Reads as: riskier than 9.1% 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 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
KY median
National median
National p25–p75
Total nurse
7.21
3.11
3.28
2.90–3.77
RN
3.73
0.41
0.39
0.25–0.58
Weekend total
7.54
3.01
3.11
—
Weekday total
7.09
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
11.6
7.21
3.73
0.41
3.06
7.54
0.0%
2025Q3
92
12.1
7.24
3.57
0.43
3.24
7.07
0.0%
2025Q2
91
11.6
7.25
3.73
0.46
3.06
7.29
0.0%
2025Q1
90
14.4
6.10
2.98
0.47
2.64
6.07
0.0%
2024Q4
92
10.6
7.73
3.99
0.64
3.10
7.77
0.0%
2024Q3
92
10.6
8.38
4.17
0.50
3.70
8.36
0.0%
2024Q2
91
9.9
8.62
4.46
0.47
3.69
8.66
0.0%
2024Q1
91
11.8
6.68
3.26
0.39
3.03
6.60
0.0%
2023Q4
92
12.3
6.30
2.96
0.37
2.97
6.31
0.0%
2023Q3
92
10.3
6.15
2.67
0.37
3.11
5.93
0.0%
2023Q2
91
10.0
8.46
4.00
0.53
3.93
8.14
0.0%
2023Q1
90
9.9
8.12
4.11
0.49
3.53
7.57
0.0%
2022Q4
92
9.9
8.03
3.97
0.56
3.49
7.72
0.0%
2022Q3
92
9.4
7.21
3.71
0.47
3.04
6.26
0.0%
2022Q2
91
9.6
7.68
3.88
0.54
3.27
7.29
0.0%
2022Q1
90
8.3
8.37
4.37
0.63
3.37
8.29
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
6
D × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-23
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-02-12
2019-07-02
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2019-08-07
2019-07-02
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
2019-09-03
2019-07-02
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-09-05
2019-07-02
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
2019-07-24
2019-07-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-08-16
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
61
Owner
Role
Pct
From
Status
Source
BAPTIST HEALTHCARE SYSTEM INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-09-01
current
pecos_ownership
CARRICO, RICHARD
CORPORATE OFFICER
—
2023-02-06
current
pecos_ownership
CARRICO, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-04
current
pecos_ownership
COLMAN, GERARD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-04
current
pecos_ownership
DIAZ, LEWIS
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
FALVEY, PATRICK
CORPORATE OFFICER
—
2018-09-04
current
pecos_ownership
FERRIELL, JAMES
ADP OF THE SNF
—
2024-03-01
current
pecos_ownership
FINK, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-10-01
current
pecos_ownership
FULTZ, WILLIAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
GODFREY, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-31
current
pecos_ownership
GODFREY, JOHN
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
HAWLEY, KIRSTEN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HICKS, CORY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
HOOK, ROBERT
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
MALIK, RAZA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
MALIK, RAZA
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
MCPHERSON, CORA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-14
current
pecos_ownership
MOREHEAD, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
current
pecos_ownership
MORRIS, DWAIN
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
NORTON, JANET
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
O'HAIR, DANIEL
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
PEACE, SANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
RAMEY, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-19
current
pecos_ownership
REDDITT, ALAN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
SHIRCLIFF, WILLIAM
CORPORATE DIRECTOR
—
2022-03-30
current
pecos_ownership
STITH, BONNIE
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
THOMAS KUERZI, JENNIFER
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
THOMAS, LINDA
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
WESTBROOK, JONATHAN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
WOODS, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2003-01-09
current
pecos_ownership
ZIMMERMAN, TAMMY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
ROBERT HOOK
CORPORATE DIRECTOR
0%
2026-01-01
ended 2026-05-18
pecos_ownership
ALAN REDDITT
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
ASHLEY MOREHEAD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
ended 2026-05-18
pecos_ownership
BONNIE STITH
CORPORATE DIRECTOR
—
2020-06-01
ended 2026-05-18
pecos_ownership
CORA MCPHERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-14
ended 2026-05-18
pecos_ownership
CORY HICKS
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
DANIEL O'HAIR
CORPORATE DIRECTOR
—
2026-01-01
ended 2026-05-18
pecos_ownership
DWAIN MORRIS
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
GERARD COLMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-04
ended 2026-05-18
pecos_ownership
JAMES FERRIELL
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
JANET NORTON
CORPORATE OFFICER
—
2016-01-01
ended 2026-05-18
pecos_ownership
JENNIFER THOMAS KUERZI
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
JENNIFER WOODS
OPERATIONAL/MANAGERIAL CONTROL
—
2003-01-09
ended 2026-05-18
pecos_ownership
JOHN GODFREY
ADP OF THE SNF
—
2025-05-19
ended 2026-05-18
pecos_ownership
JOHN GODFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-31
ended 2026-05-18
pecos_ownership
JONATHAN WESTBROOK
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
KIRSTEN HAWLEY
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
LEWIS DIAZ
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
LINDA THOMAS
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
PATRICK FALVEY
CORPORATE OFFICER
—
2018-09-04
ended 2026-05-18
pecos_ownership
RAZA MALIK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
ended 2026-05-18
pecos_ownership
RAZA MALIK
ADP OF THE SNF
—
2025-05-19
ended 2026-05-18
pecos_ownership
RICHARD CARRICO
CORPORATE OFFICER
—
2023-02-06
ended 2026-05-18
pecos_ownership
ROBERT RAMEY
CORPORATE OFFICER
—
2022-12-19
ended 2026-05-18
pecos_ownership
SANDRA PEACE
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
ended 2026-05-18
pecos_ownership
SUSAN FINK
OPERATIONAL/MANAGERIAL CONTROL
—
2016-10-01
ended 2026-05-18
pecos_ownership
TAMMY ZIMMERMAN
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
THOMAS CARRICO
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-04
ended 2026-05-18
pecos_ownership
WILLIAM FULTZ
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
WILLIAM SHIRCLIFF
CORPORATE DIRECTOR
—
2022-03-30
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.
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 21093
acs median gross
0
$646
2024-12-31
CENSUS_ACS5
county 21093
fmr
0
$841
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
1
$691
2024-12-31
CENSUS_ACS5
county 21093
fmr
1
$846
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
2
$920
2024-12-31
CENSUS_ACS5
county 21093
fmr
2
$1,056
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
3
$1,223
2024-12-31
CENSUS_ACS5
county 21093
fmr
3
$1,469
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
4
$1,697
2024-12-31
CENSUS_ACS5
county 21093
fmr
4
$1,771
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
5
$1,757
2024-12-31
CENSUS_ACS5
county 21093
acs median gross
$971
2024-12-31
CENSUS_ACS5
county 21093
acs recent mover gross
$1,160
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
0
$772
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
1
$686
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
2
$955
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
3
$1,302
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
4
$1,281
2024-12-31
CENSUS_ACS5
zcta 42701
acs median gross
$934
2024-12-31
CENSUS_ACS5
zcta 42701
acs recent mover gross
$1,158
2024-12-31
CENSUS_ACS5
zip 42701
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 42701
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 42701
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 110
2
$1,276
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 90
2
$1,044
2025-10-01
HUD_USER_SAFMR
zip 42701
safmr
2
$1,160
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 110
3
$1,771
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 90
3
$1,449
2025-10-01
HUD_USER_SAFMR
zip 42701
safmr
3
$1,610
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 110
4
$2,145
2025-10-01
HUD_USER_SAFMR
zip 42701
payment standard 90
4
$1,755
2025-10-01
HUD_USER_SAFMR
zip 42701
safmr
4
$1,950
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.