Reads as: riskier than 97.5% 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
15
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
35 chains
WELLTOWER INC
135 facilities
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner spans multiple chains
28 chains
FREUND NOCHUM
109 facilities
connection
Owner spans multiple chains
28 chains
TRAVITSKY AARON
106 facilities
connection
Owner spans multiple chains
27 chains
GOLDBERGER ABRAHAM
100 facilities
connection
Owner spans multiple chains
27 chains
DAGAN AMITAI
101 facilities
connection
Owner spans multiple chains
27 chains
WELLTOWER NNN GROUP LLC
102 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GOLDBERGER FAIGY
111 facilities
connection
Owner spans multiple chains
20 chains
GOLDBERGER FAIGY
68 facilities
connection
Owner fleet risk far above national
+20.0 vs natl
TRAVITSKY AARON
153 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
6 facilities
WINNIE-STOWELL HOSPITAL DISTRICT
6 facilities
connection
Owner spans multiple chains
5 chains
HEKIMIAN KHOREN
8 facilities
connection
Owner fleet enforcement cluster
56% fined
HEKIMIAN KHOREN
9 facilities
connection
Owner fleet enforcement cluster
46% fined
MURRELL EDWARD
76 facilities
connection
Owner fleet enforcement cluster
46% fined
WELLTOWER NNN GROUP LLC
111 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
TX median
National median
National p25–p75
Total nurse
3.58
2.67
3.28
2.90–3.77
RN
0.23
0.24
0.39
0.25–0.58
Weekend total
3.70
2.56
3.11
—
Weekday total
3.53
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.3
3.58
0.23
1.24
2.11
3.70
0.0%
2025Q3
92
29.8
4.07
0.29
1.55
2.22
3.97
0.0%
2025Q2
91
32.5
3.80
0.30
1.39
2.12
3.66
0.0%
2025Q1
90
35.3
3.40
0.22
1.32
1.86
3.33
0.0%
2024Q4
92
34.5
3.57
0.18
1.50
1.89
3.66
0.3%
2024Q3
92
31.3
3.60
0.04
1.54
2.02
3.48
9.7%
2024Q2
91
31.8
3.57
0.07
1.49
2.02
3.30
25.9%
2024Q1
91
35.5
2.15
0.00
1.22
0.93
2.02
0.0%
2023Q4
92
38.7
2.26
0.16
1.10
1.00
1.97
0.0%
2023Q3
92
44.7
2.94
0.07
0.74
2.13
2.71
43.4%
2023Q2
91
49.6
1.78
0.00
0.68
1.11
1.74
0.0%
2023Q1
90
49.8
1.94
0.01
0.72
1.22
1.82
0.0%
2022Q4
92
52.3
1.92
0.11
0.61
1.20
1.73
16.7%
2022Q3
92
59.1
1.45
0.12
0.67
0.66
1.29
0.0%
2022Q2
91
61.5
2.06
0.17
0.61
1.28
1.95
0.7%
2022Q1
90
62.9
1.80
0.12
0.45
1.23
1.84
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-25
2025-08-13
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-09-02
2025-08-13
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-09-02
2025-08-13
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-09-02
2025-08-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-02
2025-08-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-02
2025-08-13
Health
F0926
Have policies on smoking.
D
2025-09-02
2025-03-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-03-28
2025-03-25
Health · complaint
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2025-03-28
2025-02-03
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
H
2025-01-27
2025-02-03
Health · complaint
F0917
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
H
2025-01-27
2024-10-01
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-10-31
2024-10-01
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
2024-10-31
2024-10-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-31
2024-10-01
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-10-31
2024-10-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-31
2023-11-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-12-26
2023-10-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2023-10-27
2023-10-26
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-10-27
2023-10-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-27
2023-10-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-27
2023-08-09
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2023-08-10
2023-08-09
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
2023-08-10
2023-06-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2023-08-10
2023-06-28
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2023-08-10
2023-06-28
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
K
2023-08-10
2023-06-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-06-29
2023-06-28
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
K
2023-06-29
2023-06-28
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-06-29
2023-06-28
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-06-29
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
28
Owner
Role
Pct
From
Status
Source
1816 TILE FACTORY RD OPCO LLC
—
—
2024-01-01
current
tx_hhsc_directory
1816 TILE FACTORY RD OPCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
1816 TILE FACTORY RD OPCO LLC
ADP OF THE SNF
—
2026-03-05
current
pecos_ownership
1816 TILE FACTORY RD PROPERTY OWNER LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
DAGAN, AMITAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-09
current
pecos_ownership
FREUND, NOCHUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
GOLDBERGER, ABRAHAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-09
current
pecos_ownership
GOLDBERGER, FAIGY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-09
current
pecos_ownership
HEKIMIAN, KHOREN
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
JONES, JEREMY
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
MURRELL, EDWARD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
TRAVITSKY, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
WELLTOWER INC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER NNN GROUP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT
—
—
2024-01-01
current
tx_hhsc_directory
SLP PALESTINE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-01-01
ended 2026-05-18
pecos_ownership
WINNIE-STOWELL HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-01
ended 2026-05-18
pecos_ownership
WM 41 PALESTINE RE, LLC
5% OR GREATER MORTGAGE INTEREST
100%
2024-01-01
ended 2026-05-18
pecos_ownership
WM-LQC MM, LLC
5% OR GREATER MORTGAGE INTEREST
47%
2024-01-01
ended 2026-05-18
pecos_ownership
GARY SCOTT WHITWORTH 2019 IRREVOCABLE TRUST
5% OR GREATER MORTGAGE INTEREST
30%
2024-01-01
ended 2026-05-18
pecos_ownership
WT HOLDINGS, LP
5% OR GREATER MORTGAGE INTEREST
25%
2024-01-01
ended 2026-05-18
pecos_ownership
CARLISLE TAYLOR WHITWORTH 2020 IRREVOCABLE TRUST
5% OR GREATER MORTGAGE INTEREST
24%
2024-01-01
ended 2026-05-18
pecos_ownership
LQCP MANAGEMENT, LLC
5% OR GREATER MORTGAGE INTEREST
21%
2024-01-01
ended 2026-05-18
pecos_ownership
EDWARD MURRELL
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JEREMY JONES
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
JOSHUA LEONARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
KHOREN HEKIMIAN
ADP OF THE SNF
—
2024-01-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$1,855,295
$72,024
—
—
—
1
—
2022-12-31
$1,537,968
$73,409
—
—
—
1
—
2021-12-31
$608,217
$80,757
—
—
—
1
—
2020-12-31
$393,896
$99,953
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 48001
acs median gross
0
$1,008
2024-12-31
CENSUS_ACS5
county 48001
fmr
0
$895
2025-10-01
HUD_USER_FMR
county 48001
acs median gross
1
$849
2024-12-31
CENSUS_ACS5
county 48001
fmr
1
$901
2025-10-01
HUD_USER_FMR
county 48001
acs median gross
2
$953
2024-12-31
CENSUS_ACS5
county 48001
fmr
2
$1,117
2025-10-01
HUD_USER_FMR
county 48001
acs median gross
3
$1,179
2024-12-31
CENSUS_ACS5
county 48001
fmr
3
$1,339
2025-10-01
HUD_USER_FMR
county 48001
acs median gross
4
$1,407
2024-12-31
CENSUS_ACS5
county 48001
fmr
4
$1,686
2025-10-01
HUD_USER_FMR
county 48001
acs median gross
$1,041
2024-12-31
CENSUS_ACS5
county 48001
acs recent mover gross
$881
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
0
$998
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
1
$892
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
2
$1,037
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
3
$1,306
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
4
$1,559
2024-12-31
CENSUS_ACS5
zcta 75801
acs median gross
$1,041
2024-12-31
CENSUS_ACS5
zcta 75801
acs recent mover gross
$843
2024-12-31
CENSUS_ACS5
zip 75801
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 75801
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 110
1
$990
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 90
1
$810
2025-10-01
HUD_USER_SAFMR
zip 75801
safmr
1
$900
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 75801
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 75801
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 75801
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 75801
safmr
4
$1,680
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.