Reads as: riskier than 65.7% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
SKINNER DEREK
7 facilities
connection
Owner spans multiple chains
5 chains
BOSWELL DARREN
9 facilities
connection
Owner spans multiple chains
5 chains
LEONARD JOSHUA
9 facilities
connection
Owner spans multiple chains
4 chains
EDEN JAMES
8 facilities
connection
Owner fleet enforcement cluster
40% fined
SENIOR LIVING PROPERTIES LLC
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SLP MANAGEMENT HOLDINGS LLC
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SLP OPERATIONS LLC
5 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
2.53
2.67
3.28
2.90–3.77
RN
0.25
0.24
0.39
0.25–0.58
Weekend total
2.38
2.56
3.11
—
Weekday total
2.59
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.6
2.53
0.25
0.68
1.61
2.38
0.0%
2025Q3
92
58.1
2.48
0.23
0.69
1.56
2.38
0.0%
2025Q2
91
60.1
2.15
0.17
0.72
1.27
2.01
0.0%
2025Q1
90
60.7
1.90
0.11
0.63
1.15
1.84
1.9%
2024Q4
92
59.6
2.00
0.05
0.81
1.14
1.95
6.9%
2024Q3
92
59.2
2.20
0.08
0.79
1.33
2.12
4.9%
2024Q2
91
64.2
2.36
0.05
0.84
1.47
2.07
1.8%
2024Q1
91
65.9
2.18
0.06
0.78
1.33
1.93
0.0%
2023Q4
92
63.6
2.77
0.08
0.89
1.80
2.33
0.0%
2023Q3
92
62.1
2.56
0.02
0.92
1.62
2.23
0.0%
2023Q2
91
53.7
2.48
0.04
0.96
1.48
2.44
0.0%
2023Q1
90
53.7
2.63
0.12
0.91
1.60
2.46
0.0%
2022Q4
92
56.1
2.54
0.19
0.81
1.54
2.37
0.0%
2022Q3
92
59.9
1.98
0.20
0.66
1.11
1.82
0.0%
2022Q2
91
59.5
2.30
0.18
0.61
1.51
2.08
0.4%
2022Q1
90
59.5
2.26
0.20
0.51
1.55
2.14
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2026-01-14
2026-01-13
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2026-01-14
2026-01-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-01-14
2026-01-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-14
2026-01-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-01-14
2025-12-08
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-12-09
2025-09-03
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-09-04
2025-09-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
—
2025-02-05
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-06
2025-02-05
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-06
2024-10-29
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.
D
2024-11-08
2024-10-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-10-30
2024-10-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-10-30
2024-10-29
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
2024-10-30
2024-10-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-10-30
2024-10-29
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-10-30
2024-10-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-10-30
2024-08-16
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.
E
2024-09-16
2024-03-06
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-06
2024-03-06
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
2024-04-06
2023-09-20
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-10-20
2023-09-20
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.
E
2023-10-20
2023-09-20
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2023-10-20
2023-09-20
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-10-20
2023-09-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-10-20
2023-09-20
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
2023-10-20
2023-09-20
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-10-20
2023-09-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-20
2023-09-20
Health
F0814
Dispose of garbage and refuse properly.
D
2023-10-20
2023-09-20
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
2023-10-20
2023-09-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-20
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
19
Owner
Role
Pct
From
Status
Source
SLP OMEGA OPERATIONS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-08-01
current
pecos_ownership
BOSWELL, DARREN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
EDEN, JAMES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
LEONARD, JOSHUA
CORPORATE OFFICER
—
2024-10-01
current
pecos_ownership
SENIOR LIVING PROPERTIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
SKINNER, DEREK
ADP OF THE SNF
—
2021-02-01
current
pecos_ownership
SLP LEVELLAND, LLC
—
—
2024-08-01
current
tx_hhsc_directory
SLP MANAGEMENT HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
SLP OPERATIONS LLC
—
—
2024-08-01
current
tx_hhsc_directory
SLP OPERATIONS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
TEXAS FIFTEEN PROPERTY LLC
5% OR GREATER SECURITY INTEREST
—
2020-08-01
current
pecos_ownership
WHITESIDES, JESSICA
ADP OF THE SNF
—
2023-03-01
current
pecos_ownership
WHITWORTH, GARY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-08-01
current
pecos_ownership
DARREN BOSWELL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
34%
2020-08-01
ended 2026-05-18
pecos_ownership
GARY WHITWORTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
34%
2020-08-01
ended 2026-05-18
pecos_ownership
JAMES EDEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2020-08-01
ended 2026-05-18
pecos_ownership
JOSHUA LEONARD
CORPORATE OFFICER
0%
2024-10-01
ended 2026-05-18
pecos_ownership
DEREK SKINNER
ADP OF THE SNF
—
2021-02-01
ended 2026-05-18
pecos_ownership
JESSICA WHITESIDES
ADP OF THE SNF
—
2023-03-01
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
$1,448,115
—
—
—
—
1
—
2023-12-31
$1,361,606
—
—
—
—
1
—
2022-12-31
$1,360,929
—
—
—
—
1
—
2021-12-31
$504,398
—
—
—
—
1
—
2020-12-31
$100,152
—
—
—
—
1
—
2020-07-31
$366,660
—
$155,946
$210,714
—
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 48219
acs median gross
0
$632
2024-12-31
CENSUS_ACS5
county 48219
fmr
0
$848
2025-10-01
HUD_USER_FMR
county 48219
acs median gross
1
$672
2024-12-31
CENSUS_ACS5
county 48219
fmr
1
$854
2025-10-01
HUD_USER_FMR
county 48219
acs median gross
2
$822
2024-12-31
CENSUS_ACS5
county 48219
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 48219
acs median gross
3
$1,058
2024-12-31
CENSUS_ACS5
county 48219
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 48219
acs median gross
4
$1,342
2024-12-31
CENSUS_ACS5
county 48219
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 48219
acs median gross
$850
2024-12-31
CENSUS_ACS5
county 48219
acs recent mover gross
$838
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
0
$632
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
1
$677
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
2
$841
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
3
$1,085
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
4
$1,358
2024-12-31
CENSUS_ACS5
zcta 79336
acs median gross
$849
2024-12-31
CENSUS_ACS5
zcta 79336
acs recent mover gross
$851
2024-12-31
CENSUS_ACS5
zip 79336
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 79336
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 79336
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 79336
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 79336
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 79336
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 79336
safmr
4
$1,640
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.