Reads as: riskier than 71.5% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
55% fined
BELL KEVIN
11 facilities
connection
Owner fleet enforcement cluster
50% fined
KCCJ1 HOLDINGS LLC
8 facilities
connection
Owner fleet enforcement cluster
50% fined
LBEI HOLDINGS LLC
8 facilities
connection
Owner fleet enforcement cluster
44% fined
CAMPION ROBERT
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
TX median
National median
National p25–p75
Total nurse
3.17
2.67
3.28
2.90–3.77
RN
0.76
0.24
0.39
0.25–0.58
Weekend total
3.34
2.56
3.11
—
Weekday total
3.11
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.8
3.17
0.76
0.84
1.57
3.34
0.0%
2025Q3
92
55.0
3.67
0.85
0.85
1.96
3.67
0.0%
2025Q2
91
59.1
3.54
0.66
0.91
1.97
3.42
0.0%
2025Q1
90
59.3
3.24
0.57
0.87
1.80
3.46
1.0%
2024Q4
92
59.1
2.37
0.37
0.67
1.33
2.53
1.5%
2024Q3
92
63.2
3.23
0.51
0.89
1.83
3.32
3.7%
2024Q2
91
62.1
3.08
0.51
0.80
1.77
3.21
2.0%
2024Q1
91
62.6
2.92
0.47
0.74
1.71
3.12
0.1%
2023Q4
92
66.2
3.16
0.62
0.71
1.83
3.25
0.1%
2023Q3
92
68.9
3.20
0.55
0.72
1.93
3.28
5.2%
2023Q2
91
68.5
3.12
0.48
0.78
1.86
3.18
7.9%
2023Q1
90
66.2
3.19
0.52
0.81
1.86
3.26
4.2%
2022Q4
92
71.6
3.02
0.48
0.83
1.72
3.00
9.7%
2022Q3
92
64.6
3.13
0.50
0.78
1.85
3.14
2.9%
2022Q2
91
68.3
3.05
0.57
0.69
1.78
3.10
16.8%
2022Q1
90
63.6
2.65
0.60
0.74
1.30
2.89
0.2%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2025-11-19
2025-11-18
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-11-19
2025-11-18
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-19
2025-09-19
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-09-25
2025-09-19
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-09-25
2025-09-19
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
2025-09-25
2025-09-19
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.
E
2025-09-25
2025-09-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-25
2025-09-19
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2025-09-25
2025-09-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-09-25
2025-09-19
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
2025-09-25
2025-09-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-25
2025-09-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-25
2024-08-22
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-26
2024-08-22
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-09-26
2024-08-22
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
E
2024-09-26
2024-08-22
Health
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
2024-09-26
2024-08-22
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-26
2024-08-22
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-09-26
2024-08-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-26
2024-08-22
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-26
2024-08-22
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-26
2024-08-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-26
2024-08-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-09-26
2023-07-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-08-22
2023-07-20
Health
F0908
Keep all essential equipment working safely.
D
2023-08-22
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
17
Owner
Role
Pct
From
Status
Source
DV OPS DENTON LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-11-01
current
pecos_ownership
BELL, KEVIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
CAMPION, ROBERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
DV OPS DENTON LLC
—
—
2025-11-01
current
tx_hhsc_directory
JONES, BRENDA
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
KCCJ1 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
LBEI HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
LEGENDS PHARMACY III SERVICES LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
MANAGEMENT MCOA LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
NARREDDY, NEELIMA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
OVERHEAD OPS INVESTMENTS III LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
PPSG CONSULTING SERVICES LLC
ADP OF THE SNF
—
2024-12-31
current
pecos_ownership
KEVIN BELL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-11-01
ended 2026-05-18
pecos_ownership
ROBERT CAMPION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-11-01
ended 2026-05-18
pecos_ownership
BRENDA JONES
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
LEGENDS PHARMACY III SERVICES LLC
ADP OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
NEELIMA NARREDDY
CORPORATE DIRECTOR
—
2024-11-01
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
$2,139,714
—
—
—
$96
2
—
2023-12-31
$2,392,825
—
—
—
$2,967
2
—
2022-12-31
$2,099,651
—
—
—
$3,933
2
—
2021-12-31
$2,074,867
—
—
—
$1,338
2
—
2020-12-31
$1,728,443
—
—
—
$4,216
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
35
Geo
Kind
BR
Amount
As of
Source
county 48121
acs median gross
0
$1,393
2024-12-31
CENSUS_ACS5
county 48121
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48121
acs median gross
1
$1,438
2024-12-31
CENSUS_ACS5
county 48121
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48121
acs median gross
2
$1,775
2024-12-31
CENSUS_ACS5
county 48121
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48121
acs median gross
3
$2,215
2024-12-31
CENSUS_ACS5
county 48121
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48121
acs median gross
4
$2,677
2024-12-31
CENSUS_ACS5
county 48121
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48121
acs median gross
5
$3,267
2024-12-31
CENSUS_ACS5
county 48121
acs median gross
$1,728
2024-12-31
CENSUS_ACS5
county 48121
acs recent mover gross
$1,843
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
0
$987
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
1
$1,046
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
2
$1,384
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
3
$1,655
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
4
$1,548
2024-12-31
CENSUS_ACS5
zcta 76201
acs median gross
$1,164
2024-12-31
CENSUS_ACS5
zcta 76201
acs recent mover gross
$1,284
2024-12-31
CENSUS_ACS5
zip 76201
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 76201
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 110
1
$1,540
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 90
1
$1,260
2025-10-01
HUD_USER_SAFMR
zip 76201
safmr
1
$1,400
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 110
2
$1,804
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 90
2
$1,476
2025-10-01
HUD_USER_SAFMR
zip 76201
safmr
2
$1,640
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 76201
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 110
4
$2,893
2025-10-01
HUD_USER_SAFMR
zip 76201
payment standard 90
4
$2,367
2025-10-01
HUD_USER_SAFMR
zip 76201
safmr
4
$2,630
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.