Reads as: riskier than 65.2% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
INNOVATIVE NURSE CONSULTING LLC
19 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
STEVEN BOULWARE FAMILY INVESTMENTS LLC
14 facilities
connection
Owner fleet risk far above national
+26.4 vs natl
BRIDGEPOINTE FINANICAL SERVICES LLC
22 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
BAUDER WILLIAM
37 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
BAUDER MADISON
22 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
BAUDER KELLY
22 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
BAUDER PARKER
22 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
BOULWARE ST JAMES LLC
20 facilities
connection
Owner fleet risk far above national
+21.0 vs natl
BOULWARE THOMAS
24 facilities
connection
Owner fleet risk far above national
+21.0 vs natl
WALKER KATIE
24 facilities
connection
Owner fleet risk far above national
+20.7 vs natl
BAUDER FAMILY INVESTMENTS LLC
20 facilities
connection
Owner spans multiple chains
10 chains
BAUDER WILLIAM
35 facilities
connection
Owner spans multiple chains
9 chains
BOULWARE STEVEN
40 facilities
connection
Owner spans multiple chains
8 chains
PRIORITY MANAGEMENT GROUP LLC
36 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE THOMAS
23 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE DOUGLAS
38 facilities
connection
Owner spans multiple chains
7 chains
BAUDER MADISON
21 facilities
connection
Owner spans multiple chains
7 chains
BAUDER PARKER
21 facilities
connection
Owner spans multiple chains
7 chains
WALKER KATIE
23 facilities
connection
Owner spans multiple chains
7 chains
BAUDER KELLY
21 facilities
connection
Owner spans multiple chains
6 chains
BRIDGEPOINTE FINANICAL SERVICES LLC
21 facilities
connection
Owner spans multiple chains
6 chains
PROGRESSIVE REHAB SOLUTIONS LLC
33 facilities
connection
Owner spans multiple chains
6 chains
INNOVATIVE NURSE CONSULTING LLC
18 facilities
connection
Owner spans multiple chains
5 chains
STEVEN BOULWARE FAMILY INVESTMENTS LLC
13 facilities
connection
Owner spans multiple chains
5 chains
BOULWARE ST JAMES LLC
19 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
LA median
National median
National p25–p75
Total nurse
3.21
3.38
3.28
2.90–3.77
RN
0.06
0.10
0.39
0.25–0.58
Weekend total
3.04
3.09
3.11
—
Weekday total
3.27
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.5
3.21
0.06
1.11
2.04
3.04
0.0%
2025Q3
92
47.7
2.89
0.06
1.11
1.72
2.70
0.0%
2025Q2
91
48.7
2.98
0.02
1.08
1.87
2.77
0.0%
2025Q1
90
46.5
3.65
0.05
1.21
2.40
3.58
0.5%
2024Q4
92
50.6
3.69
0.09
1.06
2.54
3.59
0.0%
2024Q3
92
49.1
3.23
0.11
1.04
2.08
3.12
2.0%
2024Q2
91
43.5
3.29
0.11
1.11
2.07
3.21
5.7%
2024Q1
91
43.5
3.20
0.10
1.10
2.00
3.08
10.3%
2023Q4
92
46.2
3.04
0.11
1.04
1.89
2.99
3.4%
2023Q3
92
49.8
2.89
0.09
0.97
1.82
2.87
2.9%
2023Q2
91
51.3
3.03
0.09
0.94
2.00
3.01
17.3%
2023Q1
90
47.7
3.76
0.08
1.02
2.66
3.60
46.6%
2022Q4
92
47.7
3.37
0.12
1.04
2.21
3.19
37.5%
2022Q3
92
44.5
3.49
0.12
1.13
2.24
3.37
21.2%
2022Q2
91
48.4
3.21
0.09
1.06
2.05
3.23
26.2%
2022Q1
90
49.6
2.95
0.08
1.03
1.84
2.98
31.1%
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
12
D × 5E × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-25
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2026-05-06
2026-03-25
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
2026-05-06
2025-01-15
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-02-19
2025-01-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-02-19
2025-01-15
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-02-19
2025-01-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-19
2025-01-15
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.
E
2025-02-19
2023-12-06
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.
E
2024-01-19
2023-12-06
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-01-19
2023-12-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-01-19
2023-12-06
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.
E
2024-01-19
2023-09-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-09-15
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
30
Owner
Role
Pct
From
Status
Source
BAUDER FAMILY INVESTMENTS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-04-01
current
pecos_ownership
BOULWARE ST JAMES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-04-01
current
pecos_ownership
STEVEN BOULWARE FAMILY INVESTMENTS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-04-01
current
pecos_ownership
BAUDER, KELLY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
current
pecos_ownership
BAUDER, MADISON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
current
pecos_ownership
BAUDER, PARKER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
current
pecos_ownership
BOULWARE, THOMAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
current
pecos_ownership
WALKER, KATIE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
current
pecos_ownership
BAUDER, WILLIAM
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
BOULWARE, DOUGLAS
CORPORATE OFFICER
—
2025-04-01
current
pecos_ownership
BOULWARE, STEVEN
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
BRIDGEPOINTE FINANICAL SERVICES, LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
INNOVATIVE NURSE CONSULTING, LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
LLEWELLYN, LAUREN
ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
LLEWELLYN, LAUREN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
PARDUE, MICHELLE
ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
PMG REALCO - SPRINGHILL, LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC
ADP OF THE SNF
—
2025-10-09
current
pecos_ownership
STEVEN BOULWARE
INDIRECT OWNERSHIP INTEREST
42%
2025-04-01
ended 2026-05-18
pecos_ownership
KATIE WALKER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
KELLY BAUDER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
MADISON BAUDER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
PARKER BAUDER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
THOMAS BOULWARE
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
WILLIAM BAUDER
INDIRECT OWNERSHIP INTEREST
8%
2025-04-01
ended 2026-05-18
pecos_ownership
DOUGLAS BOULWARE
INDIRECT OWNERSHIP INTEREST
4%
2025-04-01
ended 2026-05-18
pecos_ownership
LAUREN LLEWELLYN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
LAUREN LLEWELLYN
ADP OF THE SNF
—
2025-10-09
ended 2026-05-18
pecos_ownership
MICHELLE PARDUE
ADP OF THE SNF
—
2025-10-09
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
$251,927
—
$158,156
—
$93,771
12
—
2023-12-31
$211,704
—
$168,917
—
$42,787
12
—
2022-12-31
$797,321
—
$181,864
—
$615,457
12
—
2021-12-31
$164,028
—
$164,028
—
—
3
—
2020-12-31
$148,132
—
$148,132
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
33
Geo
Kind
BR
Amount
As of
Source
county 22119
acs median gross
0
$467
2024-12-31
CENSUS_ACS5
county 22119
fmr
0
$600
2025-10-01
HUD_USER_FMR
county 22119
acs median gross
1
$546
2024-12-31
CENSUS_ACS5
county 22119
fmr
1
$651
2025-10-01
HUD_USER_FMR
county 22119
acs median gross
2
$771
2024-12-31
CENSUS_ACS5
county 22119
fmr
2
$854
2025-10-01
HUD_USER_FMR
county 22119
acs median gross
3
$965
2024-12-31
CENSUS_ACS5
county 22119
fmr
3
$1,130
2025-10-01
HUD_USER_FMR
county 22119
acs median gross
4
$901
2024-12-31
CENSUS_ACS5
county 22119
fmr
4
$1,131
2025-10-01
HUD_USER_FMR
county 22119
acs median gross
5
$1,550
2024-12-31
CENSUS_ACS5
county 22119
acs median gross
$795
2024-12-31
CENSUS_ACS5
county 22119
acs recent mover gross
$955
2024-12-31
CENSUS_ACS5
zcta 71075
acs median gross
1
$545
2024-12-31
CENSUS_ACS5
zcta 71075
acs median gross
2
$770
2024-12-31
CENSUS_ACS5
zcta 71075
acs median gross
3
$806
2024-12-31
CENSUS_ACS5
zcta 71075
acs median gross
4
$850
2024-12-31
CENSUS_ACS5
zcta 71075
acs median gross
$767
2024-12-31
CENSUS_ACS5
zip 71075
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 71075
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 71075
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 71075
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 110
3
$1,309
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 90
3
$1,071
2025-10-01
HUD_USER_SAFMR
zip 71075
safmr
3
$1,190
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 110
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 71075
payment standard 90
4
$1,134
2025-10-01
HUD_USER_SAFMR
zip 71075
safmr
4
$1,260
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.