Reads as: riskier than 42.5% 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
LA median
National median
National p25–p75
Total nurse
4.12
3.38
3.28
2.90–3.77
RN
0.09
0.10
0.39
0.25–0.58
Weekend total
4.01
3.09
3.11
—
Weekday total
4.17
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
56.3
4.12
0.09
1.51
2.52
4.01
1.3%
2025Q3
92
57.1
4.11
0.10
1.52
2.48
4.03
2.0%
2025Q2
91
53.2
4.21
0.12
1.67
2.42
4.16
2.3%
2025Q1
90
56.6
4.07
0.10
1.60
2.37
4.00
0.9%
2024Q4
92
54.9
4.18
0.08
1.67
2.44
4.15
3.7%
2024Q3
92
55.1
4.29
0.07
1.73
2.49
4.32
7.2%
2024Q2
91
51.7
4.46
0.06
1.75
2.65
4.57
2.3%
2024Q1
91
56.1
3.79
0.06
1.49
2.23
3.99
1.9%
2023Q4
92
59.8
4.06
0.05
1.74
2.27
3.91
11.5%
2023Q3
92
54.1
3.53
0.16
1.52
1.85
3.53
25.2%
2023Q2
91
59.5
3.04
0.14
1.22
1.67
3.21
18.3%
2023Q1
90
59.0
3.37
0.14
1.31
1.93
3.45
15.8%
2022Q4
92
58.7
3.30
0.06
1.29
1.95
3.31
10.0%
2022Q3
92
59.8
3.80
0.09
1.39
2.32
3.85
10.2%
2022Q2
91
60.7
3.96
0.13
1.42
2.41
3.82
10.5%
2022Q1
90
60.3
4.36
0.13
1.62
2.61
4.33
2.8%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2026-02-09
2025-06-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-25
2025-06-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-25
2025-06-25
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-07-25
2025-06-25
Health
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
2025-07-25
2025-06-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-25
2025-06-25
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-07-25
2025-06-25
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-07-25
2024-10-04
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-10-31
2024-05-31
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-07-04
2024-05-31
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
J
2024-07-04
2024-05-31
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-07-04
2024-05-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-07-04
2024-05-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-04
2024-05-31
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-04
2024-05-31
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.
J
2024-07-04
2024-05-31
Health
F0732
Post nurse staffing information every day.
F
2024-07-04
2024-05-31
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2024-07-04
2024-05-31
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.
E
2024-07-04
2024-05-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-04
2024-05-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-04
2023-04-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-05-05
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
32
Owner
Role
Pct
From
Status
Source
BANDA, VENKATRAM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
BANDA, VENKATRAM
ADP OF THE SNF
—
2025-04-25
current
pecos_ownership
BENDER, RALPH
MANAGING CONTROL - GOVERNING BODY
—
2023-02-01
current
pecos_ownership
BUTTS, LUCIUS
MANAGING CONTROL - GOVERNING BODY
—
2023-02-01
current
pecos_ownership
DUCKWORTH, SHANNON
MANAGING CONTROL - GOVERNING BODY
—
2022-11-01
current
pecos_ownership
DUNCAN, CHRISTOPHER
MANAGING CONTROL - GOVERNING BODY
—
2018-08-01
current
pecos_ownership
GIBSON, LINDA
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
current
pecos_ownership
JACKSON, STEVE
MANAGING CONTROL - GOVERNING BODY
—
2016-12-01
current
pecos_ownership
KURZ, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
current
pecos_ownership
MELANCON, THOMAS
CORPORATE OFFICER
—
2001-03-01
current
pecos_ownership
NELSON, AMY
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
NOLAND, NANETTE
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
current
pecos_ownership
SANGARI, KIM
MANAGING CONTROL - GOVERNING BODY
—
2021-04-01
current
pecos_ownership
SMITH, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
current
pecos_ownership
WAGER, RICHARD
ADP OF THE SNF
—
2021-02-01
current
pecos_ownership
WARRINGTON, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2016-12-01
current
pecos_ownership
AMY NELSON
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER DUNCAN
MANAGING CONTROL - GOVERNING BODY
—
2018-08-01
ended 2026-05-18
pecos_ownership
DAVID WARRINGTON
MANAGING CONTROL - GOVERNING BODY
—
2016-12-01
ended 2026-05-18
pecos_ownership
GEORGE KURZ
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
ended 2026-05-18
pecos_ownership
JOHN SMITH
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
ended 2026-05-18
pecos_ownership
KIM SANGARI
MANAGING CONTROL - GOVERNING BODY
—
2021-04-01
ended 2026-05-18
pecos_ownership
LINDA GIBSON
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
ended 2026-05-18
pecos_ownership
LUCIUS BUTTS
MANAGING CONTROL - GOVERNING BODY
—
2023-02-01
ended 2026-05-18
pecos_ownership
NANETTE NOLAND
MANAGING CONTROL - GOVERNING BODY
—
2013-05-16
ended 2026-05-18
pecos_ownership
RALPH BENDER
MANAGING CONTROL - GOVERNING BODY
—
2023-02-01
ended 2026-05-18
pecos_ownership
RICHARD WAGER
ADP OF THE SNF
—
2021-02-01
ended 2026-05-18
pecos_ownership
SHANNON DUCKWORTH
MANAGING CONTROL - GOVERNING BODY
—
2022-11-01
ended 2026-05-18
pecos_ownership
STEVE JACKSON
MANAGING CONTROL - GOVERNING BODY
—
2016-12-01
ended 2026-05-18
pecos_ownership
THOMAS MELANCON
CORPORATE OFFICER
—
2001-03-01
ended 2026-05-18
pecos_ownership
VENKATRAM BANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
ended 2026-05-18
pecos_ownership
VENKATRAM BANDA
ADP OF THE SNF
—
2025-04-25
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
36
Geo
Kind
BR
Amount
As of
Source
county 22033
acs median gross
0
$1,003
2024-12-31
CENSUS_ACS5
county 22033
fmr
0
$1,032
2025-10-01
HUD_USER_FMR
county 22033
acs median gross
1
$970
2024-12-31
CENSUS_ACS5
county 22033
fmr
1
$1,064
2025-10-01
HUD_USER_FMR
county 22033
acs median gross
2
$1,139
2024-12-31
CENSUS_ACS5
county 22033
fmr
2
$1,204
2025-10-01
HUD_USER_FMR
county 22033
acs median gross
3
$1,379
2024-12-31
CENSUS_ACS5
county 22033
fmr
3
$1,511
2025-10-01
HUD_USER_FMR
county 22033
acs median gross
4
$1,629
2024-12-31
CENSUS_ACS5
county 22033
fmr
4
$1,943
2025-10-01
HUD_USER_FMR
county 22033
acs median gross
5
$1,287
2024-12-31
CENSUS_ACS5
county 22033
acs median gross
$1,147
2024-12-31
CENSUS_ACS5
county 22033
acs recent mover gross
$1,156
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
0
$1,076
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
1
$1,113
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
2
$1,350
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
3
$1,682
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
4
$2,000
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
5
$1,262
2024-12-31
CENSUS_ACS5
zcta 70808
acs median gross
$1,352
2024-12-31
CENSUS_ACS5
zcta 70808
acs recent mover gross
$1,240
2024-12-31
CENSUS_ACS5
zip 70808
payment standard 110
0
$1,276
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 90
0
$1,044
2025-10-01
HUD_USER_SAFMR
zip 70808
safmr
0
$1,160
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 70808
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 110
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 90
2
$1,215
2025-10-01
HUD_USER_SAFMR
zip 70808
safmr
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 70808
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 110
4
$2,398
2025-10-01
HUD_USER_SAFMR
zip 70808
payment standard 90
4
$1,962
2025-10-01
HUD_USER_SAFMR
zip 70808
safmr
4
$2,180
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.