Reads as: riskier than 12.9% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MILLER ROBERT
31 facilities
connection
Owner spans multiple chains
4 chains
CALCUTT JOSEPH
34 facilities
connection
Owner spans multiple chains
4 chains
OLIVER ANNA
25 facilities
connection
Owner spans multiple chains
4 chains
MCNEILL JOHN
31 facilities
connection
Owner spans multiple chains
4 chains
MCNEILL RONALD
29 facilities
connection
Owner spans multiple chains
4 chains
LONG TERM CARE MANAGEMENT SERVICES LLC
33 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
NC median
National median
National p25–p75
Total nurse
3.55
3.08
3.28
2.90–3.77
RN
0.23
0.30
0.39
0.25–0.58
Weekend total
3.43
2.93
3.11
—
Weekday total
3.60
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
75.6
3.55
0.23
0.84
2.47
3.43
17.7%
2025Q3
92
75.3
3.39
0.23
0.92
2.25
3.24
13.5%
2025Q2
91
75.9
3.34
0.31
0.88
2.16
3.06
19.6%
2025Q1
90
75.7
3.27
0.22
0.92
2.13
3.02
18.3%
2024Q4
92
72.3
3.35
0.21
0.95
2.19
3.18
23.0%
2024Q3
92
74.6
3.35
0.16
0.91
2.28
3.13
25.2%
2024Q2
91
73.8
3.41
0.17
0.96
2.28
3.11
32.8%
2024Q1
91
73.4
3.75
0.12
1.02
2.61
3.55
29.7%
2023Q4
92
73.8
3.71
0.12
0.94
2.64
3.38
21.8%
2023Q3
92
74.1
3.79
0.19
0.90
2.70
3.60
35.6%
2023Q2
91
74.7
3.80
0.11
0.99
2.70
3.71
39.0%
2023Q1
90
74.5
3.70
0.11
1.03
2.56
3.37
42.5%
2022Q4
92
74.8
3.57
0.06
1.04
2.47
3.43
40.1%
2022Q3
92
73.4
3.68
0.07
1.06
2.55
3.52
32.9%
2022Q2
91
72.1
3.65
0.17
1.03
2.45
3.26
28.4%
2022Q1
90
69.9
3.46
0.11
1.06
2.29
3.42
27.7%
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.
Ensure each resident receives an accurate assessment.
D
2025-08-23
2025-08-08
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-08-23
2024-05-07
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-06-01
2024-05-07
Health · complaint
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
2024-06-01
2024-05-07
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2024-06-01
2024-05-07
Health · complaint
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.
E
2024-06-01
2023-09-01
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-08-04
2022-12-01
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
2022-12-29
2022-12-01
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
E
2022-12-29
2022-12-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-12-29
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
CALCUTT, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2025-04-29
current
pecos_ownership
JOHN A MCNEILL JR 2012 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2025-04-29
current
pecos_ownership
JOHN A MCNEILL JR 2014 IRREVOCABLE TRUST
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
KHURANA, RAJESH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
current
pecos_ownership
KHURANA, RAJESH
ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
LIBERTY HEALTHCARE GROUP LLC
INDIRECT OWNERSHIP INTEREST
—
2025-04-29
current
pecos_ownership
LIBERTY HEALTHCARE PROPERTIES OF WOODLANDS LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
LIBERTY LONG TERM CARE LLC
DIRECT OWNERSHIP INTEREST
—
2025-04-04
current
pecos_ownership
LIBERTY PROPERTIES
Individual has financial interest in both related organization and provider
—
2023-10-01
current
hcris_a_8_1
LIBERTY PROPERTIES
Individual has financial interest in both related organization and provider
—
2022-10-01
current
hcris_a_8_1
LIBERTY REAL PROPERTIES IV LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
LONG TERM CARE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
MCNEILL, JOHN
INDIRECT OWNERSHIP INTEREST
—
2025-04-29
current
pecos_ownership
MCNEILL, ROBERT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
MCNEILL, RONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
current
pecos_ownership
MILLER, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2025-04-29
current
pecos_ownership
OLIVER, ANNA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
PATE, SANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
current
pecos_ownership
PATE, SANDRA
ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
PURVIS, JENNY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-20
current
pecos_ownership
RONALD B AND CYNTHIA J MCNEIL 2014 IRREVOCABLE TRUST
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2025-04-29
current
pecos_ownership
WILSON, JEFFREY
MANAGING CONTROL - GOVERNING BODY
—
2025-04-29
current
pecos_ownership
LIBERTY PROPERTIES
Individual has financial interest in both related organization and provider
100%
2020-10-01
ended 2021-09-30
hcris_a_8_1
LIBERTY PROPERTIES
Individual has financial interest in both related organization and provider
100%
2019-10-01
ended 2020-09-30
hcris_a_8_1
RONALD MCNEILL
OPERATIONAL/MANAGERIAL CONTROL
100%
2025-04-29
ended 2026-05-18
pecos_ownership
JOHN MCNEILL
INDIRECT OWNERSHIP INTEREST
26%
2025-04-29
ended 2026-05-18
pecos_ownership
JEFFREY WILSON
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
JOSEPH CALCUTT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
ended 2026-05-18
pecos_ownership
LIBERTY PROPERTIES
Individual has financial interest in both related organization and provider
—
2021-10-01
ended 2022-09-30
hcris_a_8_1
RAJESH KHURANA
ADP OF THE SNF
—
2026-02-20
ended 2026-05-18
pecos_ownership
RAJESH KHURANA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
ended 2026-05-18
pecos_ownership
ROBERT MILLER
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
SANDRA PATE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-29
ended 2026-05-18
pecos_ownership
SANDRA PATE
ADP OF THE SNF
—
2026-02-20
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
2024-09-30
$2,104,798
—
$557,060
$6,915
$229,109
5
propco
2023-09-30
$1,980,271
—
—
—
$307,198
5
propco
2022-09-30
$1,721,214
—
—
—
—
11
propco
2021-09-30
$1,434,248
—
—
—
—
11
propco
2020-09-30
$1,055,277
—
—
—
—
16
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 37051
acs median gross
0
$1,067
2024-12-31
CENSUS_ACS5
county 37051
fmr
0
$1,090
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
1
$1,013
2024-12-31
CENSUS_ACS5
county 37051
fmr
1
$1,113
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
2
$1,140
2024-12-31
CENSUS_ACS5
county 37051
fmr
2
$1,251
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
3
$1,353
2024-12-31
CENSUS_ACS5
county 37051
fmr
3
$1,667
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
4
$1,682
2024-12-31
CENSUS_ACS5
county 37051
fmr
4
$2,068
2025-10-01
HUD_USER_FMR
county 37051
acs median gross
5
$1,781
2024-12-31
CENSUS_ACS5
county 37051
acs median gross
$1,222
2024-12-31
CENSUS_ACS5
county 37051
acs recent mover gross
$1,454
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
0
$658
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
1
$734
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
2
$894
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
3
$1,105
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
4
$1,142
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
5
$1,205
2024-12-31
CENSUS_ACS5
zcta 28301
acs median gross
$951
2024-12-31
CENSUS_ACS5
zcta 28301
acs recent mover gross
$1,096
2024-12-31
CENSUS_ACS5
zip 28301
payment standard 110
0
$1,078
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 90
0
$882
2025-10-01
HUD_USER_SAFMR
zip 28301
safmr
0
$980
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 28301
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 28301
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 28301
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 110
4
$2,068
2025-10-01
HUD_USER_SAFMR
zip 28301
payment standard 90
4
$1,692
2025-10-01
HUD_USER_SAFMR
zip 28301
safmr
4
$1,880
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.