Reads as: riskier than 8.1% 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 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
TX median
National median
National p25–p75
Total nurse
8.27
2.67
3.28
2.90–3.77
RN
4.43
0.24
0.39
0.25–0.58
Weekend total
8.30
2.56
3.11
—
Weekday total
8.26
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
20.6
8.27
4.43
1.55
2.30
8.30
0.0%
2025Q3
92
20.1
8.68
4.86
1.52
2.30
8.55
0.0%
2025Q2
91
21.3
8.07
3.95
1.99
2.13
7.93
0.0%
2025Q1
90
21.6
7.27
2.91
2.32
2.04
7.10
0.0%
2024Q4
92
21.8
6.87
2.70
2.25
1.92
6.74
0.0%
2024Q3
92
22.6
6.69
2.86
1.93
1.89
6.61
0.0%
2024Q2
91
22.4
6.67
2.60
2.22
1.84
6.35
0.0%
2024Q1
91
22.8
6.75
2.55
2.26
1.94
6.75
0.0%
2023Q4
92
23.3
6.64
2.40
2.27
1.98
6.60
0.0%
2023Q3
92
22.6
6.64
2.71
2.01
1.92
6.71
0.0%
2023Q2
91
22.1
7.08
2.91
2.23
1.95
6.96
0.0%
2023Q1
90
23.5
6.76
2.35
2.48
1.93
6.60
0.0%
2022Q4
92
22.6
6.62
2.06
2.72
1.84
6.63
0.0%
2022Q3
92
22.0
6.88
2.27
2.73
1.88
6.93
0.0%
2022Q2
91
22.4
6.97
2.32
2.97
1.68
6.56
0.0%
2022Q1
90
14.3
6.41
2.27
2.60
1.54
5.83
0.0%
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
1
E × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-21
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-09-20
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
55
Owner
Role
Pct
From
Status
Source
BAYLOR SCOTT & WHITE HEALTH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
BAYLOR SCOTT & WHITE HOLDINGS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
BURDETT, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
CALDERA, ANGEL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
DIGAETANO, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
ENGLISH, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
FOSTER, MORRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
GOURLEY, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2013-11-04
current
pecos_ownership
GOURLEY, CANDICE
ADP OF THE SNF
—
2025-01-28
current
pecos_ownership
GREEN, AVAL-NA'REE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
HARALSON, GREGORY
CORPORATE DIRECTOR
—
2024-01-16
current
pecos_ownership
JATLA, MURALIDHAR
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
KIELLA, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
KRUSE, JIM
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
LIEMANDT, ANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
LUCIA, DOMINIC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-04
current
pecos_ownership
MANESS, TERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-23
current
pecos_ownership
MANOS, KRISTEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
MCNEAL, TRESA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
MEIER, JUSTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-09
current
pecos_ownership
MONTGOMERY, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
OLSEN, CHRISTOPHER
CORPORATE DIRECTOR
—
2023-04-17
current
pecos_ownership
PARSONS, JARVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
RAO, ARUNDHATI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-04
current
pecos_ownership
ROGERS, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
SCOTT & WHITE HEALTHCARE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-09
current
pecos_ownership
SMITH, RANDALL
MANAGING CONTROL - GOVERNING BODY
—
2025-01-16
current
pecos_ownership
SMITH, RANDALL
ADP OF THE SNF
—
2025-01-28
current
pecos_ownership
TREVINO, NELDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-04
current
pecos_ownership
ANDRA LIEMANDT
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-07-01
ended 2026-05-18
pecos_ownership
ANGEL CALDERA
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
ARUNDHATI RAO
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-12-04
ended 2026-05-18
pecos_ownership
AVAL-NA'REE GREEN
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER OLSEN
CORPORATE DIRECTOR
0%
2023-04-17
ended 2026-05-18
pecos_ownership
DOMINIC LUCIA
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-12-04
ended 2026-05-18
pecos_ownership
GREGORY HARALSON
CORPORATE DIRECTOR
0%
2024-01-16
ended 2026-05-18
pecos_ownership
JARVIS PARSONS
OPERATIONAL/MANAGERIAL CONTROL
0%
2024-07-01
ended 2026-05-18
pecos_ownership
JIM KRUSE
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
JUSTIN MEIER
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-02-09
ended 2026-05-18
pecos_ownership
MARK ENGLISH
OPERATIONAL/MANAGERIAL CONTROL
0%
2022-07-01
ended 2026-05-18
pecos_ownership
MARK MONTGOMERY
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
MORRIS FOSTER
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
MURALIDHAR JATLA
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-07-01
ended 2026-05-18
pecos_ownership
NELDA TREVINO
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-12-04
ended 2026-05-18
pecos_ownership
TERRY MANESS
OPERATIONAL/MANAGERIAL CONTROL
0%
2019-02-23
ended 2026-05-18
pecos_ownership
THOMAS BURDETT
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
TRESA MCNEAL
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
WILLIAM DIGAETANO
OPERATIONAL/MANAGERIAL CONTROL
0%
2019-07-01
ended 2026-05-18
pecos_ownership
WILLIAM ROGERS
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-08-09
ended 2026-05-18
pecos_ownership
CANDICE GOURLEY
MANAGING CONTROL - GOVERNING BODY
—
2013-11-04
ended 2026-05-18
pecos_ownership
CANDICE GOURLEY
ADP OF THE SNF
—
2025-01-28
ended 2026-05-18
pecos_ownership
KRISTEN MANOS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
MEGAN KIELLA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
ended 2026-05-18
pecos_ownership
RANDALL SMITH
ADP OF THE SNF
—
2025-01-28
ended 2026-05-18
pecos_ownership
RANDALL SMITH
MANAGING CONTROL - GOVERNING BODY
—
2025-01-16
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 48027
acs median gross
0
$996
2024-12-31
CENSUS_ACS5
county 48027
fmr
0
$983
2025-10-01
HUD_USER_FMR
county 48027
acs median gross
1
$947
2024-12-31
CENSUS_ACS5
county 48027
fmr
1
$990
2025-10-01
HUD_USER_FMR
county 48027
acs median gross
2
$1,127
2024-12-31
CENSUS_ACS5
county 48027
fmr
2
$1,233
2025-10-01
HUD_USER_FMR
county 48027
acs median gross
3
$1,405
2024-12-31
CENSUS_ACS5
county 48027
fmr
3
$1,711
2025-10-01
HUD_USER_FMR
county 48027
acs median gross
4
$1,824
2024-12-31
CENSUS_ACS5
county 48027
fmr
4
$2,068
2025-10-01
HUD_USER_FMR
county 48027
acs median gross
5
$2,134
2024-12-31
CENSUS_ACS5
county 48027
acs median gross
$1,224
2024-12-31
CENSUS_ACS5
county 48027
acs recent mover gross
$1,352
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
0
$1,020
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
1
$1,123
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
2
$1,143
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
3
$1,369
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
4
$1,704
2024-12-31
CENSUS_ACS5
zcta 76504
acs median gross
$1,167
2024-12-31
CENSUS_ACS5
zcta 76504
acs recent mover gross
$1,454
2024-12-31
CENSUS_ACS5
zip 76504
payment standard 110
0
$1,199
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 90
0
$981
2025-10-01
HUD_USER_SAFMR
zip 76504
safmr
0
$1,090
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 110
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 90
1
$990
2025-10-01
HUD_USER_SAFMR
zip 76504
safmr
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 110
2
$1,507
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 90
2
$1,233
2025-10-01
HUD_USER_SAFMR
zip 76504
safmr
2
$1,370
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 110
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 90
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 76504
safmr
3
$1,900
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 110
4
$2,530
2025-10-01
HUD_USER_SAFMR
zip 76504
payment standard 90
4
$2,070
2025-10-01
HUD_USER_SAFMR
zip 76504
safmr
4
$2,300
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.