5230 E 66TH WAY, COMMERCE CITY, CO 80022 · CCN 065283 · chain THE ENSIGN GROUP INC
Composite
18.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
112
Model
v1.2
Reads as: riskier than 18.3% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 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
CO median
National median
National p25–p75
Total nurse
2.75
3.19
3.28
2.90–3.77
RN
0.53
0.57
0.39
0.25–0.58
Weekend total
2.43
3.02
3.11
—
Weekday total
2.88
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.9
2.75
0.53
0.47
1.76
2.43
3.9%
2025Q3
92
93.7
2.91
0.54
0.52
1.85
2.54
6.9%
2025Q2
91
95.4
2.72
0.54
0.48
1.70
2.26
0.8%
2025Q1
90
100.0
2.61
0.58
0.41
1.62
2.26
0.0%
2024Q4
92
100.5
2.61
0.59
0.37
1.64
2.32
0.0%
2024Q3
92
103.4
2.64
0.65
0.31
1.68
2.37
0.0%
2024Q2
91
101.9
2.70
0.67
0.30
1.73
2.39
0.0%
2024Q1
91
99.8
2.74
0.61
0.42
1.71
2.42
0.0%
2023Q4
92
100.7
2.71
0.61
0.43
1.67
2.39
0.0%
2023Q3
92
96.5
2.68
0.57
0.38
1.73
2.27
0.0%
2023Q2
91
95.7
2.86
0.56
0.39
1.90
2.34
0.0%
2023Q1
90
94.2
2.78
0.54
0.54
1.70
2.24
1.3%
2022Q4
92
96.0
2.69
0.51
0.37
1.82
2.15
0.0%
2022Q3
92
93.6
2.62
0.45
0.32
1.86
2.20
0.0%
2022Q2
91
94.5
2.61
0.47
0.34
1.79
2.16
0.0%
2022Q1
90
98.9
2.56
0.40
0.45
1.72
2.27
0.4%
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
14
D × 8E × 1F × 2J × 1K × 1L × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-03-25
2026-04-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2026-04-24
2024-07-16
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.
D
2024-08-15
2024-07-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-08-09
2024-07-16
Health
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
2024-08-09
2024-07-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-08-09
2024-07-16
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.
D
2024-08-09
2024-07-16
Health
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.
D
2024-08-09
2023-02-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-03-21
2023-02-17
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2023-03-21
2022-01-18
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-02-11
2022-01-18
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2022-02-11
2022-01-18
Health
F0880
Provide and implement an infection prevention and control program.
K
2022-02-16
2022-01-18
Health
F0886
Perform COVID19 testing on residents and staff.
L
2022-01-18
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
BURNAM, SOON
CORPORATE OFFICER
—
2019-08-02
current
pecos_ownership
CREASON, JONATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2019-08-02
current
pecos_ownership
GRAHAM, JOSEPH
CORPORATE OFFICER
—
2020-03-01
current
pecos_ownership
HORTON, CHRISTOPHER
ADP OF THE SNF
—
2020-03-01
current
pecos_ownership
JORGENSEN, DAVID
CORPORATE DIRECTOR
—
2019-08-02
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
PRIME TIME HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
SATO, AMI
CORPORATE OFFICER
—
2024-09-09
current
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2014-06-18
ended 2026-05-18
pecos_ownership
JONATHAN CREASON
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-03-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2019-08-02
ended 2026-05-18
pecos_ownership
AMI SATO
CORPORATE OFFICER
—
2024-09-09
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER HORTON
ADP OF THE SNF
—
2020-03-01
ended 2026-05-18
pecos_ownership
DAVID JORGENSEN
CORPORATE DIRECTOR
—
2019-08-02
ended 2026-05-18
pecos_ownership
ENDURA HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2020-03-01
ended 2026-05-18
pecos_ownership
JOSEPH GRAHAM
CORPORATE OFFICER
—
2020-03-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,307,112
—
$929,246
—
—
4
—
2023-12-31
$1,181,732
—
$785,801
—
$1,520
4
—
2022-12-31
$1,216,481
—
$881,827
—
—
4
—
2021-12-31
$1,420,903
—
$862,330
—
—
4
—
2020-12-31
$943,646
—
$706,035
—
—
4
—
2020-02-29
$7,432
—
$4,458
—
—
3
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 08001
acs median gross
0
$1,427
2024-12-31
CENSUS_ACS5
county 08001
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
1
$1,552
2024-12-31
CENSUS_ACS5
county 08001
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
2
$1,809
2024-12-31
CENSUS_ACS5
county 08001
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
3
$2,144
2024-12-31
CENSUS_ACS5
county 08001
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
4
$2,291
2024-12-31
CENSUS_ACS5
county 08001
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
5
$2,731
2024-12-31
CENSUS_ACS5
county 08001
acs median gross
$1,781
2024-12-31
CENSUS_ACS5
county 08001
acs recent mover gross
$1,931
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
0
$946
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
1
$1,052
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
2
$1,582
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
3
$1,876
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
4
$2,550
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 80022
acs median gross
$1,698
2024-12-31
CENSUS_ACS5
zcta 80022
acs recent mover gross
$1,771
2024-12-31
CENSUS_ACS5
zip 80022
payment standard 110
0
$1,628
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 90
0
$1,332
2025-10-01
HUD_USER_SAFMR
zip 80022
safmr
0
$1,480
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 110
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 90
1
$1,458
2025-10-01
HUD_USER_SAFMR
zip 80022
safmr
1
$1,620
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 110
2
$2,123
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 90
2
$1,737
2025-10-01
HUD_USER_SAFMR
zip 80022
safmr
2
$1,930
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 110
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 90
3
$2,268
2025-10-01
HUD_USER_SAFMR
zip 80022
safmr
3
$2,520
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 110
4
$3,102
2025-10-01
HUD_USER_SAFMR
zip 80022
payment standard 90
4
$2,538
2025-10-01
HUD_USER_SAFMR
zip 80022
safmr
4
$2,820
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.