Reads as: riskier than 21.8% 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 spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
TEODORI KRISTINE
5 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 facilities
connection
Owner spans multiple chains
5 chains
SEBBAG GABRIEL
32 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
3.06
2.85
3.28
2.90–3.77
RN
0.63
0.40
0.39
0.25–0.58
Weekend total
3.03
2.71
3.11
—
Weekday total
3.08
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.3
3.06
0.63
0.66
1.77
3.03
3.4%
2025Q3
92
29.3
3.13
0.48
0.87
1.77
3.17
5.1%
2025Q2
91
29.6
3.14
0.42
0.96
1.77
3.15
1.9%
2025Q1
90
29.3
3.01
0.48
0.84
1.69
3.06
5.4%
2024Q4
92
31.4
2.86
0.36
0.76
1.73
2.89
1.7%
2024Q3
92
32.6
2.74
0.37
0.84
1.52
2.71
3.4%
2024Q2
91
35.1
2.73
0.30
0.85
1.57
2.68
3.7%
2024Q1
91
33.0
2.75
0.53
0.74
1.47
2.74
2.0%
2023Q4
92
35.2
2.78
0.47
0.78
1.53
2.83
3.9%
2023Q3
92
34.1
2.84
0.35
0.83
1.67
2.88
2.8%
2023Q2
91
33.2
2.90
0.34
0.76
1.80
2.83
4.2%
2023Q1
90
31.1
3.31
0.46
0.77
2.08
3.33
2.8%
2022Q4
92
34.1
2.92
0.46
0.66
1.80
2.88
7.3%
2022Q3
92
35.3
3.00
0.43
0.69
1.89
2.98
23.0%
2022Q2
91
34.2
2.84
0.29
0.81
1.74
2.71
26.2%
2022Q1
90
31.1
3.19
0.41
0.85
1.93
3.05
9.9%
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
35
C × 1D × 26E × 7F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-02
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-06-19
2025-06-02
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
2025-06-19
2025-06-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-19
2025-06-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-06-19
2025-06-02
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-06-19
2025-06-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-19
2025-06-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-19
2025-06-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-19
2025-06-02
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
2025-06-19
2025-06-02
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-06-19
2025-03-18
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
2025-04-04
2025-03-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-04
2025-03-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-04-04
2025-03-18
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-04-04
2024-08-23
Health
F0679
Provide activities to meet all resident's needs.
D
2024-09-10
2024-08-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-10
2024-08-23
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
2024-09-10
2024-08-23
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.
D
2024-09-10
2024-08-23
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-09-10
2024-08-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-10
2024-08-23
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
2024-09-10
2024-04-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-04-25
2023-06-30
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
2023-07-28
2023-06-30
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-07-28
2023-06-30
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-07-28
2023-06-30
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-07-28
2023-06-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-28
2023-06-30
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-07-28
2023-06-30
Health
F0732
Post nurse staffing information every day.
C
2023-07-28
2023-06-30
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-07-28
2023-06-30
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-07-28
2023-06-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-07-28
2023-06-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-07-28
2023-06-30
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
2023-07-28
2023-06-30
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-07-28
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
36
Owner
Role
Pct
From
Status
Source
119 CROWN POINT PROPCO LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER MORTGAGE INTEREST
—
2020-11-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
COLONIAL NURSING AND REHABILITATION LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
FLUECKIGER, RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2012-06-01
current
pecos_ownership
GREATOREX, TINA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-19
current
pecos_ownership
LEHMAN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-14
current
pecos_ownership
LME FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
MACKLIN, LARRY
MANAGING CONTROL - GOVERNING BODY
—
2012-06-01
current
pecos_ownership
MCINTIRE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
SAMARA FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
SCHIOWITZ, MARC
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-18
current
pecos_ownership
SEBBAG, GABRIEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-18
current
pecos_ownership
SHORT, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-21
current
pecos_ownership
SMITH, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
TEODORI, KRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-01
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-01
current
pecos_ownership
119 CROWN POINT PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
119 CROWN POINT PROPCO LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
IMG HC PROPERTIES
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
JENNIFER SHORT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-21
ended 2026-05-18
pecos_ownership
KRISTINE TEODORI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
MANAGING CONTROL - GOVERNING BODY
—
2012-06-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
MANAGING CONTROL - GOVERNING BODY
—
2012-06-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-14
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$690,257
—
—
$312,256
$50,935
7
—
2023-12-31
$626,757
—
$61,249
$260,253
$52,734
8
—
2022-12-31
$642,832
—
$65,063
$250,405
$53,096
7
—
2021-12-31
$924,820
$427,949
$70,614
$242,322
$44,176
8
propco
2020-12-31
$395,445
—
—
—
$7,737
6
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 18089
acs median gross
0
$996
2024-12-31
CENSUS_ACS5
county 18089
fmr
0
$959
2025-10-01
HUD_USER_FMR
county 18089
acs median gross
1
$905
2024-12-31
CENSUS_ACS5
county 18089
fmr
1
$1,082
2025-10-01
HUD_USER_FMR
county 18089
acs median gross
2
$1,141
2024-12-31
CENSUS_ACS5
county 18089
fmr
2
$1,317
2025-10-01
HUD_USER_FMR
county 18089
acs median gross
3
$1,261
2024-12-31
CENSUS_ACS5
county 18089
fmr
3
$1,612
2025-10-01
HUD_USER_FMR
county 18089
acs median gross
4
$1,419
2024-12-31
CENSUS_ACS5
county 18089
fmr
4
$1,744
2025-10-01
HUD_USER_FMR
county 18089
acs median gross
5
$1,503
2024-12-31
CENSUS_ACS5
county 18089
acs median gross
$1,131
2024-12-31
CENSUS_ACS5
county 18089
acs recent mover gross
$1,292
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
0
$1,178
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
1
$1,149
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
2
$1,382
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
3
$1,597
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
4
$1,820
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
5
$1,828
2024-12-31
CENSUS_ACS5
zcta 46307
acs median gross
$1,391
2024-12-31
CENSUS_ACS5
zcta 46307
acs recent mover gross
$1,445
2024-12-31
CENSUS_ACS5
zip 46307
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 46307
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 46307
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 110
2
$1,661
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 90
2
$1,359
2025-10-01
HUD_USER_SAFMR
zip 46307
safmr
2
$1,510
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 46307
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 110
4
$2,200
2025-10-01
HUD_USER_SAFMR
zip 46307
payment standard 90
4
$1,800
2025-10-01
HUD_USER_SAFMR
zip 46307
safmr
4
$2,000
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.