Reads as: riskier than 76.4% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
KISSLING MONICA
16 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
HONOR X ENTERPRISES LLC
7 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
MCBEAN PATRICIA
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
TROMPLER KELLY
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
HOLT ERIN
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
KEETON WENDY
16 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
SANDERSON CLARK
58 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
FANNIN COUNTY HOSPITAL AUTHORITY
54 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
71% fined
HONOR X ENTERPRISES LLC
7 facilities
connection
Owner fleet enforcement cluster
50% fined
KISSLING MONICA
16 facilities
connection
Owner fleet enforcement cluster
50% fined
MCBEAN PATRICIA
16 facilities
connection
Owner fleet enforcement cluster
50% fined
HOLT ERIN
16 facilities
connection
Owner fleet enforcement cluster
50% fined
TROMPLER KELLY
16 facilities
connection
Owner fleet enforcement cluster
50% fined
KEETON WENDY
16 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 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 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
1.97
2.67
3.28
2.90–3.77
RN
0.44
0.24
0.39
0.25–0.58
Weekend total
1.83
2.56
3.11
—
Weekday total
2.02
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.8
1.97
0.44
0.46
1.06
1.83
0.0%
2025Q3
92
90.2
2.29
0.39
0.52
1.39
2.16
0.0%
2025Q2
91
90.5
2.21
0.36
0.59
1.27
2.11
0.0%
2025Q1
90
99.0
2.24
0.27
0.71
1.25
2.11
0.0%
2024Q4
92
105.3
2.48
0.33
0.61
1.54
2.45
0.0%
2024Q3
92
105.2
2.59
0.33
0.68
1.57
2.43
3.3%
2024Q2
91
99.5
3.39
0.37
1.00
2.01
3.32
29.8%
2024Q1
91
103.1
3.19
0.37
0.96
1.86
3.12
28.6%
2023Q4
92
102.7
3.71
0.36
1.16
2.19
3.61
46.2%
2023Q3
92
110.7
3.34
0.39
0.97
1.99
3.26
34.0%
2023Q2
91
104.2
3.15
0.46
0.81
1.89
3.07
21.2%
2023Q1
90
107.9
2.99
0.47
0.82
1.70
2.92
9.7%
2022Q4
92
105.5
3.04
0.53
0.82
1.69
2.88
2.3%
2022Q3
92
101.7
3.25
0.59
0.83
1.83
3.14
9.0%
2022Q2
91
92.8
3.53
0.66
0.93
1.94
3.35
24.6%
2022Q1
90
86.7
3.63
0.65
0.97
2.01
3.47
42.5%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-01-16
2026-01-15
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.
D
2026-01-16
2026-01-15
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-16
2025-08-13
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-09-01
2025-08-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-01
2025-08-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-01
2025-07-28
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
—
2025-07-28
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
K
—
2025-07-11
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
E
2025-07-13
2025-07-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-06-29
2025-07-11
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2025-06-29
2025-04-08
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-04-09
2025-04-08
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-09
2025-04-08
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-04-09
2025-04-08
Health · complaint
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
2025-04-09
2025-04-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-09
2025-01-24
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.
D
2025-01-25
2025-01-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-25
2025-01-24
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-01-25
2025-01-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2025-01-25
2025-01-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-01-25
2024-08-09
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-09-10
2024-08-09
Health · complaint
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.
D
2024-09-10
2024-08-09
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-09-10
2024-08-09
Health · complaint
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
2024-09-10
2024-08-09
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-10
2024-06-12
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-05
2024-06-12
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
2024-07-05
2024-06-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-05
2024-06-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-05
2024-06-12
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
2024-07-05
2023-04-26
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-05-15
2023-04-26
Health
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
2023-05-15
2023-04-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-05-16
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
35
Owner
Role
Pct
From
Status
Source
FANNIN COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-07-01
current
pecos_ownership
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
BULLARD I ENTERPRISES
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
DELTA HEALTHCARE MANAGEMENT, LLC
—
—
2024-07-01
current
tx_hhsc_directory
EUBANKS, CHERYL
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY
—
—
2024-07-01
current
tx_hhsc_directory
GLADNEY PROPERTIES
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
GLADNEY PROPERTIES
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
HOLT, ERIN
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
HONOR X ENTERPRISES, LLC
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
JORDEN, ARMON
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
KEETON, WENDY
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
KISSLING, MONICA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
MCBEAN, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
SANDERSON, CLARK
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
SANDERSON, CLARK
CORPORATE OFFICER
—
2012-10-29
current
pecos_ownership
TROMPLER, KELLY
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
WILLIG, ZACHARY
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
CLARK SANDERSON
CORPORATE OFFICER
100%
2012-10-29
ended 2026-05-18
pecos_ownership
ARMON JORDEN
ADP OF THE SNF
—
2025-05-05
ended 2026-05-18
pecos_ownership
CHERYL EUBANKS
ADP OF THE SNF
—
2025-05-05
ended 2026-05-18
pecos_ownership
CLARK SANDERSON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
ERIN HOLT
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
GLADNEY PROPERTIES
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
GLADNEY PROPERTIES
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
KELLY TROMPLER
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
MONICA KISSLING
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
PATRICIA MCBEAN
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
WENDY KEETON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-06-30
$649,268
$443,386
$190,461
—
—
2
propco
2023-12-31
$1,982,851
$1,494,902
$457,106
—
—
2
propco
2022-12-31
$1,846,059
$1,377,895
$437,321
—
—
2
propco
2021-12-31
$1,857,882
$1,404,387
—
—
—
2
propco
2020-12-31
$236,565
$202,060
$110
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 48423
acs median gross
0
$952
2024-12-31
CENSUS_ACS5
county 48423
fmr
0
$984
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
1
$992
2024-12-31
CENSUS_ACS5
county 48423
fmr
1
$1,089
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
2
$1,214
2024-12-31
CENSUS_ACS5
county 48423
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
3
$1,506
2024-12-31
CENSUS_ACS5
county 48423
fmr
3
$1,793
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
4
$1,650
2024-12-31
CENSUS_ACS5
county 48423
fmr
4
$1,981
2025-10-01
HUD_USER_FMR
county 48423
acs median gross
5
$1,355
2024-12-31
CENSUS_ACS5
county 48423
acs median gross
$1,238
2024-12-31
CENSUS_ACS5
county 48423
acs recent mover gross
$1,357
2024-12-31
CENSUS_ACS5
zcta 75757
acs median gross
1
$1,017
2024-12-31
CENSUS_ACS5
zcta 75757
acs median gross
2
$1,143
2024-12-31
CENSUS_ACS5
zcta 75757
acs median gross
3
$1,494
2024-12-31
CENSUS_ACS5
zcta 75757
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 75757
acs median gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 75757
acs recent mover gross
$1,101
2024-12-31
CENSUS_ACS5
zip 75757
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 75757
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 75757
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 110
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 90
2
$1,215
2025-10-01
HUD_USER_SAFMR
zip 75757
safmr
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 110
3
$2,013
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 90
3
$1,647
2025-10-01
HUD_USER_SAFMR
zip 75757
safmr
3
$1,830
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 110
4
$2,189
2025-10-01
HUD_USER_SAFMR
zip 75757
payment standard 90
4
$1,791
2025-10-01
HUD_USER_SAFMR
zip 75757
safmr
4
$1,990
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.