Reads as: riskier than 41.0% 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
3.08
3.08
3.28
2.90–3.77
RN
0.25
0.30
0.39
0.25–0.58
Weekend total
2.85
2.93
3.11
—
Weekday total
3.16
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
145.8
3.08
0.25
1.04
1.79
2.85
0.0%
2025Q3
92
139.9
3.35
0.28
1.06
2.01
3.10
0.0%
2025Q2
91
140.6
3.49
0.26
1.08
2.15
3.22
0.0%
2025Q1
90
143.8
3.23
0.22
1.01
2.00
3.15
0.0%
2024Q4
92
142.0
3.16
0.29
0.91
1.97
3.05
0.0%
2024Q3
92
143.0
3.26
0.33
0.87
2.07
3.19
0.0%
2024Q2
91
139.8
3.23
0.30
0.89
2.04
3.14
0.0%
2024Q1
91
143.2
3.13
0.38
0.74
2.00
3.04
0.0%
2023Q4
92
143.4
3.39
0.42
0.84
2.13
3.19
0.0%
2023Q3
92
141.6
3.19
0.38
0.91
1.91
3.00
0.0%
2023Q2
91
142.4
3.04
0.30
0.96
1.78
2.73
0.0%
2023Q1
90
140.9
2.83
0.28
0.96
1.59
2.60
0.0%
2022Q4
92
134.2
3.08
0.27
1.04
1.76
2.69
0.0%
2022Q3
92
133.7
2.62
0.19
1.00
1.43
2.28
0.0%
2022Q2
91
91.2
3.85
0.15
1.53
2.17
3.29
0.0%
2022Q1
90
90.9
3.36
0.07
1.43
1.86
2.86
0.0%
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
2026-02-06
2026-01-15
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-02-06
2026-01-15
Health
F0679
Provide activities to meet all resident's needs.
D
2026-02-06
2025-06-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-23
2025-06-25
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-23
2025-05-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-05-22
2025-05-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-05-22
2025-05-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-05-22
2024-11-15
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-12-13
2024-11-15
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-12-13
2024-11-15
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-12-13
2024-11-15
Health
F0732
Post nurse staffing information every day.
B
2024-12-13
2024-11-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-12-13
2023-09-29
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-10-27
2023-09-29
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-10-27
2023-09-29
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2023-10-27
2023-09-29
Health · complaint
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2023-10-27
2023-09-29
Health
F0641
Ensure each resident receives an accurate assessment.
B
2023-10-27
2023-09-29
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-10-27
2023-09-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-27
2023-09-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-10-27
2023-09-29
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
2023-10-27
2023-09-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-10-27
2023-09-29
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-10-27
2023-09-29
Health
F0732
Post nurse staffing information every day.
C
2023-10-27
2023-09-29
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.
D
2023-10-27
2023-09-29
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2023-10-27
2023-09-29
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-10-27
2023-09-29
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2023-10-27
2023-09-29
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-10-27
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
17
Owner
Role
Pct
From
Status
Source
HESS-CAMPBELL, JILL
W-2 MANAGING EMPLOYEE
—
2022-04-06
current
pecos_ownership
HOLLAND, ELIZABETH
W-2 MANAGING EMPLOYEE
—
2021-03-08
current
pecos_ownership
JONES, KURTIS
W-2 MANAGING EMPLOYEE
—
2021-02-03
current
pecos_ownership
LAPOINTE, KIMBERLY
W-2 MANAGING EMPLOYEE
—
2022-01-03
current
pecos_ownership
PRUITT, NEIL
CORPORATE OFFICER
—
2007-09-27
current
pecos_ownership
ELIZABETH HOLLAND
W-2 MANAGING EMPLOYEE
100%
2021-03-08
ended 2026-05-18
pecos_ownership
JILL HESS-CAMPBELL
W-2 MANAGING EMPLOYEE
100%
2022-04-06
ended 2026-05-18
pecos_ownership
KIMBERLY LAPOINTE
W-2 MANAGING EMPLOYEE
100%
2022-01-03
ended 2026-05-18
pecos_ownership
KURTIS JONES
W-2 MANAGING EMPLOYEE
100%
2021-02-03
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE DIRECTOR
100%
2007-09-27
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2007-09-27
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2007-09-27
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF NORTH CAROLINA INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-09-27
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2009-09-28
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2007-09-27
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
2007-09-27
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
0%
2007-09-27
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
$3,833,054
$476,991
$624,929
$1,439,141
$687,917
9
—
2024-06-30
$3,996,942
$770,310
$509,616
$1,357,219
$653,350
9
—
2023-06-30
$4,184,818
$644,944
$469,599
$1,400,754
$983,213
9
—
2022-06-30
$2,954,509
$261,003
$455,239
$1,147,197
$574,038
9
—
2021-06-30
$3,669,977
$473,585
$445,811
$1,365,055
$777,249
8
—
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 37183
acs median gross
0
$1,390
2024-12-31
CENSUS_ACS5
county 37183
fmr
0
$1,524
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
1
$1,423
2024-12-31
CENSUS_ACS5
county 37183
fmr
1
$1,596
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
2
$1,600
2024-12-31
CENSUS_ACS5
county 37183
fmr
2
$1,750
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
3
$1,830
2024-12-31
CENSUS_ACS5
county 37183
fmr
3
$2,196
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
4
$2,353
2024-12-31
CENSUS_ACS5
county 37183
fmr
4
$2,936
2025-10-01
HUD_USER_FMR
county 37183
acs median gross
5
$2,651
2024-12-31
CENSUS_ACS5
county 37183
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 37183
acs recent mover gross
$1,803
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
0
$1,298
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
1
$1,633
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
2
$1,476
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
3
$1,622
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
4
$1,538
2024-12-31
CENSUS_ACS5
zcta 27603
acs median gross
$1,547
2024-12-31
CENSUS_ACS5
zcta 27603
acs recent mover gross
$1,778
2024-12-31
CENSUS_ACS5
zip 27603
payment standard 110
0
$1,595
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 90
0
$1,305
2025-10-01
HUD_USER_SAFMR
zip 27603
safmr
0
$1,450
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 110
1
$1,672
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 90
1
$1,368
2025-10-01
HUD_USER_SAFMR
zip 27603
safmr
1
$1,520
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 110
2
$1,837
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 90
2
$1,503
2025-10-01
HUD_USER_SAFMR
zip 27603
safmr
2
$1,670
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 110
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 90
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 27603
safmr
3
$2,100
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 110
4
$3,080
2025-10-01
HUD_USER_SAFMR
zip 27603
payment standard 90
4
$2,520
2025-10-01
HUD_USER_SAFMR
zip 27603
safmr
4
$2,800
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.