1719 E BIJOU ST, COLORADO SPRINGS, CO 80909 · CCN 065113 · chain THE ENSIGN GROUP INC
Composite
46.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 46.3% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner spans multiple chains
12 chains
THE ENSIGN GROUP INC
123 facilities
connection
Owner spans multiple chains
11 chains
STANDARD BEARER HEALTHCARE OP LP
83 facilities
connection
Owner spans multiple chains
5 chains
SHEPHERD DAVID
8 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
CO median
National median
National p25–p75
Total nurse
2.95
3.19
3.28
2.90–3.77
RN
0.21
0.57
0.39
0.25–0.58
Weekend total
2.84
3.02
3.11
—
Weekday total
3.00
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.3
2.95
0.21
0.84
1.90
2.84
0.0%
2025Q3
92
57.0
2.88
0.29
0.77
1.82
2.71
0.0%
2025Q2
91
57.0
2.98
0.44
0.67
1.87
2.86
0.2%
2025Q1
90
57.2
3.18
0.34
0.76
2.08
3.06
2.9%
2024Q4
92
55.1
3.04
0.21
0.82
2.00
2.92
0.4%
2024Q3
92
57.4
2.59
0.28
0.60
1.70
2.47
1.5%
2024Q2
91
57.7
3.35
0.26
0.77
2.32
3.02
0.1%
2024Q1
91
56.1
3.31
0.32
0.83
2.15
3.06
1.0%
2023Q4
92
55.8
3.27
0.31
0.84
2.11
2.96
0.0%
2023Q3
92
56.1
3.36
0.38
0.79
2.19
2.97
0.0%
2023Q2
91
57.0
3.32
0.38
0.70
2.23
2.98
0.0%
2023Q1
90
59.1
3.19
0.36
0.69
2.14
2.94
0.0%
2022Q4
92
57.2
3.28
0.37
0.74
2.17
2.97
0.0%
2022Q3
92
57.7
3.34
0.47
0.66
2.22
2.93
0.5%
2022Q2
91
56.9
3.65
0.60
0.66
2.40
3.17
1.5%
2022Q1
90
58.4
3.37
0.60
0.61
2.17
2.96
2.5%
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-05-14
2025-02-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-02-04
2024-08-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-12
2024-08-15
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-09-12
2024-08-15
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2024-09-12
2024-08-15
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-09-12
2024-08-15
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.
E
2024-09-12
2024-08-15
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-09-12
2024-08-15
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-09-12
2024-08-15
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-09-12
2024-08-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-09-12
2024-08-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-09-12
2024-08-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-09-12
2024-08-15
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-09-12
2024-08-15
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
2024-09-12
2024-08-15
Health
F0791
Provide or obtain dental services for each resident.
D
2024-09-12
2024-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-12
2024-04-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-04-17
2023-02-16
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2023-03-10
2023-02-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-03-10
2023-02-16
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
2023-03-10
2021-10-21
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
G
2021-11-12
2021-10-21
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
2021-11-12
2021-10-21
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
G
2021-11-12
2021-10-21
Health
F0610
Respond appropriately to all alleged violations.
E
2021-11-12
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
27
Owner
Role
Pct
From
Status
Source
BIJOU HEALTH HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
BIJOU HEALTH HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
BIJOU HEALTH HOLDINGS LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
BURNAM, SOON
MANAGING CONTROL - GOVERNING BODY
—
2024-09-09
current
pecos_ownership
COOK, RONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-10
current
pecos_ownership
COOK, RONALD
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2017-07-01
current
pecos_ownership
JORGENSEN, DAVID
CORPORATE OFFICER
—
2017-07-01
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2017-07-01
current
pecos_ownership
PORT, BARRY
CORPORATE OFFICER
—
2017-07-01
current
pecos_ownership
SHEPHERD, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2022-10-07
current
pecos_ownership
SHEPHERD, DAVID
ADP OF THE SNF
—
2025-04-12
current
pecos_ownership
STANDARD BEARER HEALTHCARE OP LP
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
THE ENSIGN GROUP INC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ENDURA HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-21
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2017-07-01
ended 2026-05-18
pecos_ownership
BARRY PORT
CORPORATE OFFICER
0%
2017-07-01
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
0%
2017-07-01
ended 2026-05-18
pecos_ownership
DAVID JORGENSEN
CORPORATE OFFICER
0%
2017-07-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2024-09-09
ended 2026-05-18
pecos_ownership
BIJOU HEALTH HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
BIJOU HEALTH HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
BIJOU HEALTH HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
DAVID SHEPHERD
MANAGING CONTROL - GOVERNING BODY
—
2022-10-07
ended 2026-05-18
pecos_ownership
DAVID SHEPHERD
ADP OF THE SNF
—
2025-04-12
ended 2026-05-18
pecos_ownership
RONALD COOK
ADP OF THE SNF
—
2025-04-08
ended 2026-05-18
pecos_ownership
RONALD COOK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-10
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
$940,429
—
$713,357
—
—
6
propco
2023-12-31
$1,094,648
—
$552,402
—
$35,086
6
propco
2022-12-31
$1,177,133
—
$672,184
—
—
5
propco
2021-12-31
$1,107,011
—
$526,264
—
—
5
propco
2020-12-31
$940,894
—
$509,489
—
$390
5
propco
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 08041
acs median gross
0
$1,103
2024-12-31
CENSUS_ACS5
county 08041
fmr
0
$1,196
2025-10-01
HUD_USER_FMR
county 08041
acs median gross
1
$1,390
2024-12-31
CENSUS_ACS5
county 08041
fmr
1
$1,464
2025-10-01
HUD_USER_FMR
county 08041
acs median gross
2
$1,587
2024-12-31
CENSUS_ACS5
county 08041
fmr
2
$1,735
2025-10-01
HUD_USER_FMR
county 08041
acs median gross
3
$2,072
2024-12-31
CENSUS_ACS5
county 08041
fmr
3
$2,413
2025-10-01
HUD_USER_FMR
county 08041
acs median gross
4
$2,304
2024-12-31
CENSUS_ACS5
county 08041
fmr
4
$2,744
2025-10-01
HUD_USER_FMR
county 08041
acs median gross
5
$2,786
2024-12-31
CENSUS_ACS5
county 08041
acs median gross
$1,696
2024-12-31
CENSUS_ACS5
county 08041
acs recent mover gross
$1,853
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
0
$1,004
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
1
$1,133
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
2
$1,349
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
3
$1,526
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
4
$1,829
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
5
$2,107
2024-12-31
CENSUS_ACS5
zcta 80909
acs median gross
$1,296
2024-12-31
CENSUS_ACS5
zcta 80909
acs recent mover gross
$1,369
2024-12-31
CENSUS_ACS5
zip 80909
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 80909
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 80909
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 110
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 90
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 80909
safmr
2
$1,500
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 80909
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 110
4
$2,607
2025-10-01
HUD_USER_SAFMR
zip 80909
payment standard 90
4
$2,133
2025-10-01
HUD_USER_SAFMR
zip 80909
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.