Reads as: riskier than 71.1% 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
3.73
3.24
3.28
2.90–3.77
RN
0.20
0.38
0.39
0.25–0.58
Weekend total
3.26
3.11
3.11
—
Weekday total
3.92
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.1
3.73
0.20
1.33
2.20
3.26
10.0%
2025Q3
92
62.6
3.53
0.38
1.10
2.05
2.88
14.6%
2025Q2
91
66.0
3.50
0.30
0.92
2.28
3.43
20.8%
2025Q1
90
74.0
3.34
0.61
1.00
1.73
3.37
34.6%
2024Q4
92
64.0
3.07
0.38
0.90
1.79
3.12
18.0%
2024Q3
92
59.8
3.29
0.43
0.96
1.90
3.08
27.5%
2024Q2
91
55.7
3.51
0.65
0.79
2.08
3.20
44.7%
2024Q1
91
58.2
3.11
0.53
0.71
1.87
2.85
32.5%
2023Q4
92
53.3
3.31
0.53
0.74
2.04
2.95
31.9%
2023Q3
92
50.4
3.30
0.51
0.72
2.07
2.93
26.6%
2023Q2
91
49.0
3.42
0.57
0.77
2.09
2.89
33.9%
2023Q1
90
45.8
3.25
0.50
0.73
2.02
2.71
55.6%
2022Q4
92
50.9
2.98
0.64
0.46
1.88
2.53
63.8%
2022Q3
92
49.5
2.87
0.39
0.51
1.97
2.27
42.0%
2022Q2
91
53.6
2.63
0.41
0.50
1.71
2.39
43.8%
2022Q1
90
55.1
2.44
0.41
0.45
1.57
2.17
49.3%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-27
2024-12-04
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-12-27
2024-12-04
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2024-12-27
2024-12-04
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-12-27
2024-12-04
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-12-27
2024-12-04
Health
F0679
Provide activities to meet all resident's needs.
D
2024-12-27
2024-12-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-12-27
2024-12-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-27
2024-12-04
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
2024-12-27
2024-12-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-27
2024-12-04
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.
F
2024-12-27
2024-12-04
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-12-27
2024-12-04
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2024-12-27
2024-12-04
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-12-27
2024-12-04
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-12-27
2024-02-01
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
2024-02-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-02-29
2024-02-01
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-02-29
2023-10-31
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-11-20
2023-08-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2023-08-25
2023-08-10
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-08-25
2022-05-25
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-06-13
2022-05-25
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-06-13
2022-05-25
Health
F0641
Ensure each resident receives an accurate assessment.
E
2022-06-13
2022-05-25
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2022-06-13
2022-05-25
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-06-13
2022-05-25
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
2022-06-13
2019-04-12
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
2019-05-28
2019-04-12
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2019-05-28
2019-04-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-05-28
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
16
Owner
Role
Pct
From
Status
Source
OM HOLDCO 4 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-17
ended 2026-05-18
pecos_ownership
OM NOTE HOLDCO 4 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-10-17
ended 2026-05-18
pecos_ownership
OMAR HAMED
W-2 MANAGING EMPLOYEE
100%
2023-01-01
ended 2026-05-18
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-10-17
ended 2026-05-18
pecos_ownership
RAJAN PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
34%
2022-10-17
ended 2026-05-18
pecos_ownership
CHARLES DUNN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
CHARLES FRANKLIN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
HEMANT SHAH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
PAAR 108 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
SNW LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-10-17
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-10-17
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-10-17
ended 2026-05-18
pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-10-17
ended 2026-05-18
pecos_ownership
MARIANNE CONNER
CORPORATE OFFICER
—
2022-10-17
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
$330,888
—
$330,888
—
—
1
—
2023-12-31
$260,085
—
$260,085
—
—
1
—
2022-12-31
$1,096,072
—
$346,050
—
—
1
—
2021-12-31
$723,330
$326,998
$316,639
—
—
1
—
2020-12-31
$773,822
$345,508
$342,692
—
—
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 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
1
$931
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
2
$1,175
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
3
$1,458
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
4
$1,583
2024-12-31
CENSUS_ACS5
zcta 44130
acs median gross
$1,088
2024-12-31
CENSUS_ACS5
zcta 44130
acs recent mover gross
$1,221
2024-12-31
CENSUS_ACS5
zip 44130
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 44130
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 44130
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 110
2
$1,518
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 90
2
$1,242
2025-10-01
HUD_USER_SAFMR
zip 44130
safmr
2
$1,380
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 110
3
$1,958
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 90
3
$1,602
2025-10-01
HUD_USER_SAFMR
zip 44130
safmr
3
$1,780
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 110
4
$2,090
2025-10-01
HUD_USER_SAFMR
zip 44130
payment standard 90
4
$1,710
2025-10-01
HUD_USER_SAFMR
zip 44130
safmr
4
$1,900
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.