Reads as: riskier than 68.4% 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
8 chains
SELECT REHABILITATION LLC
50 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
MI median
National median
National p25–p75
Total nurse
2.71
3.52
3.28
2.90–3.77
RN
0.42
0.47
0.39
0.25–0.58
Weekend total
2.57
3.32
3.11
—
Weekday total
2.77
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.5
2.71
0.42
0.37
1.92
2.57
0.0%
2025Q3
92
82.7
2.90
0.30
0.56
2.04
2.85
0.0%
2025Q2
91
84.2
2.98
0.22
0.60
2.16
2.81
0.0%
2025Q1
90
87.5
2.65
0.31
0.50
1.84
2.64
0.0%
2024Q4
92
87.4
2.69
0.31
0.55
1.84
2.57
0.0%
2024Q3
92
80.9
2.71
0.30
0.49
1.92
2.50
0.0%
2024Q2
91
77.9
2.79
0.30
0.53
1.96
2.66
0.0%
2024Q1
91
74.5
2.94
0.24
0.62
2.08
2.84
0.0%
2023Q4
92
71.5
3.18
0.39
0.55
2.24
2.94
0.0%
2023Q3
92
72.1
2.50
0.40
0.33
1.77
2.27
0.0%
2023Q2
91
70.2
2.60
0.53
0.31
1.77
2.39
0.0%
2023Q1
90
68.3
2.70
0.45
0.41
1.85
2.53
0.0%
2022Q4
92
66.5
2.87
0.44
0.46
1.97
2.61
0.0%
2022Q3
92
65.1
2.94
0.39
0.52
2.03
2.66
0.0%
2022Q2
91
67.0
2.95
0.42
0.50
2.02
2.60
0.0%
2022Q1
90
63.1
3.04
0.29
0.58
2.17
2.81
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
31
D × 17E × 8F × 4G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-02-25
2025-04-10
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-13
2025-04-10
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-05-13
2025-04-10
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-05-13
2025-04-10
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-05-13
2025-04-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-13
2025-04-10
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
2025-05-13
2025-04-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-06-11
2025-04-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-13
2025-04-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-05-13
2025-04-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-05-13
2025-04-10
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
2025-05-13
2025-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-13
2025-04-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-13
2025-02-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-12
2025-02-06
Health · complaint
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2025-03-12
2025-01-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-18
2024-09-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-09-26
2024-04-18
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2024-07-10
2024-04-18
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-05-14
2024-04-18
Health
F0610
Respond appropriately to all alleged violations.
D
2024-05-14
2024-04-18
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
2024-05-14
2024-04-18
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-07-10
2024-04-18
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.
D
2024-05-14
2024-04-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-14
2024-04-18
Health
F0814
Dispose of garbage and refuse properly.
F
2024-05-14
2024-02-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-19
2023-08-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-09-12
2023-05-25
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
2023-06-09
2023-05-25
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-06-09
2023-05-25
Health
F0908
Keep all essential equipment working safely.
E
2023-06-09
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
28
Owner
Role
Pct
From
Status
Source
FREMONT SENIOR LEASING
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
FREMONT SENIOR LEASING
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
CIENA HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-01
current
pecos_ownership
FREMONT SENIOR LEASING, LLC
ADP OF THE SNF
—
2018-07-01
current
pecos_ownership
KHAN, ANIS
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
current
pecos_ownership
LAFLEUR, AMY
ADP OF THE SNF
—
2022-01-17
current
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
DIRECT OWNERSHIP INTEREST
—
2018-06-30
current
pecos_ownership
NAGY, JEREMY
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
PAPENDICK, KEITH
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PARKER, DAVID
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
QAZI, MOHAMMAD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-04
current
pecos_ownership
QAZI, MOHAMMAD
ADP OF THE SNF
—
2018-06-30
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2018-06-26
current
pecos_ownership
SILVERTHORN, JAMIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-04
current
pecos_ownership
STOBB, DAVID
ADP OF THE SNF
—
2018-07-01
current
pecos_ownership
ZENITH FINANCIAL GROUP, LLC
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
FREMONT SENIOR LEASING
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
FREMONT SENIOR LEASING
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
FREMONT SENIOR LEASING
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
AMY LAFLEUR
ADP OF THE SNF
—
2022-01-17
ended 2026-05-18
pecos_ownership
ANIS KHAN
MANAGING CONTROL - GOVERNING BODY
—
2018-07-01
ended 2026-05-18
pecos_ownership
DAVID PARKER
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
ADP OF THE SNF
—
2018-07-01
ended 2026-05-18
pecos_ownership
JAMIE SILVERTHORN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-04
ended 2026-05-18
pecos_ownership
JEREMY NAGY
ADP OF THE SNF
—
2022-03-01
ended 2026-05-18
pecos_ownership
KEITH PAPENDICK
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
MANAGING CONTROL - GOVERNING BODY
—
2018-06-30
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
$1,555,261
$733,601
$767,221
—
—
3
propco
2023-12-31
$1,373,768
$707,222
$631,111
—
—
3
propco
2022-12-31
$1,375,166
$686,152
$645,720
—
—
3
propco
2021-12-31
$1,231,461
—
$659,934
—
—
3
propco
2020-12-31
$1,369,360
$609,045
$618,508
—
—
3
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 26123
acs median gross
0
$675
2024-12-31
CENSUS_ACS5
county 26123
fmr
0
$691
2025-10-01
HUD_USER_FMR
county 26123
acs median gross
1
$580
2024-12-31
CENSUS_ACS5
county 26123
fmr
1
$744
2025-10-01
HUD_USER_FMR
county 26123
acs median gross
2
$905
2024-12-31
CENSUS_ACS5
county 26123
fmr
2
$976
2025-10-01
HUD_USER_FMR
county 26123
acs median gross
3
$1,151
2024-12-31
CENSUS_ACS5
county 26123
fmr
3
$1,294
2025-10-01
HUD_USER_FMR
county 26123
acs median gross
4
$989
2024-12-31
CENSUS_ACS5
county 26123
fmr
4
$1,298
2025-10-01
HUD_USER_FMR
county 26123
acs median gross
5
$1,049
2024-12-31
CENSUS_ACS5
county 26123
acs median gross
$904
2024-12-31
CENSUS_ACS5
county 26123
acs recent mover gross
$1,045
2024-12-31
CENSUS_ACS5
zcta 49412
acs median gross
1
$592
2024-12-31
CENSUS_ACS5
zcta 49412
acs median gross
2
$805
2024-12-31
CENSUS_ACS5
zcta 49412
acs median gross
3
$1,103
2024-12-31
CENSUS_ACS5
zcta 49412
acs median gross
$790
2024-12-31
CENSUS_ACS5
zip 49412
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 49412
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 49412
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 49412
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 49412
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 49412
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 49412
safmr
4
$1,380
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.