Reads as: riskier than 55.4% 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
14
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
35 chains
WELLTOWER INC
135 facilities
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner spans multiple chains
28 chains
FREUND NOCHUM
109 facilities
connection
Owner spans multiple chains
28 chains
TRAVITSKY AARON
106 facilities
connection
Owner spans multiple chains
27 chains
DAGAN AMITAI
101 facilities
connection
Owner spans multiple chains
27 chains
GOLDBERGER ABRAHAM
100 facilities
connection
Owner spans multiple chains
27 chains
WELLTOWER NNN GROUP LLC
102 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HOOPER GRADY
61 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GOLDBERGER FAIGY
111 facilities
connection
Owner spans multiple chains
20 chains
GOLDBERGER FAIGY
68 facilities
connection
Owner fleet risk far above national
+20.0 vs natl
TRAVITSKY AARON
153 facilities
connection
Owner spans multiple chains
8 chains
GIVENS LAURA
10 facilities
connection
Owner fleet enforcement cluster
49% fined
HOOPER GRADY
61 facilities
connection
Owner fleet enforcement cluster
46% fined
WELLTOWER NNN GROUP LLC
111 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
2.78
2.67
3.28
2.90–3.77
RN
0.49
0.24
0.39
0.25–0.58
Weekend total
2.39
2.56
3.11
—
Weekday total
2.93
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.3
2.78
0.49
0.75
1.53
2.39
0.0%
2025Q3
92
33.7
3.10
0.42
0.94
1.74
2.85
2.1%
2025Q2
91
36.4
2.73
0.25
0.99
1.49
2.44
0.0%
2025Q1
90
41.3
2.44
0.24
0.82
1.38
2.30
0.0%
2024Q4
92
36.5
2.48
0.32
0.88
1.28
2.40
0.0%
2024Q3
92
36.8
1.91
0.14
0.87
0.89
1.70
0.0%
2024Q2
91
27.6
2.55
0.07
1.06
1.42
2.23
1.4%
2024Q1
91
23.1
2.46
0.19
0.98
1.29
2.27
0.0%
2023Q4
92
27.9
2.07
0.21
0.62
1.23
1.88
0.0%
2023Q3
92
27.1
2.43
0.22
0.86
1.35
2.24
0.0%
2023Q2
91
26.9
2.35
0.21
0.70
1.44
2.11
0.0%
2023Q1
90
39.0
1.35
0.08
0.44
0.83
1.33
0.0%
2022Q4
92
27.1
1.96
0.20
0.62
1.13
1.84
0.0%
2022Q3
92
27.5
1.82
0.14
0.70
0.98
1.61
0.0%
2022Q2
91
30.0
1.61
0.23
0.55
0.83
1.61
0.0%
2022Q1
90
26.7
1.74
0.31
0.56
0.87
1.80
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
34
C × 2D × 20E × 9F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-25
2025-08-22
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-08-31
2025-04-18
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
2025-04-25
2025-04-18
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2025-04-25
2024-07-10
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-07-31
2024-07-10
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2024-07-31
2024-07-10
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2024-07-31
2024-07-10
Health
F0732
Post nurse staffing information every day.
C
2024-07-31
2024-07-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-07-31
2024-03-01
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-03-29
2024-03-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-03-29
2023-06-08
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-07-05
2023-06-08
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-07-05
2023-06-08
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-07-05
2023-06-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-07-05
2023-06-08
Health
F0642
Ensure a qualified health professional conducts resident assessments.
D
2023-07-05
2023-06-08
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-07-05
2023-06-08
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
2023-07-05
2023-06-08
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
2023-07-05
2023-06-08
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
2023-07-27
2023-06-08
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2023-07-10
2023-06-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-07
2023-06-08
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-07-07
2023-06-08
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
2023-07-07
2023-06-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-07
2023-06-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-05
2023-06-08
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-07-05
2023-06-08
Health · complaint
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
E
2023-07-10
2023-06-08
Health · complaint
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
E
2023-07-19
2023-06-08
Health · complaint
F0942
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
E
2023-07-19
2023-06-08
Health · complaint
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
E
2023-07-19
2023-06-08
Health · complaint
F0945
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
E
2023-07-19
2023-06-08
Health · complaint
F0946
Provide training in compliance and ethics.
E
2023-07-19
2023-06-08
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2023-07-19
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
25
Owner
Role
Pct
From
Status
Source
HAMILTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-02-10
current
pecos_ownership
615 FALTIN ST OPCO LLC
—
—
2025-11-26
current
tx_hhsc_directory
615 FALTIN ST OPCO, LLC
ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
615 FALTIN ST OPCO, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
615 FALTIN ST PROPERTY OWNER LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
DAGAN, AMITAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-16
current
pecos_ownership
FOLEY, HEATHER
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
FREUND, NOCHUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
GIVENS, LAURA
ADP OF THE SNF
—
2021-02-10
current
pecos_ownership
GOLDBERGER, ABRAHAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-16
current
pecos_ownership
GOLDBERGER, FAIGY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-16
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
—
—
2025-11-26
current
tx_hhsc_directory
HOOPER, GRADY
CORPORATE OFFICER
—
2021-02-10
current
pecos_ownership
TRAVITSKY, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
WELLTOWER INC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER NNN GROUP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WM 41 HAMILTON RE LLC
5% OR GREATER MORTGAGE INTEREST
100%
2023-08-01
ended 2026-04-01
pecos_ownership
AARON TRAVITSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
GRADY HOOPER
CORPORATE OFFICER
—
2021-02-10
ended 2026-05-18
pecos_ownership
HEATHER FOLEY
ADP OF THE SNF
—
2023-09-01
ended 2026-05-18
pecos_ownership
JOSHUA LEONARD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-02-10
ended 2026-04-01
pecos_ownership
LAURA GIVENS
ADP OF THE SNF
—
2021-02-10
ended 2026-05-18
pecos_ownership
NOCHUM FREUND
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
SLP COMFORT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-02-10
ended 2026-04-01
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-02-09
$37,832
—
$17,259
$20,573
—
2
—
2020-12-31
$399,921
—
$157,495
$242,426
—
2
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 48259
acs median gross
0
$1,597
2024-12-31
CENSUS_ACS5
county 48259
fmr
0
$1,301
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
1
$1,224
2024-12-31
CENSUS_ACS5
county 48259
fmr
1
$1,311
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
2
$1,550
2024-12-31
CENSUS_ACS5
county 48259
fmr
2
$1,650
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
3
$1,982
2024-12-31
CENSUS_ACS5
county 48259
fmr
3
$2,176
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
4
$1,717
2024-12-31
CENSUS_ACS5
county 48259
fmr
4
$2,185
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
$1,606
2024-12-31
CENSUS_ACS5
county 48259
acs recent mover gross
$1,626
2024-12-31
CENSUS_ACS5
zcta 78013
acs median gross
1
$925
2024-12-31
CENSUS_ACS5
zcta 78013
acs median gross
2
$1,111
2024-12-31
CENSUS_ACS5
zcta 78013
acs median gross
3
$1,803
2024-12-31
CENSUS_ACS5
zcta 78013
acs median gross
$969
2024-12-31
CENSUS_ACS5
zip 78013
payment standard 110
0
$1,276
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 90
0
$1,044
2025-10-01
HUD_USER_SAFMR
zip 78013
safmr
0
$1,160
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 78013
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 78013
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 78013
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 110
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 78013
payment standard 90
4
$1,863
2025-10-01
HUD_USER_SAFMR
zip 78013
safmr
4
$2,070
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.