Reads as: riskier than 68.6% 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
17
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
14 chains
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
58 facilities
connection
Owner spans multiple chains
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REIT HOLDINGS LLC
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT HOLDINGS LP
67 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REAL ESTATE INVESTMENT TRUST
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT INC
68 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY INVESTORS LLC
67 facilities
connection
Owner spans multiple chains
13 chains
GAHC3 TRILOGY JV LLC
69 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
11 chains
TRILOGY HEALTHCARE HOLDINGS INC
31 facilities
connection
Owner spans multiple chains
11 chains
TRILOGY PROPERTY HOLDINGS LLC
42 facilities
connection
Owner spans multiple chains
10 chains
OFFERLE ANDREW
13 facilities
connection
Owner spans multiple chains
9 chains
TRILOGY OPCO LLC
24 facilities
connection
Owner spans multiple chains
8 chains
TRILOGY PRO SERVICES LLC
23 facilities
connection
Owner spans multiple chains
8 chains
TRILOGY PROPCO II LLC
18 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
IN median
National median
National p25–p75
Total nurse
3.35
2.85
3.28
2.90–3.77
RN
0.50
0.40
0.39
0.25–0.58
Weekend total
3.16
2.71
3.11
—
Weekday total
3.43
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
111.0
3.35
0.50
0.84
2.01
3.16
13.9%
2025Q3
92
109.4
3.52
0.46
0.91
2.15
3.26
19.9%
2025Q2
91
108.7
3.49
0.40
0.96
2.13
3.32
20.9%
2025Q1
90
107.7
3.54
0.48
0.90
2.17
3.41
20.8%
2024Q4
92
107.2
3.65
0.43
0.95
2.27
3.57
18.3%
2024Q3
92
110.1
3.41
0.49
0.87
2.05
3.34
14.5%
2024Q2
91
106.6
3.52
0.54
0.83
2.15
3.36
13.0%
2024Q1
91
112.1
3.54
0.48
0.86
2.21
3.51
19.0%
2023Q4
92
106.9
3.50
0.53
0.79
2.18
3.44
15.7%
2023Q3
92
104.0
3.46
0.60
0.66
2.19
3.33
15.3%
2023Q2
91
111.8
3.38
0.57
0.69
2.12
3.24
21.0%
2023Q1
90
109.7
3.40
0.61
0.67
2.12
3.33
22.8%
2022Q4
92
108.8
3.30
0.52
0.65
2.13
3.16
28.1%
2022Q3
92
109.6
3.22
0.50
0.63
2.08
3.01
15.5%
2022Q2
91
107.2
3.21
0.51
0.67
2.03
2.94
16.4%
2022Q1
90
107.1
3.36
0.52
0.76
2.08
3.17
14.7%
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
25
D × 15E × 10
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-20
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-12-12
2025-11-20
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-12-12
2025-11-20
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-12-12
2025-06-25
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-07
2025-06-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-07
2025-06-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-07
2025-06-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-07
2025-06-25
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-07-07
2025-06-25
Health
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
2025-07-07
2025-06-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-07-07
2025-05-15
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2025-05-30
2025-03-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-24
2024-10-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-11-01
2024-08-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-09-06
2024-08-26
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
2024-09-06
2024-08-26
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-09-06
2024-08-26
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-09-06
2024-08-26
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2024-09-06
2024-08-26
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-06
2024-04-16
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-05-01
2023-12-22
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-01-17
2023-12-22
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-01-17
2023-08-08
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-08-25
2023-08-08
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
2023-08-25
2023-08-08
Health
F0791
Provide or obtain dental services for each resident.
D
2023-08-25
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
37
Owner
Role
Pct
From
Status
Source
AMERICAN HEALTHCARE REIT HOLDINGS LP
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
AMERICAN HEALTHCARE REIT INC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
BARNEY, LEIGH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-14
current
pecos_ownership
BENNETT, ADAM
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
DAVIS, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-13
current
pecos_ownership
GAHC3 TRILOGY JV LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
HOLIFIELD, ALICIA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-14
current
pecos_ownership
HOLIFIELD, ALICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-16
current
pecos_ownership
HUTTON, CHARLES
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
JAROSINSKI, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
JAROSINSKI, STEPHEN
CORPORATE DIRECTOR
—
2025-12-16
current
pecos_ownership
KAUFFMAN, CLINTON
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
KINGSTON CARE CENTER OF FORT WAYNE, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
current
pecos_ownership
MALOTT, GREGG
CORPORATE DIRECTOR
—
2015-10-01
current
pecos_ownership
MCKAY, MICHAEL
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
MELLON, JENNIFER
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
OFFERLE, ANDREW
CORPORATE DIRECTOR
—
2025-12-16
current
pecos_ownership
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
PULASKI MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-16
current
pecos_ownership
SMITH, JENNIFER
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY HEALTHCARE HOLDINGS, INC.
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY HEALTHCARE OF WASHINGTON CENTER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-16
current
pecos_ownership
TRILOGY INVESTORS LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY OPCO LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY PRO SERVICES LLC
ADP OF THE SNF
—
2025-12-15
current
pecos_ownership
TRILOGY PROPCO II LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY REAL ESTATE WASHINGTON CENTER LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
TRILOGY REIT HOLDINGS LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
WHITE, TAYLOR
TRUSTEE OF THE SNF
—
2025-12-16
current
pecos_ownership
GREGG MALOTT
CORPORATE DIRECTOR
100%
2015-10-01
ended 2026-05-18
pecos_ownership
PULASKI MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
100%
2015-10-01
ended 2026-05-18
pecos_ownership
CAROL BUCKLAND
W-2 MANAGING EMPLOYEE
—
2018-04-25
ended 2026-05-18
pecos_ownership
JESSICA MCKINLEY
W-2 MANAGING EMPLOYEE
—
2021-11-29
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
2024-09-30
$934,708
—
—
—
—
5
—
2023-09-30
$968,794
—
—
—
—
5
—
2022-09-30
$598,302
—
—
—
—
5
—
2021-09-30
$956,353
—
—
—
—
5
—
2020-09-30
$1,165,944
—
—
—
—
5
—
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 18003
acs median gross
0
$867
2024-12-31
CENSUS_ACS5
county 18003
fmr
0
$892
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
1
$854
2024-12-31
CENSUS_ACS5
county 18003
fmr
1
$916
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
2
$1,052
2024-12-31
CENSUS_ACS5
county 18003
fmr
2
$1,113
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
3
$1,157
2024-12-31
CENSUS_ACS5
county 18003
fmr
3
$1,381
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 18003
fmr
4
$1,512
2025-10-01
HUD_USER_FMR
county 18003
acs median gross
5
$1,265
2024-12-31
CENSUS_ACS5
county 18003
acs median gross
$1,021
2024-12-31
CENSUS_ACS5
county 18003
acs recent mover gross
$1,142
2024-12-31
CENSUS_ACS5
zcta 46825
acs median gross
0
$914
2024-12-31
CENSUS_ACS5
zcta 46825
acs median gross
1
$994
2024-12-31
CENSUS_ACS5
zcta 46825
acs median gross
2
$1,126
2024-12-31
CENSUS_ACS5
zcta 46825
acs median gross
3
$1,313
2024-12-31
CENSUS_ACS5
zcta 46825
acs median gross
$1,065
2024-12-31
CENSUS_ACS5
zcta 46825
acs recent mover gross
$1,266
2024-12-31
CENSUS_ACS5
zip 46825
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 46825
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 46825
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 110
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 90
2
$1,134
2025-10-01
HUD_USER_SAFMR
zip 46825
safmr
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 110
3
$1,716
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 90
3
$1,404
2025-10-01
HUD_USER_SAFMR
zip 46825
safmr
3
$1,560
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 46825
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 46825
safmr
4
$1,710
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.