Reads as: riskier than 87.3% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
15
2025Q4 HPRD
This facility
MO median
National median
National p25–p75
Total nurse
2.80
2.41
3.28
2.90–3.77
RN
0.34
0.25
0.39
0.25–0.58
Weekend total
2.43
2.24
3.11
—
Weekday total
2.95
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.9
2.80
0.34
0.64
1.82
2.43
0.0%
2025Q3
92
53.8
2.60
0.36
0.60
1.65
2.17
0.0%
2025Q2
91
50.6
2.62
0.36
0.66
1.59
2.27
0.0%
2025Q1
90
47.7
2.64
0.28
0.60
1.75
2.38
0.0%
2024Q4
92
44.9
2.22
0.29
0.39
1.54
2.15
0.0%
2024Q3
92
43.2
2.57
0.35
0.36
1.86
2.37
0.0%
2024Q2
91
43.5
2.57
0.52
0.30
1.75
2.43
0.0%
2024Q1
91
52.5
2.60
0.54
0.42
1.64
2.40
6.4%
2023Q4
92
57.2
2.69
0.44
0.47
1.78
2.56
17.9%
2023Q3
92
59.4
2.75
0.45
0.57
1.73
2.57
7.8%
2023Q1
90
61.9
3.84
0.63
0.69
2.52
3.88
16.7%
2022Q4
92
59.3
3.74
0.62
0.72
2.41
3.57
21.0%
2022Q3
92
43.4
3.74
0.48
0.91
2.34
3.36
32.5%
2022Q2
91
44.3
0.07
0.01
0.02
0.04
0.14
53.9%
2022Q1
90
48.4
2.50
0.77
0.50
1.23
2.33
24.6%
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.
Provide safe and appropriate respiratory care for a resident when needed.
G
2025-06-25
2025-05-13
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-06-25
2024-07-31
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-09-13
2024-07-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-13
2024-07-31
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-13
2024-07-31
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-13
2024-07-31
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-09-13
2024-03-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-12
2023-08-22
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-08-31
2023-08-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-08-03
2023-08-04
Health · complaint
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2023-08-23
2022-08-12
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-08-13
2022-08-12
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2022-08-13
2022-08-12
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-08-29
2022-08-12
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2022-08-29
2022-08-12
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-08-29
2022-08-12
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-09-08
2022-08-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-09-09
2019-09-03
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2019-10-29
2019-09-03
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
2019-10-29
2019-09-03
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2019-10-29
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
27
Owner
Role
Pct
From
Status
Source
ABELE, HANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
CHOICE REHABILITATION LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-09
current
pecos_ownership
CHOICE REHABILITATION LLC
ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
CITY OF NEVADA
ADP OF THE SNF
—
—
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2022-06-30
current
pecos_ownership
HEUMADER, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2024-01-16
current
pecos_ownership
HEUMADER, DAVID
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
KEMM, RUSSELL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
NEVADA CITY NURSING HOME
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-10-26
current
pecos_ownership
PAINTER, DENNIS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-02
current
pecos_ownership
PAINTER, DENNIS
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
SLONIKER, DENISE
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
SLONIKER, DENISE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-31
current
pecos_ownership
STRICKLAND, CHERYL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-09
current
pecos_ownership
TALLEY, DENNIS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-02
current
pecos_ownership
TALLEY, DENNIS
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
HANNA ABELE
CORPORATE DIRECTOR
50%
2024-05-01
ended 2026-05-18
pecos_ownership
CHERYL STRICKLAND
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-09
ended 2026-05-18
pecos_ownership
DAVID HEUMADER
MANAGING CONTROL - GOVERNING BODY
—
2024-01-16
ended 2026-05-18
pecos_ownership
DAVID HEUMADER
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
DENISE SLONIKER
MANAGING CONTROL - GOVERNING BODY
—
2024-01-31
ended 2026-05-18
pecos_ownership
DENISE SLONIKER
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
DENNIS PAINTER
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
DENNIS PAINTER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-02
ended 2026-05-18
pecos_ownership
DENNIS TALLEY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-02
ended 2026-05-18
pecos_ownership
DENNIS TALLEY
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
RUSSELL KEMM
ADP OF THE SNF
—
2023-06-01
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
$244,477
—
—
—
$529
1
—
2024-06-30
$87,532
—
—
—
$75,301
1
—
2023-06-30
$662,051
—
—
—
$301,855
1
—
2022-06-30
$917,380
$6,016
—
—
$481,008
1
—
2021-06-30
$955,639
$5,492
—
—
$484,248
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 29217
acs median gross
0
$358
2024-12-31
CENSUS_ACS5
county 29217
fmr
0
$686
2025-10-01
HUD_USER_FMR
county 29217
acs median gross
1
$469
2024-12-31
CENSUS_ACS5
county 29217
fmr
1
$703
2025-10-01
HUD_USER_FMR
county 29217
acs median gross
2
$783
2024-12-31
CENSUS_ACS5
county 29217
fmr
2
$923
2025-10-01
HUD_USER_FMR
county 29217
acs median gross
3
$912
2024-12-31
CENSUS_ACS5
county 29217
fmr
3
$1,160
2025-10-01
HUD_USER_FMR
county 29217
acs median gross
4
$1,047
2024-12-31
CENSUS_ACS5
county 29217
fmr
4
$1,373
2025-10-01
HUD_USER_FMR
county 29217
acs median gross
$734
2024-12-31
CENSUS_ACS5
county 29217
acs recent mover gross
$831
2024-12-31
CENSUS_ACS5
zcta 64772
acs median gross
0
$358
2024-12-31
CENSUS_ACS5
zcta 64772
acs median gross
1
$462
2024-12-31
CENSUS_ACS5
zcta 64772
acs median gross
2
$791
2024-12-31
CENSUS_ACS5
zcta 64772
acs median gross
3
$951
2024-12-31
CENSUS_ACS5
zcta 64772
acs median gross
$731
2024-12-31
CENSUS_ACS5
zcta 64772
acs recent mover gross
$868
2024-12-31
CENSUS_ACS5
zip 64772
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 64772
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 110
1
$759
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 90
1
$621
2025-10-01
HUD_USER_SAFMR
zip 64772
safmr
1
$690
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 110
2
$1,001
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 90
2
$819
2025-10-01
HUD_USER_SAFMR
zip 64772
safmr
2
$910
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 110
3
$1,254
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 90
3
$1,026
2025-10-01
HUD_USER_SAFMR
zip 64772
safmr
3
$1,140
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 110
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 64772
payment standard 90
4
$1,215
2025-10-01
HUD_USER_SAFMR
zip 64772
safmr
4
$1,350
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.