Reads as: riskier than 56.1% 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
4 chains
MEDICAL REHABILITATION CENTERS LLC
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
2.99
2.85
3.28
2.90–3.77
RN
0.35
0.40
0.39
0.25–0.58
Weekend total
2.52
2.71
3.11
—
Weekday total
3.18
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.9
2.99
0.35
0.79
1.85
2.52
3.1%
2025Q3
92
54.2
2.85
0.50
0.56
1.78
2.55
3.0%
2025Q2
91
55.0
2.56
0.50
0.38
1.68
2.38
3.4%
2025Q1
90
54.0
2.71
0.52
0.46
1.73
2.29
0.0%
2024Q4
92
50.6
2.70
0.50
0.41
1.78
2.33
0.0%
2024Q3
92
49.9
2.63
0.38
0.48
1.77
2.29
0.0%
2024Q2
91
50.1
2.63
0.31
0.63
1.68
2.70
0.0%
2024Q1
91
50.8
2.62
0.41
0.53
1.68
2.60
0.0%
2023Q4
92
52.7
2.64
0.31
0.50
1.84
2.63
0.0%
2023Q3
92
52.8
2.47
0.32
0.50
1.65
2.24
0.0%
2023Q2
91
55.4
2.19
0.21
0.43
1.55
2.22
0.0%
2023Q1
90
57.8
2.27
0.24
0.41
1.62
2.37
0.0%
2022Q4
92
58.1
2.43
0.34
0.37
1.71
2.49
0.0%
2022Q3
92
55.3
2.80
0.38
0.48
1.94
2.68
2.8%
2022Q2
91
59.5
3.06
0.47
0.58
2.00
2.94
2.7%
2022Q1
90
60.6
2.99
0.45
0.57
1.97
2.95
2.7%
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
10
D × 9E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-22
2025-08-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-08-22
2025-08-04
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-08-22
2025-08-04
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-08-22
2024-10-18
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-31
2024-08-19
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
2024-09-05
2024-08-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-09-05
2023-07-03
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
2023-07-19
2023-07-03
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-19
2023-07-03
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-07-19
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
37
Owner
Role
Pct
From
Status
Source
AE GREENSBURG FACILITY COMPANY LLC
5% OR GREATER MORTGAGE INTEREST
—
2015-04-15
current
pecos_ownership
AMERICAN EAGLE LIFECARE CORPORATION
DIRECT OWNERSHIP INTEREST
—
2015-04-15
current
pecos_ownership
AMERICAN EAGLE MORNING BREEZE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BREATHETT, KARLEEN
ADP OF THE SNF
—
2023-09-14
current
pecos_ownership
COOPER, SAMUEL
ADP OF THE SNF
—
2022-08-15
current
pecos_ownership
CRAIG, DAVID
ADP OF THE SNF
—
2023-07-17
current
pecos_ownership
DECATUR COUNTY MEMORIAL HOSPITAL
ADP OF THE SNF
—
2015-04-15
current
pecos_ownership
EXCEPTIONAL LIVING CENTERS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
EXCEPTIONAL THERAPY LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GIBSON, CAROL
ADP OF THE SNF
—
2016-05-31
current
pecos_ownership
GREENSBURG FACILITY COMPANY
Provider has financial interest in corporation, partnership or other organization
—
2024-01-01
current
hcris_a_8_1
GREENSBURG FACILITY COMPANY
Provider has financial interest in corporation, partnership or other organization
—
2023-01-01
current
hcris_a_8_1
HUGHES, APRIL
ADP OF THE SNF
—
2017-08-01
current
pecos_ownership
KECK, CATHERINE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
LEWIS, JAYME
ADP OF THE SNF
—
2022-08-15
current
pecos_ownership
LEXINGTON HEALTH MANAGEMENT LLC
TRUSTEE OF THE SNF
—
2025-01-01
current
pecos_ownership
MCCULLOUGH, MARY
ADP OF THE SNF
—
2003-08-01
current
pecos_ownership
MCDANIEL, LINDA
ADP OF THE SNF
—
2023-08-31
current
pecos_ownership
MCKINNEY, REX
CORPORATE OFFICER
—
2017-05-23
current
pecos_ownership
MCKINNEY, REX
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MEDICAL REHABILITATION CENTERS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SUTTON, ANGELA
ADP OF THE SNF
—
2018-01-08
current
pecos_ownership
WARREN, SARAH
ADP OF THE SNF
—
2015-05-11
current
pecos_ownership
WATTS, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
current
pecos_ownership
WATTS, WALTER
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-01
current
pecos_ownership
WENZLER, ANNETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-31
current
pecos_ownership
WITKEMPER, HOLLY
ADP OF THE SNF
—
2011-09-16
current
pecos_ownership
WRIGHT, MORGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2009-05-11
current
pecos_ownership
YURT, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-31
current
pecos_ownership
CATHERINE KECK
W-2 MANAGING EMPLOYEE
100%
2017-08-01
ended 2026-05-18
pecos_ownership
HOLLY WITKEMPER
CONTRACTED MANAGING EMPLOYEE
100%
2015-04-15
ended 2026-05-18
pecos_ownership
REX MCKINNEY
W-2 MANAGING EMPLOYEE
100%
2017-05-23
ended 2026-05-18
pecos_ownership
BRENDA CAMPBELL
CONTRACTED MANAGING EMPLOYEE
—
2015-06-01
ended 2026-05-18
pecos_ownership
GREENSBURG FACILITY COMPANY
Provider has financial interest in corporation, partnership or other organization
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
GREENSBURG FC
Provider has financial interest in corporation, partnership or other organization
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GREENSBURG FC
Provider has financial interest in corporation, partnership or other organization
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
STACIE TURNER
CONTRACTED MANAGING EMPLOYEE
—
2015-06-01
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
$726,192
—
—
—
—
3
propco
2023-12-31
$746,352
—
—
—
—
3
propco
2022-12-31
$705,248
—
—
—
—
3
propco
2021-12-31
$760,975
—
—
—
—
3
propco
2020-12-31
$815,102
—
—
—
—
3
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 18031
fmr
0
$768
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
1
$678
2024-12-31
CENSUS_ACS5
county 18031
fmr
1
$816
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
2
$928
2024-12-31
CENSUS_ACS5
county 18031
fmr
2
$1,071
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
3
$1,073
2024-12-31
CENSUS_ACS5
county 18031
fmr
3
$1,284
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
4
$1,214
2024-12-31
CENSUS_ACS5
county 18031
fmr
4
$1,418
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
$861
2024-12-31
CENSUS_ACS5
county 18031
acs recent mover gross
$876
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
1
$675
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
2
$936
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
3
$1,109
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
4
$1,198
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
$871
2024-12-31
CENSUS_ACS5
zcta 47240
acs recent mover gross
$904
2024-12-31
CENSUS_ACS5
zip 47240
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
4
$1,730
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.