Reads as: riskier than 6.9% 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
CA median
National median
National p25–p75
Total nurse
4.19
3.95
3.28
2.90–3.77
RN
0.13
0.38
0.39
0.25–0.58
Weekend total
3.95
3.79
3.11
—
Weekday total
4.28
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
112.4
4.19
0.13
0.81
3.25
3.95
0.0%
2025Q3
92
114.9
3.90
0.08
0.79
3.04
3.85
0.0%
2025Q2
91
117.2
3.75
0.04
0.79
2.92
3.70
0.0%
2025Q1
90
118.4
3.78
0.06
0.79
2.93
3.70
0.0%
2024Q4
92
115.3
3.76
0.10
0.79
2.88
3.71
0.0%
2024Q3
92
115.1
3.84
0.10
0.82
2.91
3.73
0.0%
2024Q2
91
113.2
3.78
0.10
0.81
2.87
3.69
0.4%
2024Q1
91
110.5
3.80
0.06
0.76
2.98
3.71
2.4%
2023Q4
92
112.7
3.71
0.05
0.78
2.88
3.65
0.2%
2023Q3
92
104.6
3.78
0.05
0.87
2.87
3.68
0.0%
2023Q2
91
98.1
3.74
0.09
0.82
2.84
3.77
0.0%
2023Q1
90
99.3
3.70
0.03
0.83
2.85
3.68
0.0%
2022Q4
92
96.4
3.81
0.04
0.92
2.85
3.79
2.9%
2022Q3
92
97.9
3.74
0.03
0.95
2.75
3.67
2.5%
2022Q2
91
91.5
3.69
0.04
0.92
2.73
3.62
5.9%
2022Q1
90
90.9
3.65
0.03
0.92
2.70
3.67
9.3%
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
33
D × 9E × 17F × 6G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-29
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-08-29
2025-07-29
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
2025-08-29
2025-07-29
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-08-29
2025-07-29
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-08-29
2025-07-29
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2025-08-29
2025-07-29
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
2025-08-29
2025-07-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-08-29
2025-07-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-08-29
2025-07-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-08-29
2025-07-29
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.
F
2025-08-29
2025-07-29
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2025-08-29
2025-07-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-29
2025-07-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-08-29
2025-05-22
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.
D
2025-06-13
2024-08-02
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F
2024-09-01
2024-08-02
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F
2024-09-01
2024-08-02
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
2024-09-01
2019-07-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2019-10-16
2019-07-22
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2019-10-16
2019-07-22
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2019-10-16
2019-07-22
Health
F0641
Ensure each resident receives an accurate assessment.
E
2019-10-16
2019-07-22
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2019-10-16
2019-07-22
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
2019-10-16
2019-07-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2019-10-16
2019-07-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-10-16
2019-07-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-10-16
2019-07-22
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2019-10-16
2019-07-22
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
2019-10-16
2019-07-22
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.
E
2019-10-16
2019-07-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-10-16
2019-07-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2019-10-16
2019-07-22
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-10-16
2019-07-22
Health
F0920
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
E
2019-10-16
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
17
Owner
Role
Pct
From
Status
Source
MENNONITE BRETHREN HOMES, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-03-01
current
pecos_ownership
BRANDT, JACK
CORPORATE DIRECTOR
—
2019-02-26
current
pecos_ownership
HIGBEE, JAMES
W-2 MANAGING EMPLOYEE
—
2023-08-01
current
pecos_ownership
KIRKLAND, GABRIELLE
CORPORATE DIRECTOR
—
2022-02-26
current
pecos_ownership
KRIEGBAUM, ARNOLD
CORPORATE DIRECTOR
—
2019-02-26
current
pecos_ownership
PETERS, GERALD
CORPORATE DIRECTOR
—
2019-02-26
current
pecos_ownership
RAY, KAREN
CORPORATE DIRECTOR
—
2019-02-26
current
pecos_ownership
RIVOIRE, CHARLES
CORPORATE DIRECTOR
—
2019-02-26
current
pecos_ownership
SWINEY, VIVIAN
CORPORATE DIRECTOR
—
2013-02-26
current
pecos_ownership
ARNOLD KRIEGBAUM
CORPORATE DIRECTOR
—
2019-02-26
ended 2026-05-18
pecos_ownership
CHARLES RIVOIRE
CORPORATE DIRECTOR
—
2019-02-26
ended 2026-05-18
pecos_ownership
GABRIELLE KIRKLAND
CORPORATE DIRECTOR
—
2022-02-26
ended 2026-05-18
pecos_ownership
GERALD PETERS
CORPORATE DIRECTOR
—
2019-02-26
ended 2026-05-18
pecos_ownership
JACK BRANDT
CORPORATE DIRECTOR
—
2019-02-26
ended 2026-05-18
pecos_ownership
JAMES HIGBEE
CORPORATE OFFICER
—
2023-08-01
ended 2026-05-18
pecos_ownership
KAREN RAY
CORPORATE DIRECTOR
—
2019-02-26
ended 2026-05-18
pecos_ownership
VIVIAN SWINEY
CORPORATE DIRECTOR
—
2013-02-26
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
36
Geo
Kind
BR
Amount
As of
Source
county 06019
acs median gross
0
$1,132
2024-12-31
CENSUS_ACS5
county 06019
fmr
0
$1,347
2025-10-01
HUD_USER_FMR
county 06019
acs median gross
1
$1,094
2024-12-31
CENSUS_ACS5
county 06019
fmr
1
$1,355
2025-10-01
HUD_USER_FMR
county 06019
acs median gross
2
$1,337
2024-12-31
CENSUS_ACS5
county 06019
fmr
2
$1,664
2025-10-01
HUD_USER_FMR
county 06019
acs median gross
3
$1,705
2024-12-31
CENSUS_ACS5
county 06019
fmr
3
$2,314
2025-10-01
HUD_USER_FMR
county 06019
acs median gross
4
$1,934
2024-12-31
CENSUS_ACS5
county 06019
fmr
4
$2,660
2025-10-01
HUD_USER_FMR
county 06019
acs median gross
5
$2,247
2024-12-31
CENSUS_ACS5
county 06019
acs median gross
$1,392
2024-12-31
CENSUS_ACS5
county 06019
acs recent mover gross
$1,698
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
0
$1,192
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
1
$916
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
2
$1,188
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
3
$1,450
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
4
$1,952
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
5
$1,738
2024-12-31
CENSUS_ACS5
zcta 93654
acs median gross
$1,291
2024-12-31
CENSUS_ACS5
zcta 93654
acs recent mover gross
$1,377
2024-12-31
CENSUS_ACS5
zip 93654
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 93654
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 110
1
$1,386
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 90
1
$1,134
2025-10-01
HUD_USER_SAFMR
zip 93654
safmr
1
$1,260
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 93654
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 110
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 90
3
$1,944
2025-10-01
HUD_USER_SAFMR
zip 93654
safmr
3
$2,160
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 110
4
$2,739
2025-10-01
HUD_USER_SAFMR
zip 93654
payment standard 90
4
$2,241
2025-10-01
HUD_USER_SAFMR
zip 93654
safmr
4
$2,490
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.