Reads as: riskier than 60.3% 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
12
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+25.9 vs natl
FRIEDMAN YISRAEL
10 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
SINGER MEIR
18 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
BERDUGO SHAI
18 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
CLAYSHIRE LLC
8 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
WEINTRAUB MOSHE
8 facilities
connection
Owner spans multiple chains
7 chains
BERDUGO SHAI
17 facilities
connection
Owner spans multiple chains
5 chains
CASTLE INDIANA MANAGEMENT LLC
8 facilities
connection
Owner spans multiple chains
5 chains
SINGER MEIR
18 facilities
connection
Owner spans multiple chains
5 chains
CLAYSHIRE LLC
7 facilities
connection
Owner spans multiple chains
4 chains
LT CARE ACQUISITION CORP
16 facilities
connection
Owner fleet enforcement cluster
56% fined
SINGER MEIR
18 facilities
connection
Owner fleet enforcement cluster
50% fined
FRIEDMAN YISRAEL
10 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
IN median
National median
National p25–p75
Total nurse
2.82
2.85
3.28
2.90–3.77
RN
0.33
0.40
0.39
0.25–0.58
Weekend total
2.50
2.71
3.11
—
Weekday total
2.95
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.6
2.82
0.33
0.86
1.63
2.50
0.0%
2025Q3
92
63.8
2.83
0.34
0.88
1.61
2.51
0.0%
2025Q2
91
67.0
2.68
0.18
0.89
1.60
2.41
0.0%
2025Q1
90
71.3
2.63
0.23
0.89
1.50
2.32
0.0%
2024Q4
92
73.3
2.61
0.24
0.81
1.56
2.37
0.0%
2024Q3
92
78.3
2.75
0.21
0.72
1.82
2.48
0.0%
2024Q2
91
77.7
2.81
0.25
0.69
1.87
2.61
0.0%
2024Q1
91
73.3
2.77
0.22
0.68
1.87
2.59
0.0%
2023Q4
92
77.5
2.56
0.23
0.58
1.75
2.47
0.9%
2023Q3
92
77.1
2.39
0.22
0.51
1.67
2.26
5.2%
2023Q2
91
78.6
2.22
0.09
0.55
1.58
2.00
19.7%
2023Q1
90
76.0
2.15
0.06
0.41
1.68
2.06
6.3%
2022Q4
92
76.5
2.38
0.06
0.48
1.84
2.28
16.6%
2022Q3
92
78.4
1.79
0.08
0.34
1.37
1.63
0.0%
2022Q2
91
78.7
1.75
0.13
0.34
1.29
1.47
0.0%
2022Q1
90
79.8
1.85
0.09
0.38
1.38
1.66
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
27
C × 1D × 24E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-15
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-09-15
2025-08-15
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2025-09-15
2025-08-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-15
2025-08-15
Health · complaint
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.
D
2025-09-15
2025-08-15
Health · complaint
F0732
Post nurse staffing information every day.
C
2025-09-15
2025-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-15
2024-09-10
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-10-03
2024-09-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-03
2024-09-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-03
2024-09-10
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-10-03
2024-09-10
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
2024-10-03
2024-09-10
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-10-03
2024-09-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-03
2023-09-01
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-09-24
2023-09-01
Health
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
2023-09-24
2023-09-01
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-24
2023-09-01
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-24
2023-09-01
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-24
2023-09-01
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
2023-09-24
2023-09-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-24
2023-09-01
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-09-24
2023-09-01
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.
D
2023-09-24
2023-09-01
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-09-24
2023-09-01
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-09-24
2023-09-01
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-09-24
2023-09-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-09-24
2023-06-06
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-06-20
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
32
Owner
Role
Pct
From
Status
Source
HENRY COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-07-01
current
pecos_ownership
BERDUGO, SHAI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
CASTLE INDIANA MANAGEMENT LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
CLAYSHIRE LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
DYNES, SHELDON
TRUSTEE OF THE SNF
—
2013-01-01
current
pecos_ownership
FRANKFORT REALTY LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
FRANKFORT REALTY LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
FRANKFORT REHABILITATION AND HEALTHCARE CENTER, LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
FRIEDMAN, YISRAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-04
current
pecos_ownership
HENRY COUNTY MEMORIAL HOSPITAL
ADP OF THE SNF
—
2025-06-03
current
pecos_ownership
LT CARE ACQUISITION CORP
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
PIDGEON, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
current
pecos_ownership
RING, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
SHAFER, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-17
current
pecos_ownership
SHORE, MARION
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
current
pecos_ownership
SINGER, MEIR
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-03
current
pecos_ownership
WARE, DEBORAH
MANAGING CONTROL - GOVERNING BODY
—
2021-08-27
current
pecos_ownership
WASHINGTON, LANCE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
WEINTRAUB, MOSHE
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
809 W FREEMAN ST
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
BRIAN RING
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
ended 2026-05-18
pecos_ownership
DEBORAH WARE
TRUSTEE OF THE SNF
—
2021-08-27
ended 2026-05-18
pecos_ownership
FRANKFORT REALTY LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
FRANKFORT REALTY LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
FRANKFORT REALTY LLC
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
JOHN PIDGEON
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
LANCE WASHINGTON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
MARION SHORE
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
MATTHEW SHAFER
ADP OF THE SNF
—
2025-02-17
ended 2026-05-18
pecos_ownership
MOSHE WEINTRAUB
ADP OF THE SNF
—
2020-11-01
ended 2026-05-18
pecos_ownership
SHAI BERDUGO
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
SHELDON DYNES
TRUSTEE OF THE SNF
—
2013-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,288,856
$812,914
$475,942
—
—
10
propco
2023-12-31
$1,334,702
—
$472,392
—
—
0
propco
2022-12-31
$1,201,400
—
$491,455
—
—
9
propco
2021-12-31
$1,183,344
—
$520,655
—
—
10
propco
2020-12-31
$762,095
—
$250,028
$275,700
$54,215
24
propco
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
36
Geo
Kind
BR
Amount
As of
Source
county 18023
acs median gross
0
$772
2024-12-31
CENSUS_ACS5
county 18023
fmr
0
$731
2025-10-01
HUD_USER_FMR
county 18023
acs median gross
1
$724
2024-12-31
CENSUS_ACS5
county 18023
fmr
1
$804
2025-10-01
HUD_USER_FMR
county 18023
acs median gross
2
$916
2024-12-31
CENSUS_ACS5
county 18023
fmr
2
$1,007
2025-10-01
HUD_USER_FMR
county 18023
acs median gross
3
$1,084
2024-12-31
CENSUS_ACS5
county 18023
fmr
3
$1,328
2025-10-01
HUD_USER_FMR
county 18023
acs median gross
4
$1,192
2024-12-31
CENSUS_ACS5
county 18023
fmr
4
$1,343
2025-10-01
HUD_USER_FMR
county 18023
acs median gross
5
$1,448
2024-12-31
CENSUS_ACS5
county 18023
acs median gross
$920
2024-12-31
CENSUS_ACS5
county 18023
acs recent mover gross
$936
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
0
$765
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
1
$727
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
2
$898
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
3
$1,080
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
4
$1,219
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
5
$1,292
2024-12-31
CENSUS_ACS5
zcta 46041
acs median gross
$906
2024-12-31
CENSUS_ACS5
zcta 46041
acs recent mover gross
$937
2024-12-31
CENSUS_ACS5
zip 46041
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 46041
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 46041
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 46041
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 46041
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 46041
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 46041
safmr
4
$1,730
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.