Reads as: riskier than 13.6% 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
MD median
National median
National p25–p75
Total nurse
3.86
3.32
3.28
2.90–3.77
RN
0.39
0.47
0.39
0.25–0.58
Weekend total
3.47
3.17
3.11
—
Weekday total
4.02
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
189.6
3.86
0.39
1.20
2.27
3.47
4.3%
2025Q3
92
190.8
3.85
0.44
1.15
2.27
3.42
0.6%
2025Q2
91
190.1
3.81
0.45
1.14
2.23
3.41
2.7%
2025Q1
90
192.4
3.81
0.42
1.10
2.29
3.44
3.9%
2024Q4
92
190.9
3.69
0.57
0.99
2.13
3.43
9.8%
2024Q3
92
192.4
3.33
0.59
0.89
1.85
3.15
15.8%
2024Q2
91
194.3
3.19
0.59
0.86
1.73
2.91
5.4%
2024Q1
91
192.5
3.20
0.51
0.91
1.77
2.98
7.3%
2023Q4
92
192.8
3.38
0.59
0.93
1.86
3.07
10.1%
2023Q3
92
190.7
3.29
0.62
0.83
1.84
2.99
7.5%
2023Q2
91
192.7
3.59
0.72
0.79
2.07
3.18
18.6%
2023Q1
90
193.5
3.56
0.64
0.90
2.02
3.18
18.7%
2022Q4
92
187.5
3.75
0.48
1.11
2.16
3.43
16.2%
2022Q3
92
188.5
3.61
0.55
0.93
2.14
3.32
13.1%
2022Q2
91
187.8
3.65
0.58
0.80
2.27
3.33
7.3%
2022Q1
90
184.1
3.56
0.74
0.92
1.90
3.25
6.0%
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.
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
30
B × 2C × 1D × 24E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-03
2026-01-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-03-03
2026-01-08
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
2026-03-03
2026-01-08
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.
D
2026-03-03
2026-01-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-03
2026-01-08
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2026-03-03
2026-01-08
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2026-03-03
2025-10-08
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
2025-12-15
2025-10-08
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-12-15
2025-10-08
Health · complaint
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
2025-12-15
2025-10-08
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-12-15
2025-10-08
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-12-15
2024-07-19
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-09-02
2024-07-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-02
2024-07-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-09-02
2024-07-19
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2024-09-02
2019-06-04
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-07-17
2019-06-04
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
2019-07-17
2019-06-04
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
2019-07-17
2019-06-04
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
2019-07-17
2019-06-04
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2019-07-17
2019-06-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2019-07-17
2019-06-04
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2019-07-17
2019-06-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-07-17
2019-06-04
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-07-17
2019-06-04
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2019-07-17
2019-06-04
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.
D
2019-07-17
2019-06-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2019-07-17
2019-06-04
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
C
2019-07-17
2019-06-04
Health
F0924
Put firmly secured handrails on each side of hallways.
D
2019-07-17
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
33
Owner
Role
Pct
From
Status
Source
MICHELLE WAY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2005-06-01
current
pecos_ownership
JEFFREY MARK ATTMAN 2005 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
current
pecos_ownership
LIFEBRIDGE INVESTMENTS, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2016-05-01
current
pecos_ownership
PRACTICE DYNAMICS, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2016-05-01
current
pecos_ownership
ATTMAN, GARY
CORPORATE OFFICER
—
2005-06-01
current
pecos_ownership
ATTMAN, LEONARD
CORPORATE OFFICER
—
2005-06-01
current
pecos_ownership
FINGLASS, BRIAN
ADP OF THE SNF
—
2005-06-01
current
pecos_ownership
FUTURE CARE HEALTH AND MANAGEMENT CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2005-06-01
current
pecos_ownership
LSJW LOCHEARN LLC
DIRECT OWNERSHIP INTEREST
—
2005-06-01
current
pecos_ownership
MILLER, TAMARA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
SPADARO, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-05
current
pecos_ownership
SPADARO, JOHN
ADP OF THE SNF
—
2005-06-01
current
pecos_ownership
VILLA PROPS
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
VILLA PROPS
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
JEFFREY ATTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
ended 2026-05-18
pecos_ownership
SHELLYE ATTMAN GILDEN 2005 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
ended 2026-05-18
pecos_ownership
SHELLYE GILDEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
ended 2026-05-18
pecos_ownership
WENDE ATTMAN LEVITAS 2005 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
ended 2026-05-18
pecos_ownership
WENDE LEVITAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2005-06-01
ended 2026-05-18
pecos_ownership
GARY ATTMAN
INDIRECT OWNERSHIP INTEREST
15%
2005-06-01
ended 2026-05-18
pecos_ownership
LIFEBRIDGE HEALTH INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2016-05-01
ended 2026-05-18
pecos_ownership
CARLYN ALEXANDRA ATTMAN 2005 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2005-06-01
ended 2026-05-18
pecos_ownership
CARLYN ATTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2005-06-01
ended 2026-05-18
pecos_ownership
SARAH ATTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2005-06-01
ended 2026-05-18
pecos_ownership
SARAH ROSE ATTMAN 2005 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2005-06-01
ended 2026-05-18
pecos_ownership
LEONARD ATTMAN
CORPORATE OFFICER
6%
2005-06-01
ended 2026-05-18
pecos_ownership
BRIAN FINGLASS
OPERATIONAL/MANAGERIAL CONTROL
—
2005-06-01
ended 2026-05-18
pecos_ownership
JOHN SPADARO
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-05
ended 2026-05-18
pecos_ownership
JOHN SPADARO
ADP OF THE SNF
—
2005-06-01
ended 2026-05-18
pecos_ownership
TAMARA MILLER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
ended 2026-05-18
pecos_ownership
VILLA PROPS
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
VILLA PROPS
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
VILLA PROPS
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
$3,626,984
$226,929
$1,896,717
$1,336,819
$166,519
8
propco
2023-12-31
$3,466,918
$232,507
$1,814,065
$1,279,662
$140,684
8
propco
2022-12-31
$3,378,186
$238,847
$1,744,436
$1,247,765
$147,138
8
propco
2021-12-31
$3,245,433
$251,620
$1,567,195
$1,224,214
$202,404
8
propco
2020-12-31
$3,175,314
$251,620
$1,490,410
$1,151,789
$281,495
8
propco
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 24510
acs median gross
0
$1,141
2024-12-31
CENSUS_ACS5
county 24510
fmr
0
$1,362
2025-10-01
HUD_USER_FMR
county 24510
acs median gross
1
$1,103
2024-12-31
CENSUS_ACS5
county 24510
fmr
1
$1,511
2025-10-01
HUD_USER_FMR
county 24510
acs median gross
2
$1,406
2024-12-31
CENSUS_ACS5
county 24510
fmr
2
$1,857
2025-10-01
HUD_USER_FMR
county 24510
acs median gross
3
$1,577
2024-12-31
CENSUS_ACS5
county 24510
fmr
3
$2,358
2025-10-01
HUD_USER_FMR
county 24510
acs median gross
4
$1,626
2024-12-31
CENSUS_ACS5
county 24510
fmr
4
$2,611
2025-10-01
HUD_USER_FMR
county 24510
acs median gross
5
$1,448
2024-12-31
CENSUS_ACS5
county 24510
acs median gross
$1,331
2024-12-31
CENSUS_ACS5
county 24510
acs recent mover gross
$1,539
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
0
$583
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
1
$750
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
2
$1,267
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
3
$1,549
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
4
$1,410
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
5
$1,661
2024-12-31
CENSUS_ACS5
zcta 21215
acs median gross
$1,172
2024-12-31
CENSUS_ACS5
zcta 21215
acs recent mover gross
$1,067
2024-12-31
CENSUS_ACS5
zip 21215
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 21215
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 110
1
$1,595
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 90
1
$1,305
2025-10-01
HUD_USER_SAFMR
zip 21215
safmr
1
$1,450
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 21215
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 110
3
$2,508
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 90
3
$2,052
2025-10-01
HUD_USER_SAFMR
zip 21215
safmr
3
$2,280
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 110
4
$2,805
2025-10-01
HUD_USER_SAFMR
zip 21215
payment standard 90
4
$2,295
2025-10-01
HUD_USER_SAFMR
zip 21215
safmr
4
$2,550
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.