Reads as: riskier than 98.1% 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
7
Kind
Finding
Signal
Subject
First seen
anomaly
Top-decile risk vs 4–5 star rating
12.1
this facility
2026-07-29
connection
Owner fleet risk far above national
+39.6 vs natl
RAMOS BRIAN
8 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
EDURO HEALTHCARE LLC
10 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
THOMPSON CHRISTOPHER
11 facilities
connection
Owner fleet enforcement cluster
88% fined
RAMOS BRIAN
8 facilities
connection
Owner fleet enforcement cluster
50% fined
EDURO HEALTHCARE LLC
10 facilities
connection
Owner fleet enforcement cluster
46% fined
THOMPSON CHRISTOPHER
11 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
MT median
National median
National p25–p75
Total nurse
2.86
3.25
3.28
2.90–3.77
RN
0.50
0.62
0.39
0.25–0.58
Weekend total
2.74
3.12
3.11
—
Weekday total
2.90
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.9
2.86
0.50
0.56
1.79
2.74
23.3%
2025Q3
92
67.2
2.75
0.49
0.54
1.72
2.64
18.5%
2025Q2
91
62.3
2.84
0.56
0.52
1.76
2.73
11.9%
2025Q1
90
64.9
2.54
0.53
0.41
1.59
2.60
5.2%
2024Q4
92
64.4
2.52
0.51
0.42
1.58
2.66
6.0%
2024Q3
92
66.3
2.69
0.45
0.51
1.73
2.79
4.1%
2024Q2
91
65.5
2.62
0.35
0.63
1.65
2.67
4.1%
2024Q1
91
65.6
2.73
0.27
0.64
1.82
2.53
2.6%
2023Q4
92
60.2
2.81
0.35
0.68
1.79
2.67
6.0%
2023Q3
92
65.8
2.61
0.19
0.74
1.69
2.64
3.5%
2023Q2
91
63.8
2.79
0.24
0.86
1.69
2.66
9.2%
2023Q1
90
63.7
2.79
0.17
0.90
1.71
2.76
16.8%
2022Q4
92
63.3
2.74
0.25
0.84
1.65
2.59
20.1%
2022Q3
92
64.3
2.52
0.21
0.81
1.50
2.40
22.2%
2022Q2
91
63.3
2.51
0.21
0.87
1.43
2.35
14.9%
2022Q1
90
62.0
2.73
0.28
0.79
1.66
2.72
8.0%
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.
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.
D
2025-04-30
2025-04-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-30
2025-04-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-30
2025-03-12
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.
D
2025-04-01
2025-02-24
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-21
2025-02-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-02-28
2025-02-24
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2025-03-21
2025-02-24
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-21
2024-12-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-02
2024-12-04
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-12-17
2024-03-28
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-04-19
2024-03-28
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.
D
2024-04-19
2024-03-28
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-04-19
2024-03-28
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
2024-04-19
2024-03-28
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-04-19
2024-03-28
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.
F
2024-04-19
2024-03-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-19
2023-09-20
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-10-10
2023-09-20
Health · complaint
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
G
2023-10-12
2023-09-20
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
G
2023-10-12
2023-04-13
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-04-28
2023-04-13
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-04-28
2023-04-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-04-28
2023-04-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-04-28
2023-04-13
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-04-28
2023-04-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-28
2023-04-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-05-02
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
7
Owner
Role
Pct
From
Status
Source
RAMOS, BRIAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2018-02-01
current
pecos_ownership
EDURO HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-28
current
pecos_ownership
THOMPSON, CHRISTOPHER
W-2 MANAGING EMPLOYEE
—
2018-02-01
current
pecos_ownership
BRIAN RAMOS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2018-02-01
ended 2026-05-18
pecos_ownership
MICHAEL BEWSEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2018-02-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER THOMPSON
CORPORATE OFFICER
0%
2018-02-01
ended 2026-05-18
pecos_ownership
MICHAEL BEWSEY
OTHER
—
2018-02-21
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
$387,812
—
—
—
—
3
—
2023-12-31
$411,890
—
—
—
$3,655
4
—
2022-12-31
$474,062
—
—
—
$38,856
5
—
2021-12-31
$608,788
—
—
—
—
3
—
2020-12-31
$463,141
—
—
—
—
2
—
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 30093
acs median gross
0
$634
2024-12-31
CENSUS_ACS5
county 30093
fmr
0
$1,028
2025-10-01
HUD_USER_FMR
county 30093
acs median gross
1
$695
2024-12-31
CENSUS_ACS5
county 30093
fmr
1
$1,149
2025-10-01
HUD_USER_FMR
county 30093
acs median gross
2
$950
2024-12-31
CENSUS_ACS5
county 30093
fmr
2
$1,414
2025-10-01
HUD_USER_FMR
county 30093
acs median gross
3
$1,163
2024-12-31
CENSUS_ACS5
county 30093
fmr
3
$1,967
2025-10-01
HUD_USER_FMR
county 30093
acs median gross
4
$1,545
2024-12-31
CENSUS_ACS5
county 30093
fmr
4
$2,180
2025-10-01
HUD_USER_FMR
county 30093
acs median gross
5
$2,012
2024-12-31
CENSUS_ACS5
county 30093
acs median gross
$863
2024-12-31
CENSUS_ACS5
county 30093
acs recent mover gross
$1,190
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
0
$634
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
1
$695
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
3
$1,163
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
4
$1,545
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
5
$2,012
2024-12-31
CENSUS_ACS5
zcta 59701
acs median gross
$865
2024-12-31
CENSUS_ACS5
zcta 59701
acs recent mover gross
$1,195
2024-12-31
CENSUS_ACS5
zip 59701
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 59701
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 59701
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 110
2
$1,562
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 90
2
$1,278
2025-10-01
HUD_USER_SAFMR
zip 59701
safmr
2
$1,420
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 110
3
$2,167
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 90
3
$1,773
2025-10-01
HUD_USER_SAFMR
zip 59701
safmr
3
$1,970
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 110
4
$2,409
2025-10-01
HUD_USER_SAFMR
zip 59701
payment standard 90
4
$1,971
2025-10-01
HUD_USER_SAFMR
zip 59701
safmr
4
$2,190
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.