Reads as: riskier than 84.6% 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
8
Kind
Finding
Signal
Subject
First seen
anomaly
Federal penalty spike
no prior fines
this facility
2026-07-29
connection
Owner fleet risk far above national
+23.0 vs natl
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
BYROM DAVID
29 facilities
connection
Owner spans multiple chains
5 chains
SCHEINER ELIEZER
27 facilities
connection
Owner spans multiple chains
4 chains
MEISNER ROBERT
10 facilities
connection
Owner fleet enforcement cluster
47% fined
SCHEINER ELIEZER
32 facilities
connection
Owner fleet enforcement cluster
41% fined
BYROM DAVID
29 facilities
connection
Owner fleet enforcement cluster
40% fined
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
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
15
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
2.51
2.67
3.28
2.90–3.77
RN
0.10
0.24
0.39
0.25–0.58
Weekend total
2.36
2.56
3.11
—
Weekday total
2.56
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.3
2.51
0.10
0.53
1.88
2.36
0.0%
2025Q3
92
105.5
2.50
0.10
0.56
1.84
2.50
0.0%
2025Q2
91
96.5
2.67
0.08
0.64
1.96
2.41
0.0%
2025Q1
90
94.5
2.81
0.10
0.76
1.95
2.70
0.0%
2024Q4
92
95.4
2.89
0.07
0.89
1.93
2.87
0.0%
2024Q3
92
97.1
2.93
0.14
0.72
2.07
2.76
0.0%
2024Q2
91
98.1
2.38
0.15
0.54
1.69
2.13
0.0%
2024Q1
91
82.2
2.27
0.28
0.59
1.40
2.04
0.0%
2023Q4
92
91.8
1.53
0.22
0.49
0.81
1.31
0.0%
2023Q3
92
92.5
1.37
0.11
0.52
0.74
1.20
0.0%
2023Q1
90
81.2
1.60
0.09
0.47
1.04
1.47
0.0%
2022Q4
92
76.5
1.97
0.19
0.45
1.33
1.60
0.0%
2022Q3
92
83.9
1.94
0.34
0.42
1.17
1.62
0.0%
2022Q2
91
80.7
2.27
0.44
0.42
1.41
1.83
0.0%
2022Q1
90
87.1
2.21
0.42
0.36
1.43
1.81
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.
Provide and implement an infection prevention and control program.
D
2026-04-24
2026-02-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2026-02-14
2026-02-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
G
2026-02-14
2026-02-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
K
2026-02-14
2026-02-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-14
2025-11-18
Health · complaint
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
2025-12-15
2025-11-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-12-15
2025-08-15
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
G
2025-08-16
2025-08-15
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
K
2025-08-16
2025-08-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2025-08-16
2025-03-29
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-15
2025-01-15
Health
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.
F
2025-02-15
2025-01-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-02-15
2025-01-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-15
2025-01-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-15
2025-01-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-12
2025-01-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-01-12
2023-12-05
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-01-15
2023-12-05
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2024-01-15
2023-07-14
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-07-15
2023-07-14
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
J
2023-07-15
2023-07-14
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-15
2023-07-03
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-10
2023-07-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-10
2023-07-03
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-08-10
2023-07-03
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2023-08-10
2023-07-03
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2023-08-10
2023-07-03
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-08-10
2023-07-03
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-10
2023-06-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-12
2023-06-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-07-12
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
12
Owner
Role
Pct
From
Status
Source
ADVANCED HCS
—
—
2026-04-01
current
tx_hhsc_directory
ADVANCED HCS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
BYROM, DAVID
CORPORATE OFFICER
—
2017-04-01
current
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-04-01
current
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
—
—
2026-04-01
current
tx_hhsc_directory
LICHTSCHEIN, TEDDY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
MEISNER, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
SCHEINER, ELIEZER
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
ELIEZER SCHEINER
OPERATIONAL/MANAGERIAL CONTROL
40%
2021-07-01
ended 2026-05-18
pecos_ownership
TEDDY LICHTSCHEIN
OPERATIONAL/MANAGERIAL CONTROL
40%
2021-07-01
ended 2026-05-18
pecos_ownership
ROBERT MEISNER
OPERATIONAL/MANAGERIAL CONTROL
21%
2021-07-01
ended 2026-05-18
pecos_ownership
DAVID BYROM
W-2 MANAGING EMPLOYEE
—
2017-04-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 48213
fmr
0
$754
2025-10-01
HUD_USER_FMR
county 48213
acs median gross
1
$776
2024-12-31
CENSUS_ACS5
county 48213
fmr
1
$830
2025-10-01
HUD_USER_FMR
county 48213
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
county 48213
fmr
2
$1,009
2025-10-01
HUD_USER_FMR
county 48213
acs median gross
3
$1,206
2024-12-31
CENSUS_ACS5
county 48213
fmr
3
$1,328
2025-10-01
HUD_USER_FMR
county 48213
acs median gross
4
$1,460
2024-12-31
CENSUS_ACS5
county 48213
fmr
4
$1,494
2025-10-01
HUD_USER_FMR
county 48213
acs median gross
5
$1,031
2024-12-31
CENSUS_ACS5
county 48213
acs median gross
$1,048
2024-12-31
CENSUS_ACS5
county 48213
acs recent mover gross
$1,162
2024-12-31
CENSUS_ACS5
zcta 75751
acs median gross
1
$773
2024-12-31
CENSUS_ACS5
zcta 75751
acs median gross
2
$1,064
2024-12-31
CENSUS_ACS5
zcta 75751
acs median gross
3
$1,513
2024-12-31
CENSUS_ACS5
zcta 75751
acs median gross
4
$1,418
2024-12-31
CENSUS_ACS5
zcta 75751
acs median gross
$1,106
2024-12-31
CENSUS_ACS5
zcta 75751
acs recent mover gross
$1,154
2024-12-31
CENSUS_ACS5
zip 75751
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 75751
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 75751
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 75751
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 75751
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 110
4
$1,650
2025-10-01
HUD_USER_SAFMR
zip 75751
payment standard 90
4
$1,350
2025-10-01
HUD_USER_SAFMR
zip 75751
safmr
4
$1,500
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.