Reads as: riskier than 27.9% 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
OH median
National median
National p25–p75
Total nurse
3.38
3.24
3.28
2.90–3.77
RN
0.29
0.38
0.39
0.25–0.58
Weekend total
3.33
3.11
3.11
—
Weekday total
3.39
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.8
3.38
0.29
0.87
2.22
3.33
0.0%
2025Q3
92
98.1
3.27
0.29
0.84
2.13
3.09
0.0%
2025Q2
91
94.5
3.30
0.29
0.79
2.22
3.21
0.0%
2025Q1
90
93.6
3.38
0.31
0.84
2.23
3.29
0.0%
2024Q4
92
90.4
3.42
0.35
0.85
2.22
3.29
0.0%
2024Q3
92
93.5
3.28
0.28
0.89
2.11
3.18
0.0%
2024Q2
91
98.2
3.23
0.35
0.79
2.10
3.14
0.0%
2024Q1
91
99.3
3.27
0.28
0.82
2.17
3.18
0.0%
2023Q4
92
93.8
3.36
0.33
0.81
2.22
3.29
0.0%
2023Q3
92
92.0
3.56
0.35
0.83
2.38
3.34
0.0%
2023Q2
91
91.2
3.52
0.31
0.77
2.44
3.19
3.0%
2023Q1
90
91.7
3.28
0.31
0.65
2.32
3.11
12.0%
2022Q4
92
84.6
3.21
0.40
0.59
2.22
3.13
15.6%
2022Q3
92
81.8
3.17
0.45
0.57
2.15
3.09
8.8%
2022Q2
91
78.6
3.19
0.43
0.64
2.12
3.09
3.3%
2022Q1
90
81.8
3.18
0.45
0.58
2.14
3.02
0.8%
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
15
D × 10E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-07
2025-02-18
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
2025-03-07
2025-02-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-07
2025-02-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-07
2025-02-18
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-03-07
2025-02-18
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-03-07
2025-02-18
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2025-03-07
2025-02-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-07
2025-02-18
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2025-03-07
2022-09-29
Health
F0637
Assess the resident when there is a significant change in condition
D
2022-10-21
2022-09-29
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-10-21
2022-09-29
Health
F0791
Provide or obtain dental services for each resident.
D
2022-10-21
2019-10-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-12-10
2019-10-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-12-10
2019-10-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-12-10
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
28
Owner
Role
Pct
From
Status
Source
HCF OPERATIONS, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2004-01-01
current
pecos_ownership
HCF MANAGEMENT, INC.
ADP OF THE SNF
—
2004-01-01
current
pecos_ownership
HCF, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2004-01-01
current
pecos_ownership
HEMMINGER, BRANDON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-06
current
pecos_ownership
JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KENDRA M. UNVERFERTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KEVAN R. UNVERFERTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. U
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. RO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNV
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
KERRI A. ROMES 11-28-18 BUSINESS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
KIMMEL, LACY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-31
current
pecos_ownership
KRISTEN S. STECHSCHULTE 02-21-20 BUSINESS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
KYLE J. UNVERFERTH 02-21-20 BUSINESS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
LANGHALS, LUKE
ADP OF THE SNF
—
2025-10-31
current
pecos_ownership
ROMES, KERRI
CORPORATE OFFICER
—
2019-11-01
current
pecos_ownership
ROMES, KERRI
CORPORATE DIRECTOR
—
2019-03-29
current
pecos_ownership
SHAW, ANTHONY
ADP OF THE SNF
—
2016-01-01
current
pecos_ownership
WOJCIECHOWSKI, THOMAS
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
ANTHONY SHAW
CORPORATE OFFICER
0%
2016-01-01
ended 2026-05-18
pecos_ownership
BRANDON HEMMINGER
CORPORATE DIRECTOR
0%
2023-02-06
ended 2026-05-18
pecos_ownership
KERRI ROMES
CORPORATE OFFICER
0%
2019-11-01
ended 2026-05-18
pecos_ownership
KERRI ROMES
CORPORATE DIRECTOR
0%
2019-03-29
ended 2026-05-18
pecos_ownership
LACY KIMMEL
CORPORATE OFFICER
0%
2025-10-31
ended 2026-05-18
pecos_ownership
LUKE LANGHALS
CORPORATE OFFICER
0%
2025-10-31
ended 2026-05-18
pecos_ownership
THOMAS WOJCIECHOWSKI
ADP OF THE SNF
—
2016-07-01
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
$1,564,811
—
$536,698
$573,508
$4,415
4
—
2023-12-31
$440,937
—
$440,937
—
—
1
—
2022-12-31
$376,404
—
$376,404
—
—
1
—
2021-12-31
$317,080
—
$317,080
—
—
1
—
2020-12-31
$345,688
—
$345,688
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 39173
acs median gross
0
$636
2024-12-31
CENSUS_ACS5
county 39173
fmr
0
$769
2025-10-01
HUD_USER_FMR
county 39173
acs median gross
1
$765
2024-12-31
CENSUS_ACS5
county 39173
fmr
1
$820
2025-10-01
HUD_USER_FMR
county 39173
acs median gross
2
$1,018
2024-12-31
CENSUS_ACS5
county 39173
fmr
2
$1,076
2025-10-01
HUD_USER_FMR
county 39173
acs median gross
3
$1,196
2024-12-31
CENSUS_ACS5
county 39173
fmr
3
$1,380
2025-10-01
HUD_USER_FMR
county 39173
acs median gross
4
$1,450
2024-12-31
CENSUS_ACS5
county 39173
fmr
4
$1,454
2025-10-01
HUD_USER_FMR
county 39173
acs median gross
5
$1,263
2024-12-31
CENSUS_ACS5
county 39173
acs median gross
$972
2024-12-31
CENSUS_ACS5
county 39173
acs recent mover gross
$1,035
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
0
$634
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
1
$663
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
2
$946
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
3
$1,260
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
4
$1,421
2024-12-31
CENSUS_ACS5
zcta 43402
acs median gross
$897
2024-12-31
CENSUS_ACS5
zcta 43402
acs recent mover gross
$931
2024-12-31
CENSUS_ACS5
zip 43402
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 43402
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 43402
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 43402
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 43402
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 43402
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 43402
safmr
4
$1,460
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.