Reads as: riskier than 37.7% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.9 vs natl
PROFESSIONAL BUSINESS ADVISORS LLC
7 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
FEY KRISTIN
6 facilities
connection
Owner fleet risk far above national
+24.5 vs natl
ANDERSON WENDY
5 facilities
connection
Owner fleet risk far above national
+24.5 vs natl
CASHMER LLC
5 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
MYERS WALTER
22 facilities
connection
Owner fleet risk far above national
+20.7 vs natl
COTTONWOOD HEALTHCARE LLC
22 facilities
connection
Owner spans multiple chains
6 chains
WIPFLI LLP
67 facilities
connection
Owner fleet enforcement cluster
41% fined
COTTONWOOD HEALTHCARE LLC
22 facilities
connection
Owner fleet enforcement cluster
41% fined
MYERS WALTER
22 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
MT median
National median
National p25–p75
Total nurse
2.61
3.25
3.28
2.90–3.77
RN
0.56
0.62
0.39
0.25–0.58
Weekend total
2.25
3.12
3.11
—
Weekday total
2.75
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.5
2.61
0.56
0.12
1.94
2.25
0.0%
2025Q3
92
53.2
2.71
0.54
0.17
2.00
2.32
0.0%
2025Q2
91
52.4
2.64
0.57
0.06
2.01
2.38
0.0%
2025Q1
90
51.3
2.66
0.61
0.02
2.04
2.40
0.0%
2024Q4
92
48.9
2.69
0.71
0.00
1.98
2.33
0.0%
2024Q3
92
52.5
2.47
0.61
0.00
1.86
2.10
0.0%
2024Q2
91
47.9
2.88
0.76
0.00
2.12
2.48
0.0%
2024Q1
91
45.1
3.09
0.76
0.07
2.25
2.61
0.0%
2023Q4
92
45.9
3.37
0.81
0.17
2.39
2.93
0.0%
2023Q3
92
42.8
1.78
0.48
0.12
1.18
1.45
0.0%
2023Q2
91
43.5
2.83
0.69
0.16
1.98
2.39
0.1%
2023Q1
90
43.8
2.76
0.60
0.21
1.95
2.37
0.0%
2022Q4
92
45.0
2.66
0.63
0.13
1.90
2.36
0.0%
2022Q3
92
43.3
2.65
0.69
0.09
1.87
2.26
0.9%
2022Q2
91
41.3
2.72
0.72
0.07
1.93
2.35
8.5%
2022Q1
90
35.7
2.60
0.77
0.05
1.78
2.43
7.1%
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 × 7E × 4F × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-21
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-12-12
2025-05-20
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-06-19
2025-05-20
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-06-19
2025-05-20
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-06-19
2025-05-20
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-06-19
2025-05-20
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-06-19
2025-05-20
Health
F0679
Provide activities to meet all resident's needs.
D
2025-06-19
2025-05-20
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-06-19
2025-05-20
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-06-19
2024-08-28
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-18
2024-05-21
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
2024-06-14
2024-05-21
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
2024-06-14
2024-05-21
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-06-14
2024-05-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-14
2023-05-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-06-26
2023-05-22
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-06-26
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
27
Owner
Role
Pct
From
Status
Source
FEY, KRISTIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2023-07-01
current
pecos_ownership
ANDERSON, WENDY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
CASHMER LLC
DIRECT OWNERSHIP INTEREST
—
2023-07-01
current
pecos_ownership
COTTONWOOD HEALTHCARE LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
COTTONWOOD HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
FEY, DANIEL
INDIRECT OWNERSHIP INTEREST
—
2023-07-01
current
pecos_ownership
MCFADDEN, STEVE
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
MYERS, WALTER
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
PROFESSIONAL BUSINESS ADVISORS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
PROFESSIONAL BUSINESS ADVISORS LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
SURA, MICHAEL
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
WIPFLI LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
WIPFLI LLP
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
MAZE FAMILY LIMITED PARTNERSHIP
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2023-07-01
ended 2026-05-18
pecos_ownership
CHARLY BELLO FAMILY LIMITED PARTNERSHIP
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2023-07-01
ended 2026-05-18
pecos_ownership
DOVER RUXPIN FAMILY LIMITED PARTNERSHIP
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2023-07-01
ended 2026-05-18
pecos_ownership
KRISTIN FEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2023-07-01
ended 2026-05-18
pecos_ownership
WALTER MYERS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2023-07-01
ended 2026-05-18
pecos_ownership
KATIE MYERS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2023-07-01
ended 2026-05-18
pecos_ownership
JARED SWAIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2023-07-01
ended 2026-05-18
pecos_ownership
HOLLY SWAIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2023-07-01
ended 2026-05-18
pecos_ownership
CAMERON SWAIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2023-07-01
ended 2026-05-18
pecos_ownership
SERENE SWAIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2023-07-01
ended 2026-05-18
pecos_ownership
DANIEL FEY
INDIRECT OWNERSHIP INTEREST
0%
2023-07-01
ended 2026-05-18
pecos_ownership
MICHAEL SURA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
STEVE MCFADDEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
WENDY ANDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
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
$532,860
$532,860
—
—
—
2
—
2023-12-31
$390,997
$313,453
—
—
—
2
—
2023-06-30
$616,597
$476,348
—
—
—
2
—
2022-12-31
$668,925
$469,701
—
—
—
2
—
2021-12-31
$572,116
$374,970
—
—
—
2
—
2020-12-31
$555,497
$365,400
—
—
—
2
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 30027
acs median gross
0
$995
2024-12-31
CENSUS_ACS5
county 30027
fmr
0
$1,084
2025-10-01
HUD_USER_FMR
county 30027
acs median gross
1
$531
2024-12-31
CENSUS_ACS5
county 30027
fmr
1
$1,102
2025-10-01
HUD_USER_FMR
county 30027
acs median gross
2
$930
2024-12-31
CENSUS_ACS5
county 30027
fmr
2
$1,446
2025-10-01
HUD_USER_FMR
county 30027
acs median gross
3
$1,215
2024-12-31
CENSUS_ACS5
county 30027
fmr
3
$1,991
2025-10-01
HUD_USER_FMR
county 30027
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 30027
acs median gross
5
$521
2024-12-31
CENSUS_ACS5
county 30027
acs median gross
$954
2024-12-31
CENSUS_ACS5
county 30027
acs recent mover gross
$1,166
2024-12-31
CENSUS_ACS5
zcta 59457
acs median gross
0
$995
2024-12-31
CENSUS_ACS5
zcta 59457
acs median gross
1
$523
2024-12-31
CENSUS_ACS5
zcta 59457
acs median gross
2
$938
2024-12-31
CENSUS_ACS5
zcta 59457
acs median gross
3
$1,281
2024-12-31
CENSUS_ACS5
zcta 59457
acs median gross
$970
2024-12-31
CENSUS_ACS5
zcta 59457
acs recent mover gross
$1,165
2024-12-31
CENSUS_ACS5
zip 59457
payment standard 110
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 90
0
$972
2025-10-01
HUD_USER_SAFMR
zip 59457
safmr
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 110
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 90
1
$990
2025-10-01
HUD_USER_SAFMR
zip 59457
safmr
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 59457
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 110
3
$2,178
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 90
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 59457
safmr
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 110
4
$2,563
2025-10-01
HUD_USER_SAFMR
zip 59457
payment standard 90
4
$2,097
2025-10-01
HUD_USER_SAFMR
zip 59457
safmr
4
$2,330
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.