Reads as: riskier than 5.4% 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
CA median
National median
National p25–p75
Total nurse
4.73
3.95
3.28
2.90–3.77
RN
0.41
0.38
0.39
0.25–0.58
Weekend total
4.60
3.79
3.11
—
Weekday total
4.78
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.6
4.73
0.41
1.30
3.02
4.60
3.2%
2025Q3
92
42.7
4.64
0.21
1.37
3.06
4.51
3.1%
2025Q2
91
44.0
4.61
0.17
1.36
3.08
4.56
3.3%
2025Q1
90
41.3
4.74
0.14
1.45
3.15
4.72
0.9%
2024Q4
92
40.9
4.75
0.14
1.47
3.14
4.63
1.0%
2024Q3
92
40.6
1.74
0.28
0.76
0.70
1.84
5.8%
2024Q2
91
39.8
2.20
0.31
0.07
1.82
2.45
5.2%
2024Q1
91
40.5
2.21
0.31
0.02
1.88
2.38
1.7%
2023Q4
92
42.1
2.09
0.29
0.09
1.71
2.09
0.0%
2023Q3
92
40.3
3.33
0.25
0.09
3.00
3.28
0.0%
2023Q2
91
39.9
3.50
0.31
0.08
3.10
3.43
0.0%
2023Q1
90
39.7
3.37
0.18
0.07
3.11
3.24
0.0%
2022Q4
92
43.4
3.53
0.20
0.91
2.43
3.43
0.0%
2022Q3
92
41.5
4.33
0.31
1.09
2.92
4.17
0.0%
2022Q2
91
35.0
4.86
0.34
1.18
3.34
4.74
0.0%
2022Q1
90
33.8
5.27
0.49
1.16
3.61
5.08
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
31
D × 12E × 18F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-05
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-12-26
2025-12-05
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
2025-12-26
2025-12-05
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.
F
2025-12-26
2025-12-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-12-26
2025-12-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-12-26
2025-12-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-12-26
2025-12-05
Health
F0814
Dispose of garbage and refuse properly.
E
2025-12-26
2025-12-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-12-26
2025-12-05
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-12-26
2024-10-04
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.
E
2024-11-03
2024-10-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-11-03
2024-10-04
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
2024-11-03
2024-10-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-11-03
2024-10-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-03
2024-10-04
Health
F0814
Dispose of garbage and refuse properly.
E
2024-11-03
2024-10-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-11-03
2024-10-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-03
2024-10-04
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-11-03
2024-01-31
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-01
2024-01-31
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-01
2023-10-08
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-10-30
2023-10-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-10-30
2023-10-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-10-30
2023-10-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2023-10-30
2023-10-08
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
2023-10-30
2023-10-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-10-30
2023-10-08
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-10-30
2023-10-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-30
2023-10-08
Health
F0881
Implement a program that monitors antibiotic use.
E
2023-10-30
2023-08-24
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2023-09-24
2023-08-24
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-09-24
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
50
Owner
Role
Pct
From
Status
Source
FRONT PORCH COMMUNITIES AND SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2006-10-01
current
pecos_ownership
AKOPYAN, GEVORK
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
current
pecos_ownership
CAIRNS, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2006-09-29
current
pecos_ownership
DUDLEY, LESLIE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
DURANTEAU, NANCY
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
FORTE, VINCENT
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
HANDY, JOANNE
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
HERZIG, RANDY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-13
current
pecos_ownership
JACKSON, KARLISA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-29
current
pecos_ownership
JACOBS, LAURA
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
KELLY, SEAN
CORPORATE OFFICER
—
2023-03-06
current
pecos_ownership
KROEKER, KEVIN
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
MCGOVERN, MARION
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
MCMULLIN, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
MERKIN, NICKOLAS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-30
current
pecos_ownership
NELSON, HARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-30
current
pecos_ownership
OLSON, KARI
OPERATIONAL/MANAGERIAL CONTROL
—
2001-02-01
current
pecos_ownership
PENNINGTON, PAIGE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-30
current
pecos_ownership
PROCTOR, DEBORAH
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
RUSHFORTH, SHAUN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-06
current
pecos_ownership
RUSHFORTH, SHAUN
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
SALVADOR, EDUARDO
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-03
current
pecos_ownership
SPENCER, PETER
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
TONNU, DIEMLAN
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
VRANICH, RACHEL
CORPORATE OFFICER
—
2022-06-17
current
pecos_ownership
WESSON, OLIVER
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
WHITTAKER, SUSAN
CORPORATE DIRECTOR
—
2018-01-23
current
pecos_ownership
SHAUN RUSHFORTH
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-09-06
ended 2026-05-18
pecos_ownership
PETER SPENCER
CORPORATE DIRECTOR
0%
2026-01-01
ended 2026-05-18
pecos_ownership
DAWN CAIRNS
OPERATIONAL/MANAGERIAL CONTROL
—
2006-09-29
ended 2026-05-18
pecos_ownership
DEBORAH PROCTOR
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
DIEMLAN TONNU
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
EDUARDO SALVADOR
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-03
ended 2026-05-18
pecos_ownership
GEVORK AKOPYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
ended 2026-05-18
pecos_ownership
JOANNE HANDY
CORPORATE DIRECTOR
—
2021-04-01
ended 2026-05-18
pecos_ownership
KARI OLSON
OPERATIONAL/MANAGERIAL CONTROL
—
2001-02-01
ended 2026-05-18
pecos_ownership
KARLISA JACKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-29
ended 2026-05-18
pecos_ownership
KEVIN KROEKER
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
LAURA JACOBS
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
LESLIE DUDLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
MARION MCGOVERN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
MARY MCMULLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
NANCY DURANTEAU
CORPORATE DIRECTOR
—
2021-04-01
ended 2026-05-18
pecos_ownership
OLIVER WESSON
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
RACHEL VRANICH
CORPORATE OFFICER
—
2022-06-17
ended 2026-05-18
pecos_ownership
RANDY HERZIG
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-13
ended 2026-05-18
pecos_ownership
SEAN KELLY
CORPORATE OFFICER
—
2023-03-06
ended 2026-05-18
pecos_ownership
SHAUN RUSHFORTH
ADP OF THE SNF
—
2025-06-19
ended 2026-05-18
pecos_ownership
SUSAN WHITTAKER
CORPORATE DIRECTOR
—
2018-01-23
ended 2026-05-18
pecos_ownership
VINCENT FORTE
CORPORATE DIRECTOR
—
2021-04-01
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
2025-03-31
$947,348
—
$947,348
—
—
11
—
2024-03-31
$782,821
—
$782,821
—
—
11
—
2023-03-31
$812,859
—
$812,859
—
—
11
—
2022-03-31
$910,764
—
$910,764
—
—
8
—
2021-03-31
$2,236,440
—
$2,236,440
—
—
8
—
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 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 91101
acs median gross
0
$1,858
2024-12-31
CENSUS_ACS5
zcta 91101
acs median gross
1
$2,187
2024-12-31
CENSUS_ACS5
zcta 91101
acs median gross
2
$2,576
2024-12-31
CENSUS_ACS5
zcta 91101
acs median gross
3
$2,259
2024-12-31
CENSUS_ACS5
zcta 91101
acs median gross
$2,270
2024-12-31
CENSUS_ACS5
zcta 91101
acs recent mover gross
$2,801
2024-12-31
CENSUS_ACS5
zip 91101
payment standard 110
0
$3,014
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 90
0
$2,466
2025-10-01
HUD_USER_SAFMR
zip 91101
safmr
0
$2,740
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 110
1
$3,377
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 90
1
$2,763
2025-10-01
HUD_USER_SAFMR
zip 91101
safmr
1
$3,070
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 110
2
$4,213
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 90
2
$3,447
2025-10-01
HUD_USER_SAFMR
zip 91101
safmr
2
$3,830
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 110
3
$5,346
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 90
3
$4,374
2025-10-01
HUD_USER_SAFMR
zip 91101
safmr
3
$4,860
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 110
4
$5,951
2025-10-01
HUD_USER_SAFMR
zip 91101
payment standard 90
4
$4,869
2025-10-01
HUD_USER_SAFMR
zip 91101
safmr
4
$5,410
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.