Reads as: riskier than 25.1% 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 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
IL median
National median
National p25–p75
Total nurse
4.73
3.13
3.28
2.90–3.77
RN
0.58
0.49
0.39
0.25–0.58
Weekend total
4.72
2.93
3.11
—
Weekday total
4.74
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
64.8
4.73
0.58
1.50
2.65
4.72
4.8%
2025Q3
92
62.0
4.79
0.62
1.46
2.71
4.84
5.2%
2025Q2
91
62.7
4.36
0.66
1.27
2.43
4.43
9.1%
2025Q1
90
62.6
4.41
0.81
1.24
2.36
4.21
10.1%
2024Q4
92
62.9
4.59
0.82
1.21
2.57
4.25
10.8%
2024Q3
92
59.5
4.95
0.81
1.21
2.93
4.78
11.6%
2024Q2
91
60.7
4.63
0.85
1.11
2.67
4.37
8.8%
2024Q1
91
56.8
4.72
1.07
1.09
2.56
4.41
10.7%
2023Q4
92
56.8
4.76
1.18
0.87
2.72
4.78
10.6%
2023Q3
92
56.7
4.75
1.32
0.86
2.57
4.66
12.5%
2023Q2
91
57.0
4.76
1.31
1.01
2.45
4.62
12.4%
2023Q1
90
53.3
4.55
1.56
0.90
2.09
4.38
16.8%
2022Q4
92
47.6
5.11
1.55
1.13
2.44
4.82
19.8%
2022Q3
92
60.9
4.24
1.44
0.87
1.94
3.90
14.0%
2022Q2
91
50.2
5.62
2.03
0.99
2.59
5.01
7.5%
2022Q1
90
50.6
5.41
1.63
1.24
2.55
5.10
1.3%
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
4
D × 3E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-05
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2026-03-13
2026-03-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-03-13
2024-12-06
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-12
2024-01-19
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-02-01
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
51
Owner
Role
Pct
From
Status
Source
BETHESDA HEALTH GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2010-02-17
current
pecos_ownership
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-02-17
current
pecos_ownership
BOYER, GERI
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
BRYER, KERI
ADP OF THE SNF
—
2025-12-30
current
pecos_ownership
BRYER, KERI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-11
current
pecos_ownership
BYRNE, ROGER
OPERATIONAL/MANAGERIAL CONTROL
—
2026-03-25
current
pecos_ownership
BYRNE, ROGER
CORPORATE OFFICER
—
2022-04-01
current
pecos_ownership
COOK, KEITH
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
DOSSETT, JEFFREY
CORPORATE OFFICER
—
2020-06-23
current
pecos_ownership
DYER, ROB
CORPORATE DIRECTOR
—
2013-07-30
current
pecos_ownership
DYER, ROB
CORPORATE OFFICER
—
2016-01-01
current
pecos_ownership
ECKERT, CHRIS
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
GANIM, RANDOLPH
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
HALLORAN, TERESA
CORPORATE OFFICER
—
2016-11-14
current
pecos_ownership
HOERING, EDWARD
CORPORATE DIRECTOR
—
2010-02-07
current
pecos_ownership
JACKSON, RACHEL
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
JOURNAGAN, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
current
pecos_ownership
MCKEE, MICHELE
CORPORATE OFFICER
—
2026-03-25
current
pecos_ownership
MOOSA, HANS
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
OLIVER, STACI
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
OLROYD, REBECCA
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
PARDO, BEATRIZ
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
PARKS, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PARKS, JEFFREY
ADP OF THE SNF
—
2025-12-30
current
pecos_ownership
SCHROEDER, KURTIS
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
STEPHENS, RONALD
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
THAXTON, VALERIE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
BEATRIZ PARDO
CORPORATE DIRECTOR
0%
2017-01-01
ended 2026-05-18
pecos_ownership
CHRIS ECKERT
CORPORATE OFFICER
0%
2021-01-01
ended 2026-05-18
pecos_ownership
EDWARD HOERING
CORPORATE DIRECTOR
0%
2010-02-07
ended 2026-05-18
pecos_ownership
GERI BOYER
CORPORATE DIRECTOR
0%
2017-01-01
ended 2026-05-18
pecos_ownership
HANS MOOSA
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JEFFREY DOSSETT
CORPORATE DIRECTOR
0%
2020-06-23
ended 2026-05-18
pecos_ownership
KEITH COOK
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
KEVIN JOURNAGAN
CORPORATE DIRECTOR
0%
2024-09-16
ended 2026-05-18
pecos_ownership
KURTIS SCHROEDER
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RACHEL JACKSON
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
RANDOLPH GANIM
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
REBECCA OLROYD
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
ROB DYER
CORPORATE DIRECTOR
0%
2013-07-30
ended 2026-05-18
pecos_ownership
ROB DYER
CORPORATE OFFICER
0%
2016-01-01
ended 2026-05-18
pecos_ownership
ROGER BYRNE
CORPORATE OFFICER
0%
2022-04-01
ended 2026-05-18
pecos_ownership
RONALD STEPHENS
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
STACI OLIVER
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
SUSAN KOESTERER
CORPORATE DIRECTOR
0%
2022-07-09
ended 2026-05-18
pecos_ownership
TERESA HALLORAN
CORPORATE DIRECTOR
0%
2016-11-14
ended 2026-05-18
pecos_ownership
VALERIE THAXTON
CORPORATE OFFICER
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JEFFREY PARKS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
JEFFREY PARKS
ADP OF THE SNF
—
2025-12-30
ended 2026-05-18
pecos_ownership
KERI BRYER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-11
ended 2026-05-18
pecos_ownership
KERI BRYER
ADP OF THE SNF
—
2025-12-30
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$741,021
—
—
—
$3,301
2
—
2023-12-31
$590,469
—
—
—
$718
2
—
2022-12-31
$584,141
—
—
—
$4,394
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 17163
acs median gross
0
$864
2024-12-31
CENSUS_ACS5
county 17163
fmr
0
$955
2025-10-01
HUD_USER_FMR
county 17163
acs median gross
1
$836
2024-12-31
CENSUS_ACS5
county 17163
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 17163
acs median gross
2
$1,070
2024-12-31
CENSUS_ACS5
county 17163
fmr
2
$1,218
2025-10-01
HUD_USER_FMR
county 17163
acs median gross
3
$1,285
2024-12-31
CENSUS_ACS5
county 17163
fmr
3
$1,568
2025-10-01
HUD_USER_FMR
county 17163
acs median gross
4
$1,611
2024-12-31
CENSUS_ACS5
county 17163
fmr
4
$1,812
2025-10-01
HUD_USER_FMR
county 17163
acs median gross
5
$1,317
2024-12-31
CENSUS_ACS5
county 17163
acs median gross
$1,090
2024-12-31
CENSUS_ACS5
county 17163
acs recent mover gross
$1,247
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
0
$980
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
1
$878
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
2
$1,008
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
3
$1,244
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
4
$1,639
2024-12-31
CENSUS_ACS5
zcta 62226
acs median gross
$1,008
2024-12-31
CENSUS_ACS5
zcta 62226
acs recent mover gross
$1,053
2024-12-31
CENSUS_ACS5
zip 62226
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 62226
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 62226
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 62226
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 62226
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 62226
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 62226
safmr
4
$1,620
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.