Reads as: riskier than 60.9% 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
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
12 chains
THE ENSIGN GROUP INC
123 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
2.74
3.19
3.28
2.90–3.77
RN
0.49
0.57
0.39
0.25–0.58
Weekend total
2.56
3.02
3.11
—
Weekday total
2.81
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
147.1
2.74
0.49
0.39
1.86
2.56
0.0%
2025Q3
92
144.8
2.68
0.47
0.41
1.80
2.45
0.0%
2025Q2
91
144.3
2.60
0.47
0.42
1.71
2.42
0.0%
2025Q1
90
143.9
2.91
0.50
0.49
1.91
2.75
0.0%
2024Q4
92
151.3
2.86
0.47
0.49
1.91
2.67
0.0%
2024Q3
92
151.2
2.80
0.47
0.45
1.88
2.61
0.0%
2024Q2
91
149.6
3.02
0.46
0.49
2.07
2.79
0.0%
2024Q1
91
151.2
2.98
0.47
0.48
2.02
2.75
0.0%
2023Q4
92
151.3
3.02
0.51
0.43
2.08
2.84
0.0%
2023Q3
92
151.1
2.95
0.47
0.46
2.02
2.78
0.0%
2023Q2
91
144.5
3.12
0.43
0.54
2.15
2.85
1.7%
2023Q1
90
149.2
3.23
0.48
0.55
2.20
2.97
12.8%
2022Q4
92
150.0
3.02
0.48
0.55
1.99
2.80
16.1%
2022Q3
92
146.5
2.90
0.46
0.56
1.88
2.64
11.6%
2022Q2
91
138.4
3.04
0.39
0.63
2.02
2.72
4.9%
2022Q1
90
140.6
3.08
0.40
0.66
2.03
2.72
1.6%
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.
Protect each resident from the wrongful use of the resident's belongings or money.
D
2026-05-06
2025-04-03
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-05-02
2025-04-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-02
2025-04-03
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2025-05-02
2025-04-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-02
2025-04-03
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-05-02
2025-04-03
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2025-05-02
2025-04-03
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
2025-05-02
2025-04-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-05-02
2025-04-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-02
2024-03-11
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2024-04-04
2024-03-11
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
E
2024-04-04
2024-03-11
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-04
2024-03-11
Health
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
2024-04-04
2024-03-11
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2024-04-04
2024-03-11
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-04-04
2024-03-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-04
2024-03-11
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
G
2024-04-04
2024-03-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2024-04-04
2024-03-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-04
2024-03-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-04
2022-12-05
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-12-26
2022-12-05
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
2022-12-26
2022-12-05
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2022-12-26
2022-12-05
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2022-12-26
2022-12-05
Health
F0679
Provide activities to meet all resident's needs.
D
2022-12-26
2022-12-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-12-26
2022-12-05
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
2022-12-26
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
19
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2016-12-21
current
pecos_ownership
ENDURA HEALTHCARE LLC
DIRECT OWNERSHIP INTEREST
—
2016-12-21
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2017-07-01
current
pecos_ownership
HORTON, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-06
current
pecos_ownership
JORGENSEN, DAVID
CORPORATE OFFICER
—
2019-01-01
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
—
2025-07-30
current
pecos_ownership
RAMIREZ SANCHEZ, HUGO
MANAGING CONTROL - GOVERNING BODY
—
2020-06-12
current
pecos_ownership
SUNNY ACRES HEALTH HOLDINGS
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
SUNNY ACRES HEALTH HOLDINGS
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
THE ENSIGN GROUP INC
INDIRECT OWNERSHIP INTEREST
—
2017-07-01
current
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER HORTON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-06
ended 2026-05-18
pecos_ownership
DAVID JORGENSEN
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
HUGO RAMIREZ SANCHEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-12
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
—
2016-12-21
ended 2026-05-18
pecos_ownership
SUNNY ACRES HEALTH HOLDINGS
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
SUNNY ACRES HEALTH HOLDINGS
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
SUNNY ACRES HEALTH HOLDINGS
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$2,156,702
—
$1,405,276
—
—
5
propco
2023-12-31
$2,131,953
—
$1,131,328
—
$18,328
5
propco
2022-12-31
$2,833,921
—
$1,348,552
—
—
5
propco
2021-12-31
$2,739,814
—
$1,172,945
—
—
5
propco
2020-12-31
$1,970,959
—
$997,627
$4,595
—
5
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 08001
acs median gross
0
$1,427
2024-12-31
CENSUS_ACS5
county 08001
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
1
$1,552
2024-12-31
CENSUS_ACS5
county 08001
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
2
$1,809
2024-12-31
CENSUS_ACS5
county 08001
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
3
$2,144
2024-12-31
CENSUS_ACS5
county 08001
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
4
$2,291
2024-12-31
CENSUS_ACS5
county 08001
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08001
acs median gross
5
$2,731
2024-12-31
CENSUS_ACS5
county 08001
acs median gross
$1,781
2024-12-31
CENSUS_ACS5
county 08001
acs recent mover gross
$1,931
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
0
$1,463
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
1
$1,743
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
2
$1,973
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
3
$2,193
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
4
$2,298
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
5
$2,642
2024-12-31
CENSUS_ACS5
zcta 80233
acs median gross
$1,875
2024-12-31
CENSUS_ACS5
zcta 80233
acs recent mover gross
$1,859
2024-12-31
CENSUS_ACS5
zip 80233
payment standard 110
0
$1,914
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 90
0
$1,566
2025-10-01
HUD_USER_SAFMR
zip 80233
safmr
0
$1,740
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 110
1
$2,046
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 90
1
$1,674
2025-10-01
HUD_USER_SAFMR
zip 80233
safmr
1
$1,860
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 110
2
$2,431
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 90
2
$1,989
2025-10-01
HUD_USER_SAFMR
zip 80233
safmr
2
$2,210
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 110
3
$3,179
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 90
3
$2,601
2025-10-01
HUD_USER_SAFMR
zip 80233
safmr
3
$2,890
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 110
4
$3,553
2025-10-01
HUD_USER_SAFMR
zip 80233
payment standard 90
4
$2,907
2025-10-01
HUD_USER_SAFMR
zip 80233
safmr
4
$3,230
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.