Reads as: riskier than 22.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
HEALTHCARE THERAPY SERVICES INC
14 facilities
connection
Owner spans multiple chains
4 chains
PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC
12 facilities
connection
Owner fleet enforcement cluster
60% fined
PIERCE WILLIAM
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 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
IN median
National median
National p25–p75
Total nurse
3.13
2.85
3.28
2.90–3.77
RN
0.63
0.40
0.39
0.25–0.58
Weekend total
3.09
2.71
3.11
—
Weekday total
3.15
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
145.3
3.13
0.63
0.46
2.05
3.09
0.4%
2025Q3
92
144.7
3.27
0.65
0.44
2.18
3.11
0.6%
2025Q2
91
139.3
3.32
0.67
0.47
2.18
3.21
0.9%
2025Q1
90
141.5
3.14
0.68
0.43
2.03
3.12
0.7%
2024Q4
92
146.1
3.11
0.65
0.47
1.99
3.09
0.6%
2024Q3
92
140.7
3.03
0.66
0.46
1.91
3.00
0.7%
2024Q2
91
140.1
3.10
0.66
0.49
1.96
3.14
4.2%
2024Q1
91
140.5
3.24
0.67
0.47
2.10
3.33
3.5%
2023Q4
92
142.8
3.15
0.65
0.52
1.99
3.28
22.3%
2023Q3
92
142.2
3.09
0.55
0.58
1.96
3.13
25.2%
2023Q2
91
140.5
3.45
0.54
0.65
2.26
3.23
26.6%
2023Q1
90
140.9
3.18
0.55
0.62
2.00
3.03
21.6%
2022Q4
92
140.8
3.10
0.49
0.63
1.98
2.94
20.0%
2022Q3
92
132.9
3.31
0.48
0.64
2.19
3.02
17.2%
2022Q2
91
134.1
3.15
0.47
0.63
2.05
2.83
19.3%
2022Q1
90
133.6
2.87
0.42
0.74
1.70
2.63
44.0%
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
8
C × 1D × 6E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-11
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-08-22
2024-09-20
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-10-18
2024-09-20
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-10-18
2024-09-20
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-10-18
2024-09-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-18
2023-11-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-21
2023-11-08
Health
F0732
Post nurse staffing information every day.
C
2023-11-15
2023-11-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-23
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
44
Owner
Role
Pct
From
Status
Source
JOHNSON MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-01-01
current
pecos_ownership
AROUND THE CLOCK HEALTHCARE SERVICES, INC.
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BATES, STEVEN
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
BRANIGAN, CONSTANCE
ADP OF THE SNF
—
2022-08-19
current
pecos_ownership
CLARK, CYNTHIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-11
current
pecos_ownership
DAVIS, CHAD
ADP OF THE SNF
—
2015-02-23
current
pecos_ownership
DOUGLAS, STEVEN
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
DUNKLE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-01
current
pecos_ownership
EVERETT, APRIL
ADP OF THE SNF
—
2022-05-31
current
pecos_ownership
GILPATRICK, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
GOINS, DIANNA
ADP OF THE SNF
—
2023-10-30
current
pecos_ownership
HEALTHCARE THERAPY SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2016-12-01
current
pecos_ownership
HUGHES, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
IMH REALTY INC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
INDIANA MASONIC HOME, INC.
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LENTZ, RICHARD
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
MAPLE, JERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-21
current
pecos_ownership
MCGLACKEN, MARDENA
ADP OF THE SNF
—
2020-03-23
current
pecos_ownership
MEAHL, MARISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-24
current
pecos_ownership
PALAFOX, MARIA
ADP OF THE SNF
—
2023-05-30
current
pecos_ownership
PIERCE, WILLIAM
ADP OF THE SNF
—
2018-02-12
current
pecos_ownership
PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC
INDIRECT OWNERSHIP INTEREST
—
2021-05-20
current
pecos_ownership
REYNOLDS, DON
ADP OF THE SNF
—
2020-06-19
current
pecos_ownership
SEIPEL, RANDOLPH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-24
current
pecos_ownership
SPENCER, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2015-04-06
current
pecos_ownership
DAVID DUNKLE
CORPORATE OFFICER
100%
2019-06-01
ended 2026-05-18
pecos_ownership
APRIL EVERETT
ADP OF THE SNF
—
2022-05-31
ended 2026-05-18
pecos_ownership
CHAD DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-23
ended 2026-05-18
pecos_ownership
CHARLES SPENCER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-04-06
ended 2026-05-18
pecos_ownership
CONSTANCE BRANIGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-19
ended 2026-05-18
pecos_ownership
CYNTHIA CLARK
ADP OF THE SNF
—
2024-09-11
ended 2026-05-18
pecos_ownership
DIANNA GOINS
ADP OF THE SNF
—
2023-10-30
ended 2026-05-18
pecos_ownership
DON REYNOLDS
ADP OF THE SNF
—
2020-06-19
ended 2026-05-18
pecos_ownership
JERRY MAPLE
ADP OF THE SNF
—
2025-03-21
ended 2026-05-18
pecos_ownership
MARDENA MCGLACKEN
ADP OF THE SNF
—
2020-03-23
ended 2026-05-18
pecos_ownership
MARIA PALAFOX
ADP OF THE SNF
—
2023-05-30
ended 2026-05-18
pecos_ownership
MARISSA MEAHL
ADP OF THE SNF
—
2022-01-24
ended 2026-05-18
pecos_ownership
MARK HUGHES
ADP OF THE SNF
—
2022-04-01
ended 2026-05-18
pecos_ownership
MICHAEL GILPATRICK
ADP OF THE SNF
—
2019-01-01
ended 2026-05-18
pecos_ownership
RANDOLPH SEIPEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-24
ended 2026-05-18
pecos_ownership
RICHARD LENTZ
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
STEVEN BATES
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
ended 2026-05-18
pecos_ownership
STEVEN DOUGLAS
ADP OF THE SNF
—
2022-06-01
ended 2026-05-18
pecos_ownership
WILLIAM PIERCE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-12
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
$5,363,733
—
—
—
$1,692,783
3
—
2023-12-31
$4,938,062
—
—
—
$1,346,184
3
—
2022-12-31
$3,538,120
—
—
—
$98,499
3
—
2021-12-31
$3,722,869
—
—
—
—
2
—
2020-12-31
$3,289,132
—
—
—
—
2
—
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 18081
acs median gross
0
$974
2024-12-31
CENSUS_ACS5
county 18081
fmr
0
$1,118
2025-10-01
HUD_USER_FMR
county 18081
acs median gross
1
$1,060
2024-12-31
CENSUS_ACS5
county 18081
fmr
1
$1,267
2025-10-01
HUD_USER_FMR
county 18081
acs median gross
2
$1,156
2024-12-31
CENSUS_ACS5
county 18081
fmr
2
$1,473
2025-10-01
HUD_USER_FMR
county 18081
acs median gross
3
$1,682
2024-12-31
CENSUS_ACS5
county 18081
fmr
3
$1,907
2025-10-01
HUD_USER_FMR
county 18081
acs median gross
4
$2,068
2024-12-31
CENSUS_ACS5
county 18081
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 18081
acs median gross
5
$2,410
2024-12-31
CENSUS_ACS5
county 18081
acs median gross
$1,271
2024-12-31
CENSUS_ACS5
county 18081
acs recent mover gross
$1,460
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
0
$999
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
1
$822
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
2
$975
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
3
$1,481
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
4
$1,901
2024-12-31
CENSUS_ACS5
zcta 46131
acs median gross
$1,177
2024-12-31
CENSUS_ACS5
zcta 46131
acs recent mover gross
$1,343
2024-12-31
CENSUS_ACS5
zip 46131
payment standard 110
0
$1,199
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 90
0
$981
2025-10-01
HUD_USER_SAFMR
zip 46131
safmr
0
$1,090
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 46131
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 110
2
$1,573
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 90
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 46131
safmr
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 46131
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 110
4
$2,497
2025-10-01
HUD_USER_SAFMR
zip 46131
payment standard 90
4
$2,043
2025-10-01
HUD_USER_SAFMR
zip 46131
safmr
4
$2,270
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.