Reads as: riskier than 81.5% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
TUTERA JOSEPH
22 facilities
connection
Owner fleet risk far above national
+27.2 vs natl
WALNUT CREEK MANAGEMENT COMPANY LLC
22 facilities
connection
Owner fleet risk far above national
+26.8 vs natl
BROOKS KILEY
29 facilities
connection
Owner fleet risk far above national
+25.0 vs natl
BLOOM RANDALL
15 facilities
connection
Owner fleet risk far above national
+22.5 vs natl
TUTERA GROUP INC
5 facilities
connection
Owner fleet enforcement cluster
59% fined
TUTERA JOSEPH
22 facilities
connection
Owner fleet enforcement cluster
53% fined
BLOOM RANDALL
15 facilities
connection
Owner fleet enforcement cluster
48% fined
BROOKS KILEY
29 facilities
connection
Owner fleet enforcement cluster
46% fined
WALNUT CREEK MANAGEMENT COMPANY LLC
22 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
15
2025Q4 HPRD
This facility
MO median
National median
National p25–p75
Total nurse
2.90
2.41
3.28
2.90–3.77
RN
0.34
0.25
0.39
0.25–0.58
Weekend total
2.52
2.24
3.11
—
Weekday total
3.05
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.6
2.90
0.34
0.92
1.64
2.52
5.5%
2025Q3
92
102.0
2.81
0.37
0.82
1.61
2.58
5.9%
2025Q2
91
99.5
2.96
0.41
0.83
1.73
2.67
3.4%
2025Q1
90
100.4
2.98
0.26
1.07
1.64
2.72
10.1%
2024Q4
92
97.0
3.01
0.27
1.13
1.61
2.71
11.3%
2024Q2
91
96.8
3.08
0.23
1.12
1.73
2.83
12.3%
2024Q1
91
97.8
2.99
0.20
1.00
1.79
2.66
13.5%
2023Q4
92
94.9
3.07
0.20
1.05
1.82
2.77
17.6%
2023Q3
92
95.6
3.08
0.20
1.05
1.84
2.68
22.1%
2023Q2
91
96.9
3.04
0.20
1.05
1.79
2.67
19.9%
2023Q1
90
93.2
3.11
0.20
1.05
1.86
2.80
23.5%
2022Q4
92
93.0
3.20
0.26
1.01
1.93
2.90
25.8%
2022Q3
92
92.5
3.21
0.33
0.90
1.98
2.91
24.5%
2022Q2
91
91.1
3.32
0.27
0.93
2.12
2.97
23.6%
2022Q1
90
83.4
3.46
0.30
0.99
2.17
3.18
30.3%
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
20
D × 6E × 11F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2025-12-30
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2026-01-26
2025-07-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-09-07
2025-07-24
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2025-09-07
2025-07-24
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
2025-09-07
2025-07-24
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
E
2025-09-07
2025-07-24
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
2025-09-07
2025-07-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-09-07
2025-07-24
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
2025-09-07
2025-07-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-07
2025-07-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-07
2025-07-24
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-09-07
2024-06-28
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-05
2024-06-28
Health
F0610
Respond appropriately to all alleged violations.
D
2024-08-05
2024-06-28
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
2024-08-05
2024-06-28
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-08-05
2024-06-28
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-08-05
2024-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-05
2024-06-28
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-05
2023-11-08
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
E
2023-12-28
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
23
Owner
Role
Pct
From
Status
Source
INVESTMENT PROPERTIES & MGT
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
INVESTMENT PROPERTIES & MGT
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
NORTHLAND SNF PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
NORTHLAND SNF PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
TUTERA GROUP, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-01-18
current
pecos_ownership
BLOOM, RANDALL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
current
pecos_ownership
BROOKS, KILEY
CORPORATE OFFICER
—
2013-06-01
current
pecos_ownership
BROOKS, KILEY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
current
pecos_ownership
TUTERA, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
current
pecos_ownership
WALNUT CREEK MANAGEMENT COMPANY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-18
current
pecos_ownership
INVESTMENT PROPERTIES & MGT
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
INVESTMENT PROPERTIES & MGT
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JOSEPH TUTERA
OPERATIONAL/MANAGERIAL CONTROL
100%
2017-01-18
ended 2026-05-18
pecos_ownership
NORTHLAND SNF PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
NORTHLAND SNF PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
NORTHLAND SNF PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
TUTERA INVESTMENTS, LLC
OTHER
100%
2002-08-30
ended 2026-05-18
pecos_ownership
JOSEPH TUTERA
5% OR GREATER DIRECT OWNERSHIP INTEREST
71%
2018-01-18
ended 2026-05-18
pecos_ownership
KILEY BROOKS
OPERATIONAL/MANAGERIAL CONTROL
70%
2017-01-18
ended 2026-05-18
pecos_ownership
RANDALL BLOOM
OPERATIONAL/MANAGERIAL CONTROL
70%
2017-01-18
ended 2026-05-18
pecos_ownership
KILEY BROOKS
CORPORATE OFFICER
20%
2013-06-01
ended 2026-05-18
pecos_ownership
CONSTACE MARIE MENDOLIA 2009 IRRV TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
14%
2017-01-18
ended 2026-05-18
pecos_ownership
MARY MARGARET CUNNINGHAM 2009 IRRV TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
14%
2017-01-18
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
$2,525,285
$2,280
—
$13,305
$875,514
20
propco
2023-12-31
$1,690,206
—
—
$665
$9,860
20
propco
2022-12-31
$1,619,204
—
—
$456
$3,568
22
propco
2021-12-31
$1,598,338
—
—
$927
$4,531
22
propco
2020-12-31
$1,461,128
—
—
$8,108
$7,605
15
propco
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 29047
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 29047
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
1
$994
2024-12-31
CENSUS_ACS5
county 29047
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
2
$1,204
2024-12-31
CENSUS_ACS5
county 29047
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
3
$1,593
2024-12-31
CENSUS_ACS5
county 29047
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
4
$2,033
2024-12-31
CENSUS_ACS5
county 29047
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
5
$2,081
2024-12-31
CENSUS_ACS5
county 29047
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
county 29047
acs recent mover gross
$1,307
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
0
$895
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
1
$771
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
2
$1,083
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
3
$1,613
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
4
$1,528
2024-12-31
CENSUS_ACS5
zcta 64117
acs median gross
$1,077
2024-12-31
CENSUS_ACS5
zcta 64117
acs recent mover gross
$790
2024-12-31
CENSUS_ACS5
zip 64117
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 64117
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 64117
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 64117
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 64117
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 64117
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 64117
safmr
4
$1,830
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.