Reads as: riskier than 42.8% 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
18
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
24 chains
LUMENT REAL ESTATE CAPITAL LLC
45 facilities
connection
Owner spans multiple chains
14 chains
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
58 facilities
connection
Owner spans multiple chains
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT HOLDINGS LP
67 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REAL ESTATE INVESTMENT TRUST
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT INC
68 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY INVESTORS LLC
67 facilities
connection
Owner spans multiple chains
13 chains
GAHC3 TRILOGY JV LLC
69 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REIT HOLDINGS LLC
68 facilities
connection
Owner spans multiple chains
12 chains
GAHC4 TRILOGY JV LLC
68 facilities
connection
Owner spans multiple chains
11 chains
TRILOGY HEALTHCARE HOLDINGS INC
31 facilities
connection
Owner spans multiple chains
9 chains
TRILOGY OPCO LLC
24 facilities
connection
Owner spans multiple chains
6 chains
CORBIN KATHY
75 facilities
connection
Owner spans multiple chains
5 chains
GOOD SAMARITAN HOSPITAL
13 facilities
connection
Owner spans multiple chains
4 chains
MCLIN ROBERT
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
2.80
2.85
3.28
2.90–3.77
RN
0.83
0.40
0.39
0.25–0.58
Weekend total
2.71
2.71
3.11
—
Weekday total
2.84
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.3
2.80
0.83
0.52
1.45
2.71
0.0%
2025Q3
92
51.0
2.66
0.88
0.50
1.28
2.63
0.0%
2025Q2
91
50.6
2.71
0.68
0.62
1.41
2.61
0.0%
2025Q1
90
51.0
2.73
0.66
0.59
1.49
2.55
0.0%
2024Q4
92
53.6
2.58
0.58
0.55
1.45
2.49
0.0%
2024Q3
92
50.9
2.47
0.65
0.51
1.31
2.37
0.0%
2024Q2
91
51.1
2.54
0.58
0.60
1.36
2.31
0.0%
2024Q1
91
51.8
2.42
0.59
0.63
1.21
2.27
0.0%
2023Q4
92
47.8
2.78
0.48
0.79
1.52
2.58
0.0%
2023Q3
92
45.7
2.89
0.48
0.77
1.64
2.66
0.0%
2023Q2
91
48.9
2.54
0.47
0.68
1.39
2.39
0.0%
2023Q1
90
49.7
2.47
0.49
0.68
1.30
2.30
0.0%
2022Q4
92
51.9
2.51
0.41
0.72
1.38
2.34
0.0%
2022Q3
92
46.6
2.45
0.36
0.81
1.29
2.37
0.0%
2022Q2
91
48.9
2.19
0.46
0.60
1.13
2.07
0.0%
2022Q1
90
50.8
2.43
0.60
0.51
1.32
2.40
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
7
D × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-11
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
2025-09-05
2025-08-11
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-09-05
2025-01-15
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-02-10
2025-01-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-02-10
2024-07-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-08-05
2024-07-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-08-05
2024-07-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-05
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
38
Owner
Role
Pct
From
Status
Source
GOOD SAMARITAN HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-05-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT HOLDINGS LP
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT INC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
BARNEY, LEIGH
CORPORATE OFFICER
—
2021-12-20
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
ADP OF THE SNF
—
2021-10-01
current
pecos_ownership
CORBIN, KATHY
CORPORATE DIRECTOR
—
2015-05-01
current
pecos_ownership
DAVIS, DAVID
LIMITED PARTNERSHIP INTEREST
—
2019-12-31
current
pecos_ownership
GAHC3 TRILOGY JV LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
GAHC4 TRILOGY JV LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
GOOD SAMARITAN HOSPITAL
ADP OF THE SNF
—
2025-07-31
current
pecos_ownership
KEEPES, GARY
ADP OF THE SNF
—
2025-04-25
current
pecos_ownership
KEEPES, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
LENTS, CINDI
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
LENTS, CINDI
ADP OF THE SNF
—
2025-04-25
current
pecos_ownership
LUMENT REAL ESTATE CAPITAL LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-01-01
current
pecos_ownership
LUMENT REAL ESTATE CAPITAL LLC
ADP OF THE SNF
—
2025-10-14
current
pecos_ownership
MCLIN, ROBERT
ADP OF THE SNF
—
1992-01-06
current
pecos_ownership
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
SCHUCKMAN, MATTHEW
CORPORATE OFFICER
—
2021-12-15
current
pecos_ownership
THACKER, ADAM
ADP OF THE SNF
—
2013-09-01
current
pecos_ownership
TRILOGY HEALTHCARE HOLDINGS INC
INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
TRILOGY HEALTHCARE MASTER TENANT VI, LLC
ADP OF THE SNF
—
2025-10-02
current
pecos_ownership
TRILOGY HEALTHCARE OF PETERSBURG, LLC
ADP OF THE SNF
—
2026-03-09
current
pecos_ownership
TRILOGY HEALTHCARE OF PETERSBURG, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
TRILOGY INVESTORS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
TRILOGY OPCO LLC
ADP OF THE SNF
—
2026-03-09
current
pecos_ownership
TRILOGY OPCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REAL ESTATE PETERSBURGH, LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REIT HOLDINGS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
GOOD SAMARITAN HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-11-01
ended 2026-05-18
pecos_ownership
KATHY CORBIN
CONTRACTED MANAGING EMPLOYEE
100%
2015-07-01
ended 2026-05-18
pecos_ownership
LEIGH BARNEY
CORPORATE OFFICER
100%
2021-12-20
ended 2026-05-18
pecos_ownership
ROBERT MCLIN
CORPORATE OFFICER
100%
2014-11-01
ended 2026-05-18
pecos_ownership
SHANNON GRAVES
CONTRACTED MANAGING EMPLOYEE
100%
2014-10-01
ended 2026-05-18
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-17
ended 2026-05-18
pecos_ownership
MATTHEW SCHUCKMAN
CORPORATE OFFICER
—
2021-12-15
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
$2,334,762
—
—
$491,855
$357,782
4
—
2023-12-31
$1,180,712
—
—
$509,243
$116,576
4
—
2022-12-31
$1,140,269
—
—
$472,442
$117,668
4
—
2021-12-31
$1,052,794
—
—
$413,913
$115,332
3
—
2020-12-31
$985,668
—
—
$359,594
$122,929
3
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 18125
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18125
acs median gross
1
$440
2024-12-31
CENSUS_ACS5
county 18125
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18125
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
county 18125
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18125
acs median gross
3
$977
2024-12-31
CENSUS_ACS5
county 18125
fmr
3
$1,330
2025-10-01
HUD_USER_FMR
county 18125
acs median gross
4
$996
2024-12-31
CENSUS_ACS5
county 18125
fmr
4
$1,347
2025-10-01
HUD_USER_FMR
county 18125
acs median gross
$739
2024-12-31
CENSUS_ACS5
county 18125
acs recent mover gross
$543
2024-12-31
CENSUS_ACS5
zcta 47567
acs median gross
1
$550
2024-12-31
CENSUS_ACS5
zcta 47567
acs median gross
2
$792
2024-12-31
CENSUS_ACS5
zcta 47567
acs median gross
3
$993
2024-12-31
CENSUS_ACS5
zcta 47567
acs median gross
$739
2024-12-31
CENSUS_ACS5
zcta 47567
acs recent mover gross
$1,004
2024-12-31
CENSUS_ACS5
zip 47567
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 47567
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 47567
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47567
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 47567
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 110
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 47567
payment standard 90
4
$1,215
2025-10-01
HUD_USER_SAFMR
zip 47567
safmr
4
$1,350
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.