Reads as: riskier than 51.9% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
MORRISON BRENT
5 facilities
connection
Owner fleet risk far above national
+28.9 vs natl
REGIONAL HEALTH PROPERTIES INC
5 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
SC median
National median
National p25–p75
Total nurse
2.92
3.32
3.28
2.90–3.77
RN
0.08
0.33
0.39
0.25–0.58
Weekend total
2.81
3.05
3.11
—
Weekday total
2.96
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
74.6
2.92
0.08
0.83
2.02
2.81
0.1%
2025Q3
92
69.3
3.26
0.10
0.94
2.21
2.82
0.0%
2025Q2
91
65.9
3.36
0.07
0.86
2.42
2.85
0.0%
2025Q1
90
69.3
3.36
0.15
1.09
2.12
2.82
0.0%
2024Q4
92
67.7
3.25
0.08
0.69
2.48
2.88
0.0%
2024Q3
92
71.9
2.93
0.09
0.64
2.21
2.65
0.0%
2024Q2
91
77.7
2.52
0.07
0.64
1.80
2.41
0.5%
2024Q1
91
75.6
2.67
0.01
0.84
1.82
2.62
4.0%
2023Q4
92
73.1
2.51
0.06
0.62
1.83
2.52
0.1%
2023Q3
92
70.7
2.65
0.05
0.65
1.95
2.59
2.3%
2023Q2
91
66.8
2.63
0.06
0.59
1.98
2.49
1.0%
2023Q1
90
66.4
2.80
0.10
0.73
1.97
2.74
7.1%
2022Q4
92
71.6
2.07
0.10
0.55
1.43
2.05
0.6%
2022Q3
92
72.9
2.05
0.08
0.61
1.36
2.07
0.0%
2022Q2
91
70.1
2.49
0.24
0.72
1.53
2.26
0.0%
2022Q1
90
61.1
2.49
0.34
0.74
1.41
2.26
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.
Provide and implement an infection prevention and control program.
D
2025-09-15
2024-08-15
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-09-15
2024-08-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-09-15
2024-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-15
2024-08-15
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-09-15
2024-08-15
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2024-09-15
2024-08-15
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F
2024-09-15
2024-08-15
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
J
2024-09-15
2024-08-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-15
2022-09-02
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-10-02
2022-09-02
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
13
Owner
Role
Pct
From
Status
Source
2014 HUD MASTER TENANT, LLC
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
CRAVEN, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
FLANSBURG, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
MORRISON, BRENT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
REGIONAL HEALTH PROPERTIES INC
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
RHP OPERATIONS HOLDINGS, LLC
DIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
TAYLOR, KEN
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
current
pecos_ownership
TENWICK, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
current
pecos_ownership
BRENT MORRISON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
ended 2026-05-18
pecos_ownership
CHRISTINE FLANSBURG
ADP OF THE SNF
—
2025-05-01
ended 2026-05-18
pecos_ownership
DAVID TENWICK
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
ended 2026-05-18
pecos_ownership
KEN TAYLOR
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
ended 2026-05-18
pecos_ownership
ROBERT CRAVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2025-05-01
—
GEORGETOWN OPERATIONS LLC
OAK HOLLOW OF GEORGETOWN REHABILITATION CENTER LLC
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
31
Geo
Kind
BR
Amount
As of
Source
county 45043
acs median gross
0
$1,324
2024-12-31
CENSUS_ACS5
county 45043
fmr
0
$905
2025-10-01
HUD_USER_FMR
county 45043
fmr
1
$918
2025-10-01
HUD_USER_FMR
county 45043
acs median gross
2
$1,245
2024-12-31
CENSUS_ACS5
county 45043
fmr
2
$1,204
2025-10-01
HUD_USER_FMR
county 45043
acs median gross
3
$1,204
2024-12-31
CENSUS_ACS5
county 45043
fmr
3
$1,444
2025-10-01
HUD_USER_FMR
county 45043
acs median gross
4
$2,105
2024-12-31
CENSUS_ACS5
county 45043
fmr
4
$1,944
2025-10-01
HUD_USER_FMR
county 45043
acs median gross
$1,204
2024-12-31
CENSUS_ACS5
county 45043
acs recent mover gross
$1,576
2024-12-31
CENSUS_ACS5
zcta 29440
acs median gross
1
$421
2024-12-31
CENSUS_ACS5
zcta 29440
acs median gross
2
$917
2024-12-31
CENSUS_ACS5
zcta 29440
acs median gross
3
$1,016
2024-12-31
CENSUS_ACS5
zcta 29440
acs median gross
$912
2024-12-31
CENSUS_ACS5
zcta 29440
acs recent mover gross
$1,290
2024-12-31
CENSUS_ACS5
zip 29440
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 29440
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 29440
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 29440
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 29440
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 110
4
$1,793
2025-10-01
HUD_USER_SAFMR
zip 29440
payment standard 90
4
$1,467
2025-10-01
HUD_USER_SAFMR
zip 29440
safmr
4
$1,630
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.