Reads as: riskier than 42.7% 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
VA median
National median
National p25–p75
Total nurse
2.93
3.13
3.28
2.90–3.77
RN
0.30
0.30
0.39
0.25–0.58
Weekend total
2.83
2.96
3.11
—
Weekday total
2.97
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.1
2.93
0.30
0.66
1.97
2.83
0.0%
2025Q3
92
55.9
2.74
0.36
0.53
1.84
2.66
0.0%
2025Q2
91
54.6
3.07
0.44
0.60
2.03
2.88
0.0%
2025Q1
90
55.5
3.00
0.42
0.55
2.02
2.88
0.0%
2024Q4
92
58.1
2.84
0.42
0.52
1.90
2.69
0.0%
2024Q3
92
58.7
2.92
0.34
0.53
2.04
2.65
0.0%
2024Q2
91
55.6
2.91
0.41
0.60
1.90
2.54
0.0%
2024Q1
91
59.2
2.84
0.50
0.49
1.84
2.47
0.0%
2023Q4
92
56.0
2.90
0.52
0.44
1.94
2.65
0.0%
2023Q3
92
54.3
2.59
0.58
0.37
1.64
2.24
0.0%
2023Q2
91
54.7
2.46
0.42
0.41
1.62
2.20
0.0%
2023Q1
90
57.4
2.82
0.29
0.61
1.92
2.64
0.0%
2022Q4
92
54.3
2.53
0.36
0.55
1.62
2.21
0.0%
2022Q3
92
57.4
2.22
0.35
0.50
1.36
1.92
0.0%
2022Q2
91
57.6
1.84
0.20
0.51
1.13
1.68
0.0%
2022Q1
90
57.6
1.70
0.31
0.47
0.92
1.62
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
19
B × 1D × 10E × 6G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2025-10-07
2025-08-28
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2025-10-07
2025-08-28
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
2025-10-07
2025-08-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-07
2025-08-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-07
2025-08-28
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-07
2025-08-28
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-10-07
2025-08-28
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
2025-10-07
2025-08-28
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2025-10-07
2025-08-28
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
2025-10-07
2025-08-28
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2025-10-07
2025-08-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-10-07
2025-08-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-07
2024-10-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
—
2024-10-16
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
—
2022-09-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
G
2022-10-31
2022-09-21
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
G
2022-10-31
2021-05-12
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2021-06-15
2021-05-12
Health
F0641
Ensure each resident receives an accurate assessment.
B
2021-06-15
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
24
Owner
Role
Pct
From
Status
Source
WCC THIRD BLIND TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
78%
2020-07-10
current
pecos_ownership
AHC ACQUISITIONS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
2020-07-10
current
pecos_ownership
CRC BLIND TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2020-07-10
current
pecos_ownership
AMERICAN HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-11-22
current
pecos_ownership
CRANWELL, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-04
current
pecos_ownership
DALTON, BRAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
current
pecos_ownership
DALTON, ROBERT
CORPORATE OFFICER
—
2024-10-04
current
pecos_ownership
DALTON, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-21
current
pecos_ownership
EAST, THOMAS
ADP OF THE SNF
—
2014-04-21
current
pecos_ownership
EAST, THOMAS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-20
current
pecos_ownership
EAST, THOMAS
CORPORATE OFFICER
—
2024-10-04
current
pecos_ownership
GALLANT, CASSANDRA
ADP OF THE SNF
—
2024-10-04
current
pecos_ownership
GALLANT, CASSANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
current
pecos_ownership
HOPKINS, WILLIAM
CORPORATE DIRECTOR
—
2024-10-04
current
pecos_ownership
THOMAS EAST
CORPORATE OFFICER
100%
2024-10-04
ended 2026-05-18
pecos_ownership
C. CRANWELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
3%
2020-07-10
ended 2026-05-18
pecos_ownership
BRAD DALTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
ended 2026-05-18
pecos_ownership
CASSANDRA GALLANT
ADP OF THE SNF
—
2024-10-04
ended 2026-05-18
pecos_ownership
CASSANDRA GALLANT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-11
ended 2026-05-18
pecos_ownership
ROBERT CRANWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-04
ended 2026-05-18
pecos_ownership
ROBERT DALTON
CORPORATE OFFICER
—
2024-10-04
ended 2026-05-18
pecos_ownership
ROBERT DALTON
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-21
ended 2026-05-18
pecos_ownership
THOMAS EAST
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-21
ended 2026-05-18
pecos_ownership
WILLIAM HOPKINS
CORPORATE DIRECTOR
—
2024-10-04
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
$560,171
—
—
—
$36,677
1
—
2023-12-31
$484,061
—
—
—
$25,121
1
—
2022-12-31
$435,720
—
—
—
$9,663
1
—
2021-12-31
$418,349
—
—
—
$8,222
1
—
2020-12-31
$372,103
—
—
—
$8,492
1
—
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 51678
fmr
0
$870
2025-10-01
HUD_USER_FMR
county 51678
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 51678
fmr
1
$917
2025-10-01
HUD_USER_FMR
county 51678
acs median gross
2
$1,073
2024-12-31
CENSUS_ACS5
county 51678
fmr
2
$1,005
2025-10-01
HUD_USER_FMR
county 51678
acs median gross
3
$1,572
2024-12-31
CENSUS_ACS5
county 51678
fmr
3
$1,398
2025-10-01
HUD_USER_FMR
county 51678
fmr
4
$1,686
2025-10-01
HUD_USER_FMR
county 51678
acs median gross
$1,081
2024-12-31
CENSUS_ACS5
county 51678
acs recent mover gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 24450
acs median gross
1
$875
2024-12-31
CENSUS_ACS5
zcta 24450
acs median gross
2
$991
2024-12-31
CENSUS_ACS5
zcta 24450
acs median gross
3
$1,219
2024-12-31
CENSUS_ACS5
zcta 24450
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
zcta 24450
acs recent mover gross
$1,150
2024-12-31
CENSUS_ACS5
zip 24450
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 24450
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 110
1
$1,045
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 90
1
$855
2025-10-01
HUD_USER_SAFMR
zip 24450
safmr
1
$950
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 24450
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 110
3
$1,595
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 90
3
$1,305
2025-10-01
HUD_USER_SAFMR
zip 24450
safmr
3
$1,450
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 24450
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 24450
safmr
4
$1,740
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.