Reads as: riskier than 50.4% 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
KS median
National median
National p25–p75
Total nurse
3.31
3.03
3.28
2.90–3.77
RN
0.42
0.44
0.39
0.25–0.58
Weekend total
2.98
2.87
3.11
—
Weekday total
3.44
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.0
3.31
0.42
0.73
2.17
2.98
23.9%
2025Q3
92
52.7
3.14
0.24
0.71
2.18
2.90
23.9%
2025Q2
91
51.9
3.11
0.50
0.44
2.17
2.98
18.4%
2025Q1
90
49.5
2.98
0.48
0.42
2.09
3.09
19.6%
2024Q4
92
48.9
3.12
0.42
0.47
2.23
3.03
27.7%
2024Q3
92
55.8
2.75
0.41
0.39
1.95
2.72
26.7%
2024Q2
91
55.4
2.74
0.32
0.45
1.97
2.63
23.5%
2024Q1
91
52.7
2.79
0.31
0.46
2.02
2.76
27.9%
2023Q4
92
51.0
2.66
0.41
0.38
1.88
2.64
36.8%
2023Q3
92
51.9
2.67
0.42
0.37
1.87
2.71
33.2%
2023Q2
91
51.8
2.81
0.49
0.30
2.02
2.73
39.2%
2023Q1
90
54.5
2.83
0.41
0.39
2.03
2.54
44.8%
2022Q4
92
54.9
2.35
0.46
0.38
1.51
2.22
62.5%
2022Q3
92
53.8
2.52
0.61
0.34
1.56
2.40
69.5%
2022Q2
91
54.4
2.38
0.48
0.39
1.51
2.23
54.4%
2022Q1
90
52.3
2.42
0.34
0.52
1.55
2.23
49.2%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-20
2026-02-25
Health
F0637
Assess the resident when there is a significant change in condition
D
2026-03-20
2026-02-25
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
2026-03-20
2026-02-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-20
2026-02-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2026-03-20
2026-02-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-03-20
2026-02-25
Health
F0732
Post nurse staffing information every day.
C
2026-03-20
2026-02-25
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-03-20
2026-02-25
Health
F0814
Dispose of garbage and refuse properly.
C
2026-03-20
2026-02-25
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-03-20
2026-02-25
Health
F0881
Implement a program that monitors antibiotic use.
F
2026-03-20
2024-12-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-18
2024-04-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-24
2024-04-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-05-24
2024-04-15
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-05-24
2022-08-25
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
2022-09-29
2022-08-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-09-29
2022-08-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-09-29
2022-08-25
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-09-29
2022-08-25
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
2022-09-29
2022-08-25
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-09-29
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
PRESBYTERIAN MANORS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BONNEY, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
current
pecos_ownership
BRENNECKE, GARY
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
current
pecos_ownership
COOK, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2022-07-01
current
pecos_ownership
DULING, NANCY
MANAGING CONTROL - GOVERNING BODY
—
2020-07-01
current
pecos_ownership
FARMER, CARLA
MANAGING CONTROL - GOVERNING BODY
—
2025-09-01
current
pecos_ownership
GOODWIN, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
current
pecos_ownership
HARRIS, DANIEL
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
current
pecos_ownership
HIND, SHERRY
CORPORATE OFFICER
—
—
current
pecos_ownership
LIEPINS, RICHARD
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
LIEPINS, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-31
current
pecos_ownership
MILLER, JOAN
CORPORATE OFFICER
—
1997-09-01
current
pecos_ownership
OWENS, MELANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-10
current
pecos_ownership
PRESBYTERIAN MANORS OF MID-AMERICA INC
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
SCHENDEL, ROB
MANAGING CONTROL - GOVERNING BODY
—
2023-11-15
current
pecos_ownership
SHOGREN, BRUCE
OPERATIONAL/MANAGERIAL CONTROL
—
2011-07-01
current
pecos_ownership
SHOGREN, BRUCE
CORPORATE OFFICER
—
1996-08-05
current
pecos_ownership
TAYLOR, WILLIAM
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
TRASK, EMILY
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
TRASK, EMILY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-18
current
pecos_ownership
BRUCE SHOGREN
OPERATIONAL/MANAGERIAL CONTROL
—
2011-07-01
ended 2026-05-18
pecos_ownership
BRUCE SHOGREN
CORPORATE OFFICER
—
1996-08-05
ended 2026-05-18
pecos_ownership
CARLA FARMER
MANAGING CONTROL - GOVERNING BODY
—
2025-09-01
ended 2026-05-18
pecos_ownership
DANIEL HARRIS
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
ended 2026-05-18
pecos_ownership
EMILY TRASK
ADP OF THE SNF
—
2025-12-01
ended 2026-05-18
pecos_ownership
EMILY TRASK
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-18
ended 2026-05-18
pecos_ownership
GARY BRENNECKE
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
ended 2026-05-18
pecos_ownership
JOAN MILLER
CORPORATE OFFICER
—
1997-09-01
ended 2026-05-18
pecos_ownership
JOHN GOODWIN
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
ended 2026-05-18
pecos_ownership
MELANIE OWENS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-10
ended 2026-05-18
pecos_ownership
NANCY DULING
MANAGING CONTROL - GOVERNING BODY
—
2020-07-01
ended 2026-05-18
pecos_ownership
PATRICIA COOK
MANAGING CONTROL - GOVERNING BODY
—
2022-07-01
ended 2026-05-18
pecos_ownership
RICHARD LIEPINS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-31
ended 2026-05-18
pecos_ownership
RICHARD LIEPINS
ADP OF THE SNF
—
2025-12-01
ended 2026-05-18
pecos_ownership
ROB SCHENDEL
MANAGING CONTROL - GOVERNING BODY
—
2023-11-15
ended 2026-05-18
pecos_ownership
ROBERT BONNEY
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
ended 2026-05-18
pecos_ownership
SHERRY HIND
CORPORATE OFFICER
—
—
ended 2026-05-18
pecos_ownership
WILLIAM TAYLOR
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$742,292
—
—
—
—
1
—
2024-06-30
$735,913
—
—
—
—
1
—
2023-06-30
$703,188
—
—
—
—
1
—
2022-06-30
$643,500
—
—
—
—
1
—
2021-06-30
$598,975
—
—
—
—
1
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 20079
fmr
0
$782
2025-10-01
HUD_USER_FMR
county 20079
acs median gross
1
$649
2024-12-31
CENSUS_ACS5
county 20079
fmr
1
$849
2025-10-01
HUD_USER_FMR
county 20079
acs median gross
2
$895
2024-12-31
CENSUS_ACS5
county 20079
fmr
2
$1,099
2025-10-01
HUD_USER_FMR
county 20079
acs median gross
3
$1,093
2024-12-31
CENSUS_ACS5
county 20079
fmr
3
$1,444
2025-10-01
HUD_USER_FMR
county 20079
acs median gross
4
$983
2024-12-31
CENSUS_ACS5
county 20079
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 20079
acs median gross
5
$965
2024-12-31
CENSUS_ACS5
county 20079
acs median gross
$900
2024-12-31
CENSUS_ACS5
county 20079
acs recent mover gross
$963
2024-12-31
CENSUS_ACS5
zcta 67114
acs median gross
1
$706
2024-12-31
CENSUS_ACS5
zcta 67114
acs median gross
2
$964
2024-12-31
CENSUS_ACS5
zcta 67114
acs median gross
3
$1,167
2024-12-31
CENSUS_ACS5
zcta 67114
acs median gross
4
$958
2024-12-31
CENSUS_ACS5
zcta 67114
acs median gross
$915
2024-12-31
CENSUS_ACS5
zcta 67114
acs recent mover gross
$936
2024-12-31
CENSUS_ACS5
zip 67114
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 67114
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 67114
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 67114
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 67114
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 67114
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 67114
safmr
4
$1,670
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.