Reads as: riskier than 32.4% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
14 chains
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
58 facilities
connection
Owner spans multiple chains
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REIT HOLDINGS LLC
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT HOLDINGS LP
67 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REAL ESTATE INVESTMENT TRUST
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT INC
68 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY INVESTORS LLC
67 facilities
connection
Owner spans multiple chains
13 chains
GAHC3 TRILOGY JV LLC
69 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
12 chains
GAHC4 TRILOGY JV LLC
68 facilities
connection
Owner spans multiple chains
11 chains
TRILOGY HEALTHCARE HOLDINGS INC
31 facilities
connection
Owner spans multiple chains
9 chains
TRILOGY OPCO LLC
24 facilities
connection
Owner spans multiple chains
8 chains
TRILOGY PRO SERVICES LLC
23 facilities
connection
Owner spans multiple chains
5 chains
TRILOGY RER LLC
5 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
3.13
2.85
3.28
2.90–3.77
RN
0.48
0.40
0.39
0.25–0.58
Weekend total
3.01
2.71
3.11
—
Weekday total
3.18
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.5
3.13
0.48
1.03
1.62
3.01
0.0%
2025Q3
92
49.7
2.93
0.38
0.98
1.57
3.15
0.0%
2025Q2
91
53.7
3.06
0.50
0.90
1.67
3.07
0.0%
2025Q1
90
54.0
3.18
0.45
1.00
1.73
3.12
0.0%
2024Q4
92
51.2
3.22
0.64
0.89
1.69
3.22
0.0%
2024Q3
92
49.3
3.19
0.59
0.90
1.70
3.29
0.0%
2024Q2
91
47.9
3.10
0.52
0.90
1.69
3.27
0.0%
2024Q1
91
49.4
2.68
0.48
0.81
1.39
2.87
0.0%
2023Q4
92
53.5
2.41
0.34
0.73
1.34
2.41
0.0%
2023Q3
92
52.2
2.48
0.36
0.84
1.28
2.56
0.0%
2023Q2
91
50.7
2.79
0.49
0.94
1.37
2.87
0.0%
2023Q1
90
52.1
3.17
0.53
0.99
1.64
3.34
0.0%
2022Q4
92
50.3
3.25
0.43
0.95
1.86
3.39
0.0%
2022Q3
92
52.5
2.91
0.47
0.77
1.67
2.99
0.0%
2022Q2
91
48.4
3.36
0.50
0.93
1.93
3.38
0.0%
2022Q1
90
48.1
3.47
0.44
1.15
1.88
3.39
0.0%
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
5
D × 1E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-21
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2026-05-08
2026-04-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-05-08
2025-11-06
Health · complaint
F0741
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
E
2025-11-25
2025-03-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-08
2024-02-13
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-03-01
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
44
Owner
Role
Pct
From
Status
Source
HARRISON COUNTY HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-01-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT HOLDINGS LP
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT INC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
BARNEY, LEIGH
GENERAL PARTNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
BODNEY, STEPHEN
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
BROWN, RICHARD
TRUSTEE OF THE SNF
—
1991-06-15
current
pecos_ownership
CLUNIE, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-08
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
ADP OF THE SNF
—
2021-10-01
current
pecos_ownership
DAVIS, DAVID
GENERAL PARTNERSHIP INTEREST
—
2019-12-31
current
pecos_ownership
GAHC3 TRILOGY JV LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
GAHC4 TRILOGY JV LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
HESS, JUDY
TRUSTEE OF THE SNF
—
2016-01-01
current
pecos_ownership
MORTON, RYAN
ADP OF THE SNF
—
2023-02-13
current
pecos_ownership
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
SALEEM, WAQAR
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SHICKLES, LARRY
TRUSTEE OF THE SNF
—
2022-02-01
current
pecos_ownership
SHIREMAN, KATHY
TRUSTEE OF THE SNF
—
2014-05-01
current
pecos_ownership
TRILOGY HEALTHCARE HOLDINGS INC
ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
TRILOGY HEALTHCARE OF CORYDON, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
TRILOGY INVESTORS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY OPCO LLC
ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
TRILOGY PRO SERVICES LLC
ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
TRILOGY REAL ESTATE HARRISON LLC
ADP OF THE SNF
—
2019-09-05
current
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REIT HOLDINGS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY RER LLC
ADP OF THE SNF
—
2019-09-05
current
pecos_ownership
WHITIS, HARRIS
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
WILEY, CHARLES
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
WISEMAN, MARK
TRUSTEE OF THE SNF
—
2021-09-01
current
pecos_ownership
LEIGH BARNEY
GENERAL PARTNERSHIP INTEREST
68%
2015-12-01
ended 2026-05-18
pecos_ownership
DAVID DAVIS
GENERAL PARTNERSHIP INTEREST
32%
2019-12-31
ended 2026-05-18
pecos_ownership
CHARLES WILEY
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
HARRIS WHITIS
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
JUDY HESS
TRUSTEE OF THE SNF
—
2016-01-01
ended 2026-05-18
pecos_ownership
KATHY SHIREMAN
TRUSTEE OF THE SNF
—
2014-05-01
ended 2026-05-18
pecos_ownership
LARRY SHICKLES
TRUSTEE OF THE SNF
—
2022-02-01
ended 2026-05-18
pecos_ownership
LISA CLUNIE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-08
ended 2026-05-18
pecos_ownership
MARK WISEMAN
TRUSTEE OF THE SNF
—
2021-09-01
ended 2026-05-18
pecos_ownership
RICHARD BROWN
TRUSTEE OF THE SNF
—
1991-06-15
ended 2026-05-18
pecos_ownership
RYAN MORTON
ADP OF THE SNF
—
2023-02-13
ended 2026-05-18
pecos_ownership
STEPHEN BODNEY
TRUSTEE OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
TRILOGY HEALTHCARE HOLDINGS INC
ADP OF THE SNF
—
2025-07-22
ended 2026-05-18
pecos_ownership
WAQAR SALEEM
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
$1,798,351
—
—
$563,844
$216,254
4
—
2023-12-31
$2,992,434
—
—
$595,954
$189,585
4
—
2022-12-31
$2,269,985
—
—
$475,802
$172,489
4
—
2021-12-31
$1,784,027
—
—
$424,722
$152,969
3
—
2020-12-31
$1,873,278
—
—
$525,799
$171,191
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
28
Geo
Kind
BR
Amount
As of
Source
county 18061
fmr
0
$966
2025-10-01
HUD_USER_FMR
county 18061
acs median gross
1
$552
2024-12-31
CENSUS_ACS5
county 18061
fmr
1
$1,047
2025-10-01
HUD_USER_FMR
county 18061
acs median gross
2
$887
2024-12-31
CENSUS_ACS5
county 18061
fmr
2
$1,272
2025-10-01
HUD_USER_FMR
county 18061
acs median gross
3
$977
2024-12-31
CENSUS_ACS5
county 18061
fmr
3
$1,625
2025-10-01
HUD_USER_FMR
county 18061
fmr
4
$1,891
2025-10-01
HUD_USER_FMR
county 18061
acs median gross
$836
2024-12-31
CENSUS_ACS5
zcta 47112
acs median gross
1
$472
2024-12-31
CENSUS_ACS5
zcta 47112
acs median gross
2
$929
2024-12-31
CENSUS_ACS5
zcta 47112
acs median gross
3
$797
2024-12-31
CENSUS_ACS5
zcta 47112
acs median gross
$812
2024-12-31
CENSUS_ACS5
zip 47112
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 47112
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 47112
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 47112
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 47112
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 47112
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 47112
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.