Reads as: riskier than 74.7% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
GPN FAMILY TRUST U A D 4 28 08
74 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
DOROS GENERATION TRUST U A D 1 3 12
72 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
79 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
PTACEK TRAVIS
5 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
OAKWAY OPERATIONS LLC
44 facilities
connection
Owner fleet risk far above national
+24.2 vs natl
SHABAT MENACHEM
85 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
RSM US LLP
18 facilities
connection
Owner spans multiple chains
12 chains
TRUIST BANK
61 facilities
connection
Owner spans multiple chains
5 chains
RAJCHENBACH CHAIM
49 facilities
connection
Owner fleet enforcement cluster
60% fined
PTACEK TRAVIS
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
SD median
National median
National p25–p75
Total nurse
2.92
2.96
3.28
2.90–3.77
RN
0.33
0.52
0.39
0.25–0.58
Weekend total
2.92
2.75
3.11
—
Weekday total
2.92
3.06
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.2
2.92
0.33
0.44
2.15
2.92
28.3%
2025Q3
92
74.1
2.67
0.23
0.43
2.01
2.64
32.6%
2025Q2
91
72.7
2.70
0.29
0.38
2.03
2.67
18.3%
2025Q1
90
71.2
2.54
0.30
0.42
1.83
2.47
10.0%
2024Q4
92
73.9
2.49
0.19
0.46
1.84
2.48
7.4%
2024Q3
92
73.7
2.75
0.36
0.40
1.98
2.56
12.3%
2024Q2
91
72.9
2.66
0.31
0.41
1.94
2.53
18.4%
2024Q1
91
71.6
2.58
0.27
0.40
1.91
2.53
21.8%
2023Q4
92
71.9
2.48
0.26
0.41
1.81
2.36
20.4%
2023Q3
92
70.8
2.56
0.26
0.40
1.89
2.46
21.3%
2023Q2
91
68.0
2.54
0.30
0.45
1.80
2.39
20.7%
2023Q1
90
65.0
2.57
0.51
0.28
1.78
2.53
14.4%
2022Q4
92
64.7
2.49
0.51
0.22
1.76
2.40
18.1%
2022Q3
92
63.1
2.56
0.47
0.26
1.84
2.49
20.3%
2022Q2
91
65.1
2.57
0.53
0.20
1.84
2.45
5.1%
2022Q1
90
60.3
2.61
0.51
0.19
1.91
2.60
3.3%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
G
2026-04-14
2026-03-18
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2026-03-06
2026-01-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-03-10
2026-01-27
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.
E
2026-03-10
2026-01-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-03-10
2025-08-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-08-05
2025-07-02
Health · complaint
F0732
Post nurse staffing information every day.
E
2025-08-12
2025-03-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-26
2024-11-07
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-22
2024-11-07
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2024-12-22
2024-11-07
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.
E
2024-12-22
2024-11-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-22
2024-11-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-22
2024-11-07
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-12-22
2023-10-26
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-11-22
2023-10-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-11-22
2023-10-26
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2023-11-22
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
17
Owner
Role
Pct
From
Status
Source
DOROS GENERATION TRUST U/A/D 1/3/12
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
current
pecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
current
pecos_ownership
OAKWAY OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2019-07-01
current
pecos_ownership
ALTENA, ASHALEY
ADP OF THE SNF
—
2023-10-08
current
pecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2019-07-01
current
pecos_ownership
PTACEK, TRAVIS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
RAJCHENBACH, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
RSM US LLP
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
SAINT CLOUD SD PROPERTY HOLDINGS, LLC
5% OR GREATER SECURITY INTEREST
—
2019-07-01
current
pecos_ownership
SHABAT, MENACHEM
ADP OF THE SNF
—
2019-07-01
current
pecos_ownership
TRUIST BANK
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-01
current
pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
ended 2026-05-18
pecos_ownership
GPN FAM TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
ended 2026-04-01
pecos_ownership
ASHALEY ALTENA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-08
ended 2026-05-18
pecos_ownership
CHAIM RAJCHENBACH
ADP OF THE SNF
—
2019-07-01
ended 2026-05-18
pecos_ownership
MENACHEM SHABAT
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
ended 2026-05-18
pecos_ownership
TRAVIS PTACEK
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
$875,689
$555,023
—
—
$12,601
0
propco
2023-12-31
$815,599
$498,524
—
—
$11,805
0
propco
2022-12-31
$636,857
$394,341
—
—
$11,651
0
propco
2021-12-31
$372,288
—
—
—
$12,640
0
—
2020-12-31
$336,312
—
—
—
$14,919
0
—
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 46103
acs median gross
0
$690
2024-12-31
CENSUS_ACS5
county 46103
fmr
0
$921
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
1
$878
2024-12-31
CENSUS_ACS5
county 46103
fmr
1
$1,018
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
2
$1,188
2024-12-31
CENSUS_ACS5
county 46103
fmr
2
$1,336
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
3
$1,374
2024-12-31
CENSUS_ACS5
county 46103
fmr
3
$1,743
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
4
$2,077
2024-12-31
CENSUS_ACS5
county 46103
fmr
4
$2,178
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
5
$1,336
2024-12-31
CENSUS_ACS5
county 46103
acs median gross
$1,120
2024-12-31
CENSUS_ACS5
county 46103
acs recent mover gross
$1,353
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
0
$586
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
1
$816
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
2
$1,073
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
3
$1,258
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
4
$2,040
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
5
$2,650
2024-12-31
CENSUS_ACS5
zcta 57701
acs median gross
$961
2024-12-31
CENSUS_ACS5
zcta 57701
acs recent mover gross
$1,227
2024-12-31
CENSUS_ACS5
zip 57701
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 57701
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 57701
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 57701
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 57701
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 110
4
$2,156
2025-10-01
HUD_USER_SAFMR
zip 57701
payment standard 90
4
$1,764
2025-10-01
HUD_USER_SAFMR
zip 57701
safmr
4
$1,960
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.