Reads as: riskier than 22.8% 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
NC median
National median
National p25–p75
Total nurse
2.95
3.08
3.28
2.90–3.77
RN
0.45
0.30
0.39
0.25–0.58
Weekend total
2.90
2.93
3.11
—
Weekday total
2.97
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.1
2.95
0.45
0.54
1.96
2.90
0.0%
2025Q3
92
50.7
2.87
0.40
0.53
1.94
2.81
0.0%
2025Q2
91
49.9
2.89
0.49
0.51
1.89
2.80
0.0%
2025Q1
90
50.5
2.84
0.57
0.42
1.84
2.72
0.0%
2024Q4
92
51.8
2.84
0.53
0.48
1.83
2.60
0.0%
2024Q3
92
52.1
2.86
0.65
0.31
1.90
2.65
0.0%
2024Q2
91
52.9
3.00
0.54
0.52
1.94
2.75
0.0%
2024Q1
91
52.5
3.07
0.49
0.67
1.91
2.76
0.0%
2023Q4
92
51.1
3.00
0.45
0.63
1.93
2.66
0.0%
2023Q3
92
47.8
3.36
0.43
0.61
2.32
3.15
0.0%
2023Q2
91
49.5
3.17
0.26
0.84
2.06
2.74
0.0%
2023Q1
90
46.9
3.18
0.32
0.66
2.20
2.61
0.0%
2022Q4
92
50.3
3.08
0.60
0.50
1.98
2.75
0.0%
2022Q3
92
47.3
2.72
0.30
0.51
1.92
2.43
0.0%
2022Q2
91
46.2
2.66
0.42
0.49
1.75
2.25
0.0%
2022Q1
90
48.8
2.70
0.34
0.58
1.77
2.26
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.
Ensure each resident receives an accurate assessment.
D
2025-08-21
2025-08-07
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
2025-08-21
2025-08-07
Health
F0791
Provide or obtain dental services for each resident.
D
2025-08-21
2025-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-21
2025-05-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-16
2025-05-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-06-16
2024-09-20
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-09-21
2024-08-08
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-09-20
2024-08-08
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.
D
2024-09-20
2023-05-11
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-06-27
2023-05-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-06-27
2023-05-11
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
2023-06-27
2023-05-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-06-27
2023-05-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-27
2023-05-11
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
C
2023-06-08
2023-05-11
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
E
2023-06-27
2023-05-11
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2023-06-27
2023-05-11
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-06-27
2023-05-11
Health
F0881
Implement a program that monitors antibiotic use.
F
2023-06-27
2023-05-11
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-06-27
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
36
Owner
Role
Pct
From
Status
Source
BRABHAM, MINDY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-17
current
pecos_ownership
BRABHAM, MINDY
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
J PAIGE PRUITT TRUST
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
LISA P HAMBY TRUST
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
LISA P HAMBY TRUST
ADP OF THE SNF
—
2013-11-26
current
pecos_ownership
LOGGINS, RANDALL
ADP OF THE SNF
—
2019-11-11
current
pecos_ownership
NEIL L PRUITT JR TRUST
ADP OF THE SNF
—
2013-11-26
current
pecos_ownership
NEIL L PRUITT JR TRUST
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
NWP 2020 CHILD TR FBO J PAIGE PRUITT
INDIRECT OWNERSHIP INTEREST
—
2020-08-12
current
pecos_ownership
PRUITT PROPERTIES INC
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
PRUITT, NANCY
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
current
pecos_ownership
PRUITT, NEIL
DIRECT OWNERSHIP INTEREST
—
2021-03-07
current
pecos_ownership
PRUITT, NEIL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-13
current
pecos_ownership
PRUITT, NEIL
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
current
pecos_ownership
PRUITT, NEIL
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-12
current
pecos_ownership
PRUITTHEALTH CONSULTING SERVICES INC
ADP OF THE SNF
—
2013-11-26
current
pecos_ownership
PRUITTHEALTH INC
ADP OF THE SNF
—
2024-12-10
current
pecos_ownership
SIDANA, LALITA
ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
SIDANA, LALITA
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-27
current
pecos_ownership
SMALL, PHILIP
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
current
pecos_ownership
STRANG, ROBERT
ADP OF THE SNF
—
2014-10-16
current
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
INDIRECT OWNERSHIP INTEREST
—
2007-01-12
current
pecos_ownership
UNITED HEALTH SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
UNITED HEALTH SERVICES OF NORTH CAROLINA INC
DIRECT OWNERSHIP INTEREST
—
2013-11-27
current
pecos_ownership
NWP 2020 CHILD TR FBO NEIL L PRUITT JR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2020-08-12
ended 2026-05-18
pecos_ownership
NEIL PRUITT
DIRECT OWNERSHIP INTEREST
1%
2021-03-07
ended 2026-05-18
pecos_ownership
LALITA SIDANA
ADP OF THE SNF
—
2026-02-20
ended 2026-05-18
pecos_ownership
LALITA SIDANA
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-27
ended 2026-05-18
pecos_ownership
MINDY BRABHAM
ADP OF THE SNF
—
2025-04-08
ended 2026-05-18
pecos_ownership
MINDY BRABHAM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-17
ended 2026-05-18
pecos_ownership
NANCY PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
ended 2026-05-18
pecos_ownership
NEIL PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
ended 2026-05-18
pecos_ownership
NEIL PRUITT
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-12
ended 2026-05-18
pecos_ownership
PHILIP SMALL
MANAGING CONTROL - GOVERNING BODY
—
2013-11-27
ended 2026-05-18
pecos_ownership
RANDALL LOGGINS
ADP OF THE SNF
—
2019-11-11
ended 2026-05-18
pecos_ownership
ROBERT STRANG
ADP OF THE SNF
—
2014-10-16
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
$1,168,271
$328,184
$157,002
$368,967
$163,881
9
—
2024-06-30
$1,329,976
$338,183
$204,759
$384,915
$193,217
9
—
2023-06-30
$1,467,071
$265,857
$189,789
$381,887
$390,026
9
—
2022-06-30
$1,194,707
$89,332
$179,485
$445,164
$230,976
9
—
2021-06-30
$1,357,193
$85,593
$153,776
$525,347
$297,829
9
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 37147
acs median gross
0
$781
2024-12-31
CENSUS_ACS5
county 37147
fmr
0
$891
2025-10-01
HUD_USER_FMR
county 37147
acs median gross
1
$815
2024-12-31
CENSUS_ACS5
county 37147
fmr
1
$896
2025-10-01
HUD_USER_FMR
county 37147
acs median gross
2
$1,011
2024-12-31
CENSUS_ACS5
county 37147
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 37147
acs median gross
3
$1,182
2024-12-31
CENSUS_ACS5
county 37147
fmr
3
$1,465
2025-10-01
HUD_USER_FMR
county 37147
acs median gross
4
$1,465
2024-12-31
CENSUS_ACS5
county 37147
fmr
4
$1,837
2025-10-01
HUD_USER_FMR
county 37147
acs median gross
5
$1,034
2024-12-31
CENSUS_ACS5
county 37147
acs median gross
$993
2024-12-31
CENSUS_ACS5
county 37147
acs recent mover gross
$1,158
2024-12-31
CENSUS_ACS5
zcta 27828
acs median gross
2
$740
2024-12-31
CENSUS_ACS5
zcta 27828
acs median gross
3
$1,027
2024-12-31
CENSUS_ACS5
zcta 27828
acs median gross
$743
2024-12-31
CENSUS_ACS5
zcta 27828
acs recent mover gross
$657
2024-12-31
CENSUS_ACS5
zip 27828
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 27828
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 110
1
$968
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 90
1
$792
2025-10-01
HUD_USER_SAFMR
zip 27828
safmr
1
$880
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 110
2
$1,177
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 90
2
$963
2025-10-01
HUD_USER_SAFMR
zip 27828
safmr
2
$1,070
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 27828
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 110
4
$1,947
2025-10-01
HUD_USER_SAFMR
zip 27828
payment standard 90
4
$1,593
2025-10-01
HUD_USER_SAFMR
zip 27828
safmr
4
$1,770
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.