Reads as: riskier than 94.2% 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
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
6 chains
CORBIN KATHY
75 facilities
connection
Owner spans multiple chains
4 chains
PROSKY DANNY
63 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 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
OH median
National median
National p25–p75
Total nurse
3.23
3.24
3.28
2.90–3.77
RN
0.52
0.38
0.39
0.25–0.58
Weekend total
3.16
3.11
3.11
—
Weekday total
3.25
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.7
3.23
0.52
1.05
1.66
3.16
0.0%
2025Q3
92
52.5
3.31
0.61
0.99
1.71
3.28
0.0%
2025Q2
91
51.3
3.29
0.50
1.17
1.62
3.32
0.0%
2025Q1
90
48.7
3.59
0.63
1.12
1.84
3.67
0.0%
2024Q4
92
48.0
3.68
0.80
1.03
1.85
3.71
0.0%
2024Q3
92
47.0
3.75
0.64
1.19
1.92
3.91
0.0%
2024Q2
91
48.5
3.79
0.58
1.44
1.77
4.00
0.0%
2024Q1
91
46.3
3.76
0.72
1.13
1.91
4.03
0.0%
2023Q4
92
47.7
3.82
0.59
1.14
2.08
3.87
0.0%
2023Q3
92
46.2
3.71
0.60
1.21
1.90
3.80
0.0%
2023Q2
91
47.6
3.33
0.69
0.99
1.65
3.25
0.0%
2023Q1
90
47.5
3.47
1.00
0.85
1.61
3.58
0.0%
2022Q4
92
46.0
3.39
0.80
1.21
1.38
3.38
0.0%
2022Q3
92
46.6
3.11
0.84
1.09
1.18
3.08
0.0%
2022Q2
91
44.1
3.52
0.78
1.41
1.32
3.65
0.0%
2022Q1
90
46.6
3.28
0.70
1.19
1.39
3.33
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-02-09
2026-01-20
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2026-02-09
2026-01-20
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-09
2026-01-20
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-02-09
2026-01-20
Health
F0679
Provide activities to meet all resident's needs.
D
2026-02-09
2026-01-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-09
2026-01-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-02-09
2026-01-20
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-02-09
2026-01-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-02-09
2026-01-20
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-02-09
2026-01-20
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
2026-02-09
2026-01-20
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2026-02-09
2026-01-20
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2026-02-09
2026-01-20
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2026-02-09
2026-01-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-09
2026-01-20
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2026-02-09
2025-10-14
Health · complaint
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
2025-11-25
2025-06-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-07-03
2025-06-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-03
2024-10-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-12
2024-10-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-11-12
2024-10-17
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2024-11-12
2024-10-17
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
2024-11-12
2024-10-17
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-11-12
2024-10-17
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-11-12
2024-10-17
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
2024-11-12
2024-10-17
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.
F
2024-11-12
2024-03-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-02-29
2022-08-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-09-02
2022-08-08
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-09-02
2022-08-08
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2022-09-02
2022-08-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-09-02
2022-08-08
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-09-02
2022-08-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-09-02
2022-08-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2022-09-02
2022-08-08
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2022-09-02
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
34
Owner
Role
Pct
From
Status
Source
ALTIER, JACQUELINE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-02
current
pecos_ownership
BARNEY, LEIGH
CORPORATE OFFICER
—
2001-01-01
current
pecos_ownership
CONNER, GREGORY
CORPORATE OFFICER
—
2021-06-03
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-10-01
current
pecos_ownership
CORBIN, KATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-05
current
pecos_ownership
DAVIS, DAVID
CORPORATE OFFICER
—
2017-08-21
current
pecos_ownership
FIGHTMASTER, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
GRIFFIN-AMERICAN HEALTHCARE REIT III, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
MEHAFFEY, TODD
CORPORATE OFFICER
—
2022-01-31
current
pecos_ownership
NORTHSTAR HEALTHCARE INCOME INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
PIETROWSKI, CRISTINA
CORPORATE OFFICER
—
2022-01-31
current
pecos_ownership
PROSKY, DANNY
CORPORATE OFFICER
—
2015-12-01
current
pecos_ownership
TRILOGY HOLDINGS NT-HCI, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
WILLHITE, GABRIEL
CORPORATE OFFICER
—
2023-08-15
current
pecos_ownership
AMERICAN HEALTHCARE REIT HOLDINGS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-12-01
ended 2026-05-18
pecos_ownership
JACQUELINE ALTIER
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-08-02
ended 2026-05-18
pecos_ownership
TRILOGY HEALTHCARE HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-12-01
ended 2026-05-18
pecos_ownership
TRILOGY INVESTORS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-12-01
ended 2026-05-18
pecos_ownership
TRILOGY OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-12-01
ended 2026-05-18
pecos_ownership
TRILOGY REIT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2015-12-01
ended 2026-05-18
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
97%
2015-12-01
ended 2026-05-18
pecos_ownership
GAHC3 TRILOGY JV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
70%
2015-12-01
ended 2026-05-18
pecos_ownership
DANNY PROSKY
CORPORATE OFFICER
14%
2015-12-01
ended 2026-05-18
pecos_ownership
DAVID DAVIS
CORPORATE OFFICER
14%
2017-08-21
ended 2026-05-18
pecos_ownership
LEIGH BARNEY
CORPORATE OFFICER
14%
2001-01-01
ended 2026-05-18
pecos_ownership
GAHC4 TRILOGY JV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2018-10-01
ended 2026-05-18
pecos_ownership
CRISTINA PIETROWSKI
CORPORATE OFFICER
—
2022-01-31
ended 2026-05-18
pecos_ownership
GABRIEL WILLHITE
CORPORATE OFFICER
—
2023-08-15
ended 2026-05-18
pecos_ownership
GREGORY CONNER
CORPORATE OFFICER
—
2021-06-03
ended 2026-05-18
pecos_ownership
KATHY CORBIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-05
ended 2026-05-18
pecos_ownership
LISA FIGHTMASTER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
ended 2026-05-18
pecos_ownership
TODD MEHAFFEY
CORPORATE OFFICER
—
2022-01-31
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
$2,208,693
—
—
$748,841
$246,452
4
—
2023-12-31
$1,924,272
—
—
$644,885
$219,818
4
—
2022-12-31
$1,568,361
—
—
$459,261
$200,881
4
—
2021-12-31
$1,285,157
—
—
$346,415
$172,484
3
—
2020-12-31
$583,378
—
—
$177,188
$83,464
3
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 39045
acs median gross
0
$663
2024-12-31
CENSUS_ACS5
county 39045
fmr
0
$1,111
2025-10-01
HUD_USER_FMR
county 39045
acs median gross
1
$826
2024-12-31
CENSUS_ACS5
county 39045
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 39045
acs median gross
2
$1,215
2024-12-31
CENSUS_ACS5
county 39045
fmr
2
$1,430
2025-10-01
HUD_USER_FMR
county 39045
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
county 39045
fmr
3
$1,715
2025-10-01
HUD_USER_FMR
county 39045
acs median gross
4
$1,551
2024-12-31
CENSUS_ACS5
county 39045
fmr
4
$1,927
2025-10-01
HUD_USER_FMR
county 39045
acs median gross
5
$1,686
2024-12-31
CENSUS_ACS5
county 39045
acs median gross
$1,172
2024-12-31
CENSUS_ACS5
county 39045
acs recent mover gross
$1,257
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
0
$1,224
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
1
$1,055
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
2
$1,616
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
3
$1,989
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
4
$2,723
2024-12-31
CENSUS_ACS5
zcta 43147
acs median gross
$1,634
2024-12-31
CENSUS_ACS5
zcta 43147
acs recent mover gross
$2,648
2024-12-31
CENSUS_ACS5
zip 43147
payment standard 110
0
$1,562
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 90
0
$1,278
2025-10-01
HUD_USER_SAFMR
zip 43147
safmr
0
$1,420
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 110
1
$1,683
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 90
1
$1,377
2025-10-01
HUD_USER_SAFMR
zip 43147
safmr
1
$1,530
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 110
2
$2,013
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 90
2
$1,647
2025-10-01
HUD_USER_SAFMR
zip 43147
safmr
2
$1,830
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 110
3
$2,409
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 90
3
$1,971
2025-10-01
HUD_USER_SAFMR
zip 43147
safmr
3
$2,190
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 110
4
$2,717
2025-10-01
HUD_USER_SAFMR
zip 43147
payment standard 90
4
$2,223
2025-10-01
HUD_USER_SAFMR
zip 43147
safmr
4
$2,470
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.