Reads as: riskier than 78.5% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+39.9 vs natl
MILLENNIAL ACQUISITIONS LLC
6 facilities
connection
Owner fleet risk far above national
+38.6 vs natl
WINDSOR SQUARE REALTY LLC
6 facilities
connection
Owner fleet risk far above national
+38.6 vs natl
SCOOPER REALTY LLC
6 facilities
connection
Owner fleet risk far above national
+33.8 vs natl
HAGINS ELIZABETH
52 facilities
connection
Owner fleet risk far above national
+32.4 vs natl
GIBRALTAR TRUST
28 facilities
connection
Owner fleet risk far above national
+32.1 vs natl
GARETZ DAVID
66 facilities
connection
Owner fleet risk far above national
+32.0 vs natl
MINDLE ADAM
56 facilities
connection
Owner fleet risk far above national
+30.5 vs natl
KAPLAN ESTHER
55 facilities
connection
Owner fleet risk far above national
+30.0 vs natl
KAPLAN MORDECHAI
38 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
OPCO CA SKILLED MGMT INC
41 facilities
connection
Owner fleet risk far above national
+28.9 vs natl
UNGER JEFFREY
46 facilities
connection
Owner fleet risk far above national
+28.8 vs natl
GURWITZ SOLOMON
42 facilities
connection
Owner fleet risk far above national
+28.3 vs natl
MONTGOMERY SKY TRUST
17 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CONTINUUM REHAB GROUP LLC
36 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
MAGNOLIA REALTY LLC
9 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
OREGON REALTY LLC
11 facilities
connection
Owner fleet risk far above national
+24.4 vs natl
OPCO TEXAS SKILLED MGMT LLC
21 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
BYROM DAVID
29 facilities
connection
Owner spans multiple chains
12 chains
GARETZ DAVID
61 facilities
connection
Owner spans multiple chains
11 chains
HAGINS ELIZABETH
48 facilities
connection
Owner spans multiple chains
11 chains
KAPLAN ESTHER
54 facilities
connection
Owner spans multiple chains
11 chains
MINDLE ADAM
52 facilities
connection
Owner spans multiple chains
10 chains
GURWITZ SOLOMON
41 facilities
connection
Owner spans multiple chains
9 chains
OPCO CA SKILLED MGMT INC
40 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
2.23
2.67
3.28
2.90–3.77
RN
0.25
0.24
0.39
0.25–0.58
Weekend total
2.09
2.56
3.11
—
Weekday total
2.29
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.1
2.23
0.25
0.65
1.33
2.09
1.0%
2025Q3
92
74.3
2.41
0.31
0.72
1.38
2.30
2.0%
2025Q2
91
81.1
2.51
0.35
0.60
1.55
2.34
4.6%
2025Q1
90
82.6
2.50
0.30
0.64
1.55
2.39
0.0%
2024Q4
92
91.6
2.05
0.26
0.58
1.21
1.94
0.0%
2024Q3
92
84.8
2.13
0.31
0.60
1.21
2.09
0.0%
2024Q2
91
75.0
2.18
0.23
0.72
1.23
2.16
0.0%
2024Q1
91
76.4
2.12
0.24
0.66
1.21
2.04
0.0%
2023Q4
92
80.4
2.21
0.30
0.64
1.28
2.11
0.0%
2023Q3
92
81.4
2.57
0.26
0.70
1.61
2.43
0.3%
2023Q2
91
77.2
2.69
0.31
0.75
1.63
2.37
3.4%
2023Q1
90
77.7
2.39
0.38
0.86
1.15
2.12
15.5%
2022Q4
92
74.4
2.69
0.28
1.00
1.41
2.40
38.5%
2022Q3
92
70.9
2.37
0.45
0.72
1.20
2.17
7.6%
2022Q2
91
74.9
2.59
0.38
0.88
1.33
2.40
6.7%
2022Q1
90
81.1
2.50
0.31
0.93
1.26
2.27
33.1%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-18
2025-07-17
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
K
2025-07-18
2025-07-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-07-18
2025-07-17
Health
F0814
Dispose of garbage and refuse properly.
F
2025-07-18
2025-07-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-18
2025-07-17
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-07-18
2025-07-17
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2025-07-18
2025-01-13
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-12-09
2024-05-30
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
2024-05-31
2024-05-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-05-31
2024-05-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-31
2024-05-30
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2024-05-31
2023-04-20
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2023-04-21
2023-04-20
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-04-21
2023-04-20
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-04-21
2023-04-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-04-21
2023-04-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-04-21
2023-04-20
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
E
2023-04-21
2023-04-20
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-04-21
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
31
Owner
Role
Pct
From
Status
Source
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-08-16
current
pecos_ownership
2129 SKYLINE DRIVE TX, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
AKINMERESE, OLAWALE
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
BYROM, DAVID
CORPORATE OFFICER
—
2018-08-16
current
pecos_ownership
CONTINUUM REHAB GROUP LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
—
—
2024-08-16
current
tx_hhsc_directory
GARETZ, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-16
current
pecos_ownership
GIBRALTAR TRUST
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
GURWITZ, SOLOMON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
HAGINS, ELIZABETH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
KAPLAN, ESTHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
KAPLAN, MORDECHAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
MAGNOLIA REALTY, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
MILLENNIAL ACQUISITIONS, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
MINDLE, ADAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
MIRELES, CANDI
ADP OF THE SNF
—
2023-09-20
current
pecos_ownership
MONTGOMERY SKY TRUST
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
OPCO CA SKILLED MGMT INC.
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
OPCO TEXAS SKILLED MGMT LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
OREGON REALTY, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
SCOOPER REALTY, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
SKYLINE POST ACUTE LLC
—
—
2024-08-16
current
tx_hhsc_directory
SKYLINE POST ACUTE, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-16
current
pecos_ownership
UNGER, JEFFREY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
WINDSOR SQUARE REALTY, LLC
ADP OF THE SNF
—
2018-08-16
current
pecos_ownership
DAVID BYROM
CORPORATE OFFICER
0%
2018-08-16
ended 2026-05-18
pecos_ownership
CANDI MIRELES
ADP OF THE SNF
—
2023-09-20
ended 2026-05-18
pecos_ownership
DAVID GARETZ
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-16
ended 2026-05-18
pecos_ownership
HANSEN HUNTER LLC
ADP OF THE SNF
—
2025-06-24
ended 2026-05-18
pecos_ownership
HANSEN HUNTER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
OLAWALE AKINMERESE
ADP OF THE SNF
—
2019-01-01
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.
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 48439
acs median gross
0
$1,316
2024-12-31
CENSUS_ACS5
county 48439
fmr
0
$1,427
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
1
$1,287
2024-12-31
CENSUS_ACS5
county 48439
fmr
1
$1,473
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
2
$1,576
2024-12-31
CENSUS_ACS5
county 48439
fmr
2
$1,723
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
3
$1,885
2024-12-31
CENSUS_ACS5
county 48439
fmr
3
$2,273
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
4
$2,359
2024-12-31
CENSUS_ACS5
county 48439
fmr
4
$2,815
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
5
$2,682
2024-12-31
CENSUS_ACS5
county 48439
acs median gross
$1,547
2024-12-31
CENSUS_ACS5
county 48439
acs recent mover gross
$1,700
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
0
$1,353
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
1
$1,128
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
2
$1,186
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
3
$1,595
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
4
$2,682
2024-12-31
CENSUS_ACS5
zcta 76114
acs median gross
$1,269
2024-12-31
CENSUS_ACS5
zcta 76114
acs recent mover gross
$1,465
2024-12-31
CENSUS_ACS5
zip 76114
payment standard 110
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 90
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 76114
safmr
0
$1,200
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 76114
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 110
2
$1,595
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 90
2
$1,305
2025-10-01
HUD_USER_SAFMR
zip 76114
safmr
2
$1,450
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 110
3
$2,101
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 90
3
$1,719
2025-10-01
HUD_USER_SAFMR
zip 76114
safmr
3
$1,910
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 110
4
$2,607
2025-10-01
HUD_USER_SAFMR
zip 76114
payment standard 90
4
$2,133
2025-10-01
HUD_USER_SAFMR
zip 76114
safmr
4
$2,370
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.