Reads as: riskier than 34.5% 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
+24.8 vs natl
UMB BANK NATIONAL ASSOCIATION
31 facilities
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 facilities
connection
Owner spans multiple chains
10 chains
UMB BANK NATIONAL ASSOCIATION
30 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
FL median
National median
National p25–p75
Total nurse
6.11
3.42
3.28
2.90–3.77
RN
1.13
0.45
0.39
0.25–0.58
Weekend total
6.18
3.31
3.11
—
Weekday total
6.08
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
26.0
6.11
1.13
1.00
3.98
6.18
0.0%
2025Q3
92
26.5
6.32
1.20
0.87
4.25
6.36
0.0%
2025Q2
91
32.1
5.81
1.09
0.85
3.87
5.82
0.0%
2025Q1
90
34.2
5.66
1.04
0.74
3.88
5.43
0.3%
2024Q4
92
35.2
5.70
1.17
0.58
3.95
5.50
0.0%
2024Q3
92
35.3
5.26
1.07
0.49
3.70
4.91
0.5%
2024Q2
91
34.6
5.64
1.07
0.57
4.00
5.34
2.2%
2024Q1
91
36.5
5.21
1.10
0.47
3.64
4.88
8.0%
2023Q4
92
34.6
5.51
1.10
0.55
3.85
5.13
4.4%
2023Q3
92
34.9
5.34
1.08
0.55
3.71
5.00
2.0%
2023Q2
91
35.5
5.32
1.03
0.63
3.66
4.99
2.5%
2023Q1
90
36.5
5.30
0.87
0.76
3.67
4.83
3.0%
2022Q4
92
37.3
5.78
0.87
0.89
4.02
5.85
12.0%
2022Q3
92
35.1
6.82
0.98
1.20
4.64
6.55
19.4%
2022Q2
91
34.5
5.43
0.81
0.70
3.92
5.42
14.0%
2022Q1
90
35.0
5.45
0.78
0.84
3.83
5.19
21.7%
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
9
D × 7F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-02
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-25
2024-07-03
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
2024-07-25
2024-07-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-25
2023-05-18
Health
F0687
Provide appropriate foot care.
D
2023-06-06
2023-05-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-06
2021-09-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-10-23
2021-09-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-10-23
2021-09-23
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
2021-10-23
2021-09-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2021-10-23
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
43
Owner
Role
Pct
From
Status
Source
BONITA SPRINGS RETIREMENT VILLAGE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-07
current
pecos_ownership
ACTS ACQUISITION AND DEVELOPMENT COMPANY LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS ALLIANCE MANAGEMENT LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS COMMUNITIES OF MARYLAND, INC.
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS LEGACY FOUNDATION, INC.
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS MANAGEMENT SERVICES, INC.
ADP OF THE SNF
—
2025-07-25
current
pecos_ownership
ACTS MANAGEMENT SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
ACTS RETIREMENT SERVICES, INC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS RETIREMENT-LIFE COMMUNITIES INC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
ACTS RETIREMENT-LIFE COMMUNITIES MANAGEMENT, LLC
ADP OF THE SNF
—
2025-07-25
current
pecos_ownership
ACTS SIGNATURE COMMUNITY SERVICES INC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
AHERN, SUSAN
CORPORATE OFFICER
—
2024-11-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-02-03
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2024-11-05
current
pecos_ownership
CHRISTIANSEN, KAREN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FOX, GLENN
CORPORATE OFFICER
—
2024-11-01
current
pecos_ownership
GERNER, ELRIC
CORPORATE DIRECTOR
—
2024-11-01
current
pecos_ownership
GLYNN, JAMES
CORPORATE DIRECTOR
—
2024-11-01
current
pecos_ownership
GRANT, GERALD
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
GRANT, JONATHAN
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
GRAY, DAVID
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
MEASE LIFE INC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
MORELAND, DAVE
CORPORATE DIRECTOR
—
2024-11-01
current
pecos_ownership
SIPRA, SAJID
ADP OF THE SNF
—
2015-11-01
current
pecos_ownership
UMB BANK NATIONAL ASSOCIATION
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
UMB BANK NATIONAL ASSOCIATION
ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
VALDIVIA, PEGGY
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
WEISS, RITA
CORPORATE DIRECTOR
—
2024-11-01
current
pecos_ownership
DAVE MORELAND
CORPORATE DIRECTOR
—
2024-11-01
ended 2026-05-18
pecos_ownership
DAVID GRAY
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
ELRIC GERNER
CORPORATE DIRECTOR
—
2024-11-01
ended 2026-05-18
pecos_ownership
GERALD GRANT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
GLENN FOX
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
JAMES GLYNN
CORPORATE DIRECTOR
—
2024-11-01
ended 2026-05-18
pecos_ownership
JONATHAN GRANT
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
KAREN CHRISTIANSEN
CORPORATE DIRECTOR
—
2024-11-01
ended 2026-05-18
pecos_ownership
PEGGY VALDIVIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RITA WEISS
CORPORATE DIRECTOR
—
2024-11-01
ended 2026-05-18
pecos_ownership
SAJID SIPRA
ADP OF THE SNF
—
2015-11-01
ended 2026-05-18
pecos_ownership
SUSAN AHERN
CORPORATE OFFICER
—
2024-11-01
ended 2026-05-18
pecos_ownership
UMB BANK NA
TRUSTEE OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
UMB BANK NA
ADP OF THE SNF
—
2025-07-24
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$656,298
—
$555,918
—
—
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 12071
acs median gross
0
$1,630
2024-12-31
CENSUS_ACS5
county 12071
fmr
0
$1,629
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
1
$1,475
2024-12-31
CENSUS_ACS5
county 12071
fmr
1
$1,638
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
2
$1,617
2024-12-31
CENSUS_ACS5
county 12071
fmr
2
$1,961
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
3
$1,874
2024-12-31
CENSUS_ACS5
county 12071
fmr
3
$2,560
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
4
$2,133
2024-12-31
CENSUS_ACS5
county 12071
fmr
4
$2,836
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
5
$2,648
2024-12-31
CENSUS_ACS5
county 12071
acs median gross
$1,712
2024-12-31
CENSUS_ACS5
county 12071
acs recent mover gross
$2,090
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
0
$1,741
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
1
$1,892
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
2
$1,688
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
3
$2,282
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 34135
acs median gross
$1,903
2024-12-31
CENSUS_ACS5
zcta 34135
acs recent mover gross
$2,414
2024-12-31
CENSUS_ACS5
zip 34135
payment standard 110
0
$2,002
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 90
0
$1,638
2025-10-01
HUD_USER_SAFMR
zip 34135
safmr
0
$1,820
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 110
1
$2,013
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 90
1
$1,647
2025-10-01
HUD_USER_SAFMR
zip 34135
safmr
1
$1,830
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 110
2
$2,409
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 90
2
$1,971
2025-10-01
HUD_USER_SAFMR
zip 34135
safmr
2
$2,190
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 110
3
$3,146
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 90
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 34135
safmr
3
$2,860
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 110
4
$3,487
2025-10-01
HUD_USER_SAFMR
zip 34135
payment standard 90
4
$2,853
2025-10-01
HUD_USER_SAFMR
zip 34135
safmr
4
$3,170
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.