Reads as: riskier than 54.2% 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
18
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
14 chains
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
58 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REIT HOLDINGS LLC
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT HOLDINGS LP
67 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REAL ESTATE INVESTMENT TRUST
68 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY INVESTORS LLC
67 facilities
connection
Owner spans multiple chains
13 chains
GAHC3 TRILOGY JV LLC
69 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
12 chains
GAHC4 TRILOGY JV LLC
68 facilities
connection
Owner spans multiple chains
12 chains
KEYBANK NATIONAL ASSOCIATION
43 facilities
connection
Owner spans multiple chains
11 chains
TRILOGY PROPERTY HOLDINGS LLC
42 facilities
connection
Owner spans multiple chains
10 chains
TRILOGY PROPCO FINANCE LLC
22 facilities
connection
Owner spans multiple chains
10 chains
TRILOGY HEALTH SERVICES LLC
30 facilities
connection
Owner spans multiple chains
6 chains
CORBIN KATHY
75 facilities
connection
Owner spans multiple chains
5 chains
GOOD SAMARITAN HOSPITAL
13 facilities
connection
Owner spans multiple chains
4 chains
MCLIN ROBERT
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
IN median
National median
National p25–p75
Total nurse
2.24
2.85
3.28
2.90–3.77
RN
0.31
0.40
0.39
0.25–0.58
Weekend total
2.21
2.71
3.11
—
Weekday total
2.25
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
69.6
2.24
0.31
0.74
1.19
2.21
0.0%
2025Q3
92
67.5
2.31
0.40
0.86
1.05
2.27
0.0%
2025Q2
91
64.4
2.72
0.51
0.91
1.30
2.80
0.0%
2025Q1
90
65.3
2.82
0.49
1.02
1.31
2.91
0.0%
2024Q4
92
65.2
2.62
0.41
0.94
1.27
2.59
0.0%
2024Q3
92
62.8
2.46
0.41
0.93
1.12
2.57
0.0%
2024Q2
91
64.2
2.43
0.42
0.85
1.16
2.55
0.0%
2024Q1
91
56.8
2.84
0.47
0.90
1.47
2.81
0.0%
2023Q4
92
65.5
2.53
0.49
0.75
1.30
2.52
0.0%
2023Q3
92
63.3
2.83
0.59
0.76
1.47
2.90
0.0%
2023Q2
91
63.2
2.77
0.50
0.71
1.55
2.67
0.0%
2023Q1
90
65.7
2.71
0.53
0.67
1.52
2.62
0.0%
2022Q4
92
65.0
2.48
0.53
0.58
1.37
2.53
0.0%
2022Q3
92
58.9
2.39
0.76
0.55
1.09
2.39
0.0%
2022Q2
91
57.2
2.15
0.64
0.64
0.88
2.16
0.0%
2022Q1
90
62.4
1.93
0.51
0.53
0.90
2.00
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.
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
16
D × 12E × 3F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-01-09
2025-12-16
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2026-01-09
2025-11-25
Health · complaint
F0659
Provide care by qualified persons according to each resident's written plan of care.
D
2025-12-22
2025-10-14
Health · complaint
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F
2025-11-24
2025-06-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-25
2025-06-25
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
2025-07-25
2025-06-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-07-25
2025-06-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-25
2025-03-20
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2025-04-16
2024-01-03
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2024-01-29
2024-01-03
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-01-29
2022-12-05
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-12-31
2022-12-05
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
2022-12-31
2022-12-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-12-31
2022-12-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-12-31
2022-12-05
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
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
39
Owner
Role
Pct
From
Status
Source
GOOD SAMARITAN HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-05-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT HOLDINGS LP
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
BARNEY, LEIGH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-31
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
ADP OF THE SNF
—
2021-10-01
current
pecos_ownership
CORBIN, KATHY
CORPORATE DIRECTOR
—
2015-05-01
current
pecos_ownership
DAVIS, DAVID
LIMITED PARTNERSHIP INTEREST
—
2019-12-31
current
pecos_ownership
GAHC3 TRILOGY JV LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
GAHC4 TRILOGY JV LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
GOOD SAMARITAN HOSPITAL
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
HENDRIX, CHARLES
ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
HENDRIX, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2015-05-01
current
pecos_ownership
KEYBANK NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST
—
2008-01-09
current
pecos_ownership
KEYBANK NATIONAL ASSOCIATION
ADP OF THE SNF
—
2025-06-18
current
pecos_ownership
MCLIN, ROBERT
CORPORATE OFFICER
—
1992-01-06
current
pecos_ownership
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
SCHUCKMAN, MATTHEW
CORPORATE OFFICER
—
2021-12-22
current
pecos_ownership
THACKER, ADAM
CORPORATE OFFICER
—
2013-09-01
current
pecos_ownership
TRILOGY HEALTH SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY HEALTHCARE MASTER TENANT II, LLC
ADP OF THE SNF
—
2025-06-18
current
pecos_ownership
TRILOGY HEALTHCARE OF VINCENNES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-05-01
current
pecos_ownership
TRILOGY INVESTORS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
TRILOGY PROPCO FINANCE LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REAL ESTATE VINCENNES, LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REIT HOLDINGS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
WEBER, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-29
current
pecos_ownership
WEBER, MICHELLE
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
MATTHEW SCHUCKMAN
CORPORATE OFFICER
100%
2021-12-22
ended 2026-05-18
pecos_ownership
DAVID DAVIS
LIMITED PARTNERSHIP INTEREST
32%
2019-12-31
ended 2026-05-18
pecos_ownership
ADAM THACKER
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-01
ended 2026-05-18
pecos_ownership
CHARLES HENDRIX
OPERATIONAL/MANAGERIAL CONTROL
—
2015-05-01
ended 2026-05-18
pecos_ownership
CHARLES HENDRIX
ADP OF THE SNF
—
2025-06-17
ended 2026-05-18
pecos_ownership
KATHY CORBIN
CORPORATE DIRECTOR
—
2015-05-01
ended 2026-05-18
pecos_ownership
LEIGH BARNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-31
ended 2026-05-18
pecos_ownership
MICHELLE WEBER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-29
ended 2026-05-18
pecos_ownership
MICHELLE WEBER
ADP OF THE SNF
—
2025-06-23
ended 2026-05-18
pecos_ownership
ROBERT MCLIN
OPERATIONAL/MANAGERIAL CONTROL
—
1992-01-06
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
$1,913,979
—
—
$651,881
$190,398
4
—
2023-12-31
$1,822,526
—
—
$633,973
$161,500
4
—
2022-12-31
$1,453,395
—
—
$483,640
$156,356
4
—
2021-12-31
$1,327,243
—
—
$458,681
$140,259
3
—
2020-12-31
$1,160,493
—
—
$443,015
$137,405
3
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 18083
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
county 18083
fmr
0
$725
2025-10-01
HUD_USER_FMR
county 18083
acs median gross
1
$560
2024-12-31
CENSUS_ACS5
county 18083
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18083
acs median gross
2
$831
2024-12-31
CENSUS_ACS5
county 18083
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18083
acs median gross
3
$1,003
2024-12-31
CENSUS_ACS5
county 18083
fmr
3
$1,212
2025-10-01
HUD_USER_FMR
county 18083
acs median gross
4
$638
2024-12-31
CENSUS_ACS5
county 18083
fmr
4
$1,266
2025-10-01
HUD_USER_FMR
county 18083
acs median gross
5
$1,390
2024-12-31
CENSUS_ACS5
county 18083
acs median gross
$796
2024-12-31
CENSUS_ACS5
county 18083
acs recent mover gross
$861
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
1
$559
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
3
$993
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
4
$637
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
5
$1,402
2024-12-31
CENSUS_ACS5
zcta 47591
acs median gross
$796
2024-12-31
CENSUS_ACS5
zcta 47591
acs recent mover gross
$875
2024-12-31
CENSUS_ACS5
zip 47591
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 47591
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 47591
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 47591
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 110
3
$1,353
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 90
3
$1,107
2025-10-01
HUD_USER_SAFMR
zip 47591
safmr
3
$1,230
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 110
4
$1,408
2025-10-01
HUD_USER_SAFMR
zip 47591
payment standard 90
4
$1,152
2025-10-01
HUD_USER_SAFMR
zip 47591
safmr
4
$1,280
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.