Reads as: riskier than 94.0% 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
19
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+35.7 vs natl
SPTIHS PROPERTIES TRUST
5 facilities
connection
Owner fleet risk far above national
+33.4 vs natl
D E SHAW CO L P
8 facilities
connection
Owner fleet risk far above national
+30.6 vs natl
STELLAR SENIOR LIVING B LLC
8 facilities
connection
Owner fleet risk far above national
+30.6 vs natl
BENTON EVRETT
8 facilities
connection
Owner fleet risk far above national
+30.6 vs natl
STELLAR V LLC
8 facilities
connection
Owner fleet risk far above national
+29.4 vs natl
DIVERSIFIED HEALTHCARE TRUST
11 facilities
connection
Owner fleet risk far above national
+29.4 vs natl
SNH TRS INC
11 facilities
connection
Owner fleet risk far above national
+29.2 vs natl
SNH PROJ LINCOLN TRS LLC
11 facilities
connection
Owner fleet risk far above national
+28.4 vs natl
SNH TRS LICENSEE HOLDCO LLC
11 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
ABP TRUST
10 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
FLAT FOOTED LLC
10 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
H 2 SPECIAL OPPORTUNITIES IV L P
10 facilities
connection
Owner fleet risk far above national
+27.2 vs natl
CHARLES SCHWAB INVESTMENT MANAGEMENT INC
6 facilities
connection
Owner fleet risk far above national
+25.0 vs natl
BILOTTO CHRISTOPHER
11 facilities
connection
Owner fleet risk far above national
+25.0 vs natl
CLARK JENNIFER
11 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
BROWN MATTHEW
12 facilities
connection
Owner spans multiple chains
8 chains
BLACKROCK INC
303 facilities
connection
Owner spans multiple chains
8 chains
VANGUARD GROUP INC
324 facilities
connection
Owner fleet enforcement cluster
40% fined
SPTIHS PROPERTIES TRUST
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
WY median
National median
National p25–p75
Total nurse
2.61
3.23
3.28
2.90–3.77
RN
0.32
0.56
0.39
0.25–0.58
Weekend total
2.49
3.13
3.11
—
Weekday total
2.66
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.9
2.61
0.32
0.66
1.63
2.49
0.0%
2025Q3
92
54.7
2.56
0.29
0.64
1.63
2.52
0.0%
2025Q2
91
49.2
2.95
0.29
0.62
2.03
2.86
0.0%
2025Q1
90
52.1
2.92
0.44
0.56
1.92
3.08
0.0%
2024Q4
92
52.4
2.57
0.45
0.57
1.55
2.84
0.1%
2024Q3
92
50.3
2.69
0.43
0.58
1.69
2.88
0.0%
2024Q2
91
54.6
2.77
0.37
0.54
1.86
2.57
0.3%
2024Q1
91
58.0
2.71
0.45
0.46
1.80
2.48
6.2%
2023Q4
92
53.8
2.37
0.29
0.49
1.59
2.34
3.3%
2023Q3
92
57.0
2.38
0.31
0.28
1.79
2.19
0.0%
2023Q2
91
54.3
2.84
0.34
0.46
2.04
2.42
8.6%
2023Q1
90
57.5
2.62
0.23
0.47
1.92
2.38
12.8%
2022Q4
92
56.5
2.52
0.26
0.45
1.82
2.44
17.4%
2022Q3
92
55.6
2.78
0.36
0.50
1.92
2.56
12.9%
2022Q2
91
55.0
2.85
0.70
0.33
1.83
2.55
8.6%
2022Q1
90
57.4
2.65
0.57
0.41
1.68
2.45
5.0%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
—
2024-10-10
Health
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.
E
2024-11-24
2024-10-10
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
2024-11-24
2024-10-10
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.
E
2024-11-24
2024-10-10
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2024-11-01
2024-10-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-08
2024-10-10
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-11-24
2024-10-10
Health · complaint
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
E
2024-11-24
2024-05-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-06-13
2023-07-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2023-07-19
2023-07-27
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-24
2023-07-27
Health
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
2023-08-24
2023-07-27
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
2023-08-24
2023-07-27
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2023-08-24
2023-07-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-24
2023-07-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-24
2023-07-27
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-08-24
2022-06-09
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-07-13
2022-06-09
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
2022-07-13
2022-06-09
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
2022-07-13
2022-06-09
Health
F0679
Provide activities to meet all resident's needs.
D
2022-07-13
2022-06-09
Health
F0732
Post nurse staffing information every day.
B
2022-07-13
2022-06-09
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
2022-07-13
2022-06-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-07-13
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
41
Owner
Role
Pct
From
Status
Source
SPTIHS PROPERTIES TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-01
current
pecos_ownership
ABP TRUST
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
BENTON, EVRETT
ADP OF THE SNF
—
2021-08-01
current
pecos_ownership
BILOTTO, CHRISTOPHER
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
BLACKROCK INC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
BLACKROCK INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
BROWN, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
current
pecos_ownership
CHARLES SCHWAB INVESTMENT MANAGEMENT, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
CLARK, JENNIFER
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
D.E. SHAW & CO., L.P.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
DIVERSIFIED HEALTHCARE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
DIVERSIFIED HEALTHCARE TRUST
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
FLAT FOOTED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
H/2 SPECIAL OPPORTUNITIES IV L.P.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-03-22
current
pecos_ownership
KAUFMAN, TRENT
ADP OF THE SNF
—
2024-02-26
current
pecos_ownership
MIKESELL, DARREN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MONTEZ, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-01
current
pecos_ownership
PORTNOY, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
SNH PROJ LINCOLN TRS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-01-01
current
pecos_ownership
SNH PROJ LINCOLN TRS LLC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
SNH TRS LICENSEE HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-01-01
current
pecos_ownership
SNH TRS, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
SNH TRS, INC.
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
SPTIHS PROPERTIES TRUST
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
STELLAR LARAMIE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
STELLAR LARAMIE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
STELLAR SENIOR LIVING B LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
STELLAR SENIOR LIVING B LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
STELLAR V LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
STELLAR V LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
VANGUARD GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-22
current
pecos_ownership
VANGUARD GROUP INC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
ADAM PORTNOY
CORPORATE DIRECTOR
100%
2020-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER BILOTTO
CORPORATE OFFICER
100%
2024-01-01
ended 2026-05-18
pecos_ownership
JENNIFER CLARK
CORPORATE OFFICER
100%
2020-01-01
ended 2026-05-18
pecos_ownership
MATTHEW BROWN
CORPORATE OFFICER
100%
2023-10-01
ended 2026-05-18
pecos_ownership
ADAM PORTNOY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-03-22
ended 2026-05-18
pecos_ownership
DARREN MIKESELL
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
EVRETT BENTON
ADP OF THE SNF
—
2021-08-01
ended 2026-05-18
pecos_ownership
LISA MONTEZ
ADP OF THE SNF
—
2021-09-01
ended 2026-05-18
pecos_ownership
TRENT KAUFMAN
ADP OF THE SNF
—
2024-02-26
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2020-12-31
$538,998
—
$538,998
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 56001
acs median gross
0
$680
2024-12-31
CENSUS_ACS5
county 56001
fmr
0
$709
2025-10-01
HUD_USER_FMR
county 56001
acs median gross
1
$746
2024-12-31
CENSUS_ACS5
county 56001
fmr
1
$786
2025-10-01
HUD_USER_FMR
county 56001
acs median gross
2
$913
2024-12-31
CENSUS_ACS5
county 56001
fmr
2
$963
2025-10-01
HUD_USER_FMR
county 56001
acs median gross
3
$1,397
2024-12-31
CENSUS_ACS5
county 56001
fmr
3
$1,339
2025-10-01
HUD_USER_FMR
county 56001
acs median gross
4
$1,175
2024-12-31
CENSUS_ACS5
county 56001
fmr
4
$1,615
2025-10-01
HUD_USER_FMR
county 56001
acs median gross
5
$2,058
2024-12-31
CENSUS_ACS5
county 56001
acs median gross
$931
2024-12-31
CENSUS_ACS5
county 56001
acs recent mover gross
$1,051
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
0
$654
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
1
$692
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
2
$911
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
3
$1,358
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
4
$1,361
2024-12-31
CENSUS_ACS5
zcta 82070
acs median gross
$940
2024-12-31
CENSUS_ACS5
zcta 82070
acs recent mover gross
$924
2024-12-31
CENSUS_ACS5
zip 82070
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 82070
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 82070
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 82070
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 82070
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 82070
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 82070
safmr
4
$1,660
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.