Reads as: riskier than 20.4% 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 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
14
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
2.99
3.24
3.28
2.90–3.77
RN
0.24
0.38
0.39
0.25–0.58
Weekend total
2.96
3.11
3.11
—
Weekday total
3.00
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.7
2.99
0.24
0.88
1.87
2.96
0.0%
2025Q3
92
103.6
2.89
0.25
0.82
1.82
2.77
0.0%
2025Q2
91
100.5
2.98
0.22
0.87
1.89
2.90
0.0%
2025Q1
90
100.9
3.01
0.16
0.94
1.91
2.95
0.0%
2024Q4
92
99.9
3.03
0.15
0.90
1.98
3.01
0.0%
2024Q3
92
98.5
3.01
0.13
0.84
2.04
2.89
0.5%
2024Q2
91
103.0
3.06
0.08
0.89
2.10
2.88
0.2%
2024Q1
91
109.3
2.92
0.09
0.83
1.99
2.79
0.8%
2023Q4
92
106.4
1.78
0.07
0.54
1.18
1.43
0.6%
2023Q3
92
107.2
2.62
0.10
0.70
1.82
2.39
1.0%
2023Q2
91
108.2
2.71
0.17
0.65
1.89
2.45
0.0%
2022Q4
92
105.4
2.52
0.08
0.77
1.67
2.34
0.0%
2022Q3
92
105.1
2.50
0.10
0.70
1.69
2.30
0.0%
2022Q1
90
105.0
2.36
0.13
0.72
1.51
2.21
0.9%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-30
2025-03-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-04-30
2025-03-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-04-30
2025-03-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-30
2025-03-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-30
2025-03-13
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-04-30
2025-03-13
Health
F0814
Dispose of garbage and refuse properly.
F
2025-04-30
2025-03-13
Health
F0917
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
E
2025-04-30
2025-03-13
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-04-30
2024-12-19
Health · complaint
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
2025-01-07
2024-12-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-01-07
2024-12-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-07
2024-07-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-25
2024-06-17
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-06-18
2024-06-17
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-06-18
2023-11-01
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.
D
2023-11-16
2023-11-01
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2023-11-16
2023-11-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-16
2023-09-28
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-16
2023-09-28
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2023-11-16
2023-09-28
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-11-16
2023-09-28
Health · complaint
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
2023-08-24
2023-09-28
Health · complaint
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2023-11-16
2023-09-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-16
2023-08-17
Health · complaint
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.
D
2023-08-24
2021-09-02
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
D
2021-10-08
2021-09-02
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
2021-10-08
2021-09-02
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-10-08
2021-09-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-10-08
2021-09-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-10-08
2021-09-02
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2021-10-08
2021-09-02
Health
F0880
Provide and implement an infection prevention and control program.
F
2021-10-08
2021-09-02
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2021-10-08
2021-09-02
Health
F0924
Put firmly secured handrails on each side of hallways.
E
2021-10-08
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
2020 GSR DYNASTY LLC
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
AARON HANDLER FAMILY DYNASTY TRUST
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
AH DYNASTY LLC
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
CERJAN, KAYLA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
EMBASSY HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
EMBASSY HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-05-22
current
pecos_ownership
GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST
INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
HANDLER, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2009-11-01
current
pecos_ownership
HERITAGE EMPLOYMENT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
HERITAGE EMPLOYMENT SERVICES, LLC
ADP OF THE SNF
—
2025-05-22
current
pecos_ownership
LELE, SHREENIWAS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
REPCHICK, GEORGE
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
EMBASSY HEALTHCARE HOLDINGS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-01
ended 2026-05-18
pecos_ownership
AARON HANDLER
CORPORATE OFFICER
50%
2009-11-01
ended 2026-05-18
pecos_ownership
GEORGE REPCHICK
CORPORATE OFFICER
50%
2020-01-01
ended 2026-05-18
pecos_ownership
KAYLA CERJAN
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
SHREENIWAS LELE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
$451,039
—
$451,039
—
—
2
—
2023-12-31
$528,814
—
$528,814
—
—
2
—
2022-12-31
$382,950
—
$382,950
—
—
2
—
2021-12-31
$367,945
—
$367,945
—
—
2
—
2020-12-31
$574,904
—
—
—
$117,707
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
34
Geo
Kind
BR
Amount
As of
Source
county 39085
acs median gross
0
$833
2024-12-31
CENSUS_ACS5
county 39085
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
1
$914
2024-12-31
CENSUS_ACS5
county 39085
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
2
$1,133
2024-12-31
CENSUS_ACS5
county 39085
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
3
$1,409
2024-12-31
CENSUS_ACS5
county 39085
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
4
$1,289
2024-12-31
CENSUS_ACS5
county 39085
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39085
acs median gross
5
$1,180
2024-12-31
CENSUS_ACS5
county 39085
acs median gross
$1,113
2024-12-31
CENSUS_ACS5
county 39085
acs recent mover gross
$1,173
2024-12-31
CENSUS_ACS5
zcta 44057
acs median gross
1
$724
2024-12-31
CENSUS_ACS5
zcta 44057
acs median gross
2
$1,087
2024-12-31
CENSUS_ACS5
zcta 44057
acs median gross
3
$1,187
2024-12-31
CENSUS_ACS5
zcta 44057
acs median gross
4
$1,089
2024-12-31
CENSUS_ACS5
zcta 44057
acs median gross
$1,076
2024-12-31
CENSUS_ACS5
zcta 44057
acs recent mover gross
$1,644
2024-12-31
CENSUS_ACS5
zip 44057
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 44057
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 110
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 90
1
$990
2025-10-01
HUD_USER_SAFMR
zip 44057
safmr
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 110
2
$1,463
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 90
2
$1,197
2025-10-01
HUD_USER_SAFMR
zip 44057
safmr
2
$1,330
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 44057
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 44057
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 44057
safmr
4
$1,830
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.