Reads as: riskier than 23.6% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
ANDERSON ROBERT
7 facilities
connection
Owner spans multiple chains
4 chains
LT CARE ACQUISITION CORP
16 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
3.46
2.85
3.28
2.90–3.77
RN
1.00
0.40
0.39
0.25–0.58
Weekend total
3.46
2.71
3.11
—
Weekday total
3.46
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.0
3.46
1.00
0.28
2.19
3.46
7.1%
2025Q3
92
27.9
3.56
0.97
0.37
2.21
3.52
4.7%
2025Q2
91
28.4
3.61
0.93
0.41
2.27
3.57
1.8%
2025Q1
90
28.1
3.88
0.91
0.57
2.41
4.01
0.7%
2024Q4
92
29.8
3.38
0.70
0.59
2.09
3.32
1.3%
2024Q3
92
36.0
3.02
0.61
0.47
1.94
2.91
2.6%
2024Q2
91
35.3
3.02
0.50
0.57
1.95
2.92
0.0%
2024Q1
91
34.0
3.00
0.55
0.59
1.86
2.89
0.0%
2023Q4
92
31.9
3.00
0.47
0.66
1.88
2.98
0.0%
2023Q3
92
29.9
3.14
0.51
0.57
2.06
3.12
0.0%
2023Q2
91
32.9
3.21
0.39
0.70
2.13
3.15
0.0%
2023Q1
90
32.4
3.29
0.28
0.82
2.20
3.18
0.8%
2022Q4
92
33.7
3.12
0.18
0.77
2.18
2.91
2.8%
2022Q3
92
34.6
3.15
0.17
0.81
2.16
2.80
1.1%
2022Q2
91
38.0
2.87
0.11
0.69
2.07
2.62
1.3%
2022Q1
90
34.2
3.00
0.33
0.59
2.07
2.89
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
22
D × 19F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-01
2025-11-07
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-12-01
2025-09-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-28
2025-09-26
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-10-28
2025-09-26
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-10-28
2025-09-26
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-10-28
2025-08-06
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-09-26
2025-03-13
Health · complaint
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.
D
2025-04-02
2024-11-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-18
2024-11-08
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-12-18
2024-11-08
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-12-18
2024-11-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-18
2024-06-17
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-03
2023-12-19
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2024-01-12
2023-12-19
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-01-12
2023-12-19
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
2024-01-12
2023-12-19
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-01-12
2023-12-19
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-01-12
2023-12-19
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.
D
2024-01-12
2023-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-12
2023-12-19
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2024-01-12
2023-11-03
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-12-04
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
31
Owner
Role
Pct
From
Status
Source
ANDERSON, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
BRIDGEWATER PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
BRIDGEWATER PROPERTY HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2022-01-01
current
pecos_ownership
BRIDGEWATER PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
ENVIVE HEALTHCARE LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ENVIVE NURSING HOLDINGS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
FLUECKIGER, RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
JACKMAN, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-23
current
pecos_ownership
LEHMAN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
LT CARE ACQUISITION CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
MACKLIN, LARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
MCINTIRE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
NBH BANK
5% OR GREATER MORTGAGE INTEREST
—
2022-01-01
current
pecos_ownership
SMITH, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
ADAMS COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
BRIDGEWATER PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
ROBERT ANDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
SARAH JACKMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-23
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
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
$717,235
$483,628
$233,607
—
—
10
propco
2023-12-31
$707,515
$462,215
$245,300
—
—
10
propco
2022-12-31
$662,353
$405,785
$256,568
—
—
10
propco
2021-12-31
$594,312
—
$179,506
$378,028
$36,778
15
—
2020-12-31
$537,872
—
—
$340,607
$36,778
15
—
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 18009
acs median gross
0
$99
2024-12-31
CENSUS_ACS5
county 18009
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18009
acs median gross
1
$510
2024-12-31
CENSUS_ACS5
county 18009
fmr
1
$766
2025-10-01
HUD_USER_FMR
county 18009
acs median gross
2
$697
2024-12-31
CENSUS_ACS5
county 18009
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18009
acs median gross
3
$952
2024-12-31
CENSUS_ACS5
county 18009
fmr
3
$1,268
2025-10-01
HUD_USER_FMR
county 18009
acs median gross
4
$962
2024-12-31
CENSUS_ACS5
county 18009
fmr
4
$1,555
2025-10-01
HUD_USER_FMR
county 18009
acs median gross
$699
2024-12-31
CENSUS_ACS5
county 18009
acs recent mover gross
$1,037
2024-12-31
CENSUS_ACS5
zcta 47348
acs median gross
1
$514
2024-12-31
CENSUS_ACS5
zcta 47348
acs median gross
2
$746
2024-12-31
CENSUS_ACS5
zcta 47348
acs median gross
3
$975
2024-12-31
CENSUS_ACS5
zcta 47348
acs median gross
4
$1,113
2024-12-31
CENSUS_ACS5
zcta 47348
acs median gross
$705
2024-12-31
CENSUS_ACS5
zcta 47348
acs recent mover gross
$1,265
2024-12-31
CENSUS_ACS5
zip 47348
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 47348
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 47348
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47348
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 47348
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 47348
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 47348
safmr
4
$1,550
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.