Reads as: riskier than 1.4% 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
WV median
National median
National p25–p75
Total nurse
4.55
3.14
3.28
2.90–3.77
RN
0.79
0.37
0.39
0.25–0.58
Weekend total
4.73
2.97
3.11
—
Weekday total
4.49
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
18.8
4.55
0.79
0.56
3.21
4.73
0.0%
2025Q3
92
19.3
4.58
0.70
0.64
3.24
4.64
0.0%
2025Q2
91
18.6
4.58
0.64
0.69
3.25
4.52
0.0%
2025Q1
90
19.4
4.36
0.59
0.71
3.05
4.47
1.6%
2024Q4
92
17.3
4.91
0.45
0.79
3.67
4.78
4.1%
2024Q3
92
18.8
4.37
0.51
0.59
3.27
4.14
3.6%
2024Q2
91
17.9
4.91
0.97
0.42
3.52
4.74
4.3%
2024Q1
91
16.2
5.23
0.91
0.73
3.59
5.31
10.6%
2023Q4
92
16.9
5.22
0.99
0.55
3.68
5.33
6.2%
2023Q3
92
18.6
4.88
1.02
0.47
3.40
5.09
3.6%
2023Q2
91
15.3
4.72
1.40
0.15
3.17
4.90
1.0%
2023Q1
90
13.5
5.35
1.58
0.15
3.62
5.55
2.5%
2022Q4
92
11.4
6.47
2.05
0.26
4.15
6.56
3.5%
2022Q3
92
14.0
5.71
1.80
0.47
3.44
5.40
5.0%
2022Q2
91
15.3
5.05
1.06
0.61
3.38
5.19
6.4%
2022Q1
90
13.7
5.62
0.67
1.04
3.91
5.84
9.1%
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
16
D × 13E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-13
2025-06-04
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-06-13
2025-06-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-13
2025-06-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-06-13
2025-06-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-13
2023-08-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-09-01
2023-08-23
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-09-01
2023-08-23
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-09-01
2023-08-23
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
2023-09-01
2023-08-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-09-01
2023-08-23
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-09-01
2022-04-20
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-05-05
2022-04-20
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-05-05
2022-04-20
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2022-05-05
2022-04-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-05-05
2022-04-20
Health
F0814
Dispose of garbage and refuse properly.
D
2022-05-05
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
62
Owner
Role
Pct
From
Status
Source
ARMS, ADRIANNE
ADP OF THE SNF
—
2013-06-10
current
pecos_ownership
BARKER, GEORGE
ADP OF THE SNF
—
2014-03-12
current
pecos_ownership
BLANKENSHIP, KRISTA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-11
current
pecos_ownership
BOND, MARY
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
BOWDEN, ROY
ADP OF THE SNF
—
2017-06-15
current
pecos_ownership
BURTON, KIM
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
CONDARA, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
DERITO, JOHN
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
ELLIOT, FONDA
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
ELLIOTT, DAVID
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
FABOR, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
—
1995-06-26
current
pecos_ownership
GMSC WEST VIRGINIA LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-03-12
current
pecos_ownership
GMSC WEST VIRGINIA LLC
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
GRIGSBY, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
HUDSON, CONNIE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-26
current
pecos_ownership
IRELAND, BETTY
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
KEIGHTLEY, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
KIDD, JOSHUA
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
LINDSAY, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
LOBACH, AUGUSTINUS
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
LUCAS, MYRA
ADP OF THE SNF
—
2013-09-26
current
pecos_ownership
MCCLUNG, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
MERRILL, KATHLEEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
MOORE, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-02
current
pecos_ownership
MULLETT, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
NASSIF, JOSEPH
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
OWSLEY, VANESSA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-17
current
pecos_ownership
PEARCY, TOM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
SHEROD, STEPHANIE
ADP OF THE SNF
—
2014-02-25
current
pecos_ownership
SPANGLER, REED
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
THOMPSON, LESLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-21
current
pecos_ownership
WILCOX, TIM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
GEORGE BARKER
OPERATIONAL/MANAGERIAL CONTROL
0%
2014-03-12
ended 2026-05-18
pecos_ownership
ADRIANNE ARMS
OPERATIONAL/MANAGERIAL CONTROL
—
2013-06-10
ended 2026-05-18
pecos_ownership
AMY CONDARA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
AUGUSTINUS LOBACH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
BETTY IRELAND
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
CONNIE HUDSON
ADP OF THE SNF
—
2013-09-26
ended 2026-05-18
pecos_ownership
DAVID ELLIOTT
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
ELIZABETH KEIGHTLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
FONDA ELLIOT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
GREGORY FABOR
ADP OF THE SNF
—
1995-06-26
ended 2026-05-18
pecos_ownership
JACOB LINDSAY
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
JOHN DERITO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
JOSEPH NASSIF
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
JOSHUA KIDD
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
KATHLEEN MERRILL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
KIM BURTON
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
KRISTA BLANKENSHIP
ADP OF THE SNF
—
2017-04-11
ended 2026-05-18
pecos_ownership
LESLEY THOMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-21
ended 2026-05-18
pecos_ownership
MARK GRIGSBY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
MARY BOND
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
MARY MCCLUNG
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
MYRA LUCAS
ADP OF THE SNF
—
2013-09-26
ended 2026-05-18
pecos_ownership
REED SPANGLER
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
ROY BOWDEN
ADP OF THE SNF
—
2017-06-15
ended 2026-05-18
pecos_ownership
STEPHANIE SHEROD
OPERATIONAL/MANAGERIAL CONTROL
—
2014-02-25
ended 2026-05-18
pecos_ownership
TIM WILCOX
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
TOM PEARCY
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
VANESSA OWSLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-17
ended 2026-05-18
pecos_ownership
WILLIAM MOORE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-02
ended 2026-05-18
pecos_ownership
WILLIAM MULLETT
CORPORATE DIRECTOR
—
2024-10-01
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
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
35
Geo
Kind
BR
Amount
As of
Source
county 54039
acs median gross
0
$681
2024-12-31
CENSUS_ACS5
county 54039
fmr
0
$714
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
1
$702
2024-12-31
CENSUS_ACS5
county 54039
fmr
1
$829
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
2
$933
2024-12-31
CENSUS_ACS5
county 54039
fmr
2
$1,036
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
3
$1,085
2024-12-31
CENSUS_ACS5
county 54039
fmr
3
$1,325
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
4
$1,153
2024-12-31
CENSUS_ACS5
county 54039
fmr
4
$1,372
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
5
$1,436
2024-12-31
CENSUS_ACS5
county 54039
acs median gross
$906
2024-12-31
CENSUS_ACS5
county 54039
acs recent mover gross
$975
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
0
$721
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
1
$671
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
2
$1,055
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
4
$1,060
2024-12-31
CENSUS_ACS5
zcta 25302
acs median gross
$928
2024-12-31
CENSUS_ACS5
zcta 25302
acs recent mover gross
$1,055
2024-12-31
CENSUS_ACS5
zip 25302
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 25302
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 25302
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 25302
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 25302
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 110
4
$1,474
2025-10-01
HUD_USER_SAFMR
zip 25302
payment standard 90
4
$1,206
2025-10-01
HUD_USER_SAFMR
zip 25302
safmr
4
$1,340
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.