Reads as: riskier than 42.7% 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
LA median
National median
National p25–p75
Total nurse
4.32
3.38
3.28
2.90–3.77
RN
0.14
0.10
0.39
0.25–0.58
Weekend total
3.94
3.09
3.11
—
Weekday total
4.47
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.2
4.32
0.14
1.21
2.98
3.94
0.6%
2025Q3
92
102.9
4.43
0.15
1.17
3.12
4.09
8.5%
2025Q2
91
107.4
3.96
0.14
1.05
2.77
3.67
21.6%
2025Q1
90
105.9
3.86
0.15
1.08
2.63
3.55
13.7%
2024Q4
92
106.4
4.14
0.14
1.07
2.92
3.79
10.9%
2024Q3
92
108.1
3.98
0.13
1.07
2.78
3.68
13.2%
2024Q2
91
102.0
4.14
0.18
1.01
2.95
3.66
20.9%
2024Q1
91
106.9
3.88
0.15
1.00
2.73
3.58
20.0%
2023Q4
92
103.2
3.86
0.17
0.97
2.73
3.48
20.4%
2023Q3
92
102.8
3.67
0.20
0.93
2.54
3.26
22.7%
2023Q2
91
103.4
3.71
0.21
0.96
2.54
3.40
16.8%
2023Q1
90
108.5
3.57
0.20
1.01
2.36
3.16
15.6%
2022Q4
92
108.2
3.67
0.17
1.03
2.47
3.40
13.0%
2022Q3
92
112.7
3.53
0.15
1.00
2.38
3.24
17.5%
2022Q2
91
113.0
3.19
0.17
0.99
2.03
2.75
24.1%
2022Q1
90
109.9
3.08
0.19
0.99
1.90
2.75
12.8%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-10-03
2025-09-10
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-10-03
2025-09-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-03
2025-09-10
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
2025-10-03
2025-09-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-03
2024-10-22
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-11
2024-10-22
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-11
2024-10-22
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-11-11
2024-07-10
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-08-02
2024-07-10
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-08-02
2024-07-10
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-08-02
2024-07-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-08-02
2024-07-10
Health
F0791
Provide or obtain dental services for each resident.
E
2024-08-02
2024-07-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-02
2024-07-10
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-08-02
2024-02-08
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.
D
2024-02-22
2024-02-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-02-22
2023-10-31
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2023-11-06
2023-09-21
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2023-11-03
2023-09-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-11-03
2023-09-21
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2023-11-03
2023-09-21
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-03
2023-06-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-06-02
2023-06-07
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.
E
2023-06-09
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
34
Owner
Role
Pct
From
Status
Source
COMMCARE AVOYELLES
Corporation, partnership or other organization has financial interest in provider
100%
2023-07-01
current
hcris_a_8_1
COMMCARE AVOYELLES
Corporation, partnership or other organization has financial interest in provider
100%
2024-07-01
current
hcris_a_8_1
COMMCARE CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1994-03-01
current
pecos_ownership
COMMCARE MANAGEMENT CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-01
current
pecos_ownership
FORD, MICHAEL
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
GARDNER, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
HARVEY PSARELLIS, DAWN
CORPORATE DIRECTOR
—
2010-01-01
current
pecos_ownership
HARVEY PSARELLIS, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
HARVEY PSARELLIS, DAWN
CORPORATE OFFICER
—
2014-10-10
current
pecos_ownership
HUDSON, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-01
current
pecos_ownership
LUNDBERG, ALEC
CONTRACTED MANAGING EMPLOYEE
—
2021-06-01
current
pecos_ownership
MANGUN, GAROLD
CORPORATE DIRECTOR
—
1997-06-09
current
pecos_ownership
MANGUN, GAROLD
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
PLAISANCE, WAYNE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PRECHTER, PATRICIA
CORPORATE DIRECTOR
—
2018-03-01
current
pecos_ownership
PRECHTER, PATRICIA
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
PRECHTER, PATRICIA
W-2 MANAGING EMPLOYEE
—
2022-07-01
current
pecos_ownership
TUCKER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
COMMCARE AVOYELLES
Corporation, partnership or other organization has financial interest in provider
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
COMMCARE AVOYELLES
Corporation, partnership or other organization has financial interest in provider
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
ALEC LUNDBERG
CONTRACTED MANAGING EMPLOYEE
25%
2021-06-01
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
OPERATIONAL/MANAGERIAL CONTROL
25%
2024-07-01
ended 2026-05-18
pecos_ownership
GAROLD MANGUN
CORPORATE DIRECTOR
25%
1997-06-09
ended 2026-05-18
pecos_ownership
GAROLD MANGUN
CORPORATE OFFICER
25%
2022-07-01
ended 2026-05-18
pecos_ownership
GEORGE GARDNER
OPERATIONAL/MANAGERIAL CONTROL
25%
2024-07-01
ended 2026-05-18
pecos_ownership
JAMES TUCKER
OPERATIONAL/MANAGERIAL CONTROL
25%
2024-07-01
ended 2026-05-18
pecos_ownership
MICHAEL FORD
CORPORATE DIRECTOR
25%
2021-01-01
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
CORPORATE DIRECTOR
25%
2018-03-01
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
CORPORATE OFFICER
25%
2023-07-01
ended 2026-05-18
pecos_ownership
WAYNE PLAISANCE
CORPORATE DIRECTOR
25%
2022-01-01
ended 2026-05-18
pecos_ownership
MARY HUDSON
OPERATIONAL/MANAGERIAL CONTROL
0%
2018-07-01
ended 2026-05-18
pecos_ownership
PATRICIA PRECHTER
W-2 MANAGING EMPLOYEE
0%
2022-07-01
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
CORPORATE OFFICER
—
2014-10-10
ended 2026-05-18
pecos_ownership
DAWN HARVEY PSARELLIS
CORPORATE DIRECTOR
—
2010-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$1,292,402
$956,746
—
$139,881
$80,740
3
propco
2024-06-30
$1,452,664
—
—
$93,134
$69,085
3
propco
2023-06-30
$1,329,585
$1,056,576
—
$59,692
$76,696
4
propco
2022-06-30
$905,047
$452,625
—
$169,048
$75,890
3
propco
2021-06-30
$356,716
—
—
$131,056
$81,451
2
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 22009
fmr
0
$617
2025-10-01
HUD_USER_FMR
county 22009
acs median gross
1
$506
2024-12-31
CENSUS_ACS5
county 22009
fmr
1
$653
2025-10-01
HUD_USER_FMR
county 22009
acs median gross
2
$734
2024-12-31
CENSUS_ACS5
county 22009
fmr
2
$857
2025-10-01
HUD_USER_FMR
county 22009
acs median gross
3
$869
2024-12-31
CENSUS_ACS5
county 22009
fmr
3
$1,087
2025-10-01
HUD_USER_FMR
county 22009
fmr
4
$1,283
2025-10-01
HUD_USER_FMR
county 22009
acs median gross
$757
2024-12-31
CENSUS_ACS5
county 22009
acs recent mover gross
$707
2024-12-31
CENSUS_ACS5
zcta 71350
acs median gross
1
$418
2024-12-31
CENSUS_ACS5
zcta 71350
acs median gross
2
$586
2024-12-31
CENSUS_ACS5
zcta 71350
acs median gross
3
$875
2024-12-31
CENSUS_ACS5
zcta 71350
acs median gross
$597
2024-12-31
CENSUS_ACS5
zcta 71350
acs recent mover gross
$483
2024-12-31
CENSUS_ACS5
zip 71350
payment standard 110
0
$671
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 90
0
$549
2025-10-01
HUD_USER_SAFMR
zip 71350
safmr
0
$610
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 110
1
$704
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 90
1
$576
2025-10-01
HUD_USER_SAFMR
zip 71350
safmr
1
$640
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 110
2
$913
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 90
2
$747
2025-10-01
HUD_USER_SAFMR
zip 71350
safmr
2
$830
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 110
3
$1,177
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 90
3
$963
2025-10-01
HUD_USER_SAFMR
zip 71350
safmr
3
$1,070
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 110
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 71350
payment standard 90
4
$1,134
2025-10-01
HUD_USER_SAFMR
zip 71350
safmr
4
$1,260
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.