Reads as: riskier than 23.6% 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
14
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.1 vs natl
MANN DEBORAH
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
SMITH RICK
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
REEDY MATTHEW
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
GILLILAND TERRENCE
11 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
MCCORY JACK
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
MARKEL ANDREW
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
STOREY MARC
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
BEVERS SUSAN
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
FISH ERIC
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
HARPE BRANDON
11 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
KLEBER COURTNEY
11 facilities
connection
Owner spans multiple chains
4 chains
MANN DEBORAH
9 facilities
connection
Owner spans multiple chains
4 chains
MARKEL ANDREW
9 facilities
connection
Owner spans multiple chains
4 chains
MCCORY JACK
9 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
IN median
National median
National p25–p75
Total nurse
4.02
2.85
3.28
2.90–3.77
RN
0.42
0.40
0.39
0.25–0.58
Weekend total
3.94
2.71
3.11
—
Weekday total
4.05
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.2
4.02
0.42
0.78
2.81
3.94
15.8%
2025Q3
92
62.7
4.06
0.27
0.92
2.86
3.81
15.5%
2025Q2
91
63.9
3.68
0.25
0.93
2.50
3.63
19.5%
2025Q1
90
64.1
3.73
0.35
0.97
2.41
3.64
13.2%
2024Q4
92
58.4
4.34
0.46
0.92
2.96
4.09
6.5%
2024Q3
92
55.7
4.49
0.47
0.90
3.12
4.18
8.5%
2024Q2
91
55.7
4.18
0.37
1.03
2.78
4.00
11.2%
2024Q1
91
53.3
4.15
0.31
1.10
2.74
3.96
0.4%
2023Q4
92
48.7
4.65
0.27
1.38
3.01
4.35
0.0%
2023Q3
92
52.0
4.27
0.26
1.40
2.60
3.96
0.0%
2023Q2
91
50.8
4.51
0.39
1.38
2.73
4.00
0.0%
2023Q1
90
57.5
4.14
0.39
1.13
2.63
3.76
0.0%
2022Q4
92
56.9
3.95
0.39
1.06
2.50
3.60
0.0%
2022Q3
92
57.8
3.62
0.38
1.04
2.20
3.25
0.0%
2022Q2
91
55.3
3.57
0.36
1.03
2.18
3.33
0.0%
2022Q1
90
53.2
3.77
0.31
1.16
2.29
3.60
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
18
C × 1D × 11E × 5G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-22
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2026-02-09
2026-01-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-09
2026-01-22
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-02-09
2025-12-02
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
2025-12-10
2025-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-03-21
2024-10-10
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-11-19
2024-10-10
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-11-19
2024-10-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-11-19
2024-10-10
Health
F0732
Post nurse staffing information every day.
C
2024-11-19
2024-10-10
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
2024-11-19
2024-10-10
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
2024-11-19
2024-10-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-19
2024-10-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-19
2024-08-29
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-09-16
2023-12-04
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2023-12-29
2023-12-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-12-29
2023-12-04
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
2023-12-29
2023-08-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-18
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
41
Owner
Role
Pct
From
Status
Source
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-04-02
current
pecos_ownership
BEARD, JANE
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BERTHA D. GARTEN KETCHAM MEMORIAL CENTER, INC.
ADP OF THE SNF
—
2013-04-02
current
pecos_ownership
BEVERS, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
FISH, ERIC
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
FULLER, KENNETH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
GILLILAND, TERRENCE
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
HARPE, BRANDON
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
HEALY, KEITHA
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
KLEBER, COURTNEY
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
LAWYER, PAULISA
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-01
current
pecos_ownership
MANN, DEBORAH
OPERATIONAL/MANAGERIAL CONTROL
—
2014-02-10
current
pecos_ownership
MARKEL, ANDREW
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
MCCORY, JACK
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
MILLIKAN, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
PORTER, BRYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-06-01
current
pecos_ownership
REEDY, MATTHEW
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
SMITH, RICK
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
current
pecos_ownership
STOREY, MARC
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
STUFFLE, VICKI
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
THORNE, ADAM
ADP OF THE SNF
—
2018-01-01
current
pecos_ownership
ADAM THORNE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
ANDREW MARKEL
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
BRANDON HARPE
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
BRYAN PORTER
ADP OF THE SNF
—
2015-06-01
ended 2026-05-18
pecos_ownership
COURTNEY KLEBER
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
DEBORAH MANN
MANAGING CONTROL - GOVERNING BODY
—
2014-02-10
ended 2026-05-18
pecos_ownership
ERIC FISH
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
JACK MCCORY
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
JANE BEARD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
KEITHA HEALY
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
KENNETH FULLER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
MARC STOREY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MATTHEW MILLIKAN
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
MATTHEW REEDY
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
PAULISA LAWYER
ADP OF THE SNF
—
2014-01-01
ended 2026-05-18
pecos_ownership
RICK SMITH
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
SUSAN BEVERS
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
TERRENCE GILLILAND
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
VICKI STUFFLE
ADP OF THE SNF
—
2019-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$483,466
—
—
—
—
1
—
2023-12-31
$341,389
—
—
—
—
1
—
2022-12-31
$339,664
—
—
—
—
1
—
2021-12-31
$345,531
—
—
—
—
1
—
2020-12-31
$264,579
—
—
—
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 18027
acs median gross
0
$818
2024-12-31
CENSUS_ACS5
county 18027
fmr
0
$719
2025-10-01
HUD_USER_FMR
county 18027
acs median gross
1
$445
2024-12-31
CENSUS_ACS5
county 18027
fmr
1
$764
2025-10-01
HUD_USER_FMR
county 18027
acs median gross
2
$943
2024-12-31
CENSUS_ACS5
county 18027
fmr
2
$1,003
2025-10-01
HUD_USER_FMR
county 18027
acs median gross
3
$943
2024-12-31
CENSUS_ACS5
county 18027
fmr
3
$1,243
2025-10-01
HUD_USER_FMR
county 18027
acs median gross
4
$931
2024-12-31
CENSUS_ACS5
county 18027
fmr
4
$1,328
2025-10-01
HUD_USER_FMR
county 18027
acs median gross
$847
2024-12-31
CENSUS_ACS5
county 18027
acs recent mover gross
$815
2024-12-31
CENSUS_ACS5
zcta 47562
acs median gross
0
$477
2024-12-31
CENSUS_ACS5
zcta 47562
acs median gross
1
$425
2024-12-31
CENSUS_ACS5
zcta 47562
acs median gross
3
$846
2024-12-31
CENSUS_ACS5
zcta 47562
acs median gross
$548
2024-12-31
CENSUS_ACS5
zip 47562
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 47562
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 47562
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47562
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 110
3
$1,298
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 90
3
$1,062
2025-10-01
HUD_USER_SAFMR
zip 47562
safmr
3
$1,180
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 110
4
$1,397
2025-10-01
HUD_USER_SAFMR
zip 47562
payment standard 90
4
$1,143
2025-10-01
HUD_USER_SAFMR
zip 47562
safmr
4
$1,270
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.