Reads as: riskier than 95.7% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MOSS ADAMS LLP
25 facilities
connection
Owner fleet enforcement cluster
40% fined
BENEFIS HEALTH SYSTEM INC
5 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
3
2025Q4 HPRD
This facility
MT median
National median
National p25–p75
Total nurse
2.94
3.25
3.28
2.90–3.77
RN
0.68
0.62
0.39
0.25–0.58
Weekend total
2.94
3.12
3.11
—
Weekday total
2.94
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.8
2.94
0.68
0.60
1.65
2.94
9.5%
2025Q3
92
31.7
2.72
0.63
0.67
1.43
2.71
5.4%
2025Q2
91
23.6
3.38
0.57
1.10
1.71
3.47
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.
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
D
2025-06-06
2025-05-20
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-06-06
2025-05-20
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-06-06
2025-05-20
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-06-06
2025-05-20
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
2025-06-06
2025-05-20
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-06-06
2025-05-20
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-06-06
2025-05-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-06-06
2025-05-20
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-06-06
2025-05-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-06-06
2025-05-20
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-06-06
2025-05-20
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.
E
2025-06-06
2025-05-20
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-06-06
2025-02-10
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-02-19
2024-06-20
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2024-07-03
2024-06-20
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
2024-07-03
2024-06-20
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-07-03
2024-06-20
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2024-07-03
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
49
Owner
Role
Pct
From
Status
Source
ADDISON, THOMAS
ADP OF THE SNF
—
2015-03-06
current
pecos_ownership
AMMONDSON, DEBRA
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
BAKER, JEFFREY
CORPORATE DIRECTOR
—
2018-08-01
current
pecos_ownership
BENEFIS HEALTH SYSTEM, INC.
ADP OF THE SNF
—
2008-07-16
current
pecos_ownership
BORLAND, JUDY
CORPORATE DIRECTOR
—
2012-03-01
current
pecos_ownership
BOURRET, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-03
current
pecos_ownership
BRADY, SHELIA
ADP OF THE SNF
—
2024-07-07
current
pecos_ownership
CAMERON, TANYA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
FERRIN, WILLIAM
CORPORATE OFFICER
—
2008-10-01
current
pecos_ownership
GINNATY, RAYN
CORPORATE OFFICER
—
2013-09-15
current
pecos_ownership
GINNATY, RAYN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GOODNOW, JOHN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-03
current
pecos_ownership
HAMILTON, DON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
HOILAND, SHANNON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
HOULIHAN, BRUCE
ADP OF THE SNF
—
2002-01-09
current
pecos_ownership
HOULIHAN, BRUCE
CORPORATE OFFICER
—
2022-01-09
current
pecos_ownership
HOYER, HEATHER
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
JONES, LLEWELYN
CORPORATE DIRECTOR
—
2016-06-01
current
pecos_ownership
KREBS, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-04
current
pecos_ownership
LINDER, AMY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LOUCKS, BRIAN
CORPORATE DIRECTOR
—
2012-05-01
current
pecos_ownership
MARGARIS, MELCHISEDEK
CORPORATE DIRECTOR
—
2015-06-01
current
pecos_ownership
MCALLISTER, EUGENE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
MCGREGOR, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
MILBURN, MIKE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
MOSS ADAMS LLP
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
RICHARDS, PHILLIP
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
STUART, DUSTIN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
THAYER, EUGENE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
TIERNEY, GREGORY
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
AMY LINDER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
BRIAN LOUCKS
CORPORATE OFFICER
—
2012-05-01
ended 2026-05-18
pecos_ownership
BRUCE HOULIHAN
ADP OF THE SNF
—
2002-01-09
ended 2026-05-18
pecos_ownership
BRUCE HOULIHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-09
ended 2026-05-18
pecos_ownership
DAVID KREBS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-04
ended 2026-05-18
pecos_ownership
DEBRA AMMONDSON
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
DUSTIN STUART
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
GREGORY TIERNEY
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
HEATHER HOYER
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
JEFFREY BAKER
CORPORATE DIRECTOR
—
2018-08-01
ended 2026-05-18
pecos_ownership
JUDY BORLAND
CORPORATE DIRECTOR
—
2012-03-01
ended 2026-05-18
pecos_ownership
LLEWELYN JONES
CORPORATE DIRECTOR
—
2016-06-01
ended 2026-05-18
pecos_ownership
MELCHISEDEK MARGARIS
CORPORATE DIRECTOR
—
2015-06-01
ended 2026-05-18
pecos_ownership
PHILLIP RICHARDS
CORPORATE DIRECTOR
—
2015-01-01
ended 2026-05-18
pecos_ownership
RAYN GINNATY
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
RAYN GINNATY
CORPORATE OFFICER
—
2013-09-15
ended 2026-05-18
pecos_ownership
SHELIA BRADY
ADP OF THE SNF
—
2024-07-07
ended 2026-05-18
pecos_ownership
THOMAS ADDISON
OPERATIONAL/MANAGERIAL CONTROL
—
2015-03-06
ended 2026-05-18
pecos_ownership
WILLIAM FERRIN
CORPORATE OFFICER
—
2008-10-01
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.
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
36
Geo
Kind
BR
Amount
As of
Source
county 30013
acs median gross
0
$708
2024-12-31
CENSUS_ACS5
county 30013
fmr
0
$960
2025-10-01
HUD_USER_FMR
county 30013
acs median gross
1
$679
2024-12-31
CENSUS_ACS5
county 30013
fmr
1
$979
2025-10-01
HUD_USER_FMR
county 30013
acs median gross
2
$967
2024-12-31
CENSUS_ACS5
county 30013
fmr
2
$1,284
2025-10-01
HUD_USER_FMR
county 30013
acs median gross
3
$1,193
2024-12-31
CENSUS_ACS5
county 30013
fmr
3
$1,786
2025-10-01
HUD_USER_FMR
county 30013
acs median gross
4
$1,408
2024-12-31
CENSUS_ACS5
county 30013
fmr
4
$2,035
2025-10-01
HUD_USER_FMR
county 30013
acs median gross
5
$1,854
2024-12-31
CENSUS_ACS5
county 30013
acs median gross
$939
2024-12-31
CENSUS_ACS5
county 30013
acs recent mover gross
$1,109
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
0
$818
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
1
$678
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
2
$967
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
3
$1,186
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
4
$1,338
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
5
$1,450
2024-12-31
CENSUS_ACS5
zcta 59405
acs median gross
$965
2024-12-31
CENSUS_ACS5
zcta 59405
acs recent mover gross
$1,088
2024-12-31
CENSUS_ACS5
zip 59405
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 59405
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 59405
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 110
2
$1,419
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 90
2
$1,161
2025-10-01
HUD_USER_SAFMR
zip 59405
safmr
2
$1,290
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 59405
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 110
4
$2,244
2025-10-01
HUD_USER_SAFMR
zip 59405
payment standard 90
4
$1,836
2025-10-01
HUD_USER_SAFMR
zip 59405
safmr
4
$2,040
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.