Reads as: riskier than 58.1% 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
12
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.1 vs natl
RELIANT CARE PHARMACY SERVICES LLC
6 facilities
connection
Owner fleet risk far above national
+24.1 vs natl
TECH OF AGES LLC
6 facilities
connection
Owner fleet risk far above national
+24.1 vs natl
SUGAR CREEK HEALTH MANAGEMENT LLC
6 facilities
connection
Owner fleet risk far above national
+24.1 vs natl
MCCORMICK DARRELL
6 facilities
connection
Owner fleet risk far above national
+24.1 vs natl
O LEARY PATRICK
6 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
HANSEN KRIS
6 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
AGER WENDY
6 facilities
connection
Owner fleet risk far above national
+23.2 vs natl
HARRIS JERRY
12 facilities
connection
Owner fleet risk far above national
+20.6 vs natl
WESTERN HOME SERVICES INC
5 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
7 chains
BRIGHTON CONSULTING GROUP LLC
17 facilities
connection
Owner spans multiple chains
6 chains
GRAPE TREE MEDICAL STAFFING LLC
55 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
IA median
National median
National p25–p75
Total nurse
4.05
3.15
3.28
2.90–3.77
RN
0.58
0.46
0.39
0.25–0.58
Weekend total
4.16
2.96
3.11
—
Weekday total
4.01
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
68.5
4.05
0.58
0.62
2.85
4.16
5.3%
2025Q3
92
68.8
3.91
0.68
0.50
2.72
3.96
3.2%
2025Q2
91
68.1
3.82
0.54
0.66
2.62
3.80
7.2%
2025Q1
90
69.4
3.70
0.57
0.60
2.53
3.73
5.9%
2024Q4
92
69.8
3.70
0.62
0.55
2.52
3.57
4.9%
2024Q3
92
68.3
3.70
0.65
0.55
2.50
3.64
6.2%
2024Q2
91
67.0
3.77
0.69
0.55
2.52
3.69
12.6%
2024Q1
91
66.0
3.80
0.65
0.61
2.54
3.78
10.6%
2023Q4
92
68.5
3.72
0.64
0.58
2.50
3.69
7.9%
2023Q3
92
69.1
3.78
0.59
0.65
2.54
3.69
15.7%
2023Q2
91
69.5
3.96
0.55
0.70
2.71
3.89
22.6%
2023Q1
90
71.2
4.30
0.64
0.66
3.00
4.20
37.1%
2022Q4
92
86.1
4.09
0.45
0.66
2.98
4.03
45.6%
2022Q3
92
86.9
4.46
0.40
0.91
3.15
4.32
47.4%
2022Q2
91
82.7
4.55
0.51
0.86
3.19
4.40
47.8%
2022Q1
90
83.5
4.68
0.54
0.80
3.34
4.61
42.8%
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
13
D × 11E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-07
2025-02-06
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-02-20
2025-02-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-02-20
2025-02-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-20
2024-02-29
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.
D
2024-03-29
2024-02-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-29
2024-02-29
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-03-29
2024-02-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-29
2024-02-29
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2024-03-29
2024-02-29
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2024-03-29
2024-02-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-29
2023-07-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-07-18
2023-07-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-18
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
55
Owner
Role
Pct
From
Status
Source
AGER, WENDY
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
AMES, TRENTON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-06
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
BROCKELSBY, SHERI
CORPORATE OFFICER
—
2018-01-18
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2021-08-25
current
pecos_ownership
DREYER, CHERYL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-12
current
pecos_ownership
EVANS, ANGELA
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
FIRST INTERSTATE BANK
5% OR GREATER MORTGAGE INTEREST
—
2025-01-01
current
pecos_ownership
FOX, LARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
FRANKHAUSER, RICHARD
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
FRANKHAUSER, RICHARD
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
FRANKHAUSER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2014-10-15
current
pecos_ownership
GARCIA, JENNY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-13
current
pecos_ownership
GIBBS, STACY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-26
current
pecos_ownership
GRAPE TREE MEDICAL STAFFING LLC
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
HANSEN, KRIS
CORPORATE OFFICER
—
2009-03-01
current
pecos_ownership
HANSEN, KRIS
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
HANSEN, KRIS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-16
current
pecos_ownership
HARRIS, JERRY
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
HELPING HANDS HEALTHCARE SOLUTIONS
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
LOTUS ABOVE & BEYOND HEALTHCARE STAFFING LLC
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
MCCORMICK, DARRELL
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
MORSE, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
O'LEARY, PATRICK
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
RELIANT CARE PHARMACY SERVICES LLC
ADP OF THE SNF
—
2023-02-28
current
pecos_ownership
SANNES, AARON
CORPORATE DIRECTOR
—
2025-01-15
current
pecos_ownership
SCHROEDER, HEATHER
CORPORATE DIRECTOR
—
2025-01-15
current
pecos_ownership
SUGAR CREEK HEALTH MANAGEMENT LLC
ADP OF THE SNF
—
2022-09-30
current
pecos_ownership
SUSONG, KATHERINE
CORPORATE DIRECTOR
—
2025-01-15
current
pecos_ownership
TECH OF AGES LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
TJADEN, TABITHA
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
TJADEN, TABITHA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-21
current
pecos_ownership
WESTERN HOME SERVICES INC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
AARON SANNES
CORPORATE DIRECTOR
—
2025-01-15
ended 2026-05-18
pecos_ownership
ANDREW MORSE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
ended 2026-05-18
pecos_ownership
ANGELA EVANS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
CHERYL DREYER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-12
ended 2026-05-18
pecos_ownership
DARRELL MCCORMICK
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
HEATHER SCHROEDER
CORPORATE DIRECTOR
—
2025-01-15
ended 2026-05-18
pecos_ownership
JENNY GARCIA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-13
ended 2026-05-18
pecos_ownership
JERRY HARRIS
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
KATHERINE SUSONG
CORPORATE DIRECTOR
—
2025-01-15
ended 2026-05-18
pecos_ownership
KRIS HANSEN
CORPORATE OFFICER
—
2009-03-01
ended 2026-05-18
pecos_ownership
KRIS HANSEN
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
LARRY FOX
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
PATRICK O'LEARY
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
RICHARD FRANKHAUSER
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
RICHARD FRANKHAUSER
ADP OF THE SNF
—
2025-11-25
ended 2026-05-18
pecos_ownership
RICHARD FRANKHAUSER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-10-15
ended 2026-05-18
pecos_ownership
SHERI BROCKELSBY
CORPORATE OFFICER
—
2018-01-18
ended 2026-05-18
pecos_ownership
STACY GIBBS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-26
ended 2026-05-18
pecos_ownership
TABITHA TJADEN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-21
ended 2026-05-18
pecos_ownership
TABITHA TJADEN
ADP OF THE SNF
—
2025-11-25
ended 2026-05-18
pecos_ownership
TRENTON AMES
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-06
ended 2026-05-18
pecos_ownership
WENDY AGER
ADP OF THE SNF
—
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
$2,136,813
—
—
—
—
2
—
2023-12-31
$1,500,336
—
$1,422,404
—
—
2
—
2022-12-31
$1,514,460
—
$1,338,221
—
$17,459
3
—
2021-12-31
$1,379,759
—
—
—
$209,807
2
—
2020-12-31
$289,864
—
—
—
$202,199
2
—
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 19013
acs median gross
0
$640
2024-12-31
CENSUS_ACS5
county 19013
fmr
0
$725
2025-10-01
HUD_USER_FMR
county 19013
acs median gross
1
$695
2024-12-31
CENSUS_ACS5
county 19013
fmr
1
$801
2025-10-01
HUD_USER_FMR
county 19013
acs median gross
2
$983
2024-12-31
CENSUS_ACS5
county 19013
fmr
2
$1,051
2025-10-01
HUD_USER_FMR
county 19013
acs median gross
3
$1,153
2024-12-31
CENSUS_ACS5
county 19013
fmr
3
$1,357
2025-10-01
HUD_USER_FMR
county 19013
acs median gross
4
$1,605
2024-12-31
CENSUS_ACS5
county 19013
fmr
4
$1,763
2025-10-01
HUD_USER_FMR
county 19013
acs median gross
5
$2,071
2024-12-31
CENSUS_ACS5
county 19013
acs median gross
$989
2024-12-31
CENSUS_ACS5
county 19013
acs recent mover gross
$1,076
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
0
$883
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
1
$897
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
2
$1,140
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
3
$1,260
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
4
$1,770
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
5
$2,230
2024-12-31
CENSUS_ACS5
zcta 50613
acs median gross
$1,202
2024-12-31
CENSUS_ACS5
zcta 50613
acs recent mover gross
$1,444
2024-12-31
CENSUS_ACS5
zip 50613
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 50613
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 50613
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 110
2
$1,331
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 90
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 50613
safmr
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 110
3
$1,716
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 90
3
$1,404
2025-10-01
HUD_USER_SAFMR
zip 50613
safmr
3
$1,560
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 110
4
$2,233
2025-10-01
HUD_USER_SAFMR
zip 50613
payment standard 90
4
$1,827
2025-10-01
HUD_USER_SAFMR
zip 50613
safmr
4
$2,030
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.