Reads as: riskier than 54.2% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+34.8 vs natl
RELIANT CARE GROUP OF WEBSTER INC
6 facilities
connection
Owner fleet risk far above national
+22.6 vs natl
RICHARD J DESTEFANE REVOCABLE LIVING TRUST
23 facilities
connection
Owner fleet risk far above national
+20.4 vs natl
RELIANT CARE MANAGEMENT COMPANY LLC
32 facilities
connection
Owner fleet enforcement cluster
67% fined
RELIANT CARE GROUP OF WEBSTER INC
6 facilities
connection
Owner fleet enforcement cluster
61% fined
RELIANT CARE GROUP LLC
18 facilities
connection
Owner fleet enforcement cluster
59% fined
DESTEFANE RICHARD
32 facilities
connection
Owner fleet enforcement cluster
59% fined
RELIANT CARE MANAGEMENT COMPANY LLC
32 facilities
connection
Owner fleet enforcement cluster
56% fined
RICHARD J DESTEFANE REVOCABLE LIVING TRUST
23 facilities
connection
Owner fleet enforcement cluster
55% fined
RCG INC
20 facilities
connection
Owner fleet enforcement cluster
54% fined
ARSHAD ABDULLAH
24 facilities
connection
Owner fleet enforcement cluster
47% fined
TLG II LLP
17 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
13
2025Q4 HPRD
This facility
MO median
National median
National p25–p75
Total nurse
0.98
2.41
3.28
2.90–3.77
RN
0.23
0.25
0.39
0.25–0.58
Weekend total
0.90
2.24
3.11
—
Weekday total
1.01
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.6
0.98
0.23
0.27
0.48
0.90
0.0%
2025Q3
92
61.2
1.41
0.19
0.43
0.79
1.19
0.0%
2025Q2
91
55.8
1.01
0.25
0.31
0.45
0.92
0.0%
2024Q2
91
55.9
2.85
0.18
0.79
1.89
2.43
0.0%
2024Q1
91
53.0
3.03
0.17
0.77
2.10
2.67
0.0%
2023Q4
92
51.4
3.06
0.12
0.85
2.09
2.69
0.0%
2023Q3
92
48.9
3.33
0.23
0.82
2.29
2.81
0.0%
2023Q2
91
47.6
3.47
0.23
0.81
2.43
2.96
0.0%
2023Q1
90
48.7
3.08
0.19
0.70
2.18
2.42
0.0%
2022Q4
92
49.8
2.64
0.15
0.72
1.77
2.26
0.0%
2022Q3
92
46.1
2.77
0.17
0.74
1.85
2.33
0.0%
2022Q2
91
46.2
2.87
0.19
0.89
1.79
2.33
0.0%
2022Q1
90
45.5
2.92
0.29
0.78
1.86
2.54
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
35
C × 4D × 10E × 16F × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-20
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
2025-09-24
2025-06-09
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-07-09
2025-06-09
Health · complaint
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2025-07-09
2025-04-02
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-02
2025-04-02
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-02
2024-08-29
Health
F0567
Honor the resident's right to manage his or her financial affairs.
C
2024-10-18
2024-08-29
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-10-18
2024-08-29
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-10-18
2024-08-29
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-10-18
2024-08-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-10-18
2024-08-29
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-10-18
2024-08-29
Health
F0679
Provide activities to meet all resident's needs.
E
2024-10-18
2024-08-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-10-18
2024-08-29
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2024-10-18
2024-08-29
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-10-18
2024-08-29
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-10-18
2023-10-13
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
2023-11-27
2023-10-13
Health · complaint
F0728
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
E
2023-11-27
2023-05-18
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.
E
2023-06-30
2023-05-18
Health
F0679
Provide activities to meet all resident's needs.
E
2023-06-30
2023-05-18
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
2023-06-30
2023-05-18
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-06-30
2023-05-18
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
2023-06-30
2023-05-18
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
2023-06-30
2023-05-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-30
2021-10-29
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2021-12-13
2021-10-29
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2021-12-13
2021-10-29
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
2021-12-13
2021-10-29
Health
F0641
Ensure each resident receives an accurate assessment.
E
2021-12-13
2021-10-29
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.
E
2021-12-13
2021-10-29
Health
F0732
Post nurse staffing information every day.
C
2021-12-13
2021-10-29
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2021-12-13
2021-10-29
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2021-12-13
2021-10-29
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2021-12-13
2021-10-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-12-13
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
18
Owner
Role
Pct
From
Status
Source
FAIR VIEW ASSOCIATES L.L.C.
Corporation, partnership or other organization has financial interest in provider
99%
2024-01-01
current
hcris_a_8_1
ARSHAD, ABDULLAH
ADP OF THE SNF
—
2024-09-16
current
pecos_ownership
BRUNSWICK PARK ASSOCIATES INC
ADP OF THE SNF
—
2025-01-16
current
pecos_ownership
DESTEFANE, RICHARD
ADP OF THE SNF
—
2025-01-23
current
pecos_ownership
DESTEFANE, RICHARD
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
FAIR VIEW ASSOCIATES I, L.L.C.
ADP OF THE SNF
—
2025-01-23
current
pecos_ownership
MCDONALD, EVERLYN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
current
pecos_ownership
RCG INC
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
RELIANT CARE GROUP LLC
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
RELIANT CARE GROUP OF WEBSTER INC
ADP OF THE SNF
—
2024-12-31
current
pecos_ownership
RELIANT CARE MANAGEMENT COMPANY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-10
current
pecos_ownership
RICHARD J. DESTEFANE REVOCABLE LIVING TRUST
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
TLG II LLP
ADP OF THE SNF
—
2024-12-31
current
pecos_ownership
RICHARD DESTEFANE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-06-01
ended 2026-05-18
pecos_ownership
RCG INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2024-06-01
ended 2026-05-18
pecos_ownership
ABDULLAH ARSHAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
ended 2026-05-18
pecos_ownership
EVERLYN MCDONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
ended 2026-05-18
pecos_ownership
RICHARD DESTEFANE
ADP OF THE SNF
—
2025-01-23
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$481,608
$182,057
$170,976
$105,796
—
5
propco
2024-05-31
$18,409
$18,409
—
—
—
1
—
2023-12-31
$20,495
$20,495
—
—
—
1
—
2022-12-31
$15,905
$15,905
—
—
—
1
—
2021-12-31
$16,315
$16,315
—
—
—
1
—
2020-12-31
$14,941
$14,941
—
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 29159
acs median gross
0
$738
2024-12-31
CENSUS_ACS5
county 29159
fmr
0
$740
2025-10-01
HUD_USER_FMR
county 29159
acs median gross
1
$647
2024-12-31
CENSUS_ACS5
county 29159
fmr
1
$745
2025-10-01
HUD_USER_FMR
county 29159
acs median gross
2
$874
2024-12-31
CENSUS_ACS5
county 29159
fmr
2
$978
2025-10-01
HUD_USER_FMR
county 29159
acs median gross
3
$1,102
2024-12-31
CENSUS_ACS5
county 29159
fmr
3
$1,268
2025-10-01
HUD_USER_FMR
county 29159
acs median gross
4
$1,131
2024-12-31
CENSUS_ACS5
county 29159
fmr
4
$1,411
2025-10-01
HUD_USER_FMR
county 29159
acs median gross
$885
2024-12-31
CENSUS_ACS5
county 29159
acs recent mover gross
$919
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
0
$648
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
1
$661
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
2
$867
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
3
$1,114
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
4
$1,234
2024-12-31
CENSUS_ACS5
zcta 65301
acs median gross
$884
2024-12-31
CENSUS_ACS5
zcta 65301
acs recent mover gross
$929
2024-12-31
CENSUS_ACS5
zip 65301
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 65301
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 65301
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 65301
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 65301
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 65301
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 65301
safmr
4
$1,430
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.