Reads as: riskier than 17.0% 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
OH median
National median
National p25–p75
Total nurse
3.63
3.24
3.28
2.90–3.77
RN
1.10
0.38
0.39
0.25–0.58
Weekend total
3.53
3.11
3.11
—
Weekday total
3.67
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.9
3.63
1.10
0.35
2.18
3.53
0.0%
2025Q3
92
37.8
3.56
0.85
0.60
2.11
3.25
0.0%
2025Q2
91
38.8
3.61
0.72
0.70
2.19
3.30
0.0%
2025Q1
90
36.9
3.92
0.92
0.56
2.43
3.57
0.0%
2024Q4
92
39.6
3.98
0.83
0.50
2.64
3.61
0.0%
2024Q3
92
40.8
3.89
0.71
0.60
2.58
3.42
0.0%
2024Q2
91
40.4
3.66
0.64
0.68
2.33
3.33
0.0%
2024Q1
91
39.0
3.63
0.42
0.96
2.25
3.31
0.0%
2023Q4
92
36.6
3.60
0.52
0.93
2.16
3.34
0.0%
2023Q3
92
38.1
3.38
0.60
0.80
1.98
3.18
0.4%
2023Q2
91
36.3
3.98
0.88
0.74
2.37
3.49
2.9%
2023Q1
90
40.6
3.66
0.79
0.55
2.33
3.33
5.8%
2022Q4
92
43.2
3.38
0.68
0.46
2.24
3.14
0.5%
2022Q3
92
44.0
3.18
0.75
0.38
2.05
2.92
1.1%
2022Q2
91
42.7
3.42
0.96
0.21
2.25
3.05
2.9%
2022Q1
90
37.3
3.77
1.04
0.18
2.55
3.48
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.
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
32
D × 23E × 3F × 5G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-25
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
2026-04-15
2025-04-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-04-18
2024-11-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-11-08
2024-10-17
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-11-20
2024-10-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-20
2024-10-17
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-11-20
2024-10-17
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-11-20
2024-10-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-20
2022-05-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-06-01
2022-05-12
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2022-06-01
2022-05-12
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-06-01
2022-05-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-06-01
2019-09-06
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2019-11-06
2019-09-06
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F
2019-10-07
2019-09-06
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2019-11-06
2019-09-06
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2019-11-06
2019-09-06
Health
F0610
Respond appropriately to all alleged violations.
D
2019-11-06
2019-09-06
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
2019-12-06
2019-09-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-11-06
2019-09-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-11-06
2019-09-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-11-06
2019-09-06
Health
F0687
Provide appropriate foot care.
D
2019-11-06
2019-09-06
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.
E
2019-11-06
2019-09-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-12-06
2019-09-06
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F
2019-11-06
2019-09-06
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F
2019-11-06
2019-09-06
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2019-11-06
2019-09-06
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2019-11-06
2019-09-06
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2019-11-06
2019-09-06
Health
F0791
Provide or obtain dental services for each resident.
D
2019-11-06
2019-09-06
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2019-11-06
2019-09-06
Health
F0881
Implement a program that monitors antibiotic use.
F
2019-11-06
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
10
Owner
Role
Pct
From
Status
Source
REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
JOSHUA HUFF
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2012-12-15
ended 2026-05-18
pecos_ownership
KARA BERNSEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2012-12-15
ended 2026-05-18
pecos_ownership
KENNETH BERNSEN
W-2 MANAGING EMPLOYEE
25%
2012-12-15
ended 2026-05-18
pecos_ownership
SARAH MANNING
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2012-12-15
ended 2026-05-18
pecos_ownership
CAPITAL HEALTH SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-12-15
ended 2026-05-18
pecos_ownership
REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$507,638
—
$350,592
—
—
2
propco
2023-12-31
$440,690
—
$287,488
—
—
2
propco
2022-12-31
$463,050
—
$315,319
—
—
2
propco
2021-12-31
$370,259
—
$224,240
—
—
2
propco
2020-12-31
$384,908
—
$216,396
—
—
2
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
29
Geo
Kind
BR
Amount
As of
Source
county 39067
fmr
0
$744
2025-10-01
HUD_USER_FMR
county 39067
acs median gross
1
$490
2024-12-31
CENSUS_ACS5
county 39067
fmr
1
$749
2025-10-01
HUD_USER_FMR
county 39067
acs median gross
2
$696
2024-12-31
CENSUS_ACS5
county 39067
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39067
acs median gross
3
$946
2024-12-31
CENSUS_ACS5
county 39067
fmr
3
$1,283
2025-10-01
HUD_USER_FMR
county 39067
acs median gross
4
$983
2024-12-31
CENSUS_ACS5
county 39067
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 39067
acs median gross
$785
2024-12-31
CENSUS_ACS5
county 39067
acs recent mover gross
$1,167
2024-12-31
CENSUS_ACS5
zcta 44695
acs median gross
1
$454
2024-12-31
CENSUS_ACS5
zcta 44695
acs median gross
2
$1,143
2024-12-31
CENSUS_ACS5
zcta 44695
acs median gross
$564
2024-12-31
CENSUS_ACS5
zip 44695
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 44695
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 44695
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 44695
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 44695
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 110
4
$1,419
2025-10-01
HUD_USER_SAFMR
zip 44695
payment standard 90
4
$1,161
2025-10-01
HUD_USER_SAFMR
zip 44695
safmr
4
$1,290
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.