Reads as: riskier than 74.0% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.7 vs natl
THOMPSON JOHNNY
74 facilities
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner fleet enforcement cluster
45% fined
THOMPSON JOHNNY
74 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
2.52
2.67
3.28
2.90–3.77
RN
0.42
0.24
0.39
0.25–0.58
Weekend total
2.37
2.56
3.11
—
Weekday total
2.59
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.0
2.52
0.42
0.52
1.58
2.37
0.0%
2025Q3
92
109.3
2.58
0.35
0.56
1.67
2.53
0.0%
2025Q2
91
107.3
2.61
0.46
0.46
1.69
2.49
0.0%
2025Q1
90
108.1
2.37
0.31
0.56
1.50
2.32
0.0%
2024Q4
92
104.3
2.70
0.30
0.72
1.67
2.59
0.0%
2024Q3
92
106.3
2.58
0.34
0.70
1.54
2.35
0.0%
2024Q2
91
102.5
2.46
0.29
0.63
1.54
2.29
0.0%
2024Q1
91
103.9
2.48
0.23
0.64
1.60
2.35
0.0%
2023Q4
92
98.7
2.48
0.22
0.70
1.57
2.30
0.0%
2023Q3
92
95.2
2.68
0.21
0.77
1.69
2.54
0.0%
2023Q2
91
94.8
2.66
0.23
0.75
1.68
2.46
0.0%
2023Q1
90
94.6
2.48
0.20
0.75
1.53
2.30
0.0%
2022Q4
92
92.4
2.46
0.17
0.76
1.53
2.23
0.0%
2022Q3
92
87.1
2.57
0.24
0.86
1.47
2.51
0.0%
2022Q2
91
87.8
2.56
0.21
0.85
1.50
2.44
0.0%
2022Q1
90
86.3
2.59
0.21
0.91
1.47
2.49
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.
Ensure each resident receives an accurate assessment.
D
2026-04-21
2026-04-03
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-04-21
2026-04-03
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
2026-04-21
2026-04-03
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
2026-04-21
2026-04-03
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
2026-04-21
2026-04-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-04-21
2026-04-03
Health
F0814
Dispose of garbage and refuse properly.
D
2026-04-21
2026-04-03
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-21
2026-04-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-21
2025-01-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-06
2025-01-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-02-06
2025-01-24
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
2025-02-06
2025-01-24
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-02-06
2025-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-06
2025-01-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-06
2024-12-19
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
2025-01-07
2024-12-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-07
2024-04-28
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K
2024-04-29
2024-04-28
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
K
2024-04-29
2023-12-08
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-12-13
2023-12-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-12-13
2023-12-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-12-13
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
16
Owner
Role
Pct
From
Status
Source
BREWER, DEVIN
MANAGING CONTROL - GOVERNING BODY
—
2022-10-01
current
pecos_ownership
BURNAM, SOON
CORPORATE OFFICER
—
2022-01-18
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2022-01-18
current
pecos_ownership
FOX SPARROW HEALTHCARE, INC
—
—
2025-04-01
current
tx_hhsc_directory
FOX SPARROW HEALTHCARE, INC.
ADP OF THE SNF
—
2025-10-16
current
pecos_ownership
FOX SPARROW HEALTHCARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
THOMPSON, JOHNNY
CORPORATE OFFICER
—
2024-05-16
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-04-01
current
tx_hhsc_directory
ZANTUA, OMAR
MANAGING CONTROL - GOVERNING BODY
—
2023-01-18
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-01
ended 2026-05-18
pecos_ownership
DEVIN BREWER
OPERATIONAL/MANAGERIAL CONTROL
0%
2022-10-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2022-01-18
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
JOHNNY THOMPSON
CORPORATE OFFICER
—
2024-05-16
ended 2026-05-18
pecos_ownership
OMAR ZANTUA
ADP OF THE SNF
—
2023-01-18
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-03-31
$1,368,293
—
$918,497
—
—
4
—
2024-03-31
$1,007,584
—
$716,167
—
—
4
—
2023-03-31
$312,759
—
$253,766
—
—
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48029
acs median gross
0
$1,088
2024-12-31
CENSUS_ACS5
county 48029
fmr
0
$1,077
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
1
$1,145
2024-12-31
CENSUS_ACS5
county 48029
fmr
1
$1,177
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
2
$1,389
2024-12-31
CENSUS_ACS5
county 48029
fmr
2
$1,426
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
3
$1,668
2024-12-31
CENSUS_ACS5
county 48029
fmr
3
$1,830
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 48029
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
5
$2,324
2024-12-31
CENSUS_ACS5
county 48029
acs median gross
$1,354
2024-12-31
CENSUS_ACS5
county 48029
acs recent mover gross
$1,427
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
1
$1,220
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
2
$1,476
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
3
$1,865
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
4
$2,186
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
5
$2,648
2024-12-31
CENSUS_ACS5
zcta 78254
acs median gross
$1,765
2024-12-31
CENSUS_ACS5
zcta 78254
acs recent mover gross
$1,864
2024-12-31
CENSUS_ACS5
zip 78254
payment standard 110
0
$1,551
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 90
0
$1,269
2025-10-01
HUD_USER_SAFMR
zip 78254
safmr
0
$1,410
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 110
1
$1,694
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 90
1
$1,386
2025-10-01
HUD_USER_SAFMR
zip 78254
safmr
1
$1,540
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 110
2
$2,057
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 90
2
$1,683
2025-10-01
HUD_USER_SAFMR
zip 78254
safmr
2
$1,870
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 110
3
$2,640
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 90
3
$2,160
2025-10-01
HUD_USER_SAFMR
zip 78254
safmr
3
$2,400
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 110
4
$3,080
2025-10-01
HUD_USER_SAFMR
zip 78254
payment standard 90
4
$2,520
2025-10-01
HUD_USER_SAFMR
zip 78254
safmr
4
$2,800
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.