Reads as: riskier than 22.8% 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
15
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.1 vs natl
MANN DEBORAH
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
GILLILAND TERRENCE
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
MCCORY JACK
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
SMITH RICK
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
REEDY MATTHEW
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
MARKEL ANDREW
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
STOREY MARC
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
BEVERS SUSAN
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
FISH ERIC
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
HARPE BRANDON
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
KLEBER COURTNEY
11 facilities
connection
Owner spans multiple chains
5 chains
HILL NEIL
5 facilities
connection
Owner spans multiple chains
4 chains
MANN DEBORAH
9 facilities
connection
Owner spans multiple chains
4 chains
MARKEL ANDREW
9 facilities
connection
Owner spans multiple chains
4 chains
MCCORY JACK
9 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
IN median
National median
National p25–p75
Total nurse
4.12
2.85
3.28
2.90–3.77
RN
0.72
0.40
0.39
0.25–0.58
Weekend total
3.99
2.71
3.11
—
Weekday total
4.17
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.9
4.12
0.72
0.68
2.72
3.99
4.8%
2025Q3
92
79.4
3.92
0.75
0.62
2.54
3.77
4.3%
2025Q2
91
75.2
3.86
0.61
0.74
2.51
3.78
3.2%
2025Q1
90
76.0
3.81
0.64
0.73
2.43
3.85
1.5%
2024Q4
92
78.1
3.87
0.64
0.69
2.54
3.86
0.0%
2024Q3
92
82.3
3.70
0.65
0.68
2.37
3.52
0.0%
2024Q2
91
78.1
3.94
0.64
0.81
2.49
3.82
0.0%
2024Q1
91
78.1
3.84
0.64
0.76
2.44
3.79
0.0%
2023Q4
92
80.8
3.58
0.59
0.68
2.31
3.45
0.0%
2023Q3
92
78.4
3.72
0.66
0.72
2.33
3.58
0.0%
2023Q2
91
77.6
4.42
0.93
0.78
2.71
4.26
0.1%
2023Q1
90
82.9
3.93
0.84
0.80
2.30
3.83
4.6%
2022Q4
92
83.1
4.28
0.88
0.75
2.65
4.07
7.0%
2022Q3
92
77.9
4.40
0.94
0.77
2.70
4.13
7.9%
2022Q2
91
76.7
4.49
0.90
1.03
2.56
4.13
9.7%
2022Q1
90
80.3
2.97
0.52
0.62
1.83
2.80
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
13
D × 13
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-05
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-01-09
2025-12-05
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2026-01-09
2025-12-05
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-01-09
2025-12-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-09
2025-12-05
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
2026-01-09
2025-10-23
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
2025-11-28
2024-09-13
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
2024-10-04
2024-09-13
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-10-04
2023-07-25
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-08-23
2023-07-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-23
2023-07-25
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
2023-08-23
2023-07-25
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
2023-08-23
2023-07-25
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2023-08-23
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
54
Owner
Role
Pct
From
Status
Source
BEVERS, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
CARTER, ANITA
ADP OF THE SNF
—
1999-09-27
current
pecos_ownership
FISH, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
FLEETWOOD, KARYN
OPERATIONAL/MANAGERIAL CONTROL
—
2007-04-20
current
pecos_ownership
GILLILAND, TERRENCE
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
HARPE, BRANDON
TRUSTEE OF THE SNF
—
2020-09-01
current
pecos_ownership
HILL, NEIL
ADP OF THE SNF
—
2018-08-09
current
pecos_ownership
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2012-07-01
current
pecos_ownership
JUNG, MATTHEW
ADP OF THE SNF
—
2018-10-28
current
pecos_ownership
KLEBER, COURTNEY
TRUSTEE OF THE SNF
—
2020-09-01
current
pecos_ownership
KRUMME, GALEN
ADP OF THE SNF
—
1996-04-01
current
pecos_ownership
LUTHERAN COMMUNITY HOME, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
current
pecos_ownership
MANN, DEBORAH
MANAGING CONTROL - GOVERNING BODY
—
2014-02-10
current
pecos_ownership
MARKEL, ANDREW
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
MCCORY, JACK
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
MEYER, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-23
current
pecos_ownership
NOLTING, JOHN
ADP OF THE SNF
—
2012-10-25
current
pecos_ownership
POLLERT, MAX
ADP OF THE SNF
—
2014-04-24
current
pecos_ownership
POLLERT, ROGER
ADP OF THE SNF
—
2021-12-16
current
pecos_ownership
REEDY, MATTHEW
TRUSTEE OF THE SNF
—
2012-07-01
current
pecos_ownership
ROTHERT, ERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-24
current
pecos_ownership
SCHNITKER, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2007-04-22
current
pecos_ownership
SMITH, RICK
TRUSTEE OF THE SNF
—
2012-07-01
current
pecos_ownership
STOREY, MARC
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
VOELKER, LOUIS
OPERATIONAL/MANAGERIAL CONTROL
—
1994-04-01
current
pecos_ownership
WISCHMEIER, HENRY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-03-26
current
pecos_ownership
WISCHMEIER, PRISCILLA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-23
current
pecos_ownership
WISCHMEIER, ROGER
ADP OF THE SNF
—
2022-06-24
current
pecos_ownership
ANDREW MARKEL
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
ANITA CARTER
OPERATIONAL/MANAGERIAL CONTROL
—
1999-09-27
ended 2026-05-18
pecos_ownership
BRANDON HARPE
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
COURTNEY KLEBER
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
DEBORAH MANN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-02-10
ended 2026-05-18
pecos_ownership
ERIC FISH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
ERIN ROTHERT
ADP OF THE SNF
—
2023-08-24
ended 2026-05-18
pecos_ownership
GALEN KRUMME
OPERATIONAL/MANAGERIAL CONTROL
—
1996-04-01
ended 2026-05-18
pecos_ownership
GARY MEYER
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-23
ended 2026-05-18
pecos_ownership
HENRY WISCHMEIER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-03-26
ended 2026-05-18
pecos_ownership
JACK MCCORY
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
JOHN NOLTING
OPERATIONAL/MANAGERIAL CONTROL
—
2012-10-25
ended 2026-05-18
pecos_ownership
KARYN FLEETWOOD
ADP OF THE SNF
—
2007-04-20
ended 2026-05-18
pecos_ownership
LOUIS VOELKER
ADP OF THE SNF
—
1994-04-01
ended 2026-05-18
pecos_ownership
MARC STOREY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MATTHEW JUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-28
ended 2026-05-18
pecos_ownership
MATTHEW REEDY
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
MAX POLLERT
OPERATIONAL/MANAGERIAL CONTROL
—
2014-04-24
ended 2026-05-18
pecos_ownership
NEIL HILL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-09
ended 2026-05-18
pecos_ownership
PRISCILLA WISCHMEIER
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-23
ended 2026-05-18
pecos_ownership
RICK SMITH
TRUSTEE OF THE SNF
—
2012-07-01
ended 2026-05-18
pecos_ownership
ROGER POLLERT
ADP OF THE SNF
—
2021-12-16
ended 2026-05-18
pecos_ownership
ROGER WISCHMEIER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-24
ended 2026-05-18
pecos_ownership
SUSAN BEVERS
TRUSTEE OF THE SNF
—
2020-09-01
ended 2026-05-18
pecos_ownership
SUSAN SCHNITKER
ADP OF THE SNF
—
2007-04-22
ended 2026-05-18
pecos_ownership
TERRENCE GILLILAND
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
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
33
Geo
Kind
BR
Amount
As of
Source
county 18071
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
county 18071
fmr
0
$802
2025-10-01
HUD_USER_FMR
county 18071
acs median gross
1
$649
2024-12-31
CENSUS_ACS5
county 18071
fmr
1
$807
2025-10-01
HUD_USER_FMR
county 18071
acs median gross
2
$1,016
2024-12-31
CENSUS_ACS5
county 18071
fmr
2
$1,059
2025-10-01
HUD_USER_FMR
county 18071
acs median gross
3
$1,121
2024-12-31
CENSUS_ACS5
county 18071
fmr
3
$1,328
2025-10-01
HUD_USER_FMR
county 18071
acs median gross
4
$1,103
2024-12-31
CENSUS_ACS5
county 18071
fmr
4
$1,402
2025-10-01
HUD_USER_FMR
county 18071
acs median gross
$1,004
2024-12-31
CENSUS_ACS5
county 18071
acs recent mover gross
$1,184
2024-12-31
CENSUS_ACS5
zcta 47274
acs median gross
1
$682
2024-12-31
CENSUS_ACS5
zcta 47274
acs median gross
2
$1,039
2024-12-31
CENSUS_ACS5
zcta 47274
acs median gross
3
$1,131
2024-12-31
CENSUS_ACS5
zcta 47274
acs median gross
4
$1,103
2024-12-31
CENSUS_ACS5
zcta 47274
acs median gross
$1,017
2024-12-31
CENSUS_ACS5
zcta 47274
acs recent mover gross
$1,207
2024-12-31
CENSUS_ACS5
zip 47274
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 47274
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 47274
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 47274
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 47274
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 47274
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 47274
safmr
4
$1,730
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.