Reads as: riskier than 11.1% 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
connection
Owner spans multiple chains
6 chains
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
22 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
OH median
National median
National p25–p75
Total nurse
4.14
3.24
3.28
2.90–3.77
RN
0.49
0.38
0.39
0.25–0.58
Weekend total
4.10
3.11
3.11
—
Weekday total
4.16
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
56.1
4.14
0.49
0.63
3.01
4.10
2.0%
2025Q3
92
56.7
4.40
0.61
0.59
3.19
3.81
3.8%
2025Q2
91
56.0
4.29
0.53
0.63
3.14
4.24
5.3%
2025Q1
90
57.4
4.38
0.42
0.69
3.28
4.33
2.1%
2024Q4
92
55.5
4.59
0.45
0.67
3.47
4.62
0.3%
2024Q3
92
57.3
4.26
0.50
0.63
3.13
4.06
0.5%
2024Q2
91
56.6
4.27
0.58
0.53
3.16
4.07
2.4%
2024Q1
91
56.6
4.17
0.57
0.48
3.12
3.97
3.0%
2023Q4
92
56.7
4.08
0.50
0.47
3.11
3.91
4.3%
2023Q3
92
55.5
4.27
0.50
0.44
3.33
4.06
6.1%
2023Q2
91
55.7
4.05
0.60
0.36
3.09
3.88
8.8%
2023Q1
90
57.9
3.41
0.47
0.44
2.50
3.30
7.5%
2022Q4
92
57.2
3.63
0.42
0.56
2.65
3.45
19.2%
2022Q3
92
57.5
3.59
0.42
0.56
2.62
3.34
24.6%
2022Q2
91
52.9
3.90
0.46
0.54
2.90
3.72
24.5%
2022Q1
90
45.7
4.89
0.50
0.63
3.77
4.68
14.8%
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-02-24
2026-01-15
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2026-02-24
2026-01-15
Health
F0679
Provide activities to meet all resident's needs.
E
2026-02-24
2026-01-15
Health
F0680
Ensure the activities program is directed by a qualified professional.
E
2026-02-24
2026-01-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-24
2026-01-15
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2026-02-24
2026-01-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-02-24
2025-08-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2024-07-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-08
2022-08-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-09-07
2022-08-12
Health
F0679
Provide activities to meet all resident's needs.
D
2022-09-07
2022-08-12
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
2022-09-07
2022-08-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-09-07
2022-08-12
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2022-09-07
2022-08-12
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2022-09-07
2022-08-12
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-09-07
2022-08-12
Health
F0760
Ensure that residents are free from significant medication errors.
G
2022-09-07
2022-08-12
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
2022-09-07
2022-08-12
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-09-07
2022-08-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-09-07
2019-07-31
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
2019-09-19
2019-07-31
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-09-19
2019-07-31
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2019-09-19
2019-07-31
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2019-09-19
2019-07-31
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-09-19
2019-07-31
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.
F
2019-09-19
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
48
Owner
Role
Pct
From
Status
Source
OTTERBEIN HOME
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-12-01
current
pecos_ownership
OTTERBEIN NEIGHBORHOODS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-01-01
current
pecos_ownership
APP, LYNN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
ARNOLD, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-03
current
pecos_ownership
BAKER, STEVE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
BARTLETT, VICTORIA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
BAYLIFF, BECKY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
BROWNSON, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
BURKE, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
CHINTA, VIJAYALAKSHMI
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
current
pecos_ownership
COLEMAN, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
FRALEY, RALPH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
current
pecos_ownership
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
GALBUT, ABRAHAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
GALBUT, DANIEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-05
current
pecos_ownership
GALBUT, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
GALBUT, ERIC
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-05
current
pecos_ownership
GALBUT, ROBERT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
GLOSSER, HEIDI
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
GREEN, JAMES
CORPORATE OFFICER
—
2005-11-21
current
pecos_ownership
GREEN, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
HAWKINS, RITA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-17
current
pecos_ownership
HAZELBAKER, TOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
HILL, BRIAN
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
PARITZKY, JONATHAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
POLARIS PHARMACY SERVICES OF OHIO LLC
ADP OF THE SNF
—
2018-12-01
current
pecos_ownership
ROMBRO, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
VONDERHAAR, STEVE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
WILSON, JILL
CORPORATE OFFICER
—
2009-05-01
current
pecos_ownership
ZISEK, TODD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
BECKY BAYLIFF
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
BRIAN HILL
ADP OF THE SNF
—
2023-10-16
ended 2026-05-18
pecos_ownership
DANIEL ARNOLD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-03
ended 2026-05-18
pecos_ownership
DANIEL BURKE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
HEIDI GLOSSER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
JAMES GREEN
CORPORATE OFFICER
—
2005-11-21
ended 2026-05-18
pecos_ownership
JAMES GREEN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
JILL WILSON
CORPORATE OFFICER
—
2009-05-01
ended 2026-05-18
pecos_ownership
LYNN APP
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
RALPH FRALEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
RITA HAWKINS
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-17
ended 2026-05-18
pecos_ownership
ROBERT COLEMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
STEVE VONDERHAAR
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
TOMAS HAZELBAKER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
VICTORIA BARTLETT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
VIJAYALAKSHMI CHINTA
ADP OF THE SNF
—
2018-12-01
ended 2026-05-18
pecos_ownership
WILLIAM BROWNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
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
$417,944
—
$417,944
—
—
1
—
2023-12-31
$394,417
—
$394,417
—
—
1
—
2022-12-31
$504,020
—
$504,020
—
—
1
—
2021-12-31
$332,884
—
$332,884
—
—
1
—
2020-12-31
$331,434
—
$331,434
—
—
1
—
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 39025
acs median gross
0
$968
2024-12-31
CENSUS_ACS5
county 39025
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39025
acs median gross
1
$868
2024-12-31
CENSUS_ACS5
county 39025
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39025
acs median gross
2
$1,154
2024-12-31
CENSUS_ACS5
county 39025
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39025
acs median gross
3
$1,353
2024-12-31
CENSUS_ACS5
county 39025
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39025
acs median gross
4
$1,564
2024-12-31
CENSUS_ACS5
county 39025
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39025
acs median gross
5
$2,233
2024-12-31
CENSUS_ACS5
county 39025
acs median gross
$1,107
2024-12-31
CENSUS_ACS5
county 39025
acs recent mover gross
$1,402
2024-12-31
CENSUS_ACS5
zcta 45103
acs median gross
1
$925
2024-12-31
CENSUS_ACS5
zcta 45103
acs median gross
2
$1,113
2024-12-31
CENSUS_ACS5
zcta 45103
acs median gross
3
$1,340
2024-12-31
CENSUS_ACS5
zcta 45103
acs median gross
4
$1,597
2024-12-31
CENSUS_ACS5
zcta 45103
acs median gross
$1,077
2024-12-31
CENSUS_ACS5
zcta 45103
acs recent mover gross
$1,511
2024-12-31
CENSUS_ACS5
zip 45103
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 45103
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 110
1
$1,133
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 90
1
$927
2025-10-01
HUD_USER_SAFMR
zip 45103
safmr
1
$1,030
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 110
2
$1,463
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 90
2
$1,197
2025-10-01
HUD_USER_SAFMR
zip 45103
safmr
2
$1,330
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 110
3
$1,925
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 90
3
$1,575
2025-10-01
HUD_USER_SAFMR
zip 45103
safmr
3
$1,750
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 110
4
$2,134
2025-10-01
HUD_USER_SAFMR
zip 45103
payment standard 90
4
$1,746
2025-10-01
HUD_USER_SAFMR
zip 45103
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.