Reads as: riskier than 80.0% 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
1
Kind
Finding
Signal
Subject
First seen
anomaly
Quarter-over-quarter staffing cliff
−39% QoQ
this facility
2026-07-29
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
OH median
National median
National p25–p75
Total nurse
3.84
3.24
3.28
2.90–3.77
RN
0.63
0.38
0.39
0.25–0.58
Weekend total
3.48
3.11
3.11
—
Weekday total
3.98
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.2
3.84
0.63
0.73
2.48
3.48
4.3%
2025Q3
92
73.7
2.01
0.12
0.43
1.46
1.89
0.0%
2025Q2
91
83.4
3.31
0.25
0.88
2.18
2.97
5.7%
2025Q1
90
82.6
3.20
0.23
0.79
2.18
2.97
0.0%
2024Q4
92
86.2
3.06
0.18
0.77
2.11
2.85
0.0%
2024Q3
92
82.1
3.22
0.23
0.86
2.13
2.83
0.0%
2024Q2
91
82.6
3.32
0.22
1.02
2.08
2.92
0.0%
2024Q1
91
82.3
3.28
0.22
0.94
2.12
2.83
1.2%
2023Q4
92
84.3
3.07
0.27
0.86
1.95
2.66
7.4%
2023Q3
92
86.1
2.94
0.22
0.78
1.93
2.31
1.4%
2023Q2
91
88.2
2.87
0.20
0.80
1.88
2.31
0.6%
2023Q1
90
91.1
2.81
0.23
0.79
1.80
2.26
0.8%
2022Q4
92
83.9
2.99
0.36
0.76
1.86
2.39
0.7%
2022Q3
92
87.7
2.90
0.35
0.76
1.79
2.30
0.7%
2022Q2
91
88.1
3.02
0.43
0.70
1.89
2.29
0.4%
2022Q1
90
86.1
2.90
0.42
0.61
1.87
2.44
0.9%
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.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
J
2025-12-30
2025-12-29
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-12-30
2025-08-13
Health · complaint
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
2025-09-08
2023-10-31
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-13
2023-10-05
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2023-12-08
2023-10-05
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-12-08
2023-10-05
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2023-12-08
2023-10-05
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-12-08
2023-10-05
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2023-12-08
2023-10-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
L
2023-12-08
2022-06-09
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
2022-07-29
2022-06-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2022-07-29
2022-06-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-07-29
2022-06-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-07-29
2019-08-15
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2019-09-26
2019-08-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2019-09-26
2019-08-15
Health
F0610
Respond appropriately to all alleged violations.
D
2019-09-26
2019-08-15
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2019-09-26
2019-08-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-09-26
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
10
Owner
Role
Pct
From
Status
Source
ANIS KHAN
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL ACQUISITION HOLDING CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE HOLDINGS, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
DAVID GUNDERMAN
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
DOUG HIMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-06
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$554,384
—
$554,384
—
—
3
—
2023-12-31
$563,564
—
$563,564
—
—
3
—
2022-12-31
$455,556
—
$455,556
—
—
3
—
2021-12-31
$415,753
—
—
—
$87,725
3
—
2020-12-31
$368,774
—
—
—
$84,211
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 39071
acs median gross
0
$555
2024-12-31
CENSUS_ACS5
county 39071
fmr
0
$736
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
1
$627
2024-12-31
CENSUS_ACS5
county 39071
fmr
1
$845
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
county 39071
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
3
$908
2024-12-31
CENSUS_ACS5
county 39071
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
4
$1,076
2024-12-31
CENSUS_ACS5
county 39071
fmr
4
$1,492
2025-10-01
HUD_USER_FMR
county 39071
acs median gross
5
$1,154
2024-12-31
CENSUS_ACS5
county 39071
acs median gross
$780
2024-12-31
CENSUS_ACS5
county 39071
acs recent mover gross
$791
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
1
$716
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
2
$770
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
3
$874
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
4
$1,013
2024-12-31
CENSUS_ACS5
zcta 45133
acs median gross
$767
2024-12-31
CENSUS_ACS5
zcta 45133
acs recent mover gross
$735
2024-12-31
CENSUS_ACS5
zip 45133
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 45133
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 45133
safmr
4
$1,490
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.