Reads as: riskier than 96.4% 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 fleet risk far above national
+25.8 vs natl
BAUDER WILLIAM
37 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 DOUGLAS
38 facilities
connection
Owner spans multiple chains
5 chains
WILLIAMSON JAMES
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
LA median
National median
National p25–p75
Total nurse
2.55
3.38
3.28
2.90–3.77
RN
0.00
0.10
0.39
0.25–0.58
Weekend total
2.33
3.09
3.11
—
Weekday total
2.63
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.7
2.55
0.00
0.82
1.73
2.33
3.2%
2025Q3
92
71.6
2.89
0.01
0.86
2.02
2.81
9.0%
2025Q2
91
66.6
2.98
0.01
0.90
2.08
2.92
25.8%
2025Q1
90
65.2
3.02
0.02
0.90
2.10
2.99
20.8%
2024Q4
92
64.6
3.11
0.03
0.89
2.19
3.12
15.1%
2024Q3
92
65.7
3.30
0.10
0.94
2.27
3.18
16.5%
2024Q2
91
69.5
3.15
0.00
0.94
2.21
2.98
28.0%
2024Q1
91
64.8
3.10
0.00
0.87
2.23
3.07
27.2%
2023Q4
92
54.8
3.20
0.01
0.92
2.28
3.17
24.1%
2023Q3
92
56.7
2.79
0.00
0.87
1.92
2.77
18.1%
2023Q2
91
53.8
2.92
0.00
0.92
2.01
2.92
20.5%
2023Q1
90
55.9
2.69
0.01
0.94
1.74
2.60
21.6%
2022Q4
92
57.0
2.35
0.05
0.89
1.40
2.34
1.5%
2022Q3
92
56.3
2.57
0.09
1.02
1.47
2.64
0.0%
2022Q2
91
58.2
2.61
0.05
1.11
1.44
2.56
0.0%
2022Q1
90
60.4
1.68
0.05
0.76
0.87
1.58
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.
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
23
D × 12E × 11
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-27
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-10-06
2025-08-27
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2025-10-06
2025-08-27
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
D
2025-10-06
2025-08-27
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
2025-10-06
2025-08-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-10-06
2025-08-27
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.
E
2025-10-06
2025-08-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-10-06
2025-08-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-10-06
2025-04-09
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-05-01
2025-04-09
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-01
2025-04-09
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2025-05-01
2024-07-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-11
2024-07-30
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-09-11
2024-07-30
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2024-09-11
2024-07-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-09-11
2024-07-30
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
2024-09-11
2024-07-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-09-11
2024-07-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-09-11
2024-07-30
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
2024-09-11
2024-07-01
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-07-30
2024-05-09
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-06-21
2024-05-09
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-06-21
2024-05-09
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2024-06-21
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
15
Owner
Role
Pct
From
Status
Source
SDB HOLDINGS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-04-01
current
pecos_ownership
BASS, PAT
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
BAUDER, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
current
pecos_ownership
BOULWARE, DOUGLAS
INDIRECT OWNERSHIP INTEREST
—
2019-04-01
current
pecos_ownership
BOULWARE, STEVEN
INDIRECT OWNERSHIP INTEREST
—
2019-04-01
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
current
pecos_ownership
STARR, CHRISTINA
ADP OF THE SNF
—
2022-10-31
current
pecos_ownership
WILLIAMS, JAMES
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
DOUGLAS BOULWARE
INDIRECT OWNERSHIP INTEREST
33%
2019-04-01
ended 2026-05-18
pecos_ownership
STEVEN BOULWARE
INDIRECT OWNERSHIP INTEREST
33%
2019-04-01
ended 2026-05-18
pecos_ownership
WILLIAM BAUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2019-04-01
ended 2026-05-18
pecos_ownership
CHRISTINA STARR
ADP OF THE SNF
—
2022-10-31
ended 2026-05-18
pecos_ownership
JAMES WILLIAMS
ADP OF THE SNF
—
2025-04-18
ended 2026-05-18
pecos_ownership
PAT BASS
ADP OF THE SNF
—
2025-04-18
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
$1,027,075
—
$9,254
$695,127
$95,310
13
—
2023-12-31
$760,599
—
—
$497,198
$68,001
13
—
2022-12-31
$705,969
—
—
$456,945
$64,100
13
—
2021-12-31
$719,240
—
—
$473,837
$56,344
13
—
2020-12-31
$832,138
—
—
$592,966
$53,712
10
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 22017
acs median gross
0
$773
2024-12-31
CENSUS_ACS5
county 22017
fmr
0
$870
2025-10-01
HUD_USER_FMR
county 22017
acs median gross
1
$813
2024-12-31
CENSUS_ACS5
county 22017
fmr
1
$982
2025-10-01
HUD_USER_FMR
county 22017
acs median gross
2
$964
2024-12-31
CENSUS_ACS5
county 22017
fmr
2
$1,111
2025-10-01
HUD_USER_FMR
county 22017
acs median gross
3
$1,131
2024-12-31
CENSUS_ACS5
county 22017
fmr
3
$1,458
2025-10-01
HUD_USER_FMR
county 22017
acs median gross
4
$1,282
2024-12-31
CENSUS_ACS5
county 22017
fmr
4
$1,552
2025-10-01
HUD_USER_FMR
county 22017
acs median gross
$974
2024-12-31
CENSUS_ACS5
county 22017
acs recent mover gross
$992
2024-12-31
CENSUS_ACS5
zcta 71103
acs median gross
1
$440
2024-12-31
CENSUS_ACS5
zcta 71103
acs median gross
2
$852
2024-12-31
CENSUS_ACS5
zcta 71103
acs median gross
3
$1,030
2024-12-31
CENSUS_ACS5
zcta 71103
acs median gross
4
$914
2024-12-31
CENSUS_ACS5
zcta 71103
acs median gross
$824
2024-12-31
CENSUS_ACS5
zip 71103
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 71103
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 71103
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 71103
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 71103
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 71103
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 71103
safmr
4
$1,380
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.