Reads as: riskier than 78.3% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
18 chains
CTR PARTNERSHIP LP
99 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner spans multiple chains
15 chains
CARETRUST REIT INC
96 facilities
connection
Owner spans multiple chains
11 chains
CARETRUST GP LLC
89 facilities
connection
Owner spans multiple chains
11 chains
TWOMAGNETS LLC
45 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
CA median
National median
National p25–p75
Total nurse
3.84
3.95
3.28
2.90–3.77
RN
0.39
0.38
0.39
0.25–0.58
Weekend total
3.46
3.79
3.11
—
Weekday total
3.99
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
37.3
3.84
0.39
0.86
2.59
3.46
9.7%
2025Q3
92
37.6
3.91
0.44
0.92
2.55
3.64
9.7%
2025Q2
91
38.5
3.83
0.41
0.90
2.52
3.52
13.4%
2025Q1
90
35.1
3.88
0.47
0.86
2.55
3.67
6.6%
2024Q4
92
33.4
3.96
0.46
0.87
2.63
3.77
0.0%
2024Q3
92
33.8
3.79
0.38
0.85
2.56
3.61
0.0%
2024Q2
91
32.3
3.94
0.36
0.98
2.61
3.80
0.0%
2024Q1
91
34.8
3.63
0.37
0.88
2.39
3.48
0.0%
2023Q4
92
33.0
3.62
0.41
0.83
2.38
3.40
0.0%
2023Q3
92
32.3
3.65
0.39
0.84
2.42
3.51
0.0%
2023Q2
91
29.5
4.03
0.26
1.18
2.60
3.94
0.0%
2023Q1
90
31.4
3.80
0.26
1.13
2.41
3.61
0.0%
2022Q4
92
29.3
3.44
0.21
1.11
2.12
3.24
0.0%
2022Q3
92
27.7
3.48
0.20
1.34
1.94
3.33
0.0%
2022Q2
91
29.0
3.68
0.18
1.18
2.32
3.56
0.0%
2022Q1
90
28.5
3.43
0.21
1.24
1.98
3.23
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-02-26
2026-01-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-02-26
2026-01-30
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2026-02-26
2026-01-30
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2026-02-26
2026-01-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-26
2026-01-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-26
2026-01-30
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2026-02-26
2025-12-29
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-01-16
2025-04-10
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-05-02
2025-04-10
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-02
2025-03-05
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
G
2025-03-27
2023-03-27
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-05-01
2023-03-27
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
2023-05-01
2023-03-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-05-01
2023-03-27
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.
F
2023-05-01
2023-03-27
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
2023-05-01
2023-03-27
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2023-05-01
2023-03-27
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
2023-05-01
2023-03-27
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-05-01
2023-03-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-01
2023-03-27
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2023-05-01
2023-03-27
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2023-05-01
2023-03-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-05-01
2023-03-27
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-05-01
2023-03-27
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2023-05-01
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
19
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2006-01-30
current
pecos_ownership
CARETRUST GP LLC
ADP OF THE SNF
—
2001-11-15
current
pecos_ownership
CARETRUST REIT INC
ADP OF THE SNF
—
2001-11-15
current
pecos_ownership
CTR PARTNERSHIP LP
ADP OF THE SNF
—
2001-11-15
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2001-11-15
current
pecos_ownership
GAMBLE, SHAWNDEE
MANAGING CONTROL - GOVERNING BODY
—
2001-11-15
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-11
current
pecos_ownership
RAO, SEEMA
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
current
pecos_ownership
TWOMAGNETS LLC
ADP OF THE SNF
—
2002-08-01
current
pecos_ownership
WILLITS HEALTH HOLDINGS LLC
ADP OF THE SNF
—
2001-11-15
current
pecos_ownership
WILLITS, ADAM
CORPORATE OFFICER
—
2024-09-09
current
pecos_ownership
FLAGSTONE HEALTHCARE NORTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2001-11-15
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2001-11-15
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2006-01-30
ended 2026-05-18
pecos_ownership
ADAM WILLITS
CORPORATE OFFICER
—
2024-09-09
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
SEEMA RAO
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
SHAWNDEE GAMBLE
ADP OF THE SNF
—
2001-11-15
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
$716,702
—
$453,369
—
—
4
—
2023-12-31
$565,450
—
$328,465
—
—
4
—
2022-12-31
$508,818
—
$324,642
—
—
4
—
2021-12-31
$532,360
—
$332,960
—
—
4
—
2020-12-31
$486,739
—
$335,823
—
—
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 06045
acs median gross
0
$943
2024-12-31
CENSUS_ACS5
county 06045
fmr
0
$1,269
2025-10-01
HUD_USER_FMR
county 06045
acs median gross
1
$998
2024-12-31
CENSUS_ACS5
county 06045
fmr
1
$1,306
2025-10-01
HUD_USER_FMR
county 06045
acs median gross
2
$1,381
2024-12-31
CENSUS_ACS5
county 06045
fmr
2
$1,713
2025-10-01
HUD_USER_FMR
county 06045
acs median gross
3
$1,818
2024-12-31
CENSUS_ACS5
county 06045
fmr
3
$2,382
2025-10-01
HUD_USER_FMR
county 06045
acs median gross
4
$1,852
2024-12-31
CENSUS_ACS5
county 06045
fmr
4
$2,789
2025-10-01
HUD_USER_FMR
county 06045
acs median gross
$1,317
2024-12-31
CENSUS_ACS5
county 06045
acs recent mover gross
$1,546
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
0
$1,182
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
1
$1,014
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
2
$1,393
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
3
$1,643
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
4
$1,375
2024-12-31
CENSUS_ACS5
zcta 95490
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
zcta 95490
acs recent mover gross
$2,003
2024-12-31
CENSUS_ACS5
zip 95490
payment standard 110
0
$1,298
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 90
0
$1,062
2025-10-01
HUD_USER_SAFMR
zip 95490
safmr
0
$1,180
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 110
1
$1,331
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 90
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 95490
safmr
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 110
2
$1,749
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 90
2
$1,431
2025-10-01
HUD_USER_SAFMR
zip 95490
safmr
2
$1,590
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 110
3
$2,431
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 90
3
$1,989
2025-10-01
HUD_USER_SAFMR
zip 95490
safmr
3
$2,210
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 110
4
$2,849
2025-10-01
HUD_USER_SAFMR
zip 95490
payment standard 90
4
$2,331
2025-10-01
HUD_USER_SAFMR
zip 95490
safmr
4
$2,590
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.