173
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
5
$1,589
2024-12-31
CENSUS_ACS5
county 20173
acs median gross
$998
2024-12-31
CENSUS_ACS5
county 20173
acs recent mover gross
$1,074
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
0
$1,004
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
1
$935
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
2
$1,296
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
3
$2,076
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
4
$2,065
2024-12-31
CENSUS_ACS5
zcta 67206
acs median gross
$1,219
2024-12-31
CENSUS_ACS5
zcta 67206
acs recent mover gross
$1,196
2024-12-31
CENSUS_ACS5
zip 67206
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 67206
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 67206
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 110
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 90
2
$1,134
2025-10-01
HUD_USER_SAFMR
zip 67206
safmr
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 67206
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 67206
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 67206
safmr
4
$2,050
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.