1371 West South Jordan Parkway, South Jordan, UT 84095 · CCN 465176 · chain THE ENSIGN GROUP INC
Composite
81.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
32
Model
v1.2
Reads as: riskier than 81.2% 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
4
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
11 chains
STANDARD BEARER HEALTHCARE OP LP
83 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
UT median
National median
National p25–p75
Total nurse
1.25
3.19
3.28
2.90–3.77
RN
0.34
0.78
0.39
0.25–0.58
Weekend total
1.09
3.04
3.11
—
Weekday total
1.30
3.25
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
26.7
1.25
0.34
0.15
0.75
1.09
10.8%
2025Q3
92
23.2
4.13
1.05
0.64
2.45
3.87
12.0%
2025Q2
91
24.3
3.94
1.21
0.39
2.35
3.92
16.2%
2025Q1
90
26.1
4.03
1.56
0.14
2.33
3.91
23.5%
2024Q4
92
20.5
3.82
1.50
0.12
2.20
3.74
9.6%
2024Q3
92
24.9
4.05
1.36
0.22
2.47
3.95
15.0%
2024Q2
91
24.8
3.52
1.22
0.20
2.11
3.50
12.8%
2024Q1
91
26.3
3.78
1.31
0.20
2.27
3.59
11.4%
2023Q4
92
22.6
3.74
1.41
0.12
2.21
3.42
5.5%
2023Q3
92
21.9
4.03
1.42
0.20
2.41
3.69
1.7%
2023Q2
91
20.4
3.52
1.28
0.11
2.14
3.58
0.5%
2023Q1
90
20.4
3.72
1.19
0.32
2.21
3.87
2.9%
2022Q4
92
19.2
3.59
1.10
0.61
1.88
3.78
0.0%
2022Q3
92
17.9
3.55
1.17
0.51
1.87
3.57
0.5%
2022Q2
91
18.4
3.48
1.17
0.47
1.83
3.56
0.0%
2022Q1
90
19.2
3.41
1.06
0.50
1.85
3.43
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
8
D × 4E × 2F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-12-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-31
2024-12-18
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2025-02-15
2021-06-17
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2021-07-16
2021-06-17
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2021-07-16
2021-06-17
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
G
2021-07-16
2021-06-17
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-07-16
2021-06-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-07-16
2021-06-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-07-16
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
16
Owner
Role
Pct
From
Status
Source
MILESTONE HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-09-04
current
pecos_ownership
BURNAM, SOON
MANAGING CONTROL - GOVERNING BODY
—
2025-09-04
current
pecos_ownership
CARRERA, RORY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
current
pecos_ownership
EMBLEY, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2025-09-04
current
pecos_ownership
JENKINS, TRACY
CORPORATE DIRECTOR
—
2025-09-04
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
NELSON PEAK HEALTH HOLDINGS LLC
ADP OF THE SNF
—
2025-11-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-09
current
pecos_ownership
STANDARD BEARER HEALTHCARE OP, LP
ADP OF THE SNF
—
2025-11-01
current
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2025-09-04
ended 2026-05-18
pecos_ownership
TRACY JENKINS
CORPORATE DIRECTOR
100%
2025-09-04
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
0%
2011-03-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2025-09-04
ended 2026-05-18
pecos_ownership
ERIC EMBLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
ended 2026-05-18
pecos_ownership
RORY CARRERA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
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
$217,244
—
—
—
—
1
—
2023-12-31
$204,658
—
—
—
—
1
—
2022-12-31
$173,397
—
—
—
—
1
—
2021-12-31
$155,775
—
—
—
—
1
—
2020-12-31
$155,321
—
—
—
—
1
—
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 49035
acs median gross
0
$1,256
2024-12-31
CENSUS_ACS5
county 49035
fmr
0
$1,259
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
1
$1,328
2024-12-31
CENSUS_ACS5
county 49035
fmr
1
$1,456
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
2
$1,605
2024-12-31
CENSUS_ACS5
county 49035
fmr
2
$1,747
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
3
$1,930
2024-12-31
CENSUS_ACS5
county 49035
fmr
3
$2,333
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
4
$2,187
2024-12-31
CENSUS_ACS5
county 49035
fmr
4
$2,666
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
5
$2,322
2024-12-31
CENSUS_ACS5
county 49035
acs median gross
$1,592
2024-12-31
CENSUS_ACS5
county 49035
acs recent mover gross
$1,743
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
0
$1,845
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
1
$1,694
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
2
$2,033
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
3
$2,213
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
4
$2,747
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
5
$1,979
2024-12-31
CENSUS_ACS5
zcta 84095
acs median gross
$1,910
2024-12-31
CENSUS_ACS5
zcta 84095
acs recent mover gross
$1,937
2024-12-31
CENSUS_ACS5
zip 84095
payment standard 110
0
$1,639
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 90
0
$1,341
2025-10-01
HUD_USER_SAFMR
zip 84095
safmr
0
$1,490
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 84095
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 110
2
$2,277
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 90
2
$1,863
2025-10-01
HUD_USER_SAFMR
zip 84095
safmr
2
$2,070
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 110
3
$3,036
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 90
3
$2,484
2025-10-01
HUD_USER_SAFMR
zip 84095
safmr
3
$2,760
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 110
4
$3,476
2025-10-01
HUD_USER_SAFMR
zip 84095
payment standard 90
4
$2,844
2025-10-01
HUD_USER_SAFMR
zip 84095
safmr
4
$3,160
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.