Reads as: riskier than 81.5% 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
MS median
National median
National p25–p75
Total nurse
4.24
3.68
3.28
2.90–3.77
RN
0.41
0.34
0.39
0.25–0.58
Weekend total
3.76
3.30
3.11
—
Weekday total
4.43
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
72.1
4.24
0.41
1.27
2.56
3.76
2.8%
2025Q3
92
74.4
4.14
0.34
1.28
2.53
3.66
3.2%
2025Q2
91
72.4
4.63
0.48
1.38
2.77
4.07
1.0%
2025Q1
90
69.0
4.75
0.47
1.50
2.78
4.17
0.0%
2024Q4
92
73.7
4.44
0.47
1.48
2.49
3.88
12.1%
2024Q3
92
75.9
4.09
0.34
1.42
2.33
3.60
30.8%
2024Q2
91
76.3
4.51
0.55
1.21
2.75
3.82
35.6%
2024Q1
91
72.0
4.01
0.47
1.07
2.46
3.43
29.0%
2023Q4
92
75.1
3.69
0.43
0.85
2.41
3.27
22.4%
2023Q3
92
77.1
4.13
0.43
1.14
2.56
3.85
21.8%
2023Q2
91
78.9
4.05
0.31
1.08
2.66
3.65
33.4%
2023Q1
90
84.1
3.76
0.23
1.04
2.48
3.50
55.0%
2022Q4
92
70.6
3.45
0.23
1.03
2.19
3.10
38.9%
2022Q3
92
70.3
3.51
0.34
0.82
2.35
3.08
38.0%
2022Q2
91
79.8
3.17
0.21
0.92
2.04
2.68
45.0%
2022Q1
90
73.3
3.99
0.25
1.12
2.62
3.58
40.1%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-04-01
2026-03-12
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2026-04-01
2026-03-12
Health
F0567
Honor the resident's right to manage his or her financial affairs.
F
2026-04-01
2026-03-12
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F
2026-04-01
2026-03-12
Health
F0583
Keep residents' personal and medical records private and confidential.
F
2026-04-01
2026-03-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-01
2026-03-12
Health
F0679
Provide activities to meet all resident's needs.
D
2026-04-01
2026-03-12
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2026-04-01
2026-03-12
Health
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.
D
2026-04-01
2024-11-25
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.
G
2024-12-21
2024-11-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-21
2024-07-11
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-08-16
2024-07-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-08-16
2024-07-11
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-08-16
2024-07-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-08-16
2024-07-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-08-16
2024-07-11
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-08-16
2024-07-11
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.
D
2024-08-16
2024-01-30
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-02-29
2023-11-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-12-07
2023-11-16
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.
J
2023-12-07
2023-10-05
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2023-11-11
2023-10-05
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.
G
2023-11-11
2022-08-25
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
2022-10-06
2022-08-25
Health
F0641
Ensure each resident receives an accurate assessment.
E
2022-10-06
2022-08-25
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-10-06
2022-08-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-10-06
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
31
Owner
Role
Pct
From
Status
Source
BEDFORD HEALTH PROPERTIES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2009-05-15
current
pecos_ownership
ESTATE OF JANET F. MCELROY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2020-10-13
current
pecos_ownership
MCELROY, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2001-11-01
current
pecos_ownership
BEAN, LISA
ADP OF THE SNF
—
2008-04-28
current
pecos_ownership
BEVON, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2005-01-01
current
pecos_ownership
BEVON, JACK
CORPORATE DIRECTOR
—
2001-11-01
current
pecos_ownership
BEVON, NICOLE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-05-15
current
pecos_ownership
BEVON, NICOLE
CORPORATE DIRECTOR
—
2001-11-01
current
pecos_ownership
BLACKLEDGE, RICHARD
ADP OF THE SNF
—
2016-05-09
current
pecos_ownership
DONALD, CHARLOTTE
ADP OF THE SNF
—
2025-07-03
current
pecos_ownership
GILBERT, HEATHER
ADP OF THE SNF
—
2024-11-08
current
pecos_ownership
MCELROY, SONYA
CORPORATE DIRECTOR
—
2009-05-15
current
pecos_ownership
ROBBINS, TAMBARA
ADP OF THE SNF
—
2006-03-01
current
pecos_ownership
RYALS, JENNIFER
ADP OF THE SNF
—
2006-05-04
current
pecos_ownership
WORRELL, STEPHEN
INDIRECT OWNERSHIP INTEREST
—
2022-02-15
current
pecos_ownership
WORRELL, STEPHEN
ADP OF THE SNF
—
2023-02-15
current
pecos_ownership
STEPHEN WORRELL
INDIRECT OWNERSHIP INTEREST
51%
2022-02-15
ended 2026-05-18
pecos_ownership
STEPHEN WORRELL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2020-10-13
ended 2026-05-18
pecos_ownership
MICHAEL MCELROY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2001-11-01
ended 2026-05-18
pecos_ownership
NICOLE BEVON
CORPORATE OFFICER
25%
2001-11-01
ended 2026-05-18
pecos_ownership
JACK BEVON
CORPORATE DIRECTOR
0%
2001-11-01
ended 2026-05-18
pecos_ownership
CHARLES BEVON
OPERATIONAL/MANAGERIAL CONTROL
—
2005-01-01
ended 2026-05-18
pecos_ownership
CHARLOTTE DONALD
ADP OF THE SNF
—
2025-07-03
ended 2026-05-18
pecos_ownership
HEATHER GILBERT
ADP OF THE SNF
—
2024-11-08
ended 2026-05-18
pecos_ownership
JENNIFER RYALS
ADP OF THE SNF
—
2006-05-04
ended 2026-05-18
pecos_ownership
LISA BEAN
ADP OF THE SNF
—
2008-04-28
ended 2026-05-18
pecos_ownership
NICOLE BEVON
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-05-15
ended 2026-05-18
pecos_ownership
RICHARD BLACKLEDGE
ADP OF THE SNF
—
2016-05-09
ended 2026-05-18
pecos_ownership
SONYA MCELROY
CORPORATE DIRECTOR
—
2009-05-15
ended 2026-05-18
pecos_ownership
STEPHEN WORRELL
ADP OF THE SNF
—
2023-02-15
ended 2026-05-18
pecos_ownership
TAMBARA ROBBINS
ADP OF THE SNF
—
2006-03-01
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
2024-12-31
$940,279
—
—
$377,509
$82,264
10
—
2023-12-31
$863,124
—
—
$253,461
$146,067
10
—
2022-12-31
$1,075,733
—
—
$483,014
$174,279
10
—
2021-12-31
$1,150,433
—
—
$432,601
$203,601
10
—
2020-12-31
$1,392,270
—
—
$546,392
$207,612
5
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 28075
fmr
0
$781
2025-10-01
HUD_USER_FMR
county 28075
acs median gross
1
$643
2024-12-31
CENSUS_ACS5
county 28075
fmr
1
$812
2025-10-01
HUD_USER_FMR
county 28075
acs median gross
2
$924
2024-12-31
CENSUS_ACS5
county 28075
fmr
2
$906
2025-10-01
HUD_USER_FMR
county 28075
acs median gross
3
$1,075
2024-12-31
CENSUS_ACS5
county 28075
fmr
3
$1,204
2025-10-01
HUD_USER_FMR
county 28075
acs median gross
4
$1,116
2024-12-31
CENSUS_ACS5
county 28075
fmr
4
$1,265
2025-10-01
HUD_USER_FMR
county 28075
acs median gross
$953
2024-12-31
CENSUS_ACS5
county 28075
acs recent mover gross
$1,088
2024-12-31
CENSUS_ACS5
zcta 39342
acs median gross
2
$1,040
2024-12-31
CENSUS_ACS5
zcta 39342
acs median gross
3
$1,168
2024-12-31
CENSUS_ACS5
zcta 39342
acs median gross
$1,074
2024-12-31
CENSUS_ACS5
zcta 39342
acs recent mover gross
$1,120
2024-12-31
CENSUS_ACS5
zip 39342
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 39342
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 39342
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 39342
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 110
3
$1,507
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 90
3
$1,233
2025-10-01
HUD_USER_SAFMR
zip 39342
safmr
3
$1,370
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 39342
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 39342
safmr
4
$1,420
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.