Reads as: riskier than 91.6% 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.
ML signals — parallel engine
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.0 vs natl
BRADLEY SHANNAN
8 facilities
connection
Owner fleet risk far above national
+27.7 vs natl
CERISE FREDERICK
34 facilities
connection
Owner fleet risk far above national
+26.4 vs natl
CASTANEDA EDMUNDO
36 facilities
connection
Owner fleet risk far above national
+25.5 vs natl
DALLAS COUNTY HOSPITAL DISTRICT
37 facilities
connection
Owner fleet enforcement cluster
50% fined
BRADLEY SHANNAN
8 facilities
connection
Owner fleet enforcement cluster
47% fined
CERISE FREDERICK
34 facilities
connection
Owner fleet enforcement cluster
46% fined
DALLAS COUNTY HOSPITAL DISTRICT
37 facilities
connection
Owner fleet enforcement cluster
44% fined
CASTANEDA EDMUNDO
36 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
TX median
National median
National p25–p75
Total nurse
2.89
2.67
3.28
2.90–3.77
RN
0.15
0.24
0.39
0.25–0.58
Weekend total
2.81
2.56
3.11
—
Weekday total
2.92
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.1
2.89
0.15
1.10
1.64
2.81
2.2%
2025Q3
92
54.9
3.09
0.13
1.24
1.72
3.04
16.9%
2025Q2
91
56.4
2.72
0.10
1.09
1.53
2.58
20.7%
2025Q1
90
54.0
2.76
0.05
1.11
1.61
2.77
21.1%
2024Q4
92
52.8
2.85
0.06
1.16
1.63
3.01
17.9%
2024Q3
92
49.2
3.00
0.05
1.28
1.67
3.04
21.8%
2024Q2
91
51.5
2.82
0.12
1.18
1.52
2.78
20.2%
2024Q1
91
54.8
2.74
0.16
1.13
1.45
2.39
22.6%
2023Q4
92
62.1
2.52
0.14
0.99
1.39
2.27
24.6%
2023Q3
92
56.0
2.39
0.21
1.00
1.19
2.07
25.2%
2023Q2
91
59.5
2.56
0.20
1.01
1.36
2.43
39.3%
2023Q1
90
57.8
2.75
0.28
1.14
1.32
2.54
20.8%
2022Q4
92
57.5
2.76
0.15
1.08
1.53
2.77
28.1%
2022Q3
92
62.7
2.74
0.05
1.12
1.57
2.75
37.3%
2022Q2
91
61.1
3.03
0.08
1.11
1.84
3.08
54.0%
2022Q1
90
59.5
2.67
0.10
1.00
1.58
2.69
46.4%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-12-18
2025-12-03
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-12-18
2025-12-03
Health · complaint
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
2025-12-18
2025-09-11
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-09-26
2025-09-11
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2025-09-26
2025-09-11
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
2025-09-26
2025-09-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-09-26
2025-09-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-26
2025-09-11
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-09-26
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
2025-09-26
2025-09-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-09-26
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
2025-09-26
2025-09-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-26
2025-05-20
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-05-22
2024-08-12
Health · complaint
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.
K
2024-08-30
2024-08-12
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-08-30
2024-08-12
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
2024-08-30
2024-08-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-08-30
2024-08-12
Health
F0679
Provide activities to meet all resident's needs.
E
2024-08-30
2024-08-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-08-30
2024-08-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-30
2024-08-12
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
2024-08-30
2024-08-12
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-08-30
2024-08-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-08-30
2024-08-12
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
2024-08-30
2024-08-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-30
2024-08-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-30
2024-08-12
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
K
2024-08-30
2023-06-22
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
2023-06-27
2023-06-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-06-27
2023-06-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-06-27
2023-06-22
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-06-27
2023-06-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-27
2023-06-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-27
2023-06-22
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2023-06-27
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
12
Owner
Role
Pct
From
Status
Source
DALLAS COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-04-01
current
pecos_ownership
1300 MEMORIAL DR OPCO LLC
—
—
2026-06-01
current
tx_hhsc_directory
BRADLEY, SHANNAN
W-2 MANAGING EMPLOYEE
—
2023-12-11
current
pecos_ownership
CASTANEDA, EDMUNDO
CORPORATE OFFICER
—
2022-01-10
current
pecos_ownership
CERISE, FREDERICK
CORPORATE DIRECTOR
—
2014-03-24
current
pecos_ownership
CLEMENS, ERIN
W-2 MANAGING EMPLOYEE
—
2022-01-01
current
pecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY
—
—
2026-06-01
current
tx_hhsc_directory
TEXOMA LONG TERM CARE, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
EDMUNDO CASTANEDA
CORPORATE OFFICER
—
2022-01-10
ended 2026-05-18
pecos_ownership
ERIN CLEMENS
W-2 MANAGING EMPLOYEE
—
2022-01-01
ended 2026-05-18
pecos_ownership
FREDERICK CERISE
CORPORATE DIRECTOR
—
2014-03-24
ended 2026-05-18
pecos_ownership
SHANNAN BRADLEY
CORPORATE DIRECTOR
—
2023-12-11
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
$23,789
—
—
—
$3,486
1
—
2023-12-31
$25,976
—
—
—
$3,641
1
—
2022-12-31
$31,321
—
—
—
$4,585
1
—
2021-12-31
$28,631
—
—
—
$3,566
1
—
2020-12-31
$33,108
—
—
—
$3,339
1
—
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 48181
acs median gross
0
$892
2024-12-31
CENSUS_ACS5
county 48181
fmr
0
$1,088
2025-10-01
HUD_USER_FMR
county 48181
acs median gross
1
$1,025
2024-12-31
CENSUS_ACS5
county 48181
fmr
1
$1,089
2025-10-01
HUD_USER_FMR
county 48181
acs median gross
2
$1,247
2024-12-31
CENSUS_ACS5
county 48181
fmr
2
$1,351
2025-10-01
HUD_USER_FMR
county 48181
acs median gross
3
$1,685
2024-12-31
CENSUS_ACS5
county 48181
fmr
3
$1,879
2025-10-01
HUD_USER_FMR
county 48181
acs median gross
4
$1,856
2024-12-31
CENSUS_ACS5
county 48181
fmr
4
$2,157
2025-10-01
HUD_USER_FMR
county 48181
acs median gross
5
$2,580
2024-12-31
CENSUS_ACS5
county 48181
acs median gross
$1,310
2024-12-31
CENSUS_ACS5
county 48181
acs recent mover gross
$1,485
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
0
$808
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
1
$980
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
2
$1,308
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
3
$1,652
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
4
$1,402
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
5
$2,655
2024-12-31
CENSUS_ACS5
zcta 75020
acs median gross
$1,287
2024-12-31
CENSUS_ACS5
zcta 75020
acs recent mover gross
$1,655
2024-12-31
CENSUS_ACS5
zip 75020
payment standard 110
0
$1,155
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 90
0
$945
2025-10-01
HUD_USER_SAFMR
zip 75020
safmr
0
$1,050
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 75020
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 110
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 90
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 75020
safmr
2
$1,300
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 110
3
$1,991
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 90
3
$1,629
2025-10-01
HUD_USER_SAFMR
zip 75020
safmr
3
$1,810
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 110
4
$2,288
2025-10-01
HUD_USER_SAFMR
zip 75020
payment standard 90
4
$1,872
2025-10-01
HUD_USER_SAFMR
zip 75020
safmr
4
$2,080
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.