Reads as: riskier than 62.3% 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
NC median
National median
National p25–p75
Total nurse
3.36
3.08
3.28
2.90–3.77
RN
0.43
0.30
0.39
0.25–0.58
Weekend total
3.23
2.93
3.11
—
Weekday total
3.41
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
153.3
3.36
0.43
1.01
1.93
3.23
21.8%
2025Q3
92
148.8
3.31
0.44
0.93
1.93
3.16
25.6%
2025Q2
91
149.6
3.35
0.47
0.98
1.89
3.20
27.0%
2025Q1
90
159.5
3.44
0.45
1.10
1.90
3.33
30.9%
2024Q4
92
160.4
3.50
0.45
1.08
1.97
3.38
28.9%
2024Q3
92
163.0
3.32
0.46
0.90
1.96
3.23
27.7%
2024Q2
91
153.1
3.13
0.49
0.81
1.83
2.97
18.4%
2024Q1
91
150.6
3.31
0.53
0.92
1.86
3.16
11.3%
2023Q4
92
148.8
3.32
0.45
0.99
1.88
3.16
5.5%
2023Q3
92
148.3
3.20
0.39
0.98
1.83
3.00
4.3%
2023Q2
91
149.7
3.21
0.29
1.04
1.87
3.06
18.2%
2023Q1
90
144.8
3.28
0.24
1.21
1.84
3.16
29.3%
2022Q4
92
145.2
3.32
0.24
1.17
1.91
3.21
25.0%
2022Q3
92
140.5
3.35
0.33
1.08
1.94
3.22
38.8%
2022Q2
91
144.6
3.14
0.36
0.88
1.90
3.15
33.5%
2022Q1
90
142.0
2.99
0.34
0.77
1.88
2.87
39.8%
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.
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.
B
2026-04-07
2026-03-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-07
2026-02-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
—
2026-02-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2025-01-24
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-01-29
2024-12-06
Health · complaint
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
2025-01-24
2024-12-06
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-05-19
2024-12-06
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-01-24
2024-12-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-01-24
2024-12-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-24
2024-12-06
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-01-24
2024-12-06
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-01-24
2023-11-30
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F
2023-12-28
2023-11-30
Health · complaint
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
2023-12-28
2023-11-30
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-28
2023-11-30
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
2023-12-28
2023-11-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-12-28
2023-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-28
2023-11-30
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2023-12-28
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
21
Owner
Role
Pct
From
Status
Source
BOICE, GALE
CORPORATE OFFICER
—
2018-03-05
current
pecos_ownership
HILL, RAYMOND
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, ROBERT
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HILL, STEPHEN
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
HOOD, LYNN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-01
current
pecos_ownership
JOHNSON, DIANNE
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
KRISHNARAJ, RAMESH
ADP OF THE SNF
—
2023-03-01
current
pecos_ownership
PRINCIPLE IT SERVICES, INC.
ADP OF THE SNF
—
2011-01-01
current
pecos_ownership
PRINCIPLE LONG TERM CARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2011-01-01
current
pecos_ownership
PRINCIPLE LONG TERM CARE, INC.
ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
STROUD, WENDY
MANAGING CONTROL - GOVERNING BODY
—
2021-05-24
current
pecos_ownership
STROUD, WENDY
ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
ROBERT HILL
5% OR GREATER DIRECT OWNERSHIP INTEREST
21%
2011-01-01
ended 2026-05-18
pecos_ownership
STEPHEN HILL
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2011-01-01
ended 2026-05-18
pecos_ownership
RAYMOND HILL
5% OR GREATER DIRECT OWNERSHIP INTEREST
18%
2011-01-01
ended 2026-05-18
pecos_ownership
DIANNE JOHNSON
CORPORATE OFFICER
—
2011-01-01
ended 2026-05-18
pecos_ownership
GALE BOICE
CORPORATE OFFICER
—
2018-03-05
ended 2026-05-18
pecos_ownership
LYNN HOOD
CORPORATE OFFICER
—
2017-11-01
ended 2026-05-18
pecos_ownership
RAMESH KRISHNARAJ
MANAGING CONTROL - GOVERNING BODY
—
2023-03-01
ended 2026-05-18
pecos_ownership
WENDY STROUD
ADP OF THE SNF
—
2025-06-17
ended 2026-05-18
pecos_ownership
WENDY STROUD
MANAGING CONTROL - GOVERNING BODY
—
2021-05-24
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
2024-09-30
$3,503,237
—
$1,135,552
$3,149
$142,009
10
—
2023-09-30
$3,330,168
—
$1,012,096
$6,760
$144,715
10
—
2022-09-30
$3,027,312
—
$895,936
$16,034
$116,722
10
—
2021-09-30
$3,187,867
—
$786,279
$7,002
$177,845
10
—
2020-09-30
$2,702,007
—
$692,900
$1,155
$114,156
10
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 37191
acs median gross
0
$909
2024-12-31
CENSUS_ACS5
county 37191
fmr
0
$942
2025-10-01
HUD_USER_FMR
county 37191
acs median gross
1
$575
2024-12-31
CENSUS_ACS5
county 37191
fmr
1
$948
2025-10-01
HUD_USER_FMR
county 37191
acs median gross
2
$936
2024-12-31
CENSUS_ACS5
county 37191
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 37191
acs median gross
3
$1,048
2024-12-31
CENSUS_ACS5
county 37191
fmr
3
$1,496
2025-10-01
HUD_USER_FMR
county 37191
acs median gross
4
$1,296
2024-12-31
CENSUS_ACS5
county 37191
fmr
4
$2,021
2025-10-01
HUD_USER_FMR
county 37191
acs median gross
5
$1,306
2024-12-31
CENSUS_ACS5
county 37191
acs median gross
$965
2024-12-31
CENSUS_ACS5
county 37191
acs recent mover gross
$1,288
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
0
$1,276
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
1
$695
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
2
$1,054
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
3
$1,276
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
4
$1,609
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
5
$1,810
2024-12-31
CENSUS_ACS5
zcta 27534
acs median gross
$1,135
2024-12-31
CENSUS_ACS5
zcta 27534
acs recent mover gross
$1,411
2024-12-31
CENSUS_ACS5
zip 27534
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 27534
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 27534
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 110
2
$1,595
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 90
2
$1,305
2025-10-01
HUD_USER_SAFMR
zip 27534
safmr
2
$1,450
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 27534
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 110
4
$2,585
2025-10-01
HUD_USER_SAFMR
zip 27534
payment standard 90
4
$2,115
2025-10-01
HUD_USER_SAFMR
zip 27534
safmr
4
$2,350
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.