Reads as: riskier than 86.3% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+26.5 vs natl
STRACK JOE
37 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
BOWERS SEAN
37 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
HARDIN SHERRIE
37 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
KORENEK PATRICIA
37 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
SOECHTING PAUL
37 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
CISNEROS ALFRED
40 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
KERZEE RICHARD
40 facilities
connection
Owner fleet risk far above national
+24.0 vs natl
COBB TRAVIS
39 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
THOMPSON JOHNNY
74 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
COOPER STEPHEN
43 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
WEST WHARTON COUNTY HOSPITAL DISTRICT
19 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 facilities
connection
Owner fleet enforcement cluster
45% fined
THOMPSON JOHNNY
74 facilities
connection
Owner fleet enforcement cluster
42% fined
WEST WHARTON COUNTY HOSPITAL DISTRICT
19 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
1.81
2.67
3.28
2.90–3.77
RN
0.31
0.24
0.39
0.25–0.58
Weekend total
1.76
2.56
3.11
—
Weekday total
1.83
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.3
1.81
0.31
0.62
0.89
1.76
0.0%
2025Q3
92
49.1
1.80
0.40
0.63
0.77
1.71
0.0%
2025Q2
91
48.5
2.01
0.43
0.62
0.96
2.02
0.0%
2025Q1
90
44.6
2.38
0.34
0.69
1.35
2.27
0.0%
2024Q4
92
46.3
2.38
0.37
0.73
1.28
2.27
0.0%
2024Q3
92
49.0
2.28
0.48
0.57
1.23
2.18
0.0%
2024Q2
91
48.2
2.29
0.53
0.52
1.24
2.00
0.1%
2024Q1
91
52.1
1.96
0.48
0.44
1.03
1.83
0.0%
2023Q4
92
50.7
2.03
0.38
0.61
1.04
1.86
0.0%
2023Q3
92
48.0
2.18
0.38
0.66
1.15
2.00
0.0%
2023Q2
91
50.1
2.32
0.39
0.70
1.22
2.19
0.0%
2023Q1
90
51.4
2.37
0.25
0.81
1.31
2.29
32.1%
2022Q4
92
52.2
2.40
0.29
0.75
1.36
2.27
48.9%
2022Q3
92
49.6
2.41
0.38
0.69
1.34
2.29
42.9%
2022Q2
91
47.3
2.53
0.41
0.64
1.48
2.44
39.4%
2022Q1
90
47.0
2.67
0.38
0.73
1.56
2.56
37.6%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-26
2026-02-25
Health · complaint
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
2026-02-26
2026-02-25
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-02-26
2026-02-25
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2026-02-26
2026-02-25
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-02-26
2026-02-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-02-26
2026-02-25
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2026-02-26
2025-05-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-04-28
2024-11-15
Health · complaint
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
2024-11-16
2024-11-15
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-11-16
2024-11-15
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.
E
2024-11-16
2024-11-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-11-16
2024-11-15
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-11-16
2024-10-21
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-10-22
2024-10-21
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-10-22
2023-09-29
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-10-27
2023-09-29
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-10-27
2023-09-29
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-27
2023-08-31
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-09-28
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
36
Owner
Role
Pct
From
Status
Source
BAIN, JAMES
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
BLAKE, GARY
ADP OF THE SNF
—
2022-09-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
BOWERS, SEAN
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
CISNEROS, ALFRED
MANAGING CONTROL - GOVERNING BODY
—
2008-02-18
current
pecos_ownership
COBB, TRAVIS
MANAGING CONTROL - GOVERNING BODY
—
2022-10-05
current
pecos_ownership
COOPER, STEPHEN
MANAGING CONTROL - GOVERNING BODY
—
2022-11-11
current
pecos_ownership
GANADO I ENTERPRISES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
GANADO I ENTERPRISES, LLC
—
—
2025-09-01
current
tx_hhsc_directory
HARDIN, SHERRIE
MANAGING CONTROL - GOVERNING BODY
—
2024-09-04
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2022-09-01
current
pecos_ownership
KERZEE, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
2007-09-24
current
pecos_ownership
KORENEK, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2018-05-05
current
pecos_ownership
QUINN-FRANKEL, MOLLY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SOECHTING, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2024-11-22
current
pecos_ownership
STRACK, JOE
MANAGING CONTROL - GOVERNING BODY
—
2022-02-11
current
pecos_ownership
THOMPSON, JOHNNY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
DIRECT OWNERSHIP INTEREST
—
2022-09-01
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-09-01
current
tx_hhsc_directory
WILLIG, ZACHARY
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
JOHNNY THOMPSON
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
ALFRED CISNEROS
MANAGING CONTROL - GOVERNING BODY
—
2008-02-18
ended 2026-05-18
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
ended 2026-05-18
pecos_ownership
JAMES BAIN
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
JOE STRACK
MANAGING CONTROL - GOVERNING BODY
—
2022-02-11
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
—
2022-09-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
ended 2026-05-18
pecos_ownership
MOLLY QUINN-FRANKEL
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
PATRICIA KORENEK
MANAGING CONTROL - GOVERNING BODY
—
2018-05-05
ended 2026-05-18
pecos_ownership
PAUL SOECHTING
MANAGING CONTROL - GOVERNING BODY
—
2024-11-22
ended 2026-05-18
pecos_ownership
RICHARD KERZEE
MANAGING CONTROL - GOVERNING BODY
—
2007-09-24
ended 2026-05-18
pecos_ownership
SEAN BOWERS
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
SHERRIE HARDIN
MANAGING CONTROL - GOVERNING BODY
—
2024-09-04
ended 2026-05-18
pecos_ownership
STEPHEN COOPER
MANAGING CONTROL - GOVERNING BODY
—
2022-11-11
ended 2026-05-18
pecos_ownership
TRAVIS COBB
MANAGING CONTROL - GOVERNING BODY
—
2022-10-05
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-06-30
$1
—
—
—
—
0
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 48239
fmr
0
$822
2025-10-01
HUD_USER_FMR
county 48239
acs median gross
1
$818
2024-12-31
CENSUS_ACS5
county 48239
fmr
1
$940
2025-10-01
HUD_USER_FMR
county 48239
acs median gross
2
$1,021
2024-12-31
CENSUS_ACS5
county 48239
fmr
2
$1,057
2025-10-01
HUD_USER_FMR
county 48239
acs median gross
3
$1,149
2024-12-31
CENSUS_ACS5
county 48239
fmr
3
$1,267
2025-10-01
HUD_USER_FMR
county 48239
acs median gross
4
$1,238
2024-12-31
CENSUS_ACS5
county 48239
fmr
4
$1,555
2025-10-01
HUD_USER_FMR
county 48239
acs median gross
$1,065
2024-12-31
CENSUS_ACS5
county 48239
acs recent mover gross
$278
2024-12-31
CENSUS_ACS5
zcta 77962
acs median gross
1
$871
2024-12-31
CENSUS_ACS5
zcta 77962
acs median gross
2
$1,108
2024-12-31
CENSUS_ACS5
zcta 77962
acs median gross
3
$1,301
2024-12-31
CENSUS_ACS5
zcta 77962
acs median gross
$1,075
2024-12-31
CENSUS_ACS5
zip 77962
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 77962
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 77962
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 110
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 90
2
$900
2025-10-01
HUD_USER_SAFMR
zip 77962
safmr
2
$1,000
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 110
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 90
3
$1,080
2025-10-01
HUD_USER_SAFMR
zip 77962
safmr
3
$1,200
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 77962
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 77962
safmr
4
$1,470
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.