Reads as: riskier than 44.7% 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 spans multiple chains
5 chains
BOSWELL DARREN
9 facilities
connection
Owner spans multiple chains
5 chains
LEONARD JOSHUA
9 facilities
connection
Owner spans multiple chains
4 chains
EDEN JAMES
8 facilities
connection
Owner fleet enforcement cluster
40% fined
SENIOR LIVING PROPERTIES LLC
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SLP MANAGEMENT HOLDINGS LLC
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SLP OPERATIONS LLC
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
TX median
National median
National p25–p75
Total nurse
2.52
2.67
3.28
2.90–3.77
RN
0.26
0.24
0.39
0.25–0.58
Weekend total
2.17
2.56
3.11
—
Weekday total
2.67
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
48.2
2.52
0.26
1.07
1.19
2.17
0.0%
2025Q3
92
45.9
2.52
0.23
1.10
1.19
2.25
0.0%
2025Q2
91
48.1
2.49
0.18
1.09
1.22
2.20
0.0%
2025Q1
90
45.8
2.58
0.20
1.08
1.30
2.42
0.0%
2024Q4
92
46.8
2.32
0.13
1.12
1.07
2.26
0.0%
2024Q3
92
41.3
2.45
0.07
1.15
1.23
2.27
0.0%
2024Q2
91
40.7
2.48
0.08
1.35
1.06
2.24
0.0%
2024Q1
91
38.5
2.35
0.09
1.17
1.09
2.07
0.0%
2023Q4
92
42.1
2.68
0.03
1.27
1.38
2.26
0.0%
2023Q3
92
41.5
2.72
0.17
1.17
1.37
2.42
0.0%
2023Q2
91
43.6
2.34
0.16
0.85
1.33
2.26
0.0%
2023Q1
90
46.4
2.06
0.07
0.90
1.09
2.10
0.0%
2022Q4
92
44.6
2.30
0.06
0.96
1.27
2.29
0.0%
2022Q3
92
43.2
2.29
0.14
1.01
1.13
2.21
0.0%
2022Q2
91
41.7
2.43
0.07
0.97
1.38
2.47
0.0%
2022Q1
90
44.0
2.20
0.08
0.85
1.27
2.26
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.
Provide and implement an infection prevention and control program.
D
2025-12-31
2025-08-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-18
2025-08-21
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2025-09-18
2024-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-23
2023-10-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-20
2023-10-20
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
2023-11-30
2023-10-19
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2023-11-30
2023-10-19
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-30
2023-10-19
Health · complaint
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
2023-11-30
2023-10-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-30
2023-05-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-06-22
2023-05-11
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2023-06-22
2023-05-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-22
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
19
Owner
Role
Pct
From
Status
Source
SLP OMEGA OPERATIONS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-06-01
current
pecos_ownership
BOSWELL, DARREN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
EDEN, JAMES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
GUERRERO, MILTON
OPERATIONAL/MANAGERIAL CONTROL
—
2013-03-25
current
pecos_ownership
LEONARD, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
SENIOR LIVING PROPERTIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
SIMMONS, LARONDA
ADP OF THE SNF
—
2021-02-18
current
pecos_ownership
SLP MANAGEMENT HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
SLP OPERATIONS LLC
—
—
2024-10-01
current
tx_hhsc_directory
SLP OPERATIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
SLP WILLIS, LLC
—
—
2024-10-01
current
tx_hhsc_directory
WHITWORTH, GARY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
WILLIS TEXAS AVIV LLC
5% OR GREATER SECURITY INTEREST
—
2020-08-01
current
pecos_ownership
DARREN BOSWELL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
34%
2023-06-01
ended 2026-05-18
pecos_ownership
GARY WHITWORTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
34%
2023-06-01
ended 2026-05-18
pecos_ownership
JAMES EDEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2023-06-01
ended 2026-05-18
pecos_ownership
JOSHUA LEONARD
CORPORATE OFFICER
0%
2024-10-01
ended 2026-05-18
pecos_ownership
LARONDA SIMMONS
ADP OF THE SNF
—
2021-02-18
ended 2026-05-18
pecos_ownership
MILTON GUERRERO
OPERATIONAL/MANAGERIAL CONTROL
—
2013-03-25
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,340,251
—
—
—
—
1
—
2023-12-31
$1,231,768
—
—
—
—
1
—
2022-12-31
$1,201,706
—
—
—
—
1
—
2021-12-31
$397,939
—
—
—
—
1
—
2020-12-31
$42,047
—
—
—
—
1
—
2020-09-30
$304,142
—
$154,082
$150,060
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 48339
acs median gross
0
$1,290
2024-12-31
CENSUS_ACS5
county 48339
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48339
acs median gross
1
$1,320
2024-12-31
CENSUS_ACS5
county 48339
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48339
acs median gross
2
$1,560
2024-12-31
CENSUS_ACS5
county 48339
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48339
acs median gross
3
$1,783
2024-12-31
CENSUS_ACS5
county 48339
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48339
acs median gross
4
$2,475
2024-12-31
CENSUS_ACS5
county 48339
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48339
acs median gross
5
$2,621
2024-12-31
CENSUS_ACS5
county 48339
acs median gross
$1,532
2024-12-31
CENSUS_ACS5
county 48339
acs recent mover gross
$1,649
2024-12-31
CENSUS_ACS5
zcta 77378
acs median gross
1
$938
2024-12-31
CENSUS_ACS5
zcta 77378
acs median gross
2
$1,010
2024-12-31
CENSUS_ACS5
zcta 77378
acs median gross
3
$1,719
2024-12-31
CENSUS_ACS5
zcta 77378
acs median gross
4
$1,804
2024-12-31
CENSUS_ACS5
zcta 77378
acs median gross
$1,532
2024-12-31
CENSUS_ACS5
zcta 77378
acs recent mover gross
$976
2024-12-31
CENSUS_ACS5
zip 77378
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 77378
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 77378
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 77378
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 77378
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 110
4
$2,860
2025-10-01
HUD_USER_SAFMR
zip 77378
payment standard 90
4
$2,340
2025-10-01
HUD_USER_SAFMR
zip 77378
safmr
4
$2,600
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.