Reads as: riskier than 69.5% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner spans multiple chains
28 chains
FREUND NOCHUM
109 facilities
connection
Owner spans multiple chains
28 chains
TRAVITSKY AARON
106 facilities
connection
Owner spans multiple chains
27 chains
WELLTOWER NNN GROUP LLC
102 facilities
connection
Owner spans multiple chains
27 chains
DAGAN AMITAI
101 facilities
connection
Owner spans multiple chains
27 chains
GOLDBERGER ABRAHAM
100 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 fleet risk far above national
+20.5 vs natl
GOLDBERGER FAIGY
111 facilities
connection
Owner spans multiple chains
20 chains
GOLDBERGER FAIGY
68 facilities
connection
Owner fleet risk far above national
+20.0 vs natl
TRAVITSKY AARON
153 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
8 facilities
FANNIN COUNTY HOSPITAL AUTHORITY
8 facilities
connection
Owner fleet enforcement cluster
46% fined
WELLTOWER NNN GROUP LLC
111 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
2.87
2.67
3.28
2.90–3.77
RN
0.15
0.24
0.39
0.25–0.58
Weekend total
2.87
2.56
3.11
—
Weekday total
2.87
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.3
2.87
0.15
1.06
1.66
2.87
0.4%
2025Q3
92
34.8
2.94
0.17
1.22
1.54
2.95
0.2%
2025Q2
91
35.2
3.21
0.18
1.34
1.69
3.10
5.9%
2025Q1
90
40.1
3.32
0.15
1.25
1.93
2.99
12.0%
2024Q4
92
34.3
3.34
0.05
1.54
1.75
2.93
4.4%
2024Q3
92
32.0
2.92
0.00
1.40
1.52
2.86
1.4%
2024Q2
91
33.9
3.46
0.15
1.60
1.71
3.00
0.0%
2024Q1
91
35.1
3.15
0.00
1.30
1.84
2.93
0.1%
2023Q4
92
34.2
2.97
0.00
1.33
1.64
2.67
0.0%
2023Q3
92
36.1
3.04
0.09
1.27
1.69
2.86
0.0%
2023Q2
91
35.4
3.05
0.08
1.32
1.64
2.98
0.2%
2023Q1
90
34.0
3.28
0.01
1.59
1.68
2.93
3.8%
2022Q4
92
36.4
3.25
0.00
1.32
1.93
2.98
0.0%
2022Q3
92
37.0
3.28
0.00
1.38
1.90
2.97
5.9%
2022Q2
91
36.5
3.14
0.00
1.26
1.87
2.85
0.0%
2022Q1
90
34.9
3.32
0.06
1.35
1.92
3.16
5.6%
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 receive visitors of his or her choosing, at the time of his or her choosing.
F
2025-08-13
2025-07-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-07
2025-07-23
Health
F0908
Keep all essential equipment working safely.
D
2025-08-11
2025-07-23
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2025-07-24
2025-07-23
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-07-24
2025-03-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-09
2025-03-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-07-23
2024-06-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-06-10
2024-06-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-10
2024-06-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-10
2024-06-05
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2024-06-10
2023-05-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-05-15
2023-05-03
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-05-15
2023-05-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-05-15
2023-05-03
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.
E
2023-05-15
2023-05-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-05-15
2023-05-03
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2023-05-15
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
23
Owner
Role
Pct
From
Status
Source
FANNIN COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-04-01
current
pecos_ownership
1008 CITIZENS TRAIL PROPERTY OWNER LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
280 MOFFETT DR OPCO LLC
—
—
2025-08-06
current
tx_hhsc_directory
280 MOFFITT DR OPCO, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
ALLEN, JOSHUA
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
DAGAN, AMITAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY
—
—
2025-08-06
current
tx_hhsc_directory
FREUND, NOCHUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
GOLDBERGER, ABRAHAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
GOLDBERGER, FAIGY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
ROGERS, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
current
pecos_ownership
ROGERS, DANIEL
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
SANDERSON, CLARK
CORPORATE OFFICER
—
2025-08-01
current
pecos_ownership
TRAVITSKY, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
WELLTOWER NNN GROUP, LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
CLARK SANDERSON
CORPORATE OFFICER
0%
2025-08-01
ended 2026-05-18
pecos_ownership
521 W 7TH ST PROPERTY OWNER, LLC
ADP OF THE SNF
—
2025-08-01
ended 2026-05-18
pecos_ownership
AARON TRAVITSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
ended 2026-05-18
pecos_ownership
DANIEL ROGERS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
ended 2026-05-18
pecos_ownership
DANIEL ROGERS
ADP OF THE SNF
—
2025-08-01
ended 2026-05-18
pecos_ownership
JOSHUA ALLEN
ADP OF THE SNF
—
2025-08-01
ended 2026-05-18
pecos_ownership
NOCHUM FREUND
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-03-31
$200,758
$200,758
—
—
—
4
—
2020-12-31
$803,032
$803,032
—
—
—
4
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 48419
fmr
0
$756
2025-10-01
HUD_USER_FMR
county 48419
acs median gross
1
$609
2024-12-31
CENSUS_ACS5
county 48419
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 48419
acs median gross
2
$763
2024-12-31
CENSUS_ACS5
county 48419
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 48419
acs median gross
3
$881
2024-12-31
CENSUS_ACS5
county 48419
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 48419
acs median gross
4
$1,091
2024-12-31
CENSUS_ACS5
county 48419
fmr
4
$1,439
2025-10-01
HUD_USER_FMR
county 48419
acs median gross
$781
2024-12-31
CENSUS_ACS5
zcta 75935
acs median gross
1
$645
2024-12-31
CENSUS_ACS5
zcta 75935
acs median gross
2
$660
2024-12-31
CENSUS_ACS5
zcta 75935
acs median gross
3
$792
2024-12-31
CENSUS_ACS5
zcta 75935
acs median gross
4
$1,098
2024-12-31
CENSUS_ACS5
zcta 75935
acs median gross
$786
2024-12-31
CENSUS_ACS5
zip 75935
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 75935
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 75935
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 75935
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 75935
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 75935
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 75935
safmr
4
$1,550
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.