Reads as: riskier than 20.7% 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
OH median
National median
National p25–p75
Total nurse
3.19
3.24
3.28
2.90–3.77
RN
0.16
0.38
0.39
0.25–0.58
Weekend total
3.15
3.11
3.11
—
Weekday total
3.21
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
115.2
3.19
0.16
0.99
2.03
3.15
0.7%
2025Q3
92
110.9
3.32
0.16
1.02
2.14
3.21
1.0%
2025Q2
91
110.5
3.36
0.24
1.00
2.12
3.31
11.4%
2025Q1
90
113.2
3.08
0.30
0.82
1.96
3.03
3.5%
2024Q4
92
110.5
3.21
0.25
0.94
2.02
3.16
3.2%
2024Q3
92
112.2
3.19
0.27
0.90
2.02
3.12
1.2%
2024Q2
91
111.7
3.31
0.29
0.94
2.07
3.26
2.9%
2024Q1
91
113.5
3.21
0.23
0.96
2.03
3.20
3.6%
2023Q4
92
108.1
3.36
0.28
0.94
2.14
3.34
3.3%
2023Q3
92
109.3
3.39
0.36
0.78
2.26
3.42
1.5%
2023Q2
91
104.2
3.50
0.27
0.95
2.27
3.41
16.4%
2023Q1
90
109.4
3.31
0.33
0.82
2.16
3.33
21.9%
2022Q4
92
104.4
3.24
0.31
0.81
2.11
3.12
13.1%
2022Q3
92
100.9
3.16
0.33
0.84
1.99
3.20
15.8%
2022Q2
91
94.9
3.31
0.30
0.92
2.09
3.31
18.2%
2022Q1
90
91.3
3.54
0.42
0.88
2.25
3.44
18.4%
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.
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
23
D × 13E × 7F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-04-25
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
2024-05-31
2024-04-25
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-05-31
2024-04-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-31
2023-12-12
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
2023-12-15
2023-12-12
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-12-15
2023-08-03
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-18
2020-03-12
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
2020-04-14
2020-03-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-04-14
2020-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-04-14
2020-03-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2020-04-14
2020-03-12
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2020-04-14
2020-03-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2020-04-14
2020-03-12
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
2020-04-14
2020-03-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2020-04-14
2019-02-07
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2019-03-15
2019-02-07
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2019-03-15
2019-02-07
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
2019-03-15
2019-02-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-03-15
2019-02-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2019-03-15
2019-02-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-03-15
2019-02-07
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
2019-03-15
2019-02-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-03-15
2019-02-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2019-03-15
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
38
Owner
Role
Pct
From
Status
Source
IRREVOCABLE TRUST AGREEMENT OF BARRY A. KOHN
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2024-02-15
current
pecos_ownership
KOHN, PATSY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
60%
2023-10-11
current
pecos_ownership
CHASE M. KOHN IRREVOCABLE TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2024-11-01
current
pecos_ownership
KOHN, CHASE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2024-12-18
current
pecos_ownership
NEXT UP INVESTMENTS 2
Individual has financial interest in both related organization and provider
40%
2024-01-01
current
hcris_a_8_1
NEXT UP INVESTMENTS 2
Corporation, partnership or other organization has financial interest in provider
30%
2023-01-01
current
hcris_a_8_1
BEAL, KATINA
ADP OF THE SNF
—
2023-04-25
current
pecos_ownership
CARING PLACE HEALTHCARE GROUP, LLC
ADP OF THE SNF
—
2025-09-05
current
pecos_ownership
CARING PLACE HEALTHCARE GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-07-08
current
pecos_ownership
CONCEPT REHAB, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
CONCEPT REHAB, INC.
ADP OF THE SNF
—
2025-09-05
current
pecos_ownership
ENGAGE CONSULTING, LLC
ADP OF THE SNF
—
2023-12-01
current
pecos_ownership
EPURE-POWERS, MONICA
ADP OF THE SNF
—
2025-09-02
current
pecos_ownership
GATES, TAMMY
ADP OF THE SNF
—
2025-01-19
current
pecos_ownership
IRREVOCABLE TRUST AGREEMENT OF BARRY A. KOHN
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
KOHN FAMILY HOLDINGS LIMITED LIABILITY COMPANY
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
KOHN, JONATHAN
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
LANG, HEATHER
ADP OF THE SNF
—
2023-01-03
current
pecos_ownership
LEWIS, STEVIE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-06-20
current
pecos_ownership
LEWIS, STEVIE
ADP OF THE SNF
—
2021-02-15
current
pecos_ownership
NEXT UP INVESTMENTS 2, LLC
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
PAYNE, MATT
CORPORATE OFFICER
—
2024-12-18
current
pecos_ownership
SCHUMAN, LAURYN
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
NEXTUP INVESTMENT 2
Individual has financial interest in both related organization and provider
60%
2020-01-01
ended 2020-12-31
hcris_a_8_1
NEXTUP INVESTMENTS 2
Individual has financial interest in both related organization and provider
60%
2021-01-01
ended 2021-12-31
hcris_a_8_1
PATSY KOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
60%
2023-10-11
ended 2026-05-18
pecos_ownership
CHASE KOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
2024-12-18
ended 2026-05-18
pecos_ownership
NEXTUP INVESTMENTS 2
Provider has financial interest in corporation, partnership or other organization
30%
2022-01-01
ended 2022-12-31
hcris_a_8_1
NEXT UP INVESTMENTS 2
Director, officer, administrator or key person of provider or organization
10%
2022-01-01
ended 2022-12-31
hcris_a_8_1
HEATHER LANG
ADP OF THE SNF
—
2023-01-03
ended 2026-05-18
pecos_ownership
JONATHAN KOHN
ADP OF THE SNF
—
2013-12-01
ended 2026-05-18
pecos_ownership
KATINA BEAL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-25
ended 2026-05-18
pecos_ownership
LAURYN SCHUMAN
ADP OF THE SNF
—
2013-12-01
ended 2026-05-18
pecos_ownership
MATT PAYNE
CORPORATE OFFICER
—
2024-12-18
ended 2026-05-18
pecos_ownership
MONICA EPURE-POWERS
ADP OF THE SNF
—
2025-09-02
ended 2026-05-18
pecos_ownership
STEVIE LEWIS
ADP OF THE SNF
—
2021-02-15
ended 2026-05-18
pecos_ownership
STEVIE LEWIS
OPERATIONAL/MANAGERIAL CONTROL
—
2015-06-20
ended 2026-05-18
pecos_ownership
TAMMY GATES
ADP OF THE SNF
—
2025-01-19
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
2024-12-31
$867,170
$867,170
—
—
—
3
propco
2023-12-31
$876,810
$876,810
—
—
—
4
propco
2022-12-31
$916,448
$916,448
—
—
—
4
propco
2021-12-31
$1,166,239
$1,166,239
—
—
—
3
propco
2020-12-31
$1,203,611
$1,203,611
—
—
—
3
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
34
Geo
Kind
BR
Amount
As of
Source
county 39061
acs median gross
0
$888
2024-12-31
CENSUS_ACS5
county 39061
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
1
$885
2024-12-31
CENSUS_ACS5
county 39061
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
2
$1,136
2024-12-31
CENSUS_ACS5
county 39061
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
3
$1,432
2024-12-31
CENSUS_ACS5
county 39061
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
4
$1,645
2024-12-31
CENSUS_ACS5
county 39061
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39061
acs median gross
5
$1,941
2024-12-31
CENSUS_ACS5
county 39061
acs median gross
$1,075
2024-12-31
CENSUS_ACS5
county 39061
acs recent mover gross
$1,331
2024-12-31
CENSUS_ACS5
zcta 45231
acs median gross
1
$702
2024-12-31
CENSUS_ACS5
zcta 45231
acs median gross
2
$1,238
2024-12-31
CENSUS_ACS5
zcta 45231
acs median gross
3
$1,449
2024-12-31
CENSUS_ACS5
zcta 45231
acs median gross
4
$1,651
2024-12-31
CENSUS_ACS5
zcta 45231
acs median gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 45231
acs recent mover gross
$1,721
2024-12-31
CENSUS_ACS5
zip 45231
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 45231
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 110
1
$1,243
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 90
1
$1,017
2025-10-01
HUD_USER_SAFMR
zip 45231
safmr
1
$1,130
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 110
2
$1,606
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 90
2
$1,314
2025-10-01
HUD_USER_SAFMR
zip 45231
safmr
2
$1,460
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 110
3
$2,123
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 90
3
$1,737
2025-10-01
HUD_USER_SAFMR
zip 45231
safmr
3
$1,930
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 110
4
$2,343
2025-10-01
HUD_USER_SAFMR
zip 45231
payment standard 90
4
$1,917
2025-10-01
HUD_USER_SAFMR
zip 45231
safmr
4
$2,130
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.