Reads as: riskier than 52.2% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
ALI ASAD
6 facilities
connection
Owner spans multiple chains
5 chains
MARX DAVID
26 facilities
connection
Owner spans multiple chains
5 chains
WOLFE ERIC
28 facilities
connection
Owner spans multiple chains
5 chains
SHATROV ANZHELIKA
28 facilities
connection
Owner spans multiple chains
5 chains
CHAMBERLAIN MARGARET
28 facilities
connection
Owner spans multiple chains
5 chains
REWA ANGELA
28 facilities
connection
Owner spans multiple chains
5 chains
RUSSELL ROBERT
28 facilities
connection
Owner spans multiple chains
5 chains
PRUITT PAUL
28 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
OH median
National median
National p25–p75
Total nurse
2.94
3.24
3.28
2.90–3.77
RN
0.35
0.38
0.39
0.25–0.58
Weekend total
2.92
3.11
3.11
—
Weekday total
2.95
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
156.1
2.94
0.35
0.95
1.64
2.92
0.0%
2025Q3
92
161.1
2.81
0.29
0.99
1.54
2.75
0.0%
2025Q2
91
140.0
2.91
0.32
1.08
1.51
2.71
0.0%
2025Q1
90
139.3
2.95
0.23
1.16
1.56
2.92
0.0%
2024Q4
92
142.0
2.97
0.18
1.21
1.58
2.98
0.1%
2024Q3
92
146.7
2.98
0.14
1.33
1.50
2.96
0.0%
2024Q2
91
144.6
2.93
0.17
1.34
1.43
2.95
0.0%
2024Q1
91
151.9
2.95
0.17
1.17
1.61
2.94
0.0%
2023Q4
92
153.3
2.89
0.13
1.13
1.64
2.90
0.0%
2023Q3
92
158.6
2.89
0.15
1.06
1.68
2.83
0.0%
2023Q2
91
157.1
2.54
0.19
1.02
1.33
2.57
0.0%
2023Q1
90
137.2
2.78
0.22
1.03
1.53
2.88
0.0%
2022Q4
92
160.1
2.80
0.18
1.01
1.61
2.87
0.0%
2022Q3
92
154.6
2.87
0.23
0.97
1.68
2.85
0.0%
2022Q2
91
139.0
2.92
0.26
0.92
1.74
2.82
0.0%
2022Q1
90
143.2
3.31
0.17
1.14
2.00
3.21
8.5%
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
34
B × 1D × 19E × 8F × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-18
Health · complaint
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
F
2025-04-04
2024-09-09
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2024-10-16
2024-09-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-10-16
2024-09-09
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-10-16
2024-06-24
Health · complaint
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2024-07-25
2024-06-24
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-07-25
2024-06-24
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-07-25
2024-03-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-04
2024-02-01
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-02-23
2024-02-01
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F
2024-02-23
2023-12-21
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
2023-11-19
2023-12-21
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-11-19
2023-12-21
Health · complaint
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
E
2023-11-19
2023-10-31
Health · complaint
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2023-11-20
2023-10-31
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-11-20
2023-10-31
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-20
2023-09-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-10-25
2023-09-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-11-20
2023-09-21
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
2023-11-20
2023-09-21
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-20
2023-09-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-11-20
2023-09-21
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-20
2023-09-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-20
2023-09-21
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2023-11-20
2023-06-06
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-06-28
2020-01-30
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2020-03-06
2020-01-30
Health
F0637
Assess the resident when there is a significant change in condition
D
2020-03-06
2020-01-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-03-06
2020-01-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2020-03-06
2020-01-30
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2020-03-06
2020-01-30
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.
E
2020-03-06
2020-01-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-06
2018-11-29
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-02-08
2018-11-29
Health
F0679
Provide activities to meet all resident's needs.
D
2019-02-08
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
31
Owner
Role
Pct
From
Status
Source
FAIRFIELD PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
FAIRFIELD PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
RB SNF OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-10-01
current
pecos_ownership
5200 CAMELOT DRIVE SNF REALTY LLC
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
ALI, ASAD
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
CHAMBERLAIN, MARGARET
ADP OF THE SNF
—
2023-09-11
current
pecos_ownership
GIBBONEY, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MAJESTIC MANAGEMENT LLC
ADP OF THE SNF
—
2025-07-11
current
pecos_ownership
MAJESTIC MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
MARX, DAVID
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
PRUITT, PAUL
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
PRUITT, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
RB SNF REAL ESTATE HOLDINGS LLC
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
REWA, ANGELA
ADP OF THE SNF
—
2023-10-23
current
pecos_ownership
RUSSELL, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-08
current
pecos_ownership
SHATROV, ANZHELIKA
ADP OF THE SNF
—
2024-12-02
current
pecos_ownership
WOLFE, ERIC
ADP OF THE SNF
—
2023-09-11
current
pecos_ownership
DAVID MARX
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-08-25
ended 2026-05-18
pecos_ownership
FAIRFIELD PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
FAIRFIELD PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
FAIRFIELD PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2020-09-30
ended 2020-12-31
hcris_a_8_1
ANGELA REWA
ADP OF THE SNF
—
2023-10-23
ended 2026-05-18
pecos_ownership
ANZHELIKA SHATROV
ADP OF THE SNF
—
2024-12-02
ended 2026-05-18
pecos_ownership
ASAD ALI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
BRIAN GIBBONEY
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
DAVID MARX
ADP OF THE SNF
—
2020-10-01
ended 2026-05-18
pecos_ownership
ERIC WOLFE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
ended 2026-05-18
pecos_ownership
MARGARET CHAMBERLAIN
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
PAUL PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
ended 2026-05-18
pecos_ownership
PAUL PRUITT
ADP OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
ROBERT RUSSELL
ADP OF THE SNF
—
2024-04-08
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
$5,440,225
$3,880,218
—
—
$351,709
16
propco
2023-12-31
$4,747,575
$3,253,077
—
$1,303
$301,807
11
propco
2022-12-31
$3,674,203
$2,586,693
—
—
$55,837
8
propco
2021-12-31
$3,493,717
$2,373,847
—
—
$33,088
6
propco
2020-12-31
$803,182
$603,111
—
—
—
4
propco
2020-09-29
$69,712
$66,306
—
—
—
2
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 39017
acs median gross
0
$903
2024-12-31
CENSUS_ACS5
county 39017
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
1
$967
2024-12-31
CENSUS_ACS5
county 39017
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
2
$1,117
2024-12-31
CENSUS_ACS5
county 39017
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39017
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
4
$1,572
2024-12-31
CENSUS_ACS5
county 39017
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
5
$1,708
2024-12-31
CENSUS_ACS5
county 39017
acs median gross
$1,135
2024-12-31
CENSUS_ACS5
county 39017
acs recent mover gross
$1,296
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
1
$1,127
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
2
$1,224
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
3
$1,532
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
4
$1,923
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
5
$1,494
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
$1,235
2024-12-31
CENSUS_ACS5
zcta 45014
acs recent mover gross
$1,400
2024-12-31
CENSUS_ACS5
zip 45014
payment standard 110
0
$1,144
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
0
$936
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
0
$1,040
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
4
$2,365
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
4
$1,935
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
4
$2,150
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.