Reads as: riskier than 42.9% 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
GA median
National median
National p25–p75
Total nurse
3.23
3.02
3.28
2.90–3.77
RN
0.14
0.26
0.39
0.25–0.58
Weekend total
3.09
2.76
3.11
—
Weekday total
3.29
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
102.5
3.23
0.14
1.03
2.06
3.09
0.0%
2025Q3
92
97.4
3.38
0.27
0.99
2.12
3.22
0.0%
2025Q2
91
106.5
3.08
0.23
0.95
1.89
2.89
0.0%
2025Q1
90
104.0
3.05
0.12
1.10
1.82
2.89
0.0%
2024Q4
92
99.9
3.07
0.17
1.04
1.86
2.93
0.0%
2024Q3
92
105.6
3.09
0.23
0.94
1.93
2.98
0.0%
2024Q2
91
104.3
2.97
0.19
0.93
1.84
2.89
0.0%
2024Q1
91
103.5
2.84
0.15
0.95
1.74
2.84
0.0%
2023Q4
92
98.5
3.03
0.13
1.04
1.86
3.03
0.0%
2023Q3
92
100.4
3.02
0.15
1.02
1.85
2.93
0.0%
2023Q2
91
99.8
3.06
0.23
0.97
1.86
2.89
0.0%
2023Q1
90
102.9
2.87
0.19
0.94
1.74
2.74
0.0%
2022Q4
92
102.9
2.90
0.20
0.95
1.75
2.79
0.0%
2022Q3
92
102.3
2.90
0.24
0.90
1.76
2.75
0.3%
2022Q2
91
99.3
2.80
0.19
0.93
1.68
2.73
0.0%
2022Q1
90
95.2
2.79
0.11
1.01
1.66
2.71
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-26
2025-09-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-26
2025-09-11
Health · complaint
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
2025-10-26
2025-09-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-26
2025-09-11
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-10-26
2025-04-15
Health · complaint
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.
E
2025-06-06
2025-04-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-06-06
2025-04-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-06
2024-05-30
Health · complaint
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.
E
2024-07-14
2024-05-30
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-14
2022-07-21
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.
E
2022-09-23
2022-07-21
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2022-09-23
2022-07-21
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2022-09-23
2022-07-21
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
2022-09-23
2022-07-21
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2022-09-23
2022-07-21
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-09-23
2022-07-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-09-23
2022-07-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-09-23
2022-07-21
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-09-23
2022-07-21
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2022-09-23
2022-07-21
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-09-23
2022-07-21
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2022-09-23
2022-07-21
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.
F
2022-09-23
2022-07-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-09-23
2022-07-21
Health
F0814
Dispose of garbage and refuse properly.
F
2022-09-23
2022-07-21
Health
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
2022-09-23
2022-07-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-09-23
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
30
Owner
Role
Pct
From
Status
Source
BENDER, SARA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-02
current
pecos_ownership
CALDWELL, LEIGHANA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-18
current
pecos_ownership
COTTON, KESHA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-02
current
pecos_ownership
CYPRESS SKILLED NURSING LLC
ADP OF THE SNF
—
2025-11-20
current
pecos_ownership
CYPRESS SKILLED NURSING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
LANGLEY, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-29
current
pecos_ownership
MACATULA, MARIA
ADP OF THE SNF
—
2017-07-31
current
pecos_ownership
MCKEY, JENNA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-14
current
pecos_ownership
MOORE, XAVIER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-26
current
pecos_ownership
MOTE, KAYLA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-15
current
pecos_ownership
NORDHOLM, KATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
OVITS, ISAAC
ADP OF THE SNF
—
2014-01-01
current
pecos_ownership
PATTERSON, DIANNE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-07
current
pecos_ownership
RICHARDSON, BRYIANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-28
current
pecos_ownership
CYPRESS OPERATING LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2013-11-12
ended 2026-05-18
pecos_ownership
CYPRESS SKILLED NURSING LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-12
ended 2026-05-18
pecos_ownership
ENIN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-11-12
ended 2026-05-18
pecos_ownership
SNF TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-11-12
ended 2026-05-18
pecos_ownership
BRYIANNA RICHARDSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-28
ended 2026-05-18
pecos_ownership
DIANNE PATTERSON
ADP OF THE SNF
—
2018-05-07
ended 2026-05-18
pecos_ownership
ISAAC OVITS
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
JENNA MCKEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-14
ended 2026-05-18
pecos_ownership
KATHERINE NORDHOLM
ADP OF THE SNF
—
2014-01-01
ended 2026-05-18
pecos_ownership
KAYLA MOTE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-15
ended 2026-05-18
pecos_ownership
KESHA COTTON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-02
ended 2026-05-18
pecos_ownership
KEVIN LANGLEY
ADP OF THE SNF
—
2021-11-29
ended 2026-05-18
pecos_ownership
LEIGHANA CALDWELL
ADP OF THE SNF
—
2024-06-18
ended 2026-05-18
pecos_ownership
MARIA MACATULA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-31
ended 2026-05-18
pecos_ownership
SARA BENDER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-02
ended 2026-05-18
pecos_ownership
XAVIER MOORE
ADP OF THE SNF
—
2023-08-26
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$557,176
—
$6,625
—
—
0
—
2023-12-31
$534,538
—
$5,865
—
—
0
—
2022-12-31
$641,381
—
$12,338
—
—
0
—
2021-12-31
$562,824
—
$11,451
—
—
0
—
2020-12-31
$500,486
—
$11,438
—
—
0
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 13143
fmr
0
$838
2025-10-01
HUD_USER_FMR
county 13143
acs median gross
1
$694
2024-12-31
CENSUS_ACS5
county 13143
fmr
1
$844
2025-10-01
HUD_USER_FMR
county 13143
acs median gross
2
$908
2024-12-31
CENSUS_ACS5
county 13143
fmr
2
$1,107
2025-10-01
HUD_USER_FMR
county 13143
acs median gross
3
$944
2024-12-31
CENSUS_ACS5
county 13143
fmr
3
$1,345
2025-10-01
HUD_USER_FMR
county 13143
acs median gross
4
$1,360
2024-12-31
CENSUS_ACS5
county 13143
fmr
4
$1,718
2025-10-01
HUD_USER_FMR
county 13143
acs median gross
5
$1,142
2024-12-31
CENSUS_ACS5
county 13143
acs median gross
$923
2024-12-31
CENSUS_ACS5
county 13143
acs recent mover gross
$915
2024-12-31
CENSUS_ACS5
zcta 30110
acs median gross
1
$745
2024-12-31
CENSUS_ACS5
zcta 30110
acs median gross
2
$911
2024-12-31
CENSUS_ACS5
zcta 30110
acs median gross
3
$1,024
2024-12-31
CENSUS_ACS5
zcta 30110
acs median gross
$933
2024-12-31
CENSUS_ACS5
zcta 30110
acs recent mover gross
$1,063
2024-12-31
CENSUS_ACS5
zip 30110
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 30110
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 30110
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 30110
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 110
3
$1,452
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 90
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 30110
safmr
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 30110
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 30110
safmr
4
$1,680
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.