Reads as: riskier than 45.6% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.5 vs natl
MAK DAVID
31 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
42% fined
MAK DAVID
31 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
TX median
National median
National p25–p75
Total nurse
2.41
2.67
3.28
2.90–3.77
RN
0.20
0.24
0.39
0.25–0.58
Weekend total
2.25
2.56
3.11
—
Weekday total
2.48
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.4
2.41
0.20
0.66
1.56
2.25
0.0%
2025Q3
92
93.7
2.13
0.13
0.61
1.39
1.96
0.0%
2025Q2
91
94.6
2.35
0.09
0.76
1.50
2.19
0.0%
2025Q1
90
92.4
2.27
0.12
0.80
1.35
2.10
0.0%
2024Q4
92
91.7
2.36
0.13
0.79
1.44
2.19
0.0%
2024Q3
92
86.6
2.37
0.12
0.74
1.50
2.22
0.0%
2024Q2
91
83.6
2.36
0.10
0.85
1.41
2.19
0.0%
2024Q1
91
87.4
2.35
0.09
0.83
1.44
2.21
0.0%
2023Q4
92
92.6
2.21
0.13
0.82
1.26
2.10
0.0%
2023Q3
92
90.2
2.21
0.12
0.81
1.28
1.99
0.0%
2023Q2
91
89.5
1.80
0.12
0.77
0.91
1.56
0.0%
2023Q1
90
86.6
2.06
0.09
0.87
1.09
1.88
7.2%
2022Q4
92
85.7
2.17
0.09
0.81
1.27
2.01
14.2%
2022Q3
92
87.7
1.89
0.14
0.86
0.90
1.72
10.6%
2022Q2
91
81.1
1.57
0.13
0.94
0.50
1.41
9.3%
2022Q1
90
82.2
1.48
0.08
0.89
0.50
1.20
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
6
D × 4E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-12
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-13
2025-12-08
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-12-09
2024-11-06
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-11-07
2024-11-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-11-07
2024-11-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-07
2024-08-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-08-07
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
13
Owner
Role
Pct
From
Status
Source
BELLMEAD I ENTERPRISES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
BELLMEAD I ENTERPRISES, LLC
—
—
2025-09-01
current
tx_hhsc_directory
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2022-09-01
current
pecos_ownership
MAK, DAVID
CORPORATE OFFICER
—
2021-05-17
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-09-01
current
tx_hhsc_directory
HONOR X ENTERPRISES, LLC
OTHER
100%
2022-09-01
ended 2026-05-18
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-09-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-09-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-09-01
ended 2026-05-18
pecos_ownership
DAVID MAK
CORPORATE OFFICER
—
2021-05-17
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
—
2022-09-01
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.
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 48309
acs median gross
0
$861
2024-12-31
CENSUS_ACS5
county 48309
fmr
0
$850
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
1
$936
2024-12-31
CENSUS_ACS5
county 48309
fmr
1
$996
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
2
$1,171
2024-12-31
CENSUS_ACS5
county 48309
fmr
2
$1,240
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
3
$1,452
2024-12-31
CENSUS_ACS5
county 48309
fmr
3
$1,599
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
4
$1,492
2024-12-31
CENSUS_ACS5
county 48309
fmr
4
$1,644
2025-10-01
HUD_USER_FMR
county 48309
acs median gross
5
$1,715
2024-12-31
CENSUS_ACS5
county 48309
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 48309
acs recent mover gross
$1,295
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
0
$735
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
1
$861
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
2
$1,048
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
3
$1,178
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
4
$1,531
2024-12-31
CENSUS_ACS5
zcta 76705
acs median gross
$1,000
2024-12-31
CENSUS_ACS5
zcta 76705
acs recent mover gross
$954
2024-12-31
CENSUS_ACS5
zip 76705
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 76705
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 110
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 90
1
$900
2025-10-01
HUD_USER_SAFMR
zip 76705
safmr
1
$1,000
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 76705
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 76705
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 76705
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 76705
safmr
4
$1,650
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.