Reads as: riskier than 28.0% 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
FL median
National median
National p25–p75
Total nurse
3.52
3.42
3.28
2.90–3.77
RN
0.56
0.45
0.39
0.25–0.58
Weekend total
3.44
3.31
3.11
—
Weekday total
3.55
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
114.8
3.52
0.56
0.54
2.41
3.44
0.0%
2025Q3
92
112.5
3.57
0.55
0.56
2.46
3.42
0.0%
2025Q2
91
113.2
3.54
0.54
0.64
2.35
3.47
0.0%
2025Q1
90
114.5
3.85
0.51
0.81
2.53
3.57
0.0%
2024Q4
92
114.7
3.74
0.54
0.77
2.43
3.56
0.0%
2024Q3
92
114.5
3.75
0.49
0.84
2.42
3.70
0.0%
2024Q2
91
113.9
3.57
0.45
0.80
2.33
3.51
0.0%
2024Q1
91
115.1
3.46
0.39
0.82
2.25
3.44
0.0%
2023Q4
92
113.7
3.71
0.43
0.83
2.45
3.54
0.0%
2023Q3
92
115.5
3.53
0.40
0.82
2.31
3.40
0.0%
2023Q2
91
115.4
3.53
0.38
0.88
2.28
3.33
0.0%
2023Q1
90
115.8
3.54
0.36
0.79
2.38
3.27
0.0%
2022Q4
92
114.6
3.72
0.51
0.63
2.59
3.69
0.0%
2022Q3
92
112.9
3.66
0.47
0.72
2.47
3.68
3.5%
2022Q2
91
112.3
3.61
0.45
0.79
2.38
3.67
7.8%
2022Q1
90
117.5
3.30
0.48
0.54
2.28
3.27
2.8%
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-10-08
2025-09-11
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
2025-10-08
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.
E
2025-10-08
2025-09-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-08
2025-07-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-31
2025-07-02
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
2025-07-31
2025-07-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-31
2025-07-02
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-07-31
2025-07-02
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-07-31
2025-06-10
Health · complaint
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
2025-06-28
2025-02-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2025-03-01
2025-02-01
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-01
2025-02-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-03-01
2025-02-01
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-01
2025-02-01
Health · complaint
F0895
Have a Compliance and Ethics Program.
F
2025-03-01
2024-08-22
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2024-09-22
2024-08-22
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-09-22
2024-08-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-09-22
2024-05-16
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
2024-06-16
2024-05-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-16
2024-05-16
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-06-16
2023-02-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-03-16
2023-02-09
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-03-16
2023-02-09
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.
D
2023-03-16
2023-02-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-03-16
2023-02-09
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
2023-03-16
2023-02-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-16
2023-02-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-16
2023-02-09
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-03-16
2023-02-09
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2023-03-16
2023-02-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-16
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
18
Owner
Role
Pct
From
Status
Source
ORANGE HEALTHCARE LTD
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
ORANGE HEALTHCARE LTD
Corporation, partnership or other organization has financial interest in provider
50%
2024-01-01
current
hcris_a_8_1
BURROWES, ADRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-30
current
pecos_ownership
BURROWES, ADRIAN
ADP OF THE SNF
—
2025-01-29
current
pecos_ownership
CLEAR CHOICE HEALTH CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-10-01
current
pecos_ownership
PARTEE, LESLIE
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
SABARRE, BRENT
CORPORATE OFFICER
—
2025-02-20
current
pecos_ownership
SABARRE, BRENT
ADP OF THE SNF
—
2025-03-07
current
pecos_ownership
TRUIST
5% OR GREATER MORTGAGE INTEREST
—
2016-11-01
current
pecos_ownership
ORANGE HEALTHCARE LTD
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ORANGE HEALTHCARE LTD
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ORANGE HEALTHCARE LTD
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SBK CAPITAL, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2003-12-01
ended 2026-05-18
pecos_ownership
BRENT SABARRE
CORPORATE OFFICER
0%
2025-02-20
ended 2026-05-18
pecos_ownership
LESLIE PARTEE
CORPORATE OFFICER
0%
2022-12-01
ended 2026-05-18
pecos_ownership
ADRIAN BURROWES
ADP OF THE SNF
—
2025-01-29
ended 2026-05-18
pecos_ownership
ADRIAN BURROWES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-30
ended 2026-05-18
pecos_ownership
BRENT SABARRE
ADP OF THE SNF
—
2025-03-07
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
$562,892
$11,886
—
—
—
6
propco
2023-12-31
$738,934
$13,242
—
$4,622
$3,082
14
propco
2022-12-31
$611,955
$10,088
—
$7,439
$3,496
14
propco
2021-12-31
$610,566
$15,724
—
$15,491
$240
15
propco
2020-12-31
$826,559
$13,199
—
$13,171
$11,859
14
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
35
Geo
Kind
BR
Amount
As of
Source
county 12095
acs median gross
0
$1,575
2024-12-31
CENSUS_ACS5
county 12095
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
1
$1,549
2024-12-31
CENSUS_ACS5
county 12095
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
2
$1,753
2024-12-31
CENSUS_ACS5
county 12095
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
3
$2,040
2024-12-31
CENSUS_ACS5
county 12095
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
4
$2,341
2024-12-31
CENSUS_ACS5
county 12095
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
5
$2,841
2024-12-31
CENSUS_ACS5
county 12095
acs median gross
$1,775
2024-12-31
CENSUS_ACS5
county 12095
acs recent mover gross
$1,956
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
0
$1,428
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
1
$1,432
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
2
$1,681
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
3
$1,699
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
4
$1,770
2024-12-31
CENSUS_ACS5
zcta 32812
acs median gross
$1,622
2024-12-31
CENSUS_ACS5
zcta 32812
acs recent mover gross
$1,760
2024-12-31
CENSUS_ACS5
zip 32812
payment standard 110
0
$1,672
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 90
0
$1,368
2025-10-01
HUD_USER_SAFMR
zip 32812
safmr
0
$1,520
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 110
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 90
1
$1,440
2025-10-01
HUD_USER_SAFMR
zip 32812
safmr
1
$1,600
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 110
2
$2,002
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 90
2
$1,638
2025-10-01
HUD_USER_SAFMR
zip 32812
safmr
2
$1,820
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 110
3
$2,508
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 90
3
$2,052
2025-10-01
HUD_USER_SAFMR
zip 32812
safmr
3
$2,280
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 110
4
$2,970
2025-10-01
HUD_USER_SAFMR
zip 32812
payment standard 90
4
$2,430
2025-10-01
HUD_USER_SAFMR
zip 32812
safmr
4
$2,700
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.