Reads as: riskier than 41.1% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MOSS ADAMS LLP
25 facilities
connection
Owner spans multiple chains
5 chains
WELLS FARGO BANK NATIONAL ASSOCIATION
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
CA median
National median
National p25–p75
Total nurse
3.92
3.95
3.28
2.90–3.77
RN
0.39
0.38
0.39
0.25–0.58
Weekend total
3.85
3.79
3.11
—
Weekday total
3.95
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.4
3.92
0.39
0.99
2.54
3.85
0.0%
2025Q3
92
88.0
3.89
0.28
1.08
2.53
3.89
0.0%
2025Q2
91
89.0
3.83
0.31
1.04
2.48
3.80
0.1%
2025Q1
90
91.3
3.73
0.28
1.00
2.45
3.72
0.1%
2024Q4
92
89.8
3.65
0.31
0.94
2.40
3.66
0.0%
2024Q3
92
96.8
3.49
0.27
0.96
2.27
3.46
0.6%
2024Q2
91
90.5
3.71
0.17
1.08
2.45
3.63
0.6%
2024Q1
91
92.4
3.79
0.22
1.09
2.48
3.65
0.5%
2023Q4
92
91.3
3.70
0.20
1.10
2.40
3.60
0.2%
2023Q3
92
88.9
3.76
0.16
1.18
2.42
3.63
1.9%
2023Q2
91
88.0
3.98
0.14
1.28
2.56
3.79
3.9%
2023Q1
90
92.3
4.22
0.26
1.19
2.78
4.04
10.4%
2022Q4
92
88.1
4.25
0.32
1.10
2.83
3.98
22.8%
2022Q3
92
89.9
3.69
0.33
1.02
2.35
3.37
14.2%
2022Q2
91
84.7
3.67
0.39
1.10
2.18
3.46
20.2%
2022Q1
90
84.9
2.93
0.32
0.89
1.72
2.73
4.2%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-03
2026-03-18
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-04-03
2026-03-18
Health · complaint
F0844
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
C
2026-04-03
2026-02-19
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-03-16
2026-02-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-03-16
2025-09-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-05
2025-09-12
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-10-05
2025-09-12
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-10-05
2025-09-12
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
2025-10-05
2025-09-12
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-10-05
2025-09-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-10-05
2025-09-12
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
2025-10-05
2025-09-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-05
2025-09-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-10-05
2025-05-14
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
F
2025-07-15
2025-01-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-22
2024-10-31
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-12-03
2024-10-31
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-12-03
2024-10-31
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
2024-12-03
2024-09-23
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-11-20
2024-09-23
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-11-20
2024-07-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-07-30
2024-07-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-07-30
2024-07-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-30
2024-04-16
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-04-18
2021-06-18
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2021-07-16
2021-06-18
Health
F0563
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
E
2021-07-16
2021-06-18
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2021-07-16
2021-06-18
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2021-07-16
2021-06-18
Health
F0687
Provide appropriate foot care.
D
2021-07-16
2021-06-18
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2021-07-16
2021-06-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-07-16
2021-06-18
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-07-16
2021-06-18
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.
E
2021-07-16
2021-06-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2021-07-16
2021-06-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-07-16
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
33
Owner
Role
Pct
From
Status
Source
ASCC, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-01-27
current
pecos_ownership
SAMUELOTT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2013-06-25
current
pecos_ownership
ASPEN HEALTHCARE SERVICES LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BRADSHAW, JEFFREY
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BRADSHAW, JEFFREY
CORPORATE OFFICER
—
2013-06-25
current
pecos_ownership
BRADSHAW, PETER
INDIRECT OWNERSHIP INTEREST
—
2023-07-07
current
pecos_ownership
BRADY, VERN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BRADY, VERN
CORPORATE OFFICER
—
2013-06-25
current
pecos_ownership
CASE, RYAN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
CASE, RYAN
CORPORATE OFFICER
—
2013-06-25
current
pecos_ownership
DEPERALTA, JENNY
ADP OF THE SNF
—
2022-09-29
current
pecos_ownership
EAST WEST BANK
ADP OF THE SNF
—
2014-01-27
current
pecos_ownership
ELSNER, ERIC
INDIRECT OWNERSHIP INTEREST
—
2014-01-27
current
pecos_ownership
GITTLEMAN, MARTIN
W-2 MANAGING EMPLOYEE
—
2013-06-25
current
pecos_ownership
GORING, REGINALD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-13
current
pecos_ownership
JURADO, FRANK
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
KIRKWOOD, JARED
INDIRECT OWNERSHIP INTEREST
—
2019-01-01
current
pecos_ownership
MOSS ADAMS LLP
ADP OF THE SNF
—
2014-01-27
current
pecos_ownership
ORGILL, CRAIG
INDIRECT OWNERSHIP INTEREST
—
2019-01-01
current
pecos_ownership
PARTI, RAJESH
INDIRECT OWNERSHIP INTEREST
—
2014-01-27
current
pecos_ownership
PARTI, SHRUTY
INDIRECT OWNERSHIP INTEREST
—
2014-01-27
current
pecos_ownership
PAXMAN, MARCUS
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
PAXMAN, MARCUS
INDIRECT OWNERSHIP INTEREST
—
2022-04-01
current
pecos_ownership
RAWE, COLTON
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
SEQUOIA HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
SIDHU, SHIVJITINDER
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
THE BRYAN C. JENNINGS AND SHARON JENNINGS REVOCABLE LIVING TRUST
ADP OF THE SNF
—
—
current
pecos_ownership
WELLS FARGO BANK, NATIONAL ASSOCAITION
ADP OF THE SNF
—
2014-01-27
current
pecos_ownership
ASPEN SKILLED HEALTHCARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-06-25
ended 2026-05-18
pecos_ownership
RYAN CASE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2013-06-25
ended 2026-05-18
pecos_ownership
VERN BRADY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2013-06-25
ended 2026-05-18
pecos_ownership
JEFFREY BRADSHAW
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2013-06-25
ended 2026-05-18
pecos_ownership
MARTIN GITTLEMAN
W-2 MANAGING EMPLOYEE
—
2013-06-25
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
$1,148,754
—
$1,027,651
$12,004
$109,099
1
—
2023-12-31
$802,687
—
$813,146
—
—
1
—
2022-12-31
$766,614
—
—
$14,172
$97,353
1
—
2021-12-31
$600,478
—
—
$9,771
$75,827
1
—
2020-12-31
$533,727
—
—
$7,559
$70,596
1
—
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 06077
acs median gross
0
$1,255
2024-12-31
CENSUS_ACS5
county 06077
fmr
0
$1,288
2025-10-01
HUD_USER_FMR
county 06077
acs median gross
1
$1,299
2024-12-31
CENSUS_ACS5
county 06077
fmr
1
$1,395
2025-10-01
HUD_USER_FMR
county 06077
acs median gross
2
$1,609
2024-12-31
CENSUS_ACS5
county 06077
fmr
2
$1,742
2025-10-01
HUD_USER_FMR
county 06077
acs median gross
3
$1,983
2024-12-31
CENSUS_ACS5
county 06077
fmr
3
$2,423
2025-10-01
HUD_USER_FMR
county 06077
acs median gross
4
$2,532
2024-12-31
CENSUS_ACS5
county 06077
fmr
4
$2,922
2025-10-01
HUD_USER_FMR
county 06077
acs median gross
5
$3,190
2024-12-31
CENSUS_ACS5
county 06077
acs median gross
$1,734
2024-12-31
CENSUS_ACS5
county 06077
acs recent mover gross
$2,130
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
0
$1,602
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
1
$1,274
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
2
$1,399
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
3
$1,792
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
4
$1,952
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
zcta 95210
acs median gross
$1,561
2024-12-31
CENSUS_ACS5
zcta 95210
acs recent mover gross
$2,007
2024-12-31
CENSUS_ACS5
zip 95210
payment standard 110
0
$1,265
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 90
0
$1,035
2025-10-01
HUD_USER_SAFMR
zip 95210
safmr
0
$1,150
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 95210
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 95210
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 110
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 90
3
$1,944
2025-10-01
HUD_USER_SAFMR
zip 95210
safmr
3
$2,160
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 110
4
$2,860
2025-10-01
HUD_USER_SAFMR
zip 95210
payment standard 90
4
$2,340
2025-10-01
HUD_USER_SAFMR
zip 95210
safmr
4
$2,600
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.