Reads as: riskier than 96.8% 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.
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
3.06
2.67
3.28
2.90–3.77
RN
0.55
0.24
0.39
0.25–0.58
Weekend total
2.66
2.56
3.11
—
Weekday total
3.21
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
3.06
0.55
0.76
1.75
2.66
0.4%
2025Q3
92
49.6
3.04
0.32
0.78
1.94
2.99
2.6%
2025Q2
91
50.3
2.94
0.41
0.73
1.79
2.66
11.1%
2025Q1
90
37.5
3.13
0.63
0.79
1.71
2.73
13.6%
2024Q4
92
38.2
3.24
0.39
0.94
1.91
2.89
12.8%
2024Q3
92
45.2
2.96
0.38
0.77
1.82
2.96
19.7%
2024Q2
91
46.5
2.63
0.28
0.88
1.48
2.55
21.2%
2024Q1
91
49.7
2.90
0.19
1.05
1.66
2.98
22.9%
2023Q4
92
48.2
2.91
0.18
1.12
1.61
3.04
16.7%
2023Q3
92
49.8
2.48
0.24
0.84
1.40
2.57
6.7%
2023Q2
91
56.0
2.59
0.18
1.00
1.41
2.58
10.5%
2023Q1
90
55.7
2.39
0.19
0.89
1.32
2.44
4.9%
2022Q4
92
46.2
2.87
0.24
1.07
1.56
2.83
1.3%
2022Q3
92
39.9
3.10
0.26
1.22
1.62
3.06
9.0%
2022Q2
91
52.0
2.65
0.31
1.11
1.23
2.35
24.9%
2022Q1
90
52.7
2.20
0.40
0.82
0.98
2.30
14.2%
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-08-01
2025-06-11
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
2025-06-18
2025-06-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-18
2025-06-11
Health · complaint
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
2025-06-18
2025-06-11
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-18
2025-04-23
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2025-04-24
2025-02-28
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
K
2025-03-01
2025-02-28
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
2025-03-01
2025-02-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-01
2025-02-28
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2025-03-01
2025-02-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-01
2024-10-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-04
2024-10-03
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2024-09-30
2024-06-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-07-05
2024-06-18
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-07-05
2024-04-18
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-05-03
2024-04-18
Health · complaint
F0680
Ensure the activities program is directed by a qualified professional.
E
2024-05-03
2024-04-18
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
H
2024-05-03
2024-03-22
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-04-19
2024-01-11
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.
E
2024-02-09
2024-01-11
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
2024-02-09
2024-01-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-02-09
2024-01-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-09
2023-11-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-27
2023-11-09
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
K
2023-10-13
2023-11-09
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-11-10
2023-10-13
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2023-10-29
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
52
Owner
Role
Pct
From
Status
Source
FORT WORTH MED INV
Individual has financial interest in both related organization and provider
100%
2024-07-01
current
hcris_a_8_1
FORT WORTH MEDICAL INV
Individual has financial interest in both related organization and provider
100%
2023-07-01
current
hcris_a_8_1
ACOSTA, MELCHOR
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-12
current
pecos_ownership
ACOSTA, MELCHOR
ADP OF THE SNF
—
2025-03-06
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
1994-04-21
current
pecos_ownership
DEVELOPERS INVESTMENT COMPANY INC
OPERATIONAL/MANAGERIAL CONTROL
—
1991-12-31
current
pecos_ownership
FLETCHER, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
LAY, LISA
CORPORATE DIRECTOR
—
2017-04-24
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2018-02-09
current
pecos_ownership
LIFE CARE AFFILIATES II
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
LIFE CARE AFFILIATES II
GENERAL PARTNERSHIP INTEREST
—
1991-12-31
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC
—
—
2025-10-30
current
tx_hhsc_directory
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2025-03-06
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
PRESTON, FORREST
LIMITED PARTNERSHIP INTEREST
—
—
current
pecos_ownership
PRESTON, FORREST
INDIRECT OWNERSHIP INTEREST
—
1991-12-31
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
SCHMIDT, DEREK
MANAGING CONTROL - GOVERNING BODY
—
2023-08-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-22
current
pecos_ownership
UNITED INVESTORS LIMITED PARTNERSHIP
—
—
2025-10-30
current
tx_hhsc_directory
UNITED INVESTORS LP
ADP OF THE SNF
—
2000-08-31
current
pecos_ownership
UNITED INVESTORS LP
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
WEBB, TORIAN
MANAGING CONTROL - GOVERNING BODY
—
2025-11-17
current
pecos_ownership
YEGON, YVONNE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-22
current
pecos_ownership
YEGON, YVONNE
ADP OF THE SNF
—
2025-03-06
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
current
pecos_ownership
FORT WORTH MED INV
Individual has financial interest in both related organization and provider
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
FORT WORTH MEDICAL INV
Individual has financial interest in both related organization and provider
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
FORTT WORTH MEDICAL INV
Individual has financial interest in both related organization and provider
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
FORREST PRESTON
INDIRECT OWNERSHIP INTEREST
99%
1991-12-31
ended 2026-05-18
pecos_ownership
FORREST PRESTON
LIMITED PARTNERSHIP INTEREST
1%
—
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1994-04-21
ended 2026-05-18
pecos_ownership
DEREK SCHMIDT
MANAGING CONTROL - GOVERNING BODY
—
2023-08-01
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2000-08-31
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-22
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE DIRECTOR
—
2017-04-24
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE OFFICER
—
2018-02-09
ended 2026-05-18
pecos_ownership
MELCHOR ACOSTA
ADP OF THE SNF
—
2025-03-06
ended 2026-05-18
pecos_ownership
MELCHOR ACOSTA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-12
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE OFFICER
—
2011-04-01
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
TORIAN WEBB
MANAGING CONTROL - GOVERNING BODY
—
2025-11-17
ended 2026-05-18
pecos_ownership
YVONNE YEGON
ADP OF THE SNF
—
2025-03-06
ended 2026-05-18
pecos_ownership
YVONNE YEGON
MANAGING CONTROL - GOVERNING BODY
—
2024-01-22
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
2025-06-30
$654,506
$1,863
—
—
$368,989
5
propco
2024-06-30
$646,641
$4,741
—
—
$353,930
6
propco
2023-06-30
$712,939
$3,085
—
—
$400,168
6
propco
2022-06-30
$826,245
$2,913
—
—
$506,321
6
propco
2021-06-30
$952,289
$1,546
—
—
—
6
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 48439
acs median gross
0
$1,316
2024-12-31
CENSUS_ACS5
county 48439
fmr
0
$1,427
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
1
$1,287
2024-12-31
CENSUS_ACS5
county 48439
fmr
1
$1,473
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
2
$1,576
2024-12-31
CENSUS_ACS5
county 48439
fmr
2
$1,723
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
3
$1,885
2024-12-31
CENSUS_ACS5
county 48439
fmr
3
$2,273
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
4
$2,359
2024-12-31
CENSUS_ACS5
county 48439
fmr
4
$2,815
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
5
$2,682
2024-12-31
CENSUS_ACS5
county 48439
acs median gross
$1,547
2024-12-31
CENSUS_ACS5
county 48439
acs recent mover gross
$1,700
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
0
$1,210
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
1
$1,472
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
2
$1,923
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
3
$2,347
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
4
$2,958
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 76109
acs median gross
$1,770
2024-12-31
CENSUS_ACS5
zcta 76109
acs recent mover gross
$2,209
2024-12-31
CENSUS_ACS5
zip 76109
payment standard 110
0
$1,837
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 90
0
$1,503
2025-10-01
HUD_USER_SAFMR
zip 76109
safmr
0
$1,670
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 76109
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 110
2
$2,222
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 90
2
$1,818
2025-10-01
HUD_USER_SAFMR
zip 76109
safmr
2
$2,020
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 110
3
$2,937
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 90
3
$2,403
2025-10-01
HUD_USER_SAFMR
zip 76109
safmr
3
$2,670
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 110
4
$3,630
2025-10-01
HUD_USER_SAFMR
zip 76109
payment standard 90
4
$2,970
2025-10-01
HUD_USER_SAFMR
zip 76109
safmr
4
$3,300
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.