Reads as: riskier than 58.8% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.6 vs natl
RICHARD J DESTEFANE REVOCABLE LIVING TRUST
23 facilities
connection
Owner fleet risk far above national
+20.4 vs natl
RELIANT CARE MANAGEMENT COMPANY LLC
32 facilities
connection
Owner fleet enforcement cluster
61% fined
RELIANT CARE GROUP LLC
18 facilities
connection
Owner fleet enforcement cluster
59% fined
RELIANT CARE MANAGEMENT COMPANY LLC
32 facilities
connection
Owner fleet enforcement cluster
59% fined
DESTEFANE RICHARD
32 facilities
connection
Owner fleet enforcement cluster
56% fined
RICHARD J DESTEFANE REVOCABLE LIVING TRUST
23 facilities
connection
Owner fleet enforcement cluster
55% fined
RCG INC
20 facilities
connection
Owner fleet enforcement cluster
54% fined
ARSHAD ABDULLAH
24 facilities
connection
Owner fleet enforcement cluster
47% fined
TLG II LLP
17 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
MO median
National median
National p25–p75
Total nurse
1.04
2.41
3.28
2.90–3.77
RN
0.10
0.25
0.39
0.25–0.58
Weekend total
1.01
2.24
3.11
—
Weekday total
1.05
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.0
1.04
0.10
0.27
0.68
1.01
0.0%
2025Q3
92
90.9
1.02
0.13
0.26
0.63
0.91
0.0%
2025Q2
91
83.7
1.10
0.23
0.24
0.63
1.09
0.0%
2025Q1
90
85.0
1.11
0.25
0.24
0.62
0.93
0.0%
2024Q4
92
84.5
0.77
0.16
0.17
0.44
0.66
0.0%
2024Q3
92
82.3
1.13
0.23
0.24
0.67
1.04
0.0%
2024Q2
91
78.7
1.19
0.24
0.20
0.75
1.12
0.0%
2024Q1
91
76.9
1.18
0.20
0.31
0.67
1.08
0.0%
2023Q4
92
71.2
1.13
0.23
0.37
0.53
1.04
0.0%
2023Q3
92
73.2
1.09
0.25
0.34
0.49
1.05
0.0%
2023Q2
91
72.2
0.92
0.16
0.25
0.51
0.86
0.0%
2023Q1
90
72.4
1.31
0.27
0.35
0.69
1.13
0.0%
2022Q4
92
73.0
1.20
0.30
0.26
0.64
1.09
0.0%
2022Q3
92
69.5
1.42
0.36
0.27
0.78
1.38
0.0%
2022Q2
91
73.6
1.30
0.34
0.29
0.67
1.24
0.0%
2022Q1
90
76.3
0.89
0.21
0.17
0.51
0.87
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
28
C × 2D × 21E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-07
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2025-09-17
2025-08-07
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-09-17
2025-08-07
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-09-17
2025-08-07
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2025-09-17
2025-08-07
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2025-09-17
2025-08-07
Health
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-09-17
2025-08-07
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-17
2025-08-07
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-17
2025-08-07
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-09-17
2025-08-07
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
2025-09-17
2025-08-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-17
2025-08-07
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-09-17
2025-08-07
Health
F0732
Post nurse staffing information every day.
C
2025-09-17
2025-08-07
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-09-17
2025-08-07
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-09-17
2025-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-17
2025-08-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-17
2025-08-07
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2025-09-17
2025-08-07
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2025-09-17
2025-05-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-16
2024-08-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-08-30
2024-08-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-04
2024-08-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-30
2023-03-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-04-12
2023-03-24
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-04-22
2023-03-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-22
2023-03-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-04-22
2023-03-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-04-22
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
13
Owner
Role
Pct
From
Status
Source
ARSHAD, ABDULLAH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
DESTEFANE, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
MAGNUSSEN, KATINA
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
RCG INC
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
RELIANT CARE GROUP LLC
DIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC
ADP OF THE SNF
—
2025-04-21
current
pecos_ownership
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
SOUTH COUNTY ASSOCIATES I, L.L.C.
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
TLG II LLP
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
RICHARD DESTEFANE
INDIRECT OWNERSHIP INTEREST
100%
2025-04-01
ended 2026-05-18
pecos_ownership
ABDULLAH ARSHAD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
KATINA MAGNUSSEN
ADP OF THE SNF
—
2025-04-01
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
$243,968
—
—
—
—
3
—
2023-12-31
$243,968
—
—
—
—
3
—
2022-12-31
$243,968
—
—
—
—
3
—
2021-12-31
$243,968
—
—
—
—
3
—
2020-12-31
$240,440
—
—
—
—
3
—
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 29099
acs median gross
0
$778
2024-12-31
CENSUS_ACS5
county 29099
fmr
0
$955
2025-10-01
HUD_USER_FMR
county 29099
acs median gross
1
$746
2024-12-31
CENSUS_ACS5
county 29099
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 29099
acs median gross
2
$932
2024-12-31
CENSUS_ACS5
county 29099
fmr
2
$1,218
2025-10-01
HUD_USER_FMR
county 29099
acs median gross
3
$1,163
2024-12-31
CENSUS_ACS5
county 29099
fmr
3
$1,568
2025-10-01
HUD_USER_FMR
county 29099
acs median gross
4
$1,174
2024-12-31
CENSUS_ACS5
county 29099
fmr
4
$1,812
2025-10-01
HUD_USER_FMR
county 29099
acs median gross
5
$1,534
2024-12-31
CENSUS_ACS5
county 29099
acs median gross
$979
2024-12-31
CENSUS_ACS5
county 29099
acs recent mover gross
$920
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
0
$842
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
1
$951
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
2
$957
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
3
$1,287
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
4
$1,176
2024-12-31
CENSUS_ACS5
zcta 63010
acs median gross
$1,088
2024-12-31
CENSUS_ACS5
zcta 63010
acs recent mover gross
$1,364
2024-12-31
CENSUS_ACS5
zip 63010
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 63010
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 63010
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 110
2
$1,331
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 90
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 63010
safmr
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 110
3
$1,716
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 90
3
$1,404
2025-10-01
HUD_USER_SAFMR
zip 63010
safmr
3
$1,560
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 110
4
$1,980
2025-10-01
HUD_USER_SAFMR
zip 63010
payment standard 90
4
$1,620
2025-10-01
HUD_USER_SAFMR
zip 63010
safmr
4
$1,800
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.