Reads as: riskier than 91.6% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
50% fined
LAUREN 2020 FAMILY GRANTOR TRUST
8 facilities
connection
Owner fleet enforcement cluster
50% fined
ROBIN 2008 FAMILY GRANTOR TRUST
8 facilities
connection
Owner fleet enforcement cluster
50% fined
NORMAN 5571 FAMILY GRANTOR TRUST
8 facilities
connection
Owner fleet enforcement cluster
44% fined
SUMMER SOUTH LLC
9 facilities
connection
Owner fleet enforcement cluster
44% fined
LEPS 2003 FAMILY TRUST
9 facilities
connection
Owner fleet enforcement cluster
40% fined
NORMAN 5571 FAMILY LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
LAUREN 2020 LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
RL 2008 FAMILY TRUST
10 facilities
connection
Owner fleet enforcement cluster
40% fined
ROBIN 2008 LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
DRM SOUTH LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
RSBRM SOUTH MANAGER LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
SPRINGROCK SOUTH LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
CK 2008 FAMILY TRUST
10 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
NC median
National median
National p25–p75
Total nurse
2.91
3.08
3.28
2.90–3.77
RN
0.15
0.30
0.39
0.25–0.58
Weekend total
2.82
2.93
3.11
—
Weekday total
2.94
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
175.6
2.91
0.15
0.93
1.82
2.82
0.0%
2025Q3
92
174.2
2.84
0.18
0.95
1.71
2.60
0.0%
2025Q2
91
172.4
3.03
0.17
1.00
1.86
2.78
0.0%
2025Q1
90
167.1
2.75
0.23
0.88
1.65
2.48
0.0%
2024Q4
92
169.8
2.54
0.15
0.91
1.49
2.43
0.0%
2024Q3
92
157.0
2.75
0.17
0.96
1.63
2.58
0.0%
2024Q2
91
139.7
2.91
0.28
1.00
1.63
2.69
0.0%
2024Q1
91
138.2
2.74
0.26
0.79
1.68
2.63
0.0%
2023Q4
92
132.9
2.96
0.23
0.88
1.86
2.81
0.9%
2023Q3
92
137.4
2.81
0.17
0.93
1.72
2.72
0.7%
2023Q2
91
133.0
2.98
0.10
0.94
1.93
2.83
0.6%
2023Q1
90
136.9
3.22
0.15
1.07
1.99
2.90
1.1%
2022Q4
92
144.5
3.19
0.08
1.17
1.93
2.81
12.3%
2022Q3
92
156.6
2.63
0.06
1.08
1.50
2.33
53.9%
2022Q2
91
131.1
2.31
0.08
1.03
1.19
2.19
39.6%
2022Q1
90
113.8
2.63
0.11
0.94
1.58
2.45
37.3%
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 dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-27
2025-05-01
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.
E
2025-05-27
2025-05-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-27
2025-05-01
Health · complaint
F0685
Assist a resident in gaining access to vision and hearing services.
E
2025-05-27
2025-05-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-27
2025-05-01
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2025-05-27
2024-11-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-11-08
2024-04-23
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-05-07
2024-04-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-07
2024-04-23
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
2024-05-07
2024-04-23
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
2024-05-07
2024-04-23
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-05-07
2023-11-02
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2023-11-22
2023-11-02
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-16
2023-11-02
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-11-22
2023-11-02
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
2023-11-22
2023-11-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-22
2023-11-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-11-22
2023-11-02
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2023-11-22
2023-08-02
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-09-12
2023-07-06
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-26
2023-07-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2023-08-26
2023-07-06
Health · complaint
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
2023-08-26
2023-07-06
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
J
2023-08-26
2023-07-06
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2023-08-26
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
19
Owner
Role
Pct
From
Status
Source
ALAMANCE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-05-28
current
pecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
CK 2008 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
DRM SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
LAUREN 2020 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
LAUREN 2020 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
LEPS 2003 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
NORMAN 5571 & FAMILY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
NORMAN 5571 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
RL 2008 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
ROBIN 2008 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
ROBIN 2008 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
RSBRM SOUTH MANAGER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-28
current
pecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
SPRINGROCK SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
STAPLES, HOWARD
W-2 MANAGING EMPLOYEE
—
2023-09-13
current
pecos_ownership
SUMMER SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
HOWARD STAPLES
W-2 MANAGING EMPLOYEE
100%
2023-09-13
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-05-27
$635,496
—
$587,206
—
$48,290
1
—
2020-09-30
$722,732
—
$673,189
—
$49,543
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 37001
acs median gross
0
$863
2024-12-31
CENSUS_ACS5
county 37001
fmr
0
$992
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
1
$1,003
2024-12-31
CENSUS_ACS5
county 37001
fmr
1
$1,230
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
2
$1,023
2024-12-31
CENSUS_ACS5
county 37001
fmr
2
$1,348
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
3
$1,134
2024-12-31
CENSUS_ACS5
county 37001
fmr
3
$1,670
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
4
$1,856
2024-12-31
CENSUS_ACS5
county 37001
fmr
4
$1,972
2025-10-01
HUD_USER_FMR
county 37001
acs median gross
5
$1,358
2024-12-31
CENSUS_ACS5
county 37001
acs median gross
$1,064
2024-12-31
CENSUS_ACS5
county 37001
acs recent mover gross
$1,434
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
1
$651
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
2
$863
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
3
$1,086
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 27217
acs median gross
$915
2024-12-31
CENSUS_ACS5
zcta 27217
acs recent mover gross
$1,227
2024-12-31
CENSUS_ACS5
zip 27217
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 27217
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 27217
safmr
4
$1,730
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.