Reads as: riskier than 89.0% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+44.8 vs natl
GOLDEN LAUREN
8 facilities
connection
Owner fleet risk far above national
+43.9 vs natl
PRINCE DANNY
12 facilities
connection
Owner fleet risk far above national
+42.5 vs natl
DKP INVESTMENTS LLC
10 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HOOPER GRADY
61 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
BROWN DEANDRE
6 facilities
connection
Owner spans multiple chains
4 chains
BROWN DEANDRE
6 facilities
connection
Owner fleet enforcement cluster
63% fined
GOLDEN LAUREN
8 facilities
connection
Owner fleet enforcement cluster
50% fined
BROWN DEANDRE
6 facilities
connection
Owner fleet enforcement cluster
50% fined
PRINCE DANNY
12 facilities
connection
Owner fleet enforcement cluster
49% fined
HOOPER GRADY
61 facilities
connection
Owner fleet enforcement cluster
40% fined
DKP INVESTMENTS LLC
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
TX median
National median
National p25–p75
Total nurse
2.84
2.67
3.28
2.90–3.77
RN
0.37
0.24
0.39
0.25–0.58
Weekend total
2.58
2.56
3.11
—
Weekday total
2.94
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.8
2.84
0.37
0.79
1.69
2.58
0.3%
2025Q3
92
61.1
2.87
0.29
0.72
1.86
2.63
0.4%
2025Q2
91
62.7
2.83
0.18
0.75
1.89
2.54
1.5%
2025Q1
90
71.5
2.22
0.16
0.60
1.46
2.10
1.2%
2024Q4
92
71.8
2.41
0.18
0.60
1.62
2.38
0.3%
2024Q3
92
73.5
2.63
0.21
0.65
1.77
2.57
4.6%
2024Q2
91
68.2
2.69
0.18
0.73
1.78
2.65
7.3%
2024Q1
91
70.9
2.51
0.07
0.82
1.62
2.37
10.8%
2023Q4
92
65.2
2.24
0.05
0.76
1.43
2.01
1.3%
2023Q3
92
62.3
2.34
0.20
0.67
1.48
2.18
7.6%
2023Q2
91
63.0
2.82
0.30
0.85
1.67
2.65
13.9%
2023Q1
90
66.6
2.85
0.18
0.73
1.94
2.72
20.4%
2022Q4
92
65.9
2.52
0.02
0.79
1.72
2.35
17.5%
2022Q3
92
61.3
2.44
0.04
0.82
1.59
2.32
11.9%
2022Q2
91
60.7
2.55
0.06
0.81
1.68
2.37
7.6%
2022Q1
90
51.9
2.83
0.06
0.69
2.08
2.73
5.6%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-30
2025-05-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-04-01
2025-03-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-17
2025-02-07
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-03-10
2025-02-07
Health · complaint
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
2025-03-10
2025-02-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-03-10
2025-02-07
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-03-10
2025-02-07
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.
E
2025-03-10
2024-08-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-09-23
2024-08-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-23
2024-07-01
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
K
2024-07-26
2024-07-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-07-26
2024-07-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2024-07-26
2024-07-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-07-26
2024-03-20
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-04-09
2024-03-20
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-04-09
2024-01-04
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-01-05
2023-07-12
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-13
2022-04-28
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-05-27
2022-04-28
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2022-05-27
2022-04-28
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2022-05-27
2022-04-28
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
C
2022-05-27
2022-04-28
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-05-27
2022-04-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-05-27
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
BROWN, DEANDRE
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
D K LANCASTER LAND CO LP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
D K LANCASTER LAND CO LP
ADP OF THE SNF
—
2025-04-22
current
pecos_ownership
DK LANCASTER LAND COMPANY LP
—
—
2026-04-01
current
tx_hhsc_directory
DKP INVESTMENTS, LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-04-01
current
pecos_ownership
GOLDEN, LAUREN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
—
—
2026-04-01
current
tx_hhsc_directory
HOOPER, GRADY
CORPORATE OFFICER
—
2023-04-01
current
pecos_ownership
JOHNSON, MICHELLE
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
LLLD ASSOCIATES, LP
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
PORT AU PRINCE LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-04-01
current
pecos_ownership
PRINCE, DANNY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-04-01
ended 2026-05-18
pecos_ownership
LLLC ASSOC LP
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GRADY HOOPER
CORPORATE OFFICER
0%
2023-04-01
ended 2026-05-18
pecos_ownership
DANNY PRINCE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
ended 2026-05-18
pecos_ownership
DEANDRE BROWN
ADP OF THE SNF
—
2023-04-01
ended 2026-05-18
pecos_ownership
LAUREN GOLDEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
ended 2026-05-18
pecos_ownership
MICHELLE JOHNSON
ADP OF THE SNF
—
2024-01-01
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2020-12-31
$750,595
$469,788
$280,807
—
—
6
propco
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 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75237
acs median gross
0
$1,166
2024-12-31
CENSUS_ACS5
zcta 75237
acs median gross
1
$1,106
2024-12-31
CENSUS_ACS5
zcta 75237
acs median gross
2
$1,482
2024-12-31
CENSUS_ACS5
zcta 75237
acs median gross
3
$1,644
2024-12-31
CENSUS_ACS5
zcta 75237
acs median gross
$1,289
2024-12-31
CENSUS_ACS5
zcta 75237
acs recent mover gross
$1,618
2024-12-31
CENSUS_ACS5
zip 75237
payment standard 110
0
$1,342
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 90
0
$1,098
2025-10-01
HUD_USER_SAFMR
zip 75237
safmr
0
$1,220
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 75237
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 110
2
$1,639
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 90
2
$1,341
2025-10-01
HUD_USER_SAFMR
zip 75237
safmr
2
$1,490
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 110
3
$2,068
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 90
3
$1,692
2025-10-01
HUD_USER_SAFMR
zip 75237
safmr
3
$1,880
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 110
4
$2,629
2025-10-01
HUD_USER_SAFMR
zip 75237
payment standard 90
4
$2,151
2025-10-01
HUD_USER_SAFMR
zip 75237
safmr
4
$2,390
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.