Reads as: riskier than 12.5% 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
FL median
National median
National p25–p75
Total nurse
5.51
3.42
3.28
2.90–3.77
RN
1.01
0.45
0.39
0.25–0.58
Weekend total
5.32
3.31
3.11
—
Weekday total
5.58
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.7
5.51
1.01
0.81
3.69
5.32
1.7%
2025Q3
92
62.3
5.77
1.05
0.80
3.92
5.52
1.4%
2025Q2
91
65.1
5.60
1.12
0.86
3.62
5.36
0.3%
2025Q1
90
68.5
6.06
0.94
1.04
4.08
5.73
5.3%
2024Q4
92
64.3
6.01
1.04
0.85
4.12
5.69
3.2%
2024Q3
92
56.1
5.46
0.76
0.94
3.76
5.23
0.0%
2024Q2
91
53.9
5.02
0.64
1.02
3.36
4.74
0.0%
2024Q1
91
55.2
4.76
0.65
1.02
3.09
4.44
0.0%
2023Q4
92
51.7
5.13
0.75
1.04
3.34
4.91
0.0%
2023Q3
92
50.5
6.75
0.92
1.14
4.69
6.45
0.0%
2023Q2
91
56.1
6.19
0.84
1.10
4.24
5.80
0.0%
2023Q1
90
59.5
6.05
0.78
0.98
4.29
5.61
0.0%
2022Q4
92
55.3
6.07
0.59
1.27
4.21
6.38
0.9%
2022Q3
92
51.8
6.66
0.57
1.52
4.57
5.83
1.5%
2022Q2
91
57.9
5.57
0.39
1.32
3.86
5.26
2.2%
2022Q1
90
55.7
5.75
0.48
1.17
4.10
5.28
5.9%
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
17
D × 12E × 1F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-11-21
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-01-02
2024-11-21
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2025-01-02
2024-11-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-01-02
2024-11-21
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-01-02
2024-11-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-01-02
2024-11-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-02
2024-11-21
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
2025-01-02
2024-11-21
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2025-01-06
2024-11-21
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2025-01-02
2024-11-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-02
2024-11-21
Health
F0814
Dispose of garbage and refuse properly.
F
2025-01-02
2024-11-21
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2025-01-02
2024-11-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-02
2024-11-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-02
2024-11-21
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-01-02
2023-03-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-04-01
2023-03-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-04-01
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
39
Owner
Role
Pct
From
Status
Source
MARGOT AND TOM PRITZKER FOUNDATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2025-05-22
current
pecos_ownership
P. G. - KAREN TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2012-01-01
current
pecos_ownership
PRITZKER PUCKER FAMILY FOUNDATION NO. 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2025-05-22
current
pecos_ownership
P. G. - NICHOLAS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2012-01-01
current
pecos_ownership
P. G. - DANIEL TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
P. G. - DON #3 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
P. G. - JIM TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
P. G. - JOHNNY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
P. G. - LINDA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
P. G. - TONY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-01-01
current
pecos_ownership
ALLISON, PAMELA
ADP OF THE SNF
—
2025-07-21
current
pecos_ownership
CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP
ADP OF THE SNF
—
2025-10-18
current
pecos_ownership
CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP
OPERATIONAL/MANAGERIAL CONTROL
—
1990-12-11
current
pecos_ownership
CONZELMAN, TINA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-09
current
pecos_ownership
COPE, TARA
ADP OF THE SNF
—
2018-06-01
current
pecos_ownership
ELTERMAN, FRANK
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
EVRAETS, MELISSA
ADP OF THE SNF
—
2020-08-31
current
pecos_ownership
KOSZYLKO, TOMEK
ADP OF THE SNF
—
2018-10-15
current
pecos_ownership
MASLOW, CARY
ADP OF THE SNF
—
2019-08-01
current
pecos_ownership
MUSZYNSKI, THOMAS
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
POORMAN, JOHN
CORPORATE OFFICER
—
2004-07-29
current
pecos_ownership
SMITH, GARY
CORPORATE OFFICER
—
2022-06-01
current
pecos_ownership
SMITH, GARY
CORPORATE DIRECTOR
—
2012-01-01
current
pecos_ownership
SMITH, PENNY
ADP OF THE SNF
—
2016-08-01
current
pecos_ownership
WILLIAMS, BRIDGET
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
CC-DEVELOPMENT GROUP, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1990-12-11
ended 2026-05-18
pecos_ownership
GARY SMITH
CORPORATE DIRECTOR
0%
2012-01-01
ended 2026-05-18
pecos_ownership
GARY SMITH
CORPORATE OFFICER
0%
2022-06-01
ended 2026-05-18
pecos_ownership
JOHN POORMAN
CORPORATE DIRECTOR
0%
2004-07-29
ended 2026-05-18
pecos_ownership
TARA COPE
CORPORATE OFFICER
0%
2018-06-01
ended 2026-05-18
pecos_ownership
THOMAS MUSZYNSKI
CORPORATE OFFICER
0%
2022-06-01
ended 2026-05-18
pecos_ownership
BRIDGET WILLIAMS
ADP OF THE SNF
—
2022-12-01
ended 2026-05-18
pecos_ownership
CARY MASLOW
ADP OF THE SNF
—
2019-08-01
ended 2026-05-18
pecos_ownership
FRANK ELTERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
MELISSA EVRAETS
OPERATIONAL/MANAGERIAL CONTROL
—
2020-08-31
ended 2026-05-18
pecos_ownership
PAMELA ALLISON
ADP OF THE SNF
—
2025-07-21
ended 2026-05-18
pecos_ownership
PENNY SMITH
ADP OF THE SNF
—
2016-08-01
ended 2026-05-18
pecos_ownership
TINA CONZELMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-09
ended 2026-05-18
pecos_ownership
TOMEK KOSZYLKO
ADP OF THE SNF
—
2018-10-15
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.
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
34
Geo
Kind
BR
Amount
As of
Source
county 12021
acs median gross
0
$1,622
2024-12-31
CENSUS_ACS5
county 12021
fmr
0
$1,396
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
1
$1,762
2024-12-31
CENSUS_ACS5
county 12021
fmr
1
$1,797
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
2
$1,827
2024-12-31
CENSUS_ACS5
county 12021
fmr
2
$1,986
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
3
$2,011
2024-12-31
CENSUS_ACS5
county 12021
fmr
3
$2,581
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
4
$2,224
2024-12-31
CENSUS_ACS5
county 12021
fmr
4
$2,805
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 12021
acs median gross
$1,862
2024-12-31
CENSUS_ACS5
county 12021
acs recent mover gross
$2,228
2024-12-31
CENSUS_ACS5
zcta 34110
acs median gross
1
$3,211
2024-12-31
CENSUS_ACS5
zcta 34110
acs median gross
2
$1,946
2024-12-31
CENSUS_ACS5
zcta 34110
acs median gross
3
$2,398
2024-12-31
CENSUS_ACS5
zcta 34110
acs median gross
4
$3,173
2024-12-31
CENSUS_ACS5
zcta 34110
acs median gross
$2,366
2024-12-31
CENSUS_ACS5
zcta 34110
acs recent mover gross
$2,217
2024-12-31
CENSUS_ACS5
zip 34110
payment standard 110
0
$1,727
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 90
0
$1,413
2025-10-01
HUD_USER_SAFMR
zip 34110
safmr
0
$1,570
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 110
1
$2,222
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 90
1
$1,818
2025-10-01
HUD_USER_SAFMR
zip 34110
safmr
1
$2,020
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 110
2
$2,453
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 90
2
$2,007
2025-10-01
HUD_USER_SAFMR
zip 34110
safmr
2
$2,230
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 110
3
$3,190
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 90
3
$2,610
2025-10-01
HUD_USER_SAFMR
zip 34110
safmr
3
$2,900
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 110
4
$3,476
2025-10-01
HUD_USER_SAFMR
zip 34110
payment standard 90
4
$2,844
2025-10-01
HUD_USER_SAFMR
zip 34110
safmr
4
$3,160
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.