Reads as: riskier than 52.8% 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
KS median
National median
National p25–p75
Total nurse
1.64
3.03
3.28
2.90–3.77
RN
0.34
0.44
0.39
0.25–0.58
Weekend total
1.74
2.87
3.11
—
Weekday total
1.60
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.9
1.64
0.34
0.25
1.05
1.74
2.1%
2025Q3
92
41.2
1.52
0.45
0.14
0.94
1.70
0.6%
2025Q2
91
38.9
1.61
0.61
0.02
0.97
1.73
2.0%
2025Q1
90
39.1
1.68
0.63
0.01
1.04
1.88
1.4%
2024Q4
92
40.0
1.60
0.60
0.01
0.98
1.82
1.8%
2024Q3
92
36.0
1.81
0.65
0.03
1.13
1.93
15.5%
2024Q2
91
34.9
2.04
0.40
0.31
1.33
2.04
38.5%
2024Q1
91
36.4
1.97
0.34
0.39
1.25
1.93
26.8%
2023Q4
92
36.7
2.20
0.43
0.39
1.37
1.98
12.6%
2023Q3
92
37.3
1.91
0.35
0.36
1.20
1.89
11.8%
2023Q2
91
39.1
1.91
0.49
0.22
1.20
1.87
6.4%
2023Q1
90
40.4
2.26
0.67
0.13
1.46
2.05
1.2%
2022Q4
92
40.4
2.34
0.62
0.16
1.56
2.17
11.9%
2022Q3
92
38.7
2.10
0.45
0.21
1.44
1.92
13.4%
2022Q2
91
37.2
2.21
0.48
0.21
1.52
2.11
21.4%
2022Q1
90
37.7
2.06
0.61
0.19
1.26
1.74
10.1%
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-02-27
2025-01-30
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-02-27
2025-01-30
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.
D
2025-02-27
2025-01-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-02-27
2025-01-30
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
2025-02-27
2024-03-18
Health · complaint
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
J
2024-03-12
2023-11-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-11-02
2023-02-27
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-03-29
2023-02-27
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
2023-03-29
2023-02-27
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
2023-03-29
2023-02-27
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-03-29
2023-02-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-03-29
2023-02-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-29
2023-02-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-29
2023-02-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-03-29
2023-02-27
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2023-03-29
2023-02-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-29
2023-02-27
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2023-03-29
2021-09-03
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
2021-10-03
2021-09-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-10-03
2021-09-03
Health
F0679
Provide activities to meet all resident's needs.
D
2021-10-03
2021-09-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-10-03
2021-09-03
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
2021-10-03
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
19
Owner
Role
Pct
From
Status
Source
KANSAS OPERATOR LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-02-25
current
pecos_ownership
BARRES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
BORZUMATO, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
current
pecos_ownership
CRINO, BRYAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
FEUER, SCOTT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
LINDEMAN, STUART
CORPORATE OFFICER
—
2015-02-26
current
pecos_ownership
MISSION HEALTH COMMUNITIES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
current
pecos_ownership
PARMLEY, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
current
pecos_ownership
PASSERO, JOSEPH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
RUSSELL, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
current
pecos_ownership
T AND C CAPITAL ASSETS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
WINDWARD HEALTH PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-26
current
pecos_ownership
MELISSA PARMLEY
OPERATIONAL/MANAGERIAL CONTROL
100%
2015-02-26
ended 2026-05-18
pecos_ownership
STUART LINDEMAN
CORPORATE OFFICER
100%
2015-02-26
ended 2026-05-18
pecos_ownership
BRYAN CRINO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2015-02-26
ended 2026-05-18
pecos_ownership
SCOTT FEUER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2015-02-26
ended 2026-05-18
pecos_ownership
JOSEPH PASSERO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2015-02-26
ended 2026-05-18
pecos_ownership
ANDREW BORZUMATO
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
ended 2026-05-18
pecos_ownership
RICHARD RUSSELL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-26
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$169,055
—
—
—
—
1
—
2023-12-31
$161,519
—
—
—
—
1
—
2022-12-31
$195,272
—
—
—
—
1
—
2021-12-31
$154,261
—
—
—
—
1
—
2020-12-31
$107,908
—
—
—
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 20115
fmr
0
$643
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
1
$518
2024-12-31
CENSUS_ACS5
county 20115
fmr
1
$688
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
2
$736
2024-12-31
CENSUS_ACS5
county 20115
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
3
$781
2024-12-31
CENSUS_ACS5
county 20115
fmr
3
$1,157
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
4
$721
2024-12-31
CENSUS_ACS5
county 20115
fmr
4
$1,161
2025-10-01
HUD_USER_FMR
county 20115
acs median gross
5
$683
2024-12-31
CENSUS_ACS5
county 20115
acs median gross
$727
2024-12-31
CENSUS_ACS5
county 20115
acs recent mover gross
$738
2024-12-31
CENSUS_ACS5
zcta 66866
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
zcta 66866
acs median gross
2
$863
2024-12-31
CENSUS_ACS5
zcta 66866
acs median gross
$839
2024-12-31
CENSUS_ACS5
zip 66866
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 66866
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 66866
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 110
2
$1,045
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 90
2
$855
2025-10-01
HUD_USER_SAFMR
zip 66866
safmr
2
$950
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 66866
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 110
4
$1,474
2025-10-01
HUD_USER_SAFMR
zip 66866
payment standard 90
4
$1,206
2025-10-01
HUD_USER_SAFMR
zip 66866
safmr
4
$1,340
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.