Reads as: riskier than 39.9% 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 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
8
2025Q4 HPRD
This facility
MT median
National median
National p25–p75
Total nurse
3.00
3.25
3.28
2.90–3.77
RN
0.82
0.62
0.39
0.25–0.58
Weekend total
2.81
3.12
3.11
—
Weekday total
3.07
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.6
3.00
0.82
0.00
2.18
2.81
27.2%
2024Q4
92
46.2
3.75
1.17
0.00
2.58
3.16
10.8%
2024Q3
92
43.5
4.40
1.20
0.00
3.20
3.65
10.9%
2024Q2
91
43.8
4.30
1.12
0.07
3.10
3.56
0.0%
2023Q3
92
49.3
3.16
0.49
0.00
2.67
2.61
19.4%
2023Q2
91
47.5
3.05
0.71
0.00
2.35
2.58
0.9%
2023Q1
90
46.8
2.98
0.99
0.00
1.99
2.68
21.4%
2022Q2
91
40.7
3.70
1.35
0.00
2.35
3.17
4.1%
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
B × 1C × 1D × 9E × 8F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-23
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2026-06-02
2026-04-23
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2026-06-02
2026-04-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-06-02
2025-02-27
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-04-04
2025-02-27
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.
B
2025-04-04
2025-02-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-04
2025-02-27
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
2025-04-04
2025-02-27
Health
F0881
Implement a program that monitors antibiotic use.
F
2025-04-04
2025-02-27
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.
E
2025-04-04
2024-06-06
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
2024-07-11
2024-02-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-31
2024-02-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-03-31
2024-02-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-31
2024-02-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-31
2024-02-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-31
2024-02-15
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-03-31
2024-02-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-31
2023-02-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-03-31
2023-02-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-03-31
2023-02-16
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
C
2023-03-31
2023-02-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-31
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
INTERMOUNTAIN HEALTH CARE, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-04-01
current
pecos_ownership
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1997-04-01
current
pecos_ownership
ALLEN, ROBERT
CORPORATE OFFICER
—
2023-10-22
current
pecos_ownership
BEARD, SARA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-05
current
pecos_ownership
EDWARDS, ALEXANDER
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
FAGG, KAREN
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
GLEASON, DANETTE
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
HURLEY, JANET
CORPORATE DIRECTOR
—
2017-02-01
current
pecos_ownership
JACKSON, MARY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
JANSSEN, MARY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
MCCARTHY, BERNARD
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
NOTBOHM, CHARLES
CORPORATE DIRECTOR
—
2017-02-01
current
pecos_ownership
O'LEARY, COLLEEN
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
PALAGI, PAMELA
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
PHAM, NGUYEN
CORPORATE DIRECTOR
—
2020-02-01
current
pecos_ownership
ROMRELL, EVAN
CORPORATE DIRECTOR
—
2025-08-01
current
pecos_ownership
RUSSELL, MAJEL
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
SORICH, CINDY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
STEADMAN, MISTY
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
TAILLEUR, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-22
current
pecos_ownership
UHLICH, BENJAMIN
CORPORATE OFFICER
—
2024-09-01
current
pecos_ownership
ALEXANDER EDWARDS
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN UHLICH
CORPORATE OFFICER
—
2024-09-01
ended 2026-05-18
pecos_ownership
BERNARD MCCARTHY
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
CHARLES NOTBOHM
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
CINDY SORICH
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
COLLEEN O'LEARY
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
DANETTE GLEASON
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
DANIEL TAILLEUR
ADP OF THE SNF
—
2022-07-22
ended 2026-05-18
pecos_ownership
JANET HURLEY
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
KAREN FAGG
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
MAJEL RUSSELL
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
MARY JACKSON
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
MARY JANSSEN
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MISTY STEADMAN
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
NGUYEN PHAM
CORPORATE DIRECTOR
—
2020-02-01
ended 2026-05-18
pecos_ownership
PAMELA PALAGI
CORPORATE OFFICER
—
2016-11-01
ended 2026-05-18
pecos_ownership
ROBERT ALLEN
CORPORATE OFFICER
—
2023-10-22
ended 2026-05-18
pecos_ownership
SARA BEARD
ADP OF THE SNF
—
2025-01-05
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
34
Geo
Kind
BR
Amount
As of
Source
county 30017
fmr
0
$1,109
2025-10-01
HUD_USER_FMR
county 30017
acs median gross
1
$672
2024-12-31
CENSUS_ACS5
county 30017
fmr
1
$1,226
2025-10-01
HUD_USER_FMR
county 30017
acs median gross
2
$914
2024-12-31
CENSUS_ACS5
county 30017
fmr
2
$1,608
2025-10-01
HUD_USER_FMR
county 30017
acs median gross
3
$1,135
2024-12-31
CENSUS_ACS5
county 30017
fmr
3
$2,154
2025-10-01
HUD_USER_FMR
county 30017
acs median gross
4
$1,383
2024-12-31
CENSUS_ACS5
county 30017
fmr
4
$2,322
2025-10-01
HUD_USER_FMR
county 30017
acs median gross
5
$905
2024-12-31
CENSUS_ACS5
county 30017
acs median gross
$893
2024-12-31
CENSUS_ACS5
county 30017
acs recent mover gross
$952
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
1
$672
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
2
$922
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
3
$1,137
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
4
$1,375
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
5
$906
2024-12-31
CENSUS_ACS5
zcta 59301
acs median gross
$897
2024-12-31
CENSUS_ACS5
zcta 59301
acs recent mover gross
$948
2024-12-31
CENSUS_ACS5
zip 59301
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 59301
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 59301
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 59301
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 110
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 90
3
$1,944
2025-10-01
HUD_USER_SAFMR
zip 59301
safmr
3
$2,160
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 110
4
$2,563
2025-10-01
HUD_USER_SAFMR
zip 59301
payment standard 90
4
$2,097
2025-10-01
HUD_USER_SAFMR
zip 59301
safmr
4
$2,330
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.