Reads as: riskier than 76.6% 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
47 chains
FORVIS MAZARS LLP
251 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
OK median
National median
National p25–p75
Total nurse
2.80
2.78
3.28
2.90–3.77
RN
0.05
0.18
0.39
0.25–0.58
Weekend total
2.77
2.72
3.11
—
Weekday total
2.81
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.1
2.80
0.05
0.65
2.10
2.77
0.0%
2025Q3
92
54.4
2.71
0.06
0.73
1.92
2.63
0.0%
2025Q2
91
48.1
2.79
0.06
0.75
1.97
2.94
0.0%
2025Q1
90
49.8
2.26
0.06
0.61
1.59
2.31
0.0%
2024Q4
92
53.1
2.41
0.03
0.67
1.71
2.41
0.0%
2024Q3
92
54.9
2.27
0.04
0.70
1.52
2.40
0.0%
2024Q2
91
54.8
2.56
0.07
1.00
1.49
2.28
0.0%
2024Q1
91
57.6
2.79
0.06
0.94
1.79
2.41
0.0%
2023Q4
92
56.7
2.34
0.06
0.67
1.61
2.16
0.0%
2023Q3
92
55.6
2.35
0.01
0.44
1.89
2.00
0.0%
2023Q2
91
48.5
2.88
0.19
0.56
2.14
2.40
4.9%
2023Q1
90
51.6
2.96
0.07
0.87
2.02
2.67
0.0%
2022Q4
92
55.0
3.04
0.07
0.90
2.08
2.96
0.0%
2022Q3
92
50.2
3.40
0.06
1.19
2.15
2.72
0.2%
2022Q2
91
52.2
3.15
0.07
1.01
2.07
2.52
0.8%
2022Q1
90
57.9
3.01
0.08
0.69
2.23
2.33
1.3%
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.
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
2026-03-22
2026-02-12
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-03-22
2026-02-12
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2026-03-22
2026-02-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-22
2026-02-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-03-22
2024-08-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-20
2024-08-01
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2024-08-20
2024-05-23
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-07-01
2024-05-23
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-01
2024-04-17
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
2024-05-15
2024-02-07
Health · complaint
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
2024-02-12
2024-02-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-02-12
2024-02-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-25
2024-02-07
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-02-12
2023-03-01
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-04-14
2023-03-01
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-04-14
2023-03-01
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
2023-04-14
2023-03-01
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
K
2023-04-14
2023-03-01
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2023-04-14
2023-03-01
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-04-14
2023-03-01
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
E
2023-04-14
2023-03-01
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2023-04-14
2023-03-01
Health
F0888
Ensure staff are vaccinated for COVID-19
E
2023-04-14
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
23
Owner
Role
Pct
From
Status
Source
GWEN STITES
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
GWEN STITES
Individual has financial interest in both related organization and provider
100%
2023-11-01
current
hcris_a_8_1
ALDRICH, RYAN
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-02-19
current
pecos_ownership
HASKELL COUNTY NURSING CENTER
ADP OF THE SNF
—
2008-07-01
current
pecos_ownership
HASKELL COUNTY NURSING CENTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
HIGHTOWER, RONALD
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
INTERHEALTH, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
INTERHEALTH, LLC
ADP OF THE SNF
—
2025-02-11
current
pecos_ownership
MONTGOMERY, BRADFORD
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
current
pecos_ownership
MONTGOMERY, JAMES C
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
current
pecos_ownership
STITES, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
WHITLEY, TINA
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
GWEN STITES
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GWEN STITES
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
GWEN STITES
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
JAMES C MONTGOMERY
DIRECT OWNERSHIP INTEREST
100%
2024-11-01
ended 2026-05-18
pecos_ownership
BRADFORD MONTGOMERY
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
ended 2026-05-18
pecos_ownership
GREGORY STITES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RONALD HIGHTOWER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RYAN ALDRICH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
TINA WHITLEY
ADP OF THE SNF
—
2024-11-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-12-31
$119,300
$114,000
—
—
—
2
propco
2021-12-31
$148,738
$125,738
—
—
—
2
propco
2020-12-31
$174,623
$125,623
—
—
—
2
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 40061
fmr
0
$646
2025-10-01
HUD_USER_FMR
county 40061
acs median gross
1
$525
2024-12-31
CENSUS_ACS5
county 40061
fmr
1
$714
2025-10-01
HUD_USER_FMR
county 40061
acs median gross
2
$764
2024-12-31
CENSUS_ACS5
county 40061
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40061
acs median gross
3
$904
2024-12-31
CENSUS_ACS5
county 40061
fmr
3
$1,147
2025-10-01
HUD_USER_FMR
county 40061
acs median gross
4
$1,092
2024-12-31
CENSUS_ACS5
county 40061
fmr
4
$1,338
2025-10-01
HUD_USER_FMR
county 40061
acs median gross
$770
2024-12-31
CENSUS_ACS5
county 40061
acs recent mover gross
$700
2024-12-31
CENSUS_ACS5
zcta 74462
acs median gross
1
$557
2024-12-31
CENSUS_ACS5
zcta 74462
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
zcta 74462
acs median gross
3
$981
2024-12-31
CENSUS_ACS5
zcta 74462
acs median gross
4
$1,164
2024-12-31
CENSUS_ACS5
zcta 74462
acs median gross
$792
2024-12-31
CENSUS_ACS5
zcta 74462
acs recent mover gross
$681
2024-12-31
CENSUS_ACS5
zip 74462
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 74462
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 74462
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 110
2
$1,045
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 90
2
$855
2025-10-01
HUD_USER_SAFMR
zip 74462
safmr
2
$950
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 74462
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 110
4
$1,540
2025-10-01
HUD_USER_SAFMR
zip 74462
payment standard 90
4
$1,260
2025-10-01
HUD_USER_SAFMR
zip 74462
safmr
4
$1,400
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.