Reads as: riskier than 46.3% 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
CA median
National median
National p25–p75
Total nurse
3.73
3.95
3.28
2.90–3.77
RN
0.14
0.38
0.39
0.25–0.58
Weekend total
3.69
3.79
3.11
—
Weekday total
3.75
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
77.8
3.73
0.14
0.99
2.60
3.69
0.0%
2025Q3
92
78.3
3.66
0.16
0.99
2.51
3.50
0.0%
2025Q2
91
78.2
3.52
0.14
0.96
2.43
3.36
0.0%
2025Q1
90
77.9
3.66
0.15
0.96
2.55
3.39
0.7%
2024Q4
92
76.9
3.98
0.12
1.08
2.77
3.88
6.7%
2024Q3
92
77.8
3.55
0.09
0.97
2.49
3.46
2.0%
2024Q2
91
76.6
3.46
0.07
0.99
2.40
3.29
2.0%
2024Q1
91
77.1
3.58
0.07
0.99
2.52
3.43
2.5%
2023Q4
92
82.0
3.30
0.04
0.89
2.36
3.13
1.8%
2023Q3
92
80.0
3.63
0.06
1.00
2.58
3.36
2.4%
2023Q2
91
77.7
3.64
0.06
0.97
2.61
3.34
1.1%
2023Q1
90
79.7
3.53
0.04
0.94
2.55
3.21
0.4%
2022Q4
92
77.4
3.97
0.00
1.09
2.88
3.68
5.7%
2022Q3
92
78.8
3.89
0.03
1.10
2.76
3.65
13.9%
2022Q2
91
77.2
3.60
0.09
1.02
2.50
3.17
10.7%
2022Q1
90
78.8
3.55
0.18
1.03
2.35
3.32
2.9%
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.
Provide enough food/fluids to maintain a resident's health.
D
2026-02-09
2026-01-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-09
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.
E
2026-02-09
2026-01-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-02-09
2026-01-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-09
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
2026-02-09
2025-01-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-24
2024-10-18
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
2024-11-26
2024-10-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-26
2024-10-18
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2024-11-26
2024-10-18
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
2024-11-26
2024-10-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-26
2024-10-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-11-26
2024-10-18
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
2024-11-26
2024-10-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-11-26
2024-10-18
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2024-11-26
2024-09-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-03
2024-04-18
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-04-30
2024-02-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-14
2023-09-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-17
2023-08-08
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2023-08-22
2023-07-13
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-10
2023-07-13
Health · complaint
F0839
Employ staff that are licensed, certified, or registered in accordance with state laws.
D
2023-08-10
2023-06-21
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-07-07
2023-02-24
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-03-20
2023-02-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-03-20
2023-02-24
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-03-20
2023-02-24
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-03-20
2023-02-24
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-03-20
2023-02-24
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
2023-03-20
2023-02-24
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-03-20
2023-02-24
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2023-03-20
2023-02-24
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
2023-03-20
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
9
Owner
Role
Pct
From
Status
Source
ROCKWELL HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-07-01
current
pecos_ownership
CARROZZA, EVANGELINE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
HERNANDEZ, GRACIELA
W-2 MANAGING EMPLOYEE
—
2023-03-24
current
pecos_ownership
POWELL, SAWYER
W-2 MANAGING EMPLOYEE
—
2021-07-01
current
pecos_ownership
CALIMESA HOLDINGS LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-06-30
hcris_a_8_1
EVANGELINE CARROZZA
CORPORATE OFFICER
100%
2021-07-01
ended 2026-05-18
pecos_ownership
GRACIELA HERNANDEZ
W-2 MANAGING EMPLOYEE
100%
2023-03-24
ended 2026-05-18
pecos_ownership
SAWYER POWELL
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-07-01
ended 2026-05-18
pecos_ownership
MADISON PARTNER
Individual has financial interest in both related organization and provider
25%
2020-01-01
ended 2020-12-31
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$947,501
—
—
—
—
1
—
2023-12-31
$847,278
—
—
—
—
1
—
2022-12-31
$1,077,574
—
—
—
—
1
—
2021-12-31
$207,533
—
—
—
—
1
—
2021-06-30
$1,127,587
—
—
$10,148
$57,993
2
propco
2020-12-31
$1,045,849
—
—
$10,928
$53,106
8
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 06071
acs median gross
0
$1,374
2024-12-31
CENSUS_ACS5
county 06071
fmr
0
$1,692
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
1
$1,432
2024-12-31
CENSUS_ACS5
county 06071
fmr
1
$1,777
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
2
$1,717
2024-12-31
CENSUS_ACS5
county 06071
fmr
2
$2,201
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 06071
fmr
3
$2,912
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
4
$2,471
2024-12-31
CENSUS_ACS5
county 06071
fmr
4
$3,514
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
5
$2,796
2024-12-31
CENSUS_ACS5
county 06071
acs median gross
$1,801
2024-12-31
CENSUS_ACS5
county 06071
acs recent mover gross
$2,184
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
0
$2,167
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
1
$892
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
2
$1,665
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
3
$2,216
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
4
$2,263
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
5
$2,115
2024-12-31
CENSUS_ACS5
zcta 92399
acs median gross
$1,708
2024-12-31
CENSUS_ACS5
zcta 92399
acs recent mover gross
$2,275
2024-12-31
CENSUS_ACS5
zip 92399
payment standard 110
0
$1,771
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 90
0
$1,449
2025-10-01
HUD_USER_SAFMR
zip 92399
safmr
0
$1,610
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 110
1
$1,870
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 90
1
$1,530
2025-10-01
HUD_USER_SAFMR
zip 92399
safmr
1
$1,700
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 110
2
$2,310
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 90
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 92399
safmr
2
$2,100
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 110
3
$3,058
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 90
3
$2,502
2025-10-01
HUD_USER_SAFMR
zip 92399
safmr
3
$2,780
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 110
4
$3,718
2025-10-01
HUD_USER_SAFMR
zip 92399
payment standard 90
4
$3,042
2025-10-01
HUD_USER_SAFMR
zip 92399
safmr
4
$3,380
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.