Reads as: riskier than 28.9% 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
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
connection
Owner spans multiple chains
12 chains
THE ENSIGN GROUP INC
123 facilities
connection
Owner fleet enforcement cluster
60% fined
KARE TECHNOLOGIES LLC
10 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
2.87
3.19
3.28
2.90–3.77
RN
0.45
0.57
0.39
0.25–0.58
Weekend total
2.71
3.02
3.11
—
Weekday total
2.93
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
101.3
2.87
0.45
0.63
1.79
2.71
0.1%
2025Q3
92
98.9
2.93
0.45
0.63
1.85
2.82
0.1%
2025Q2
91
95.9
2.87
0.44
0.64
1.79
2.67
0.0%
2025Q1
90
98.5
2.89
0.47
0.65
1.76
2.72
1.3%
2024Q4
92
98.3
2.98
0.47
0.71
1.81
2.87
1.2%
2024Q3
92
100.1
2.86
0.48
0.66
1.72
2.79
2.3%
2024Q2
91
98.2
2.87
0.45
0.69
1.73
2.66
1.9%
2024Q1
91
97.5
2.97
0.45
0.72
1.79
2.83
2.7%
2023Q4
92
98.0
3.06
0.53
0.70
1.84
2.82
4.3%
2023Q3
92
94.7
2.99
0.58
0.63
1.78
2.87
2.5%
2023Q2
91
94.1
2.97
0.60
0.60
1.77
2.88
2.4%
2023Q1
90
97.6
3.03
0.62
0.60
1.81
2.88
2.0%
2022Q4
92
98.1
2.98
0.53
0.65
1.80
2.71
4.3%
2022Q3
92
96.3
2.99
0.57
0.70
1.72
2.67
1.6%
2022Q2
91
95.5
2.97
0.56
0.72
1.69
2.67
0.1%
2022Q1
90
95.6
3.08
0.52
0.75
1.81
2.79
1.5%
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
11
D × 7E × 3F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-29
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-02-20
2026-01-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-02-20
2026-01-29
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
—
2026-01-29
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2026-02-20
2026-01-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-02-20
2026-01-29
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
2026-02-20
2026-01-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-02-20
2024-05-16
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
2024-06-15
2023-11-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-11-29
2022-09-08
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-10-02
2022-09-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-10-02
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
24
Owner
Role
Pct
From
Status
Source
THE ENSIGN GROUP, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2014-06-18
current
pecos_ownership
BURNAM, SOON
CORPORATE OFFICER
—
2020-12-15
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2020-12-15
current
pecos_ownership
GRAHAM, JOSEPH
CORPORATE OFFICER
—
2024-09-20
current
pecos_ownership
HORTON, CHRISTOPHER
ADP OF THE SNF
—
2025-06-21
current
pecos_ownership
HORTON, CHRISTOPHER
MANAGING CONTROL - GOVERNING BODY
—
2021-04-01
current
pecos_ownership
JORGENSEN, DAVID
CORPORATE DIRECTOR
—
2020-12-15
current
pecos_ownership
KARE TECHNOLOGIES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
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
—
2025-06-21
current
pecos_ownership
SATO, AMI
CORPORATE OFFICER
—
2024-09-09
current
pecos_ownership
SMV DENVER RED ROCKS LLC
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
WILSON, HUNTER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-01
current
pecos_ownership
WILSON, HUNTER
ADP OF THE SNF
—
2025-06-25
current
pecos_ownership
ENDURA HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-12-15
ended 2026-05-18
pecos_ownership
HUNTER WILSON
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-04-01
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
—
2025-06-21
ended 2026-05-18
pecos_ownership
CHRISTOPHER HORTON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
ended 2026-05-18
pecos_ownership
DAVID JORGENSEN
CORPORATE DIRECTOR
—
2020-12-15
ended 2026-05-18
pecos_ownership
HUNTER WILSON
ADP OF THE SNF
—
2025-06-25
ended 2026-05-18
pecos_ownership
JOSEPH GRAHAM
CORPORATE OFFICER
—
2024-09-20
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
—
2020-12-15
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
$1,376,204
—
$942,104
—
—
4
—
2023-12-31
$1,230,929
—
$770,075
—
$11,037
4
—
2022-12-31
$1,322,453
—
$973,381
—
—
4
—
2021-12-31
$772,663
—
$532,389
—
—
4
—
2021-03-31
$678,120
—
$678,120
—
—
2
—
2020-12-31
$569,840
—
$569,840
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 08031
acs median gross
0
$1,564
2024-12-31
CENSUS_ACS5
county 08031
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08031
acs median gross
1
$1,653
2024-12-31
CENSUS_ACS5
county 08031
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08031
acs median gross
2
$2,006
2024-12-31
CENSUS_ACS5
county 08031
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08031
acs median gross
3
$2,410
2024-12-31
CENSUS_ACS5
county 08031
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08031
acs median gross
4
$2,551
2024-12-31
CENSUS_ACS5
county 08031
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08031
acs median gross
5
$2,591
2024-12-31
CENSUS_ACS5
county 08031
acs median gross
$1,831
2024-12-31
CENSUS_ACS5
county 08031
acs recent mover gross
$1,948
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
0
$1,580
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
1
$1,442
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
2
$1,863
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
3
$2,880
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
4
$2,813
2024-12-31
CENSUS_ACS5
zcta 80222
acs median gross
$1,782
2024-12-31
CENSUS_ACS5
zcta 80222
acs recent mover gross
$1,867
2024-12-31
CENSUS_ACS5
zip 80222
payment standard 110
0
$1,760
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 90
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 80222
safmr
0
$1,600
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 110
1
$1,881
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 90
1
$1,539
2025-10-01
HUD_USER_SAFMR
zip 80222
safmr
1
$1,710
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 110
2
$2,244
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 90
2
$1,836
2025-10-01
HUD_USER_SAFMR
zip 80222
safmr
2
$2,040
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 110
3
$2,937
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 90
3
$2,403
2025-10-01
HUD_USER_SAFMR
zip 80222
safmr
3
$2,670
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 110
4
$3,278
2025-10-01
HUD_USER_SAFMR
zip 80222
payment standard 90
4
$2,682
2025-10-01
HUD_USER_SAFMR
zip 80222
safmr
4
$2,980
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.