Reads as: riskier than 44.4% 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 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
6.24
3.95
3.28
2.90–3.77
RN
2.64
0.38
0.39
0.25–0.58
Weekend total
6.05
3.79
3.11
—
Weekday total
6.31
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.1
6.24
2.64
0.78
2.83
6.05
0.5%
2025Q3
92
34.8
6.31
2.58
0.91
2.82
6.24
0.9%
2025Q2
91
34.9
6.33
2.53
1.01
2.78
6.04
1.2%
2025Q1
90
35.9
6.15
2.19
1.19
2.77
6.09
2.5%
2024Q4
92
36.2
6.23
2.00
1.39
2.85
6.08
2.4%
2024Q3
92
46.0
4.91
1.60
1.03
2.28
4.84
4.2%
2024Q2
91
46.0
5.09
1.64
1.04
2.42
4.96
5.2%
2024Q1
91
36.3
6.63
1.93
1.62
3.07
6.38
8.7%
2023Q4
92
35.9
6.44
1.91
1.53
2.99
6.24
5.6%
2023Q3
92
35.4
6.74
1.95
1.69
3.10
6.43
2.8%
2023Q2
91
37.9
6.32
1.88
1.44
3.00
5.87
2.2%
2023Q1
90
35.5
7.03
2.08
1.50
3.45
6.46
5.2%
2022Q4
92
34.4
6.76
2.15
1.44
3.17
6.07
9.3%
2022Q3
92
33.3
6.97
2.22
1.31
3.44
6.52
7.0%
2022Q2
91
37.4
6.57
1.91
1.29
3.37
5.88
6.3%
2022Q1
90
32.8
6.84
2.10
1.05
3.69
6.33
9.7%
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
14
D × 9E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-15
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
2025-09-05
2025-08-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-05
2025-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-05
2025-08-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-18
2024-08-18
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-09-05
2024-08-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-05
2024-08-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-05
2024-08-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-05
2023-08-06
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-08-29
2023-08-06
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
2023-08-29
2023-08-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-08-29
2023-08-06
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
2023-08-29
2023-08-06
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2023-08-29
2023-08-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-29
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
39
Owner
Role
Pct
From
Status
Source
ADVENTIST HEALTH SYSTEM/WEST
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BANKS, DAVID
CORPORATE DIRECTOR
—
2017-05-05
current
pecos_ownership
BONNER, ROBERT
CORPORATE OFFICER
—
2021-10-25
current
pecos_ownership
CHERRY, ROBERT
CORPORATE DIRECTOR
—
2017-05-05
current
pecos_ownership
DAVIS, ANDREW
CORPORATE DIRECTOR
—
2017-05-05
current
pecos_ownership
FREEDMAN, JOHN
CORPORATE DIRECTOR
—
2016-09-26
current
pecos_ownership
GABRIEL, MELODY
CORPORATE DIRECTOR
—
2015-06-01
current
pecos_ownership
GRAHAM, RICARDO
CORPORATE DIRECTOR
—
2007-12-17
current
pecos_ownership
HEINRICH, KERRY
CORPORATE DIRECTOR
—
2014-12-16
current
pecos_ownership
INNOCENT, LARRY
CORPORATE DIRECTOR
—
2011-09-19
current
pecos_ownership
ISSAI, ALICE
W-2 MANAGING EMPLOYEE
—
2018-07-02
current
pecos_ownership
JOBE, MEREDITH
CORPORATE OFFICER
—
2014-03-31
current
pecos_ownership
PEDERSEN, JAMES
CORPORATE DIRECTOR
—
2017-01-16
current
pecos_ownership
REINER, BRIAN
CORPORATE OFFICER
—
2014-03-31
current
pecos_ownership
REINER, RICHARD
CORPORATE DIRECTOR
—
2017-01-16
current
pecos_ownership
RIPPEY, WESLEY
CORPORATE DIRECTOR
—
1998-09-14
current
pecos_ownership
SALAZAR, VELINO
CORPORATE DIRECTOR
—
2015-09-15
current
pecos_ownership
TETZ, WARREN
W-2 MANAGING EMPLOYEE
—
1999-09-14
current
pecos_ownership
WAGNER, JACK
CORPORATE OFFICER
—
2014-03-31
current
pecos_ownership
WING, BILLY
CORPORATE DIRECTOR
—
2014-03-31
current
pecos_ownership
ALICE ISSAI
CORPORATE OFFICER
—
2018-07-02
ended 2026-05-18
pecos_ownership
ANDREW DAVIS
CORPORATE DIRECTOR
—
2017-05-05
ended 2026-05-18
pecos_ownership
BILLY WING
CORPORATE DIRECTOR
—
2014-03-31
ended 2026-05-18
pecos_ownership
BRIAN REINER
CORPORATE DIRECTOR
—
2014-03-31
ended 2026-05-18
pecos_ownership
DAVID BANKS
CORPORATE DIRECTOR
—
2017-05-05
ended 2026-05-18
pecos_ownership
JACK WAGNER
CORPORATE OFFICER
—
2014-03-31
ended 2026-05-18
pecos_ownership
JAMES PEDERSEN
CORPORATE DIRECTOR
—
2017-01-16
ended 2026-05-18
pecos_ownership
JOHN FREEDMAN
CORPORATE DIRECTOR
—
2016-09-26
ended 2026-05-18
pecos_ownership
KERRY HEINRICH
CORPORATE DIRECTOR
—
2014-12-16
ended 2026-05-18
pecos_ownership
LARRY INNOCENT
CORPORATE DIRECTOR
—
2011-09-19
ended 2026-05-18
pecos_ownership
MELODY GABRIEL
CORPORATE DIRECTOR
—
2015-06-01
ended 2026-05-18
pecos_ownership
MEREDITH JOBE
CORPORATE OFFICER
—
2014-03-31
ended 2026-05-18
pecos_ownership
RICARDO GRAHAM
CORPORATE DIRECTOR
—
2007-12-17
ended 2026-05-18
pecos_ownership
RICHARD REINER
CORPORATE DIRECTOR
—
2017-01-16
ended 2026-05-18
pecos_ownership
ROBERT BONNER
W-2 MANAGING EMPLOYEE
—
2021-10-25
ended 2026-05-18
pecos_ownership
ROBERT CHERRY
CORPORATE DIRECTOR
—
2017-05-05
ended 2026-05-18
pecos_ownership
VELINO SALAZAR
CORPORATE DIRECTOR
—
2015-09-15
ended 2026-05-18
pecos_ownership
WARREN TETZ
W-2 MANAGING EMPLOYEE
—
1999-09-14
ended 2026-05-18
pecos_ownership
WESLEY RIPPEY
CORPORATE DIRECTOR
—
1998-09-14
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 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 91206
acs median gross
0
$1,471
2024-12-31
CENSUS_ACS5
zcta 91206
acs median gross
1
$1,862
2024-12-31
CENSUS_ACS5
zcta 91206
acs median gross
2
$2,507
2024-12-31
CENSUS_ACS5
zcta 91206
acs median gross
3
$3,093
2024-12-31
CENSUS_ACS5
zcta 91206
acs median gross
5
$1,398
2024-12-31
CENSUS_ACS5
zcta 91206
acs median gross
$2,199
2024-12-31
CENSUS_ACS5
zcta 91206
acs recent mover gross
$2,708
2024-12-31
CENSUS_ACS5
zip 91206
payment standard 110
0
$2,772
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 90
0
$2,268
2025-10-01
HUD_USER_SAFMR
zip 91206
safmr
0
$2,520
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 110
1
$3,102
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 90
1
$2,538
2025-10-01
HUD_USER_SAFMR
zip 91206
safmr
1
$2,820
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 110
2
$3,872
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 90
2
$3,168
2025-10-01
HUD_USER_SAFMR
zip 91206
safmr
2
$3,520
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 110
3
$4,906
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 90
3
$4,014
2025-10-01
HUD_USER_SAFMR
zip 91206
safmr
3
$4,460
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 110
4
$5,467
2025-10-01
HUD_USER_SAFMR
zip 91206
payment standard 90
4
$4,473
2025-10-01
HUD_USER_SAFMR
zip 91206
safmr
4
$4,970
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.