Reads as: riskier than 7.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
LT CARE ACQUISITION CORP
16 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
15
2025Q4 HPRD
This facility
IN median
National median
National p25–p75
Total nurse
3.60
2.85
3.28
2.90–3.77
RN
0.57
0.40
0.39
0.25–0.58
Weekend total
3.52
2.71
3.11
—
Weekday total
3.63
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.5
3.60
0.57
0.76
2.27
3.52
16.3%
2025Q3
92
41.2
3.93
0.57
0.74
2.62
3.80
19.3%
2025Q2
91
37.9
3.40
0.42
0.66
2.32
3.38
17.2%
2024Q4
92
39.3
3.44
0.56
0.44
2.43
2.87
4.7%
2024Q3
92
39.2
3.22
0.49
0.63
2.10
2.58
5.1%
2024Q2
91
39.5
3.37
0.48
0.76
2.13
2.67
6.5%
2024Q1
91
36.8
3.33
0.35
0.81
2.16
2.83
5.3%
2023Q4
92
37.4
3.12
0.22
0.98
1.92
2.68
2.2%
2023Q3
92
34.9
3.57
0.33
1.12
2.12
2.90
2.0%
2023Q2
91
35.9
3.47
0.28
0.99
2.21
2.91
0.0%
2023Q1
90
38.3
3.40
0.32
0.92
2.16
2.65
0.0%
2022Q4
92
34.5
3.65
0.31
0.99
2.34
2.78
0.0%
2022Q3
92
36.6
3.26
0.37
0.91
1.98
2.52
3.5%
2022Q2
91
37.4
3.25
0.36
0.84
2.05
2.40
7.2%
2022Q1
90
37.4
3.22
0.39
0.83
2.00
2.42
7.4%
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
16
D × 12E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-31
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-04-24
2026-03-31
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-04-24
2026-03-31
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-04-24
2026-03-31
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2026-04-24
2026-01-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-26
2026-01-08
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-01-26
2026-01-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-01-26
2025-11-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-12-03
2025-06-09
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-01
2025-06-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-07-01
2025-06-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-07-01
2025-06-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-01
2025-06-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-07-01
2025-06-09
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-07-01
2025-04-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-05-06
2024-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-08-19
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
29
Owner
Role
Pct
From
Status
Source
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ALTEA MEDICAL INDIANA PC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BANKWELL BANK
5% OR GREATER MORTGAGE INTEREST
—
2025-01-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
ENVIVE HEALTHCARE LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
ENVIVE OF MUNCIE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
FLUECKIGER, RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LEHMAN, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LT CARE ACQUISITION CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MACKLIN, LARRY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
MAZHAR, ALIZA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MCINTIRE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
PROACTIVE CLINICAL PARTNERS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SMITH, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
VOGT, JUSTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ALIZA MAZHAR
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
JUSTIN VOGT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
$688,514
—
$172,297
$516,217
—
15
—
2023-12-31
$744,169
—
$213,852
$432,600
$97,717
15
—
2022-12-31
$764,197
—
$215,506
$452,054
$96,637
15
—
2021-12-31
$692,206
—
$193,353
$459,381
$39,472
15
—
2020-12-31
$684,855
—
—
$473,142
$39,472
15
—
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 18035
acs median gross
0
$775
2024-12-31
CENSUS_ACS5
county 18035
fmr
0
$803
2025-10-01
HUD_USER_FMR
county 18035
acs median gross
1
$695
2024-12-31
CENSUS_ACS5
county 18035
fmr
1
$845
2025-10-01
HUD_USER_FMR
county 18035
acs median gross
2
$912
2024-12-31
CENSUS_ACS5
county 18035
fmr
2
$1,043
2025-10-01
HUD_USER_FMR
county 18035
acs median gross
3
$1,030
2024-12-31
CENSUS_ACS5
county 18035
fmr
3
$1,349
2025-10-01
HUD_USER_FMR
county 18035
acs median gross
4
$1,407
2024-12-31
CENSUS_ACS5
county 18035
fmr
4
$1,685
2025-10-01
HUD_USER_FMR
county 18035
acs median gross
$906
2024-12-31
CENSUS_ACS5
county 18035
acs recent mover gross
$979
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
0
$719
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
1
$640
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
2
$863
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
3
$968
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
4
$1,314
2024-12-31
CENSUS_ACS5
zcta 47302
acs median gross
$867
2024-12-31
CENSUS_ACS5
zcta 47302
acs recent mover gross
$692
2024-12-31
CENSUS_ACS5
zip 47302
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 47302
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 47302
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 47302
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 110
3
$1,452
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 90
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 47302
safmr
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 47302
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 47302
safmr
4
$1,650
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.