Reads as: riskier than 61.9% 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
IN median
National median
National p25–p75
Total nurse
2.68
2.85
3.28
2.90–3.77
RN
0.37
0.40
0.39
0.25–0.58
Weekend total
2.36
2.71
3.11
—
Weekday total
2.81
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.6
2.68
0.37
0.51
1.80
2.36
0.0%
2025Q3
92
90.8
2.43
0.43
0.48
1.52
2.23
0.0%
2025Q2
91
85.2
2.68
0.43
0.76
1.49
2.54
0.0%
2025Q1
90
84.3
2.45
0.42
0.62
1.41
2.34
0.0%
2024Q4
92
85.3
2.55
0.42
0.57
1.55
2.44
0.0%
2024Q3
92
95.4
2.36
0.27
0.61
1.48
2.15
0.0%
2024Q2
91
94.7
2.08
0.25
0.55
1.28
1.87
0.0%
2024Q1
91
93.8
2.33
0.26
0.64
1.44
2.26
0.0%
2023Q4
92
89.1
2.38
0.15
0.79
1.43
2.25
0.1%
2023Q3
92
87.8
2.40
0.15
0.81
1.44
2.27
0.0%
2023Q2
91
97.1
2.45
0.17
0.74
1.53
2.25
1.8%
2023Q1
90
103.5
2.29
0.07
0.77
1.45
2.14
9.7%
2022Q4
92
98.1
2.53
0.15
0.69
1.69
2.33
13.2%
2022Q3
92
102.3
2.49
0.16
0.80
1.53
2.33
46.2%
2022Q2
91
104.2
2.66
0.17
0.97
1.52
2.31
75.4%
2022Q1
90
101.9
2.62
0.11
0.97
1.54
2.18
72.7%
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
32
C × 1D × 25E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-24
2025-08-28
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-09-24
2025-08-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-24
2025-08-28
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.
D
2025-09-25
2025-08-28
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
2025-09-25
2025-08-28
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-09-26
2025-08-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-19
2025-08-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-09-25
2024-10-23
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-14
2024-10-23
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-11-14
2024-10-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-14
2024-10-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-11-14
2024-10-23
Health
F0791
Provide or obtain dental services for each resident.
D
2024-11-14
2024-10-23
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-11-14
2024-10-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-11-14
2024-10-23
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-11-14
2024-10-23
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-11-14
2024-10-23
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2024-11-14
2024-10-23
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-11-14
2023-09-12
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-10-09
2023-09-12
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-10-09
2023-08-16
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-09-11
2023-08-16
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-09-11
2023-08-16
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-09-11
2023-08-16
Health
F0679
Provide activities to meet all resident's needs.
E
2023-09-11
2023-08-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-11
2023-08-16
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-09-11
2023-08-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-11
2023-08-16
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.
E
2023-09-11
2023-08-16
Health
F0732
Post nurse staffing information every day.
C
2023-09-11
2023-08-16
Health
F0791
Provide or obtain dental services for each resident.
D
2023-09-11
2023-08-16
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2023-09-11
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
41
Owner
Role
Pct
From
Status
Source
LAFAYETTE REALTY
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
REALTY LAFAYETTE
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-08-01
ended 2026-05-18
pecos_ownership
MAJESTIC CARE OF LAFAYETTE LLC
OPERATIONAL/MANAGERIAL CONTROL
0%
2021-08-01
ended 2026-05-18
pecos_ownership
4 MDR OF QUEENS INC
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
ANDREW MARKEL
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
ANGELA REWA
ADP OF THE SNF
—
2023-10-23
ended 2026-05-18
pecos_ownership
ANZHELIKA SHATROV
ADP OF THE SNF
—
2024-12-02
ended 2026-05-18
pecos_ownership
BRANDON HARPE
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
BRIAN LESSLEY
ADP OF THE SNF
—
2022-11-28
ended 2026-05-18
pecos_ownership
COURTNEY KLEBER
CORPORATE DIRECTOR
—
2020-09-01
ended 2026-05-18
pecos_ownership
DAVID MARX
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
DEBORAH MANN
CORPORATE OFFICER
—
2014-02-10
ended 2026-05-18
pecos_ownership
DEM FAMILY TRUST I
ADP OF THE SNF
—
2025-06-18
ended 2026-05-18
pecos_ownership
ERIC FISH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
ERIC WOLFE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
ended 2026-05-18
pecos_ownership
JACK MCCORY
TRUSTEE OF THE SNF
—
2012-07-01
ended 2026-05-18
pecos_ownership
JACK MCCORY
CORPORATE DIRECTOR
—
2013-08-01
ended 2026-05-18
pecos_ownership
JAMES ALEXANDER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
ended 2026-05-18
pecos_ownership
JOHN THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
LAFAYETTE HC REALTY LLC
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
LAS PALMAS REAL ESTATE IV LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
LTC CONSULTING SERVICES LLC
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
MAJESTIC CONSULTING HOLDINGS LLC
ADP OF THE SNF
—
2025-06-18
ended 2026-05-18
pecos_ownership
MAJESTIC INDIANA OPERATIONS IV LLC
ADP OF THE SNF
—
2025-06-18
ended 2026-05-18
pecos_ownership
MAJESTIC MANAGEMENT I, LLC
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
MARC STOREY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARGARET CHAMBERLAIN
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
MATTHEW REEDY
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
MATTHEW REEDY
CORPORATE DIRECTOR
—
2013-08-01
ended 2026-05-18
pecos_ownership
MDG MAJESTIC INDIANA REALTY IV LLC
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
MDG REAL ESTATE GLOBAL LIMITED
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
PAUL PRUITT
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
REALTY LAFAYETTE
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
REALTY LAFAYETTE
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
RICK SMITH
CORPORATE DIRECTOR
—
2013-08-01
ended 2026-05-18
pecos_ownership
RICK SMITH
TRUSTEE OF THE SNF
—
2012-07-01
ended 2026-05-18
pecos_ownership
ROBERT RUSSELL
ADP OF THE SNF
—
2024-04-08
ended 2026-05-18
pecos_ownership
SUSAN BEVERS
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
TERRENCE GILLILAND
CORPORATE DIRECTOR
—
2013-08-01
ended 2026-05-18
pecos_ownership
TERRENCE GILLILAND
TRUSTEE OF THE SNF
—
2012-07-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,772,192
$2,613,752
—
—
$397,175
16
propco
2023-12-31
$2,441,332
$1,481,212
—
—
$315,131
19
propco
2022-12-31
$1,857,768
$929,076
—
—
$365,853
17
propco
2021-12-31
$2,021,762
$902,778
$699,581
$364,501
$14,772
38
propco
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 18157
acs median gross
0
$961
2024-12-31
CENSUS_ACS5
county 18157
fmr
0
$894
2025-10-01
HUD_USER_FMR
county 18157
acs median gross
1
$982
2024-12-31
CENSUS_ACS5
county 18157
fmr
1
$1,032
2025-10-01
HUD_USER_FMR
county 18157
acs median gross
2
$1,138
2024-12-31
CENSUS_ACS5
county 18157
fmr
2
$1,242
2025-10-01
HUD_USER_FMR
county 18157
acs median gross
3
$1,274
2024-12-31
CENSUS_ACS5
county 18157
fmr
3
$1,489
2025-10-01
HUD_USER_FMR
county 18157
acs median gross
4
$1,732
2024-12-31
CENSUS_ACS5
county 18157
fmr
4
$1,992
2025-10-01
HUD_USER_FMR
county 18157
acs median gross
5
$1,073
2024-12-31
CENSUS_ACS5
county 18157
acs median gross
$1,124
2024-12-31
CENSUS_ACS5
county 18157
acs recent mover gross
$1,227
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
0
$971
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
1
$904
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
2
$1,111
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
3
$1,325
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
4
$1,784
2024-12-31
CENSUS_ACS5
zcta 47905
acs median gross
$1,107
2024-12-31
CENSUS_ACS5
zcta 47905
acs recent mover gross
$1,217
2024-12-31
CENSUS_ACS5
zip 47905
payment standard 110
0
$1,001
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 90
0
$819
2025-10-01
HUD_USER_SAFMR
zip 47905
safmr
0
$910
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 110
1
$1,166
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 90
1
$954
2025-10-01
HUD_USER_SAFMR
zip 47905
safmr
1
$1,060
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 47905
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 47905
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 110
4
$2,244
2025-10-01
HUD_USER_SAFMR
zip 47905
payment standard 90
4
$1,836
2025-10-01
HUD_USER_SAFMR
zip 47905
safmr
4
$2,040
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.