Reads as: riskier than 4.7% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 facilities
connection
Owner spans multiple chains
5 chains
U S BANK
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
MD median
National median
National p25–p75
Total nurse
4.19
3.32
3.28
2.90–3.77
RN
1.10
0.47
0.39
0.25–0.58
Weekend total
4.03
3.17
3.11
—
Weekday total
4.25
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.6
4.19
1.10
0.75
2.34
4.03
0.0%
2025Q3
92
41.3
3.95
1.12
0.64
2.19
3.84
0.0%
2025Q2
91
38.3
3.96
1.16
0.64
2.17
3.90
0.0%
2025Q1
90
35.5
4.25
0.99
0.87
2.39
4.26
0.0%
2024Q4
92
35.0
4.26
0.91
0.98
2.38
4.24
1.8%
2024Q3
92
37.2
4.13
0.77
0.98
2.38
4.05
0.5%
2024Q2
91
38.1
4.03
0.80
0.96
2.26
3.94
0.0%
2024Q1
91
39.8
3.75
0.62
1.02
2.11
3.71
0.0%
2023Q4
92
37.7
3.88
0.67
1.01
2.20
3.81
0.0%
2023Q3
92
42.6
1.73
0.69
0.79
0.25
1.86
0.0%
2023Q2
91
45.3
1.85
0.69
0.76
0.40
1.90
0.0%
2023Q1
90
39.4
3.61
0.71
0.77
2.13
3.51
0.0%
2022Q4
92
43.4
3.71
0.56
0.91
2.23
3.69
0.0%
2022Q3
92
43.8
3.54
0.70
0.80
2.04
3.39
0.0%
2022Q2
91
47.2
3.91
0.78
0.73
2.39
3.73
0.0%
2022Q1
90
47.5
4.04
1.02
0.71
2.31
4.04
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
32
D × 24E × 4F × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-18
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-09-25
2025-07-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-25
2025-07-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-25
2025-07-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-25
2025-07-18
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2025-09-25
2025-07-18
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-09-25
2025-07-18
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
2025-09-25
2025-07-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-25
2025-07-18
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-09-25
2025-07-18
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-09-25
2025-07-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-25
2022-06-02
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-07-01
2022-06-02
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2022-07-27
2022-06-02
Health
F0610
Respond appropriately to all alleged violations.
D
2022-07-01
2022-06-02
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
2022-07-27
2022-06-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-01
2022-06-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-07-01
2022-06-02
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-07-01
2018-11-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2018-12-21
2018-11-15
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2018-12-21
2018-11-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2018-12-21
2018-11-15
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
2018-12-21
2018-11-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2018-12-21
2018-11-15
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2018-12-21
2018-11-15
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2018-12-21
2018-11-15
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2018-12-21
2018-11-15
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2018-12-21
2018-11-15
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2018-12-21
2018-11-15
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.
D
2018-12-21
2018-11-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2018-12-21
2018-11-15
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2018-12-21
2018-11-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2018-12-21
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
44
Owner
Role
Pct
From
Status
Source
ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC
INDIRECT OWNERSHIP INTEREST
—
2022-12-31
current
pecos_ownership
ACTS ALLIANCE MANAGEMENT LLC
INDIRECT OWNERSHIP INTEREST
—
2022-12-31
current
pecos_ownership
ACTS COMMUNITIES OF MARYLAND, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-31
current
pecos_ownership
ACTS LEGACY FOUNDATION, INC.
INDIRECT OWNERSHIP INTEREST
—
2022-12-31
current
pecos_ownership
ACTS MANAGEMENT SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-31
current
pecos_ownership
ACTS MANAGEMENT SERVICES, INC.
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
ACTS RETIREMENT SERVICES, INC
INDIRECT OWNERSHIP INTEREST
—
2022-12-31
current
pecos_ownership
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-31
current
pecos_ownership
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
ACTS SIGNATURE COMMUNITY SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2022-12-31
current
pecos_ownership
AHERN, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
ATHEN, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-02-03
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2024-11-05
current
pecos_ownership
BONITA SPRINGS RETIREMENT VILLAGE INC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
CHRISTIANSEN, KAREN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
DETWEILER, HAROLD
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
FORREST, ANNE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
FOX, GLENN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GRANT, GERALD
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GRANT, JONATHAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KELLY, MICHAEL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
LAKHANI, TASNEEM
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LAWSON, DANIEL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MEASE LIFE INC
INDIRECT OWNERSHIP INTEREST
—
2023-10-01
current
pecos_ownership
NEARY, ANNE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
PAQUETTE, ELLEN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
U.S. BANK
TRUSTEE OF THE SNF
—
2025-07-09
current
pecos_ownership
U.S. BANK
ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
VALDIVIA, PEGGY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
ANNE FORREST
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
ANNE NEARY
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
DANIEL LAWSON
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
ELLEN PAQUETTE
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
GERALD GRANT
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
GLENN FOX
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
HAROLD DETWEILER
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
JONATHAN GRANT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
KAREN CHRISTIANSEN
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHAEL ATHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHAEL KELLY
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
PEGGY VALDIVIA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
SUSAN AHERN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
TASNEEM LAKHANI
ADP OF THE SNF
—
2025-01-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,138,116
—
—
—
$408,897
2
—
2023-12-31
$2,872,292
—
—
—
$271,935
2
—
2022-12-31
$2,787,572
—
—
—
$571,237
2
—
2021-12-31
$2,851,769
—
—
—
$499,206
2
—
2020-12-31
$2,278,895
—
—
—
$304,181
2
—
2020-03-30
$486,442
—
—
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 24013
acs median gross
0
$873
2024-12-31
CENSUS_ACS5
county 24013
fmr
0
$1,362
2025-10-01
HUD_USER_FMR
county 24013
acs median gross
1
$1,033
2024-12-31
CENSUS_ACS5
county 24013
fmr
1
$1,511
2025-10-01
HUD_USER_FMR
county 24013
acs median gross
2
$1,459
2024-12-31
CENSUS_ACS5
county 24013
fmr
2
$1,857
2025-10-01
HUD_USER_FMR
county 24013
acs median gross
3
$1,637
2024-12-31
CENSUS_ACS5
county 24013
fmr
3
$2,358
2025-10-01
HUD_USER_FMR
county 24013
acs median gross
4
$1,945
2024-12-31
CENSUS_ACS5
county 24013
fmr
4
$2,611
2025-10-01
HUD_USER_FMR
county 24013
acs median gross
5
$2,667
2024-12-31
CENSUS_ACS5
county 24013
acs median gross
$1,427
2024-12-31
CENSUS_ACS5
county 24013
acs recent mover gross
$1,469
2024-12-31
CENSUS_ACS5
zcta 21784
acs median gross
1
$1,403
2024-12-31
CENSUS_ACS5
zcta 21784
acs median gross
2
$1,626
2024-12-31
CENSUS_ACS5
zcta 21784
acs median gross
3
$2,037
2024-12-31
CENSUS_ACS5
zcta 21784
acs median gross
4
$2,833
2024-12-31
CENSUS_ACS5
zcta 21784
acs median gross
$1,739
2024-12-31
CENSUS_ACS5
zcta 21784
acs recent mover gross
$1,388
2024-12-31
CENSUS_ACS5
zip 21784
payment standard 110
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 90
0
$1,296
2025-10-01
HUD_USER_SAFMR
zip 21784
safmr
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 110
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 90
1
$1,440
2025-10-01
HUD_USER_SAFMR
zip 21784
safmr
1
$1,600
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 110
2
$2,167
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 90
2
$1,773
2025-10-01
HUD_USER_SAFMR
zip 21784
safmr
2
$1,970
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 110
3
$2,750
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 90
3
$2,250
2025-10-01
HUD_USER_SAFMR
zip 21784
safmr
3
$2,500
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 110
4
$3,047
2025-10-01
HUD_USER_SAFMR
zip 21784
payment standard 90
4
$2,493
2025-10-01
HUD_USER_SAFMR
zip 21784
safmr
4
$2,770
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.