Reads as: riskier than 36.2% 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
SC median
National median
National p25–p75
Total nurse
3.25
3.32
3.28
2.90–3.77
RN
0.23
0.33
0.39
0.25–0.58
Weekend total
2.77
3.05
3.11
—
Weekday total
3.44
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.2
3.25
0.23
0.82
2.20
2.77
0.0%
2025Q3
92
77.8
3.52
0.28
0.84
2.40
2.85
0.0%
2025Q2
91
81.5
3.16
0.25
0.82
2.09
2.52
0.0%
2025Q1
90
78.8
3.08
0.22
0.81
2.04
2.53
0.0%
2024Q4
92
78.1
3.11
0.21
0.86
2.04
2.48
0.0%
2024Q3
92
76.8
3.17
0.27
0.85
2.05
2.59
0.0%
2024Q2
91
81.9
2.90
0.17
0.84
1.89
2.45
0.0%
2024Q1
91
81.4
2.78
0.13
0.76
1.89
2.47
0.0%
2023Q4
92
82.1
2.86
0.09
0.88
1.90
2.50
0.0%
2023Q3
92
80.3
2.93
0.08
0.79
2.06
2.48
0.0%
2023Q2
91
78.4
3.13
0.08
0.96
2.09
2.60
0.0%
2023Q1
90
79.2
2.89
0.05
0.98
1.86
2.46
0.0%
2022Q4
92
76.7
2.88
0.05
1.03
1.80
2.50
0.0%
2022Q3
92
72.2
2.94
0.06
1.02
1.86
2.61
0.0%
2022Q2
91
69.7
3.04
0.04
1.00
1.99
2.63
0.0%
2022Q1
90
68.5
2.99
0.12
1.08
1.79
2.79
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.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-05-25
2025-05-08
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
2025-05-25
2023-12-13
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-01-11
2023-12-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-01-11
2023-12-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-01-11
2023-12-13
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-02-13
2023-12-13
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
2024-01-11
2023-12-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2024-01-11
2023-12-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-11
2021-10-21
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-11-15
2021-10-21
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.
D
2021-10-22
2021-10-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2021-10-22
2021-10-21
Health
F0637
Assess the resident when there is a significant change in condition
D
2021-11-15
2021-10-21
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2021-11-15
2021-10-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-10-28
2021-10-21
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2021-11-15
2021-10-21
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-11-17
2021-10-21
Health
F0760
Ensure that residents are free from significant medication errors.
D
2021-11-17
2021-10-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-11-15
2021-10-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-11-15
2021-10-21
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2021-11-15
2021-10-21
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2021-11-15
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
11
Owner
Role
Pct
From
Status
Source
PRUITT, NEIL
OPERATIONAL/MANAGERIAL CONTROL
—
2008-09-11
current
pecos_ownership
PRUITTHEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-09-26
current
pecos_ownership
RUTLAND, DEBORAH
W-2 MANAGING EMPLOYEE
—
2020-06-01
current
pecos_ownership
DEBORAH RUTLAND
W-2 MANAGING EMPLOYEE
100%
2020-06-01
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE DIRECTOR
100%
2008-09-11
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2008-09-11
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2008-09-11
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
36%
2008-09-11
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2008-09-11
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
31%
2008-09-11
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF SOUTH CAROLINA INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2008-09-26
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
$1,293,664
—
$248,984
$388,358
$252,749
9
—
2024-06-30
$1,651,793
—
$249,004
$413,116
$208,672
8
—
2023-06-30
$1,399,303
—
$220,261
$482,802
$317,289
8
—
2022-06-30
$1,249,670
—
$259,974
$296,034
$425,475
8
—
2021-06-30
$1,079,770
—
$197,981
$314,269
$317,475
7
—
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 45075
acs median gross
0
$739
2024-12-31
CENSUS_ACS5
county 45075
fmr
0
$709
2025-10-01
HUD_USER_FMR
county 45075
acs median gross
1
$628
2024-12-31
CENSUS_ACS5
county 45075
fmr
1
$750
2025-10-01
HUD_USER_FMR
county 45075
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
county 45075
fmr
2
$910
2025-10-01
HUD_USER_FMR
county 45075
acs median gross
3
$875
2024-12-31
CENSUS_ACS5
county 45075
fmr
3
$1,091
2025-10-01
HUD_USER_FMR
county 45075
acs median gross
4
$874
2024-12-31
CENSUS_ACS5
county 45075
fmr
4
$1,205
2025-10-01
HUD_USER_FMR
county 45075
acs median gross
$841
2024-12-31
CENSUS_ACS5
county 45075
acs recent mover gross
$684
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
0
$762
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
1
$671
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
2
$872
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
3
$840
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
4
$797
2024-12-31
CENSUS_ACS5
zcta 29115
acs median gross
$826
2024-12-31
CENSUS_ACS5
zcta 29115
acs recent mover gross
$990
2024-12-31
CENSUS_ACS5
zip 29115
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 29115
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 29115
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 110
2
$990
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 90
2
$810
2025-10-01
HUD_USER_SAFMR
zip 29115
safmr
2
$900
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 110
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 90
3
$972
2025-10-01
HUD_USER_SAFMR
zip 29115
safmr
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 110
4
$1,309
2025-10-01
HUD_USER_SAFMR
zip 29115
payment standard 90
4
$1,071
2025-10-01
HUD_USER_SAFMR
zip 29115
safmr
4
$1,190
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.