Reads as: riskier than 34.9% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
BROWN DANIELLE
15 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
MO median
National median
National p25–p75
Total nurse
3.74
2.41
3.28
2.90–3.77
RN
0.38
0.25
0.39
0.25–0.58
Weekend total
3.98
2.24
3.11
—
Weekday total
3.65
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.9
3.74
0.38
1.19
2.17
3.98
0.0%
2025Q3
92
46.9
3.68
0.33
1.09
2.26
3.81
0.0%
2025Q2
91
46.0
3.64
0.29
1.12
2.22
3.54
0.0%
2025Q1
90
47.4
3.25
0.25
0.87
2.13
3.18
0.0%
2024Q4
92
45.7
3.37
0.46
0.78
2.13
3.23
2.9%
2024Q3
92
44.0
3.68
0.46
0.94
2.28
3.49
16.3%
2024Q2
91
46.6
3.33
0.46
0.78
2.09
3.30
10.2%
2024Q1
91
46.7
3.48
0.50
0.80
2.19
3.62
9.5%
2023Q4
92
23.1
2.75
0.72
0.56
1.48
2.76
31.5%
2023Q3
92
21.0
3.18
0.66
0.61
1.91
3.18
35.8%
2023Q2
91
17.9
3.65
0.61
0.75
2.29
3.35
31.9%
2023Q1
90
18.4
3.48
0.39
0.86
2.23
3.44
27.6%
2022Q4
92
18.5
3.73
0.52
1.16
2.04
3.64
20.0%
2022Q3
92
19.7
4.25
0.49
1.38
2.38
4.33
15.8%
2022Q2
91
23.5
4.53
0.36
1.28
2.90
4.17
25.7%
2022Q1
90
26.3
5.36
0.34
1.52
3.50
4.87
30.0%
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 appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-12-06
2024-03-07
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2024-04-19
2024-03-07
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.
D
2024-04-19
2024-03-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-04-19
2024-03-07
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2024-04-19
2022-06-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2022-07-29
2022-06-17
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-07-29
2022-06-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-07-29
2022-06-17
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2022-07-29
2022-06-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-07-29
2019-10-11
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2019-08-26
2019-10-11
Health
F0637
Assess the resident when there is a significant change in condition
D
2019-11-22
2019-10-11
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
2019-11-22
2019-10-11
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-11-22
2019-10-11
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
2019-11-22
2019-10-11
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
2019-11-22
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
35
Owner
Role
Pct
From
Status
Source
LUTHERAN SENIOR SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2000-02-02
current
pecos_ownership
ANDERSON, DAVID
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
BEUMER, BRENT
CORPORATE DIRECTOR
—
2022-06-27
current
pecos_ownership
BROWN, DANIEL
CORPORATE OFFICER
—
2018-04-25
current
pecos_ownership
CHRISTELL, ROY
CORPORATE DIRECTOR
—
2017-04-25
current
pecos_ownership
COOPER, VALERIE
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-02
current
pecos_ownership
COOPER, VALERIE
ADP OF THE SNF
—
2026-01-07
current
pecos_ownership
LIN, WALTER
ADP OF THE SNF
—
2025-10-30
current
pecos_ownership
LIN, WALTER
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-02
current
pecos_ownership
MARLES, ADAM
CORPORATE OFFICER
—
2021-11-01
current
pecos_ownership
MEADOWS, MEGAN
CORPORATE DIRECTOR
—
2022-01-24
current
pecos_ownership
MUELLER, HARRY
CORPORATE DIRECTOR
—
2016-04-26
current
pecos_ownership
SCHAEFER, RONALD
CORPORATE OFFICER
—
2023-02-06
current
pecos_ownership
SNEED, CHADWICK
CORPORATE OFFICER
—
2020-07-01
current
pecos_ownership
SOMBART, LISA
CORPORATE DIRECTOR
—
2017-04-25
current
pecos_ownership
SOMMER, CHRISTOPHER
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
TICE, PAUL
CORPORATE OFFICER
—
2017-04-25
current
pecos_ownership
TOON, NORMAN
CORPORATE DIRECTOR
—
2019-05-01
current
pecos_ownership
ADAM MARLES
CORPORATE OFFICER
—
2021-11-01
ended 2026-05-18
pecos_ownership
BRENT BEUMER
CORPORATE DIRECTOR
—
2022-06-27
ended 2026-05-18
pecos_ownership
CHADWICK SNEED
CORPORATE OFFICER
—
2020-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER SOMMER
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
DANIEL BROWN
CORPORATE OFFICER
—
2018-04-25
ended 2026-05-18
pecos_ownership
DAVID ANDERSON
CORPORATE OFFICER
—
2019-07-01
ended 2026-05-18
pecos_ownership
HARRY MUELLER
CORPORATE DIRECTOR
—
2016-04-26
ended 2026-05-18
pecos_ownership
LISA SOMBART
CORPORATE DIRECTOR
—
2017-04-25
ended 2026-05-18
pecos_ownership
MEGAN MEADOWS
CORPORATE DIRECTOR
—
2022-01-24
ended 2026-05-18
pecos_ownership
NORMAN TOON
CORPORATE DIRECTOR
—
2019-05-01
ended 2026-05-18
pecos_ownership
PAUL TICE
CORPORATE OFFICER
—
2017-04-25
ended 2026-05-18
pecos_ownership
RONALD SCHAEFER
CORPORATE OFFICER
—
2023-02-06
ended 2026-05-18
pecos_ownership
ROY CHRISTELL
CORPORATE DIRECTOR
—
2017-04-25
ended 2026-05-18
pecos_ownership
VALERIE COOPER
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-02
ended 2026-05-18
pecos_ownership
VALERIE COOPER
ADP OF THE SNF
—
2026-01-07
ended 2026-05-18
pecos_ownership
WALTER LIN
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-02
ended 2026-05-18
pecos_ownership
WALTER LIN
ADP OF THE SNF
—
2025-10-30
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
$1,424,694
—
—
—
—
0
—
2023-12-31
$1,675,457
—
—
—
—
0
—
2022-12-31
$1,364,929
—
—
—
—
0
—
2021-12-31
$1,270,754
—
—
—
—
0
—
2020-12-31
$1,509,887
—
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 29183
acs median gross
0
$1,204
2024-12-31
CENSUS_ACS5
county 29183
fmr
0
$955
2025-10-01
HUD_USER_FMR
county 29183
acs median gross
1
$1,223
2024-12-31
CENSUS_ACS5
county 29183
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 29183
acs median gross
2
$1,328
2024-12-31
CENSUS_ACS5
county 29183
fmr
2
$1,218
2025-10-01
HUD_USER_FMR
county 29183
acs median gross
3
$1,640
2024-12-31
CENSUS_ACS5
county 29183
fmr
3
$1,568
2025-10-01
HUD_USER_FMR
county 29183
acs median gross
4
$2,080
2024-12-31
CENSUS_ACS5
county 29183
fmr
4
$1,812
2025-10-01
HUD_USER_FMR
county 29183
acs median gross
5
$2,337
2024-12-31
CENSUS_ACS5
county 29183
acs median gross
$1,370
2024-12-31
CENSUS_ACS5
county 29183
acs recent mover gross
$1,652
2024-12-31
CENSUS_ACS5
zcta 63304
acs median gross
1
$1,550
2024-12-31
CENSUS_ACS5
zcta 63304
acs median gross
2
$1,583
2024-12-31
CENSUS_ACS5
zcta 63304
acs median gross
3
$1,903
2024-12-31
CENSUS_ACS5
zcta 63304
acs median gross
4
$2,245
2024-12-31
CENSUS_ACS5
zcta 63304
acs median gross
$1,749
2024-12-31
CENSUS_ACS5
zcta 63304
acs recent mover gross
$1,992
2024-12-31
CENSUS_ACS5
zip 63304
payment standard 110
0
$1,496
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 90
0
$1,224
2025-10-01
HUD_USER_SAFMR
zip 63304
safmr
0
$1,360
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 63304
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 110
2
$1,903
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 90
2
$1,557
2025-10-01
HUD_USER_SAFMR
zip 63304
safmr
2
$1,730
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 110
3
$2,453
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 90
3
$2,007
2025-10-01
HUD_USER_SAFMR
zip 63304
safmr
3
$2,230
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 110
4
$2,827
2025-10-01
HUD_USER_SAFMR
zip 63304
payment standard 90
4
$2,313
2025-10-01
HUD_USER_SAFMR
zip 63304
safmr
4
$2,570
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.