Reads as: riskier than 48.4% 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
CT median
National median
National p25–p75
Total nurse
3.59
3.46
3.28
2.90–3.77
RN
0.48
0.40
0.39
0.25–0.58
Weekend total
3.46
3.25
3.11
—
Weekday total
3.65
3.51
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
193.6
3.59
0.48
0.82
2.29
3.46
0.0%
2025Q3
92
194.1
3.60
0.48
0.81
2.30
3.41
0.0%
2025Q2
91
194.1
3.40
0.48
0.78
2.14
3.21
0.0%
2025Q1
90
197.5
3.39
0.44
0.80
2.15
3.15
0.0%
2024Q4
92
191.7
3.41
0.40
0.85
2.15
3.20
0.0%
2024Q3
92
183.0
3.39
0.33
0.90
2.16
3.17
0.0%
2024Q2
91
183.4
3.37
0.36
0.88
2.13
3.15
0.0%
2024Q1
91
193.1
3.24
0.31
0.81
2.11
3.01
0.0%
2023Q4
92
185.0
3.23
0.35
0.81
2.07
3.05
0.0%
2023Q3
92
183.2
3.21
0.35
0.84
2.01
2.93
0.0%
2023Q2
91
175.0
3.41
0.41
0.88
2.12
3.14
0.0%
2023Q1
90
176.3
3.42
0.40
0.86
2.15
3.11
0.0%
2022Q4
92
170.4
3.42
0.36
0.89
2.16
3.14
0.0%
2022Q3
92
165.3
3.40
0.42
0.92
2.07
3.06
0.0%
2022Q2
91
165.8
3.44
0.50
0.87
2.08
3.17
0.0%
2022Q1
90
151.0
3.82
0.59
0.97
2.26
3.54
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
26
D × 17E × 7F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-03
Health · complaint
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
—
2026-02-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-02
2025-11-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-26
2024-11-12
Health
F0572
Give residents a notice of rights, rules, services and charges.
E
2024-12-20
2024-11-12
Health
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
E
2024-12-20
2024-11-12
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-12-20
2024-11-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-20
2024-11-12
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.
E
2024-12-20
2024-11-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-12-20
2024-11-12
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F
2024-12-20
2024-09-10
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-10-16
2024-09-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-16
2024-08-08
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-09
2024-06-11
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-12
2024-01-26
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-03-15
2022-02-16
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2022-03-28
2022-02-16
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2022-03-28
2022-02-16
Health
F0760
Ensure that residents are free from significant medication errors.
G
2022-03-28
2022-02-16
Health
F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
E
2022-03-28
2022-02-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-03-28
2022-02-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-03-28
2022-02-16
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2022-03-28
2019-07-25
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
2019-08-30
2019-07-25
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-08-30
2019-07-25
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
2019-08-30
2019-07-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-08-30
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
27
Owner
Role
Pct
From
Status
Source
MERCY COMMUNITY HEALTH INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1997-01-01
current
pecos_ownership
TRINITY CONTINUING CARE SERVICES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-07-01
current
pecos_ownership
BOWENS, MARCUS
CORPORATE OFFICER
—
2022-03-01
current
pecos_ownership
DEMAIDA, RACHAEL
W-2 MANAGING EMPLOYEE
—
2022-01-01
current
pecos_ownership
HAMILTON-CRAWFORD, JANICE
CORPORATE OFFICER
—
2022-06-05
current
pecos_ownership
HAMILTON-CRAWFORD, JANICE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
JOHNSON, PATRICK
CORPORATE DIRECTOR
—
2011-12-31
current
pecos_ownership
KANE, ANN
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
LATOVICK, PAMELA
W-2 MANAGING EMPLOYEE
—
2016-07-01
current
pecos_ownership
MCKEON, PATRICIA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
MURPHY, PETER
CORPORATE DIRECTOR
—
2013-05-31
current
pecos_ownership
RAMAN, SHYAMALA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
SINGH, GAGANDEEP
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WALKER, MARK
CORPORATE DIRECTOR
—
2011-05-31
current
pecos_ownership
TRINITY HEALTH CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2013-05-01
ended 2026-05-18
pecos_ownership
MARK WALKER
CORPORATE DIRECTOR
0%
2011-05-31
ended 2026-05-18
pecos_ownership
PATRICK JOHNSON
CORPORATE DIRECTOR
0%
2011-12-31
ended 2026-05-18
pecos_ownership
PETER MURPHY
CORPORATE DIRECTOR
0%
2013-05-31
ended 2026-05-18
pecos_ownership
ANN KANE
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
GAGANDEEP SINGH
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JANICE HAMILTON-CRAWFORD
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JANICE HAMILTON-CRAWFORD
CORPORATE OFFICER
—
2022-06-05
ended 2026-05-18
pecos_ownership
MARCUS BOWENS
CORPORATE OFFICER
—
2022-03-01
ended 2026-05-18
pecos_ownership
PAMELA LATOVICK
W-2 MANAGING EMPLOYEE
—
2016-07-01
ended 2026-05-18
pecos_ownership
PATRICIA MCKEON
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
RACHAEL DEMAIDA
W-2 MANAGING EMPLOYEE
—
2022-01-01
ended 2026-05-18
pecos_ownership
SHYAMALA RAMAN
CORPORATE DIRECTOR
—
2022-01-01
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
2025-06-30
$2,856,687
—
$2,576,970
—
—
2
—
2024-06-30
$3,068,027
—
$2,788,991
—
—
2
—
2023-06-30
$2,884,651
—
$2,530,419
—
—
4
—
2022-06-30
$3,827,845
—
$3,694,540
—
—
4
—
2021-06-30
$2,682,566
—
$2,563,160
—
—
4
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 09110
acs median gross
0
$1,036
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
1
$1,183
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
2
$1,532
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
3
$1,594
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
4
$1,851
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
5
$2,536
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
$1,411
2024-12-31
CENSUS_ACS5
county 09110
acs recent mover gross
$1,678
2024-12-31
CENSUS_ACS5
zcta 06117
acs median gross
0
$1,326
2024-12-31
CENSUS_ACS5
zcta 06117
acs median gross
2
$2,970
2024-12-31
CENSUS_ACS5
zcta 06117
acs median gross
3
$2,946
2024-12-31
CENSUS_ACS5
zcta 06117
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 06117
acs median gross
$2,179
2024-12-31
CENSUS_ACS5
zcta 06117
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 06117
payment standard 110
0
$1,793
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 90
0
$1,467
2025-10-01
HUD_USER_SAFMR
zip 06117
safmr
0
$1,630
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 110
1
$2,057
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 90
1
$1,683
2025-10-01
HUD_USER_SAFMR
zip 06117
safmr
1
$1,870
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 06117
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 110
3
$3,113
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 90
3
$2,547
2025-10-01
HUD_USER_SAFMR
zip 06117
safmr
3
$2,830
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 110
4
$3,531
2025-10-01
HUD_USER_SAFMR
zip 06117
payment standard 90
4
$2,889
2025-10-01
HUD_USER_SAFMR
zip 06117
safmr
4
$3,210
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.