Reads as: riskier than 85.5% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
56% fined
BYNC HOLDINGS LLC
9 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
NC median
National median
National p25–p75
Total nurse
2.71
3.08
3.28
2.90–3.77
RN
0.40
0.30
0.39
0.25–0.58
Weekend total
2.67
2.93
3.11
—
Weekday total
2.72
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.6
2.71
0.40
0.43
1.88
2.67
0.0%
2025Q3
92
87.0
2.77
0.43
0.38
1.96
2.64
0.0%
2025Q2
91
83.8
2.72
0.44
0.41
1.87
2.71
0.1%
2025Q1
90
87.8
2.69
0.38
0.47
1.85
2.64
5.1%
2024Q4
92
88.0
2.66
0.41
0.42
1.82
2.69
5.5%
2024Q3
92
87.0
2.44
0.31
0.39
1.74
2.39
0.0%
2024Q2
91
87.0
2.55
0.36
0.40
1.79
2.48
0.0%
2024Q1
91
89.3
2.51
0.33
0.44
1.73
2.43
0.0%
2023Q4
92
86.4
2.31
0.40
0.35
1.56
2.20
0.0%
2023Q3
92
80.7
2.40
0.45
0.42
1.53
2.30
0.0%
2023Q2
91
81.6
2.71
0.43
0.50
1.77
2.60
4.6%
2023Q1
90
84.3
2.96
0.40
0.64
1.92
2.81
17.7%
2022Q4
92
86.1
3.16
0.41
0.73
2.02
3.09
28.0%
2022Q3
92
85.5
2.75
0.30
0.67
1.78
2.79
25.4%
2022Q2
91
85.0
3.41
0.34
0.78
2.28
3.09
31.2%
2022Q1
90
85.1
3.22
0.43
0.68
2.11
2.94
27.9%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2026-04-11
2025-05-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-13
2025-05-01
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-13
2025-05-01
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-05-13
2025-05-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-13
2024-03-08
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-03-30
2024-03-08
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2024-03-30
2024-03-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
G
2023-12-19
2024-03-08
Health · complaint
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
K
2023-12-22
2024-03-08
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
K
2023-12-22
2024-03-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-30
2024-03-08
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
2024-03-30
2024-03-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-30
2024-03-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-30
2024-03-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-03-30
2024-03-08
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-03-30
2024-03-08
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-03-30
2024-03-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-30
2022-11-17
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-01-05
2022-11-17
Health
F0610
Respond appropriately to all alleged violations.
J
2023-01-04
2022-11-17
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-01-04
2022-11-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-01-04
2022-11-17
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2023-01-04
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
10
Owner
Role
Pct
From
Status
Source
BYNC HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-07-01
current
pecos_ownership
STARLIGHT HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-07-01
current
pecos_ownership
CAPITAL HOLDINGS TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2022-07-01
current
pecos_ownership
JEREMIAS, BARUCH
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
POOVEY, JOHNNY
W-2 MANAGING EMPLOYEE
—
2022-07-01
current
pecos_ownership
STERN, JACOB
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
JACOB STERN
CORPORATE OFFICER
100%
2022-07-01
ended 2026-05-18
pecos_ownership
JOHNNY POOVEY
W-2 MANAGING EMPLOYEE
100%
2022-07-01
ended 2026-05-18
pecos_ownership
10-26 NATIONWIDE TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-07-01
ended 2026-05-18
pecos_ownership
BARUCH JEREMIAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-07-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$872,052
—
$835,000
—
—
1
—
2023-12-31
$1,240,128
—
—
—
—
1
—
2022-12-31
$634,146
—
—
—
$256,014
1
—
2022-06-30
$144,784
—
$144,784
—
—
2
—
2022-03-31
$459,037
—
$459,037
—
—
2
—
2021-03-31
$455,209
—
$455,209
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 37035
acs median gross
0
$818
2024-12-31
CENSUS_ACS5
county 37035
fmr
0
$858
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
1
$887
2024-12-31
CENSUS_ACS5
county 37035
fmr
1
$908
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
2
$923
2024-12-31
CENSUS_ACS5
county 37035
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
3
$1,118
2024-12-31
CENSUS_ACS5
county 37035
fmr
3
$1,372
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
4
$1,111
2024-12-31
CENSUS_ACS5
county 37035
fmr
4
$1,660
2025-10-01
HUD_USER_FMR
county 37035
acs median gross
$965
2024-12-31
CENSUS_ACS5
county 37035
acs recent mover gross
$1,197
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
0
$1,234
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
1
$893
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
2
$1,011
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
3
$1,183
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
4
$2,024
2024-12-31
CENSUS_ACS5
zcta 28601
acs median gross
$1,029
2024-12-31
CENSUS_ACS5
zcta 28601
acs recent mover gross
$1,251
2024-12-31
CENSUS_ACS5
zip 28601
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 28601
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 28601
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 110
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 90
2
$1,134
2025-10-01
HUD_USER_SAFMR
zip 28601
safmr
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 110
3
$1,738
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 90
3
$1,422
2025-10-01
HUD_USER_SAFMR
zip 28601
safmr
3
$1,580
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 110
4
$2,101
2025-10-01
HUD_USER_SAFMR
zip 28601
payment standard 90
4
$1,719
2025-10-01
HUD_USER_SAFMR
zip 28601
safmr
4
$1,910
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.