Reads as: riskier than 79.3% 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
2.92
2.67
3.28
2.90–3.77
RN
0.33
0.24
0.39
0.25–0.58
Weekend total
2.81
2.56
3.11
—
Weekday total
2.97
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.9
2.92
0.33
0.71
1.89
2.81
0.0%
2025Q3
92
71.5
2.69
0.32
0.72
1.65
2.66
0.0%
2025Q2
91
70.9
2.80
0.31
0.78
1.71
2.68
0.0%
2025Q1
90
69.2
2.68
0.38
0.66
1.65
2.50
0.0%
2024Q4
92
69.7
2.90
0.49
0.59
1.82
2.79
0.0%
2024Q3
92
74.0
2.76
0.40
0.50
1.86
2.62
0.0%
2024Q2
91
73.3
2.92
0.53
0.59
1.79
2.60
0.0%
2024Q1
91
72.8
2.98
0.52
0.66
1.79
2.68
0.0%
2023Q4
92
74.3
2.75
0.35
0.74
1.67
2.42
0.1%
2023Q3
92
75.0
2.73
0.37
0.71
1.65
2.43
0.0%
2023Q2
91
78.0
2.89
0.35
0.82
1.72
2.51
0.0%
2023Q1
90
77.5
3.24
0.14
1.20
1.91
3.03
18.8%
2022Q4
92
79.0
3.23
0.14
1.17
1.93
2.99
26.8%
2022Q3
92
84.3
3.14
0.14
1.08
1.91
2.85
17.1%
2022Q2
91
81.5
2.97
0.22
0.89
1.86
2.72
21.6%
2022Q1
90
80.4
2.44
0.20
0.98
1.26
2.27
0.4%
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.
Provide and implement an infection prevention and control program.
D
2026-02-25
2025-11-04
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2025-11-05
2025-08-24
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K
2025-08-25
2025-08-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-08-25
2025-04-15
Health
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
2025-05-07
2025-04-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-07
2025-04-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-07
2024-10-07
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
E
2024-10-22
2024-09-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-29
2024-06-27
Health · complaint
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
2024-06-28
2024-06-13
Health · complaint
F0880
Provide and implement an infection prevention and control program.
K
2024-07-11
2024-03-07
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2024-04-07
2024-03-07
Health
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
2024-04-07
2024-03-07
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
2024-04-07
2024-03-07
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
2024-04-07
2024-03-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-07
2024-03-07
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-04-07
2024-03-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-04-07
2024-02-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-09
2023-08-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-08-19
2023-08-18
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2023-08-19
2023-08-18
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-19
2023-01-20
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
2023-01-21
2023-01-20
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2023-01-21
2023-01-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F
2023-01-21
2023-01-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-01-21
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
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
HUGGINS, LINDA
W-2 MANAGING EMPLOYEE
—
2022-04-01
current
pecos_ownership
LUBBOCK I ENTERPRISES, LLC
—
—
2025-04-01
current
tx_hhsc_directory
LUBBOCK I ENTERPRISES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
MAK, DAVID
CORPORATE OFFICER
—
2021-05-17
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-04-01
current
tx_hhsc_directory
HONOR X ENTERPRISES, LLC
OTHER
100%
2022-04-01
ended 2026-05-18
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-04-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-04-01
ended 2026-05-18
pecos_ownership
DAVID MAK
CORPORATE OFFICER
0%
2021-05-17
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
W-2 MANAGING EMPLOYEE
0%
2022-04-01
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 48303
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 48303
fmr
0
$818
2025-10-01
HUD_USER_FMR
county 48303
acs median gross
1
$967
2024-12-31
CENSUS_ACS5
county 48303
fmr
1
$990
2025-10-01
HUD_USER_FMR
county 48303
acs median gross
2
$1,132
2024-12-31
CENSUS_ACS5
county 48303
fmr
2
$1,175
2025-10-01
HUD_USER_FMR
county 48303
acs median gross
3
$1,480
2024-12-31
CENSUS_ACS5
county 48303
fmr
3
$1,634
2025-10-01
HUD_USER_FMR
county 48303
acs median gross
4
$1,767
2024-12-31
CENSUS_ACS5
county 48303
fmr
4
$1,940
2025-10-01
HUD_USER_FMR
county 48303
acs median gross
5
$1,067
2024-12-31
CENSUS_ACS5
county 48303
acs median gross
$1,178
2024-12-31
CENSUS_ACS5
county 48303
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
0
$1,044
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
1
$1,040
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
2
$1,245
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
3
$1,575
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
4
$2,205
2024-12-31
CENSUS_ACS5
zcta 79407
acs median gross
$1,156
2024-12-31
CENSUS_ACS5
zcta 79407
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zip 79407
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 79407
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 79407
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 79407
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 110
3
$1,793
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 90
3
$1,467
2025-10-01
HUD_USER_SAFMR
zip 79407
safmr
3
$1,630
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 110
4
$2,134
2025-10-01
HUD_USER_SAFMR
zip 79407
payment standard 90
4
$1,746
2025-10-01
HUD_USER_SAFMR
zip 79407
safmr
4
$1,940
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.