Reads as: riskier than 10.2% 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
ID median
National median
National p25–p75
Total nurse
3.68
3.34
3.28
2.90–3.77
RN
0.54
0.51
0.39
0.25–0.58
Weekend total
3.55
3.05
3.11
—
Weekday total
3.74
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.1
3.68
0.54
0.69
2.45
3.55
0.0%
2025Q3
92
53.8
3.42
0.49
0.59
2.33
3.34
0.0%
2025Q2
91
54.4
3.47
0.36
0.79
2.31
3.36
0.0%
2025Q1
90
56.4
3.42
0.27
0.95
2.20
3.19
0.0%
2024Q4
92
52.9
3.92
0.30
1.03
2.59
3.67
0.0%
2024Q3
92
53.0
4.18
0.32
1.03
2.84
3.87
0.0%
2024Q2
91
55.3
3.67
0.40
0.98
2.28
3.10
0.0%
2024Q1
91
52.9
3.85
0.59
0.78
2.48
3.60
0.0%
2023Q4
92
51.1
3.97
0.51
0.79
2.67
3.74
0.0%
2023Q3
92
50.8
3.82
0.45
0.85
2.52
3.41
0.0%
2023Q2
91
51.0
3.90
0.38
0.84
2.68
3.48
0.0%
2023Q1
90
55.6
3.42
0.38
0.74
2.30
3.12
0.0%
2022Q4
92
53.8
3.62
0.37
0.82
2.43
3.25
0.0%
2022Q3
92
58.0
3.47
0.18
1.03
2.26
2.98
0.0%
2022Q2
91
51.7
3.89
0.35
1.13
2.41
3.34
0.0%
2022Q1
90
48.6
4.00
0.59
1.00
2.41
3.59
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
18
D × 14E × 2F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-01
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-27
2025-05-01
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-05-27
2025-05-01
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-27
2025-05-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-07-25
2025-05-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-27
2025-05-01
Health · complaint
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
2025-05-27
2025-05-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-27
2024-07-11
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-08-14
2024-07-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-08-14
2024-07-11
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-08-14
2024-07-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-14
2019-05-10
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2019-06-14
2019-05-10
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2019-06-14
2019-05-10
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
2019-06-14
2019-05-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-06-14
2019-05-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-06-14
2019-05-10
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.
D
2019-06-14
2019-05-10
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2019-06-14
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
16
Owner
Role
Pct
From
Status
Source
BELL PROPERTY MANAGEMENT, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-06-01
current
pecos_ownership
BELL, JAMIE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
BELL, JAMIE
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
BELL, TROY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-01
current
pecos_ownership
BELL, TROY
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
CAMPIONE, BUFFY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-01
current
pecos_ownership
DOPP, MATTHEW
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
SERENITY REHABILITATION AND CARE CENTER, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
TANABELL HEALTH SERVICES, INC.
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
JAMIE BELL
CORPORATE OFFICER
50%
2018-10-01
ended 2026-05-18
pecos_ownership
TROY BELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2018-10-01
ended 2026-05-18
pecos_ownership
BUFFY CAMPIONE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-05-01
ended 2026-05-18
pecos_ownership
JAMIE BELL
ADP OF THE SNF
—
2018-09-01
ended 2026-05-18
pecos_ownership
MATTHEW DOPP
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-01
ended 2026-05-18
pecos_ownership
TROY BELL
ADP OF THE SNF
—
2018-06-01
ended 2026-05-18
pecos_ownership
TROY BELL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-01
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
2024-12-31
$534,073
—
$17,634
—
—
1
—
2023-12-31
$416,888
—
$17,596
—
—
1
—
2022-12-31
$454,337
—
$39,220
—
—
1
—
2021-12-31
$407,879
—
$44,629
—
—
1
—
2020-12-31
$367,897
—
$52,666
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 16083
acs median gross
0
$752
2024-12-31
CENSUS_ACS5
county 16083
fmr
0
$885
2025-10-01
HUD_USER_FMR
county 16083
acs median gross
1
$722
2024-12-31
CENSUS_ACS5
county 16083
fmr
1
$979
2025-10-01
HUD_USER_FMR
county 16083
acs median gross
2
$1,029
2024-12-31
CENSUS_ACS5
county 16083
fmr
2
$1,284
2025-10-01
HUD_USER_FMR
county 16083
acs median gross
3
$1,316
2024-12-31
CENSUS_ACS5
county 16083
fmr
3
$1,786
2025-10-01
HUD_USER_FMR
county 16083
acs median gross
4
$1,588
2024-12-31
CENSUS_ACS5
county 16083
fmr
4
$2,154
2025-10-01
HUD_USER_FMR
county 16083
acs median gross
5
$1,532
2024-12-31
CENSUS_ACS5
county 16083
acs median gross
$1,089
2024-12-31
CENSUS_ACS5
county 16083
acs recent mover gross
$1,323
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
0
$752
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
1
$733
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
2
$1,044
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
3
$1,425
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
4
$1,602
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
5
$1,532
2024-12-31
CENSUS_ACS5
zcta 83301
acs median gross
$1,090
2024-12-31
CENSUS_ACS5
zcta 83301
acs recent mover gross
$1,320
2024-12-31
CENSUS_ACS5
zip 83301
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 83301
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 83301
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 83301
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 110
3
$1,958
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 90
3
$1,602
2025-10-01
HUD_USER_SAFMR
zip 83301
safmr
3
$1,780
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 110
4
$2,365
2025-10-01
HUD_USER_SAFMR
zip 83301
payment standard 90
4
$1,935
2025-10-01
HUD_USER_SAFMR
zip 83301
safmr
4
$2,150
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.