Reads as: riskier than 78.4% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.4 vs natl
SANDERSON CLARK
58 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
FANNIN COUNTY HOSPITAL AUTHORITY
54 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
8 facilities
FANNIN COUNTY HOSPITAL AUTHORITY
8 facilities
connection
Owner fleet enforcement cluster
50% fined
SHEDDY THERESA
6 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
TX median
National median
National p25–p75
Total nurse
2.90
2.67
3.28
2.90–3.77
RN
0.09
0.24
0.39
0.25–0.58
Weekend total
2.77
2.56
3.11
—
Weekday total
2.96
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.1
2.90
0.09
1.21
1.60
2.77
0.0%
2025Q3
92
40.3
2.80
0.10
1.19
1.52
2.89
0.9%
2025Q2
91
35.2
2.87
0.13
1.13
1.61
2.98
0.0%
2025Q1
90
31.5
3.17
0.37
0.96
1.85
3.27
0.0%
2024Q4
92
27.2
2.92
0.18
1.03
1.72
2.98
1.4%
2024Q3
92
30.1
2.82
0.15
1.00
1.67
2.94
2.6%
2024Q2
91
29.1
3.11
0.14
1.14
1.83
3.03
0.3%
2024Q1
91
29.3
2.88
0.13
1.04
1.71
2.71
0.0%
2023Q4
92
29.0
2.64
0.10
0.88
1.66
2.38
1.6%
2023Q3
92
33.4
1.88
0.10
0.55
1.23
1.57
4.4%
2023Q2
91
34.4
2.33
0.06
0.75
1.52
2.22
6.4%
2023Q1
90
39.3
1.82
0.02
0.63
1.17
1.62
18.1%
2022Q4
92
36.4
2.29
0.00
1.01
1.27
2.17
0.0%
2022Q3
92
38.5
2.19
0.00
1.07
1.12
2.08
0.0%
2022Q2
91
43.5
2.06
0.00
1.03
1.03
1.71
0.0%
2022Q1
90
40.6
2.46
0.00
1.12
1.33
2.09
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.
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
2026-03-06
2025-07-23
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.
D
2025-08-12
2025-07-23
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
2025-08-28
2025-07-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-28
2024-06-25
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-07-12
2024-06-25
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.
D
2024-07-16
2024-06-25
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.
D
2024-07-16
2024-06-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-16
2024-06-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-16
2023-11-30
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-12-04
2023-08-01
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-09-14
2023-08-01
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
2023-09-14
2023-08-01
Health · complaint
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
2023-09-14
2023-07-10
Health · complaint
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
2023-07-31
2023-07-10
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.
F
2023-07-31
2023-05-09
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
2023-06-02
2023-05-09
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.
F
2023-06-02
2023-05-09
Health
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.
F
2023-06-02
2023-05-09
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
2023-06-02
2023-05-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-02
2023-05-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-06-02
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
9
Owner
Role
Pct
From
Status
Source
SANDERSON, CLARK
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
current
pecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY
—
—
2025-04-01
current
tx_hhsc_directory
FANNIN COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2022-04-01
current
pecos_ownership
SANDERSON, CLARK
CORPORATE OFFICER
—
2012-10-29
current
pecos_ownership
SB PAMPA HEALTHCARE MANAGEMENT LLC
—
—
2025-04-01
current
tx_hhsc_directory
SHEDDY, THERESA
CORPORATE DIRECTOR
—
2016-09-01
current
pecos_ownership
CLARK SANDERSON
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
ended 2026-05-18
pecos_ownership
CLARK SANDERSON
CORPORATE OFFICER
100%
2012-10-29
ended 2026-05-18
pecos_ownership
THERESA SHEDDY
CORPORATE DIRECTOR
100%
2016-09-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 48179
acs median gross
0
$933
2024-12-31
CENSUS_ACS5
county 48179
fmr
0
$785
2025-10-01
HUD_USER_FMR
county 48179
acs median gross
1
$582
2024-12-31
CENSUS_ACS5
county 48179
fmr
1
$790
2025-10-01
HUD_USER_FMR
county 48179
acs median gross
2
$919
2024-12-31
CENSUS_ACS5
county 48179
fmr
2
$1,037
2025-10-01
HUD_USER_FMR
county 48179
acs median gross
3
$1,010
2024-12-31
CENSUS_ACS5
county 48179
fmr
3
$1,243
2025-10-01
HUD_USER_FMR
county 48179
acs median gross
4
$1,002
2024-12-31
CENSUS_ACS5
county 48179
fmr
4
$1,373
2025-10-01
HUD_USER_FMR
county 48179
acs median gross
$933
2024-12-31
CENSUS_ACS5
county 48179
acs recent mover gross
$1,177
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
0
$933
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
2
$917
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
3
$1,014
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
4
$1,000
2024-12-31
CENSUS_ACS5
zcta 79065
acs median gross
$934
2024-12-31
CENSUS_ACS5
zcta 79065
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zip 79065
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 79065
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 79065
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 79065
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 79065
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 110
4
$1,507
2025-10-01
HUD_USER_SAFMR
zip 79065
payment standard 90
4
$1,233
2025-10-01
HUD_USER_SAFMR
zip 79065
safmr
4
$1,370
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.