Reads as: riskier than 80.7% 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
5 chains
RADADIYA PRAGNESHKUMAR
14 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
2.01
2.85
3.28
2.90–3.77
RN
0.66
0.40
0.39
0.25–0.58
Weekend total
1.98
2.71
3.11
—
Weekday total
2.03
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.9
2.01
0.66
0.49
0.86
1.98
38.2%
2025Q3
92
66.7
2.72
0.82
0.59
1.31
2.70
33.5%
2025Q2
91
60.8
2.61
0.69
0.53
1.39
2.60
28.9%
2025Q1
90
60.4
2.56
0.65
0.50
1.41
2.69
23.0%
2024Q4
92
61.0
2.08
0.21
0.58
1.29
2.26
4.2%
2024Q3
92
53.8
2.20
0.15
0.71
1.33
2.32
0.0%
2024Q2
91
55.0
2.07
0.16
0.58
1.33
2.09
0.0%
2024Q1
91
54.9
1.75
0.19
0.58
0.99
1.71
0.0%
2023Q4
92
60.7
1.75
0.30
0.50
0.94
1.77
0.0%
2023Q3
92
49.5
2.22
0.33
0.61
1.29
2.33
0.0%
2023Q2
91
51.4
2.49
0.46
0.68
1.35
2.58
0.0%
2023Q1
90
54.3
2.65
0.42
0.79
1.44
2.71
3.4%
2022Q4
92
55.5
2.94
0.48
0.75
1.71
2.95
20.1%
2022Q3
92
68.8
2.67
0.27
0.85
1.55
2.45
40.7%
2022Q2
91
68.6
2.27
0.25
0.77
1.26
2.29
24.2%
2022Q1
90
73.4
2.12
0.28
0.61
1.23
2.10
13.4%
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
19
C × 1D × 12E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-05-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-18
2026-05-01
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
2026-05-18
2026-05-01
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-05-18
2025-12-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-11-18
2025-12-18
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2025-10-09
2025-12-18
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-01-07
2025-08-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-19
2025-02-28
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-03-19
2025-02-28
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-19
2025-02-28
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
2025-03-19
2025-02-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-03-19
2024-03-25
Health
F0732
Post nurse staffing information every day.
C
2024-04-18
2024-03-25
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-04-18
2024-03-25
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
2024-04-18
2024-03-25
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-04-18
2024-03-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-18
2024-03-25
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-04-18
2023-07-26
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-08-03
2023-07-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-08-03
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
37
Owner
Role
Pct
From
Status
Source
ENGELS, ERIN
TRUSTEE OF THE SNF
—
2018-08-01
current
pecos_ownership
FENOUGHTY, DEANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-10
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
GENTRY, MARK
TRUSTEE OF THE SNF
—
2022-01-12
current
pecos_ownership
HENDRICKS COUNTY HOSPITAL
ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
HENRY, TERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
HIGNITE, KATHERINE
ADP OF THE SNF
—
2018-08-01
current
pecos_ownership
LAY, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-03-14
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
MITCHELL MEDICAL INVESTORS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2018-08-01
current
pecos_ownership
RADADIYA, PRAGNESHKUMAR
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-15
current
pecos_ownership
STARKEY, TYLER
MANAGING CONTROL - GOVERNING BODY
—
2020-08-01
current
pecos_ownership
SWANKER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
THURMOND, JOAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
WAITE, JOHN
TRUSTEE OF THE SNF
—
2020-08-01
current
pecos_ownership
WHICKER, TIMOTHY
TRUSTEE OF THE SNF
—
2022-01-12
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
HENDRICKS COUNTY HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-08-01
ended 2026-05-18
pecos_ownership
DEANNA FENOUGHTY
CORPORATE OFFICER
0%
2023-07-10
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
ERIN ENGELS
TRUSTEE OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
JOAN THURMOND
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
JOHN WAITE
TRUSTEE OF THE SNF
—
2020-08-01
ended 2026-05-18
pecos_ownership
KATHERINE HIGNITE
ADP OF THE SNF
—
2018-08-01
ended 2026-05-18
pecos_ownership
LISA LAY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
MARK GENTRY
TRUSTEE OF THE SNF
—
2022-01-12
ended 2026-05-18
pecos_ownership
PRAGNESHKUMAR RADADIYA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-15
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
TIMOTHY WHICKER
TRUSTEE OF THE SNF
—
2022-01-12
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
ended 2026-05-18
pecos_ownership
TYLER STARKEY
MANAGING CONTROL - GOVERNING BODY
—
2020-08-01
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
$4,414,759
$365,792
—
—
$3,439,963
5
—
2023-12-31
$4,222,954
$264,613
—
—
$3,345,872
6
—
2022-12-31
$4,277,640
$273,505
—
—
$3,317,588
7
—
2021-12-31
$4,373,691
$289,767
—
—
$3,296,723
7
—
2020-12-31
$4,491,198
$303,415
$228,794
—
$3,374,142
7
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 18093
acs median gross
0
$552
2024-12-31
CENSUS_ACS5
county 18093
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
1
$569
2024-12-31
CENSUS_ACS5
county 18093
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
2
$880
2024-12-31
CENSUS_ACS5
county 18093
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
3
$942
2024-12-31
CENSUS_ACS5
county 18093
fmr
3
$1,146
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
4
$1,194
2024-12-31
CENSUS_ACS5
county 18093
fmr
4
$1,447
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
$845
2024-12-31
CENSUS_ACS5
county 18093
acs recent mover gross
$868
2024-12-31
CENSUS_ACS5
zcta 47446
acs median gross
1
$556
2024-12-31
CENSUS_ACS5
zcta 47446
acs median gross
2
$874
2024-12-31
CENSUS_ACS5
zcta 47446
acs median gross
3
$946
2024-12-31
CENSUS_ACS5
zcta 47446
acs median gross
4
$1,142
2024-12-31
CENSUS_ACS5
zcta 47446
acs median gross
$880
2024-12-31
CENSUS_ACS5
zcta 47446
acs recent mover gross
$923
2024-12-31
CENSUS_ACS5
zip 47446
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 47446
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 47446
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47446
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 110
3
$1,265
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 90
3
$1,035
2025-10-01
HUD_USER_SAFMR
zip 47446
safmr
3
$1,150
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 110
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 47446
payment standard 90
4
$1,296
2025-10-01
HUD_USER_SAFMR
zip 47446
safmr
4
$1,440
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.