Reads as: riskier than 99.5% 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 fleet risk far above national
+43.9 vs natl
PRINCE DANNY
12 facilities
connection
Owner fleet risk far above national
+42.5 vs natl
DKP INVESTMENTS LLC
10 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HOOPER GRADY
61 facilities
connection
Owner fleet enforcement cluster
50% fined
PRINCE DANNY
12 facilities
connection
Owner fleet enforcement cluster
49% fined
HOOPER GRADY
61 facilities
connection
Owner fleet enforcement cluster
40% fined
DKP INVESTMENTS LLC
10 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
2.68
2.67
3.28
2.90–3.77
RN
0.11
0.24
0.39
0.25–0.58
Weekend total
2.62
2.56
3.11
—
Weekday total
2.70
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.2
2.68
0.11
0.75
1.82
2.62
0.2%
2025Q3
92
57.9
2.79
0.13
0.78
1.88
2.49
0.3%
2025Q2
91
58.2
2.85
0.15
0.82
1.88
2.61
0.3%
2025Q1
90
63.2
3.07
0.17
0.89
2.01
2.79
0.4%
2024Q4
92
73.3
2.92
0.22
0.84
1.85
2.59
2.9%
2024Q3
92
72.3
2.87
0.22
0.77
1.88
2.70
0.3%
2024Q2
91
70.3
2.92
0.23
0.79
1.90
2.78
0.1%
2024Q1
91
71.9
2.54
0.21
0.73
1.60
2.53
0.0%
2023Q4
92
70.9
2.54
0.24
0.74
1.57
2.35
1.4%
2023Q3
92
72.9
2.44
0.21
0.72
1.51
2.15
2.3%
2023Q2
91
78.3
2.42
0.18
0.74
1.50
2.20
4.3%
2023Q1
90
87.5
2.13
0.18
0.69
1.25
2.14
9.0%
2022Q4
92
74.4
2.81
0.22
0.70
1.89
2.75
1.5%
2022Q3
92
71.1
2.69
0.21
0.65
1.83
2.64
2.0%
2022Q2
91
63.4
2.94
0.24
0.83
1.87
2.89
0.5%
2022Q1
90
55.9
3.07
0.23
0.91
1.93
3.07
0.2%
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.
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
C
2025-04-02
2025-03-20
Health
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.
E
2025-04-04
2025-03-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-04-10
2025-03-20
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-04-10
2025-03-20
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2025-04-08
2025-03-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-01
2025-01-30
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-02-19
2025-01-03
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-01-24
2025-01-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-24
2024-12-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-01
2024-02-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-04
2024-02-08
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-03-04
2024-02-08
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-03-04
2024-02-08
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
2024-03-04
2024-02-08
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-03-04
2024-02-08
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
2024-03-04
2024-02-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-04
2024-02-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-04
2024-02-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-04
2023-08-25
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
J
2023-09-18
2023-08-25
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2023-09-18
2023-06-16
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-07-10
2023-06-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-07-10
2023-06-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-10
2023-06-16
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-10
2023-06-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-10
2023-06-16
Health · complaint
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
2023-07-10
2023-06-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-07-10
2022-12-14
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2022-12-31
2022-12-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-12-31
2022-12-14
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2022-12-31
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
16
Owner
Role
Pct
From
Status
Source
CONTE, ALVINA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
DKP INVESTMENTS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
—
—
2026-04-01
current
tx_hhsc_directory
HOOPER, GRADY
CORPORATE OFFICER
—
2023-04-01
current
pecos_ownership
LINDAN PARK CARE CENTER LP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
LINDAN PARK CARE CENTER LP
—
—
2026-04-01
current
tx_hhsc_directory
LINDAN PARK CARE CENTER LP
ADP OF THE SNF
—
2025-04-22
current
pecos_ownership
NAINI, GNANA SUMATHI
ADP OF THE SNF
—
2007-01-01
current
pecos_ownership
PORT AU PRINCE LLC
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
PRINCE, DANNY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
THE LINDAN REAL ESTATE, LP
5% OR GREATER MORTGAGE INTEREST
—
2023-04-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-04-01
ended 2026-05-18
pecos_ownership
DANNY PRINCE
5% OR GREATER MORTGAGE INTEREST
50%
2023-04-01
ended 2026-05-18
pecos_ownership
GRADY HOOPER
CORPORATE OFFICER
0%
2023-04-01
ended 2026-05-18
pecos_ownership
ALVINA CONTE
ADP OF THE SNF
—
2023-04-01
ended 2026-05-18
pecos_ownership
GNANA SUMATHI NAINI
ADP OF THE SNF
—
2007-01-01
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2020-12-31
$597,600
$322,455
$275,145
—
—
6
—
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 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
0
$1,629
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
1
$1,517
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
2
$1,870
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
3
$2,165
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
4
$2,738
2024-12-31
CENSUS_ACS5
zcta 75081
acs median gross
$1,777
2024-12-31
CENSUS_ACS5
zcta 75081
acs recent mover gross
$1,835
2024-12-31
CENSUS_ACS5
zip 75081
payment standard 110
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 90
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 75081
safmr
0
$1,800
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 110
1
$2,068
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 90
1
$1,692
2025-10-01
HUD_USER_SAFMR
zip 75081
safmr
1
$1,880
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 110
2
$2,420
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 90
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 75081
safmr
2
$2,200
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 110
3
$3,047
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 90
3
$2,493
2025-10-01
HUD_USER_SAFMR
zip 75081
safmr
3
$2,770
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 110
4
$3,872
2025-10-01
HUD_USER_SAFMR
zip 75081
payment standard 90
4
$3,168
2025-10-01
HUD_USER_SAFMR
zip 75081
safmr
4
$3,520
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.