Reads as: riskier than 79.5% 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
12
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 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
2.65
2.67
3.28
2.90–3.77
RN
0.15
0.24
0.39
0.25–0.58
Weekend total
2.56
2.56
3.11
—
Weekday total
2.69
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
87.3
2.65
0.15
0.70
1.80
2.56
0.0%
2025Q3
92
86.0
2.51
0.11
0.75
1.65
2.46
0.0%
2025Q2
91
83.6
2.57
0.14
0.75
1.68
2.70
0.0%
2025Q1
90
79.6
2.61
0.15
0.79
1.68
2.62
0.0%
2024Q4
92
80.2
2.73
0.22
0.73
1.78
2.69
0.0%
2024Q3
92
82.5
2.84
0.16
0.77
1.91
2.79
0.0%
2024Q2
91
77.2
2.93
0.13
0.79
2.01
2.76
0.0%
2024Q1
91
79.9
2.58
0.09
0.81
1.68
2.58
0.0%
2023Q4
92
73.7
2.71
0.13
0.80
1.77
2.66
0.0%
2023Q3
92
74.0
2.59
0.15
0.76
1.68
2.43
0.0%
2023Q2
91
79.6
2.48
0.23
0.66
1.59
2.43
0.0%
2023Q1
90
74.0
2.98
0.34
0.71
1.93
2.85
8.1%
2022Q4
92
69.2
3.29
0.33
0.79
2.17
3.04
10.4%
2022Q3
92
66.5
3.67
0.49
0.99
2.19
3.28
22.1%
2022Q2
91
65.6
3.10
0.36
0.83
1.91
2.90
23.6%
2022Q1
90
61.9
2.90
0.53
0.41
1.97
2.67
12.1%
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 and implement an infection prevention and control program.
D
2025-08-01
2025-01-19
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2025-01-20
2025-01-08
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-01-09
2025-01-08
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-01-09
2025-01-08
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-01-09
2025-01-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-01-09
2024-09-06
Health · complaint
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.
D
2024-09-07
2024-09-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-09-07
2024-06-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-07-07
2024-06-06
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-07
2024-04-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-05-01
2024-03-12
Health · complaint
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
2024-03-22
2024-03-12
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-03-22
2024-03-12
Health · complaint
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
2024-03-22
2024-01-29
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-02-21
2023-04-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-05-10
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
33
Owner
Role
Pct
From
Status
Source
STEPHENS MEMORIAL HOSPITAL DISTRICT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2017-04-01
current
pecos_ownership
BLAKE, GARY
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
BORTEY, CLARA
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
CURRY, BRUCE
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
current
pecos_ownership
CURTIS, KAYLEE
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
current
pecos_ownership
ECHOLS, JOHN
CORPORATE DIRECTOR
—
2017-04-01
current
pecos_ownership
GOODALL, GREGG
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
current
pecos_ownership
GRAND PRAIRIE I ENTERPRISES, L.L.C.
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
GRAND PRAIRIE I ENTERPRISES, L.L.C.
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
GRAND PRAIRIE I ENTERPRISES, LLC
—
—
2026-04-01
current
tx_hhsc_directory
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MONTANI, NORBERTO
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
SIMMONS, KARL
MANAGING CONTROL - GOVERNING BODY
—
2017-04-01
current
pecos_ownership
SPEER, GENA
CORPORATE OFFICER
—
2025-07-01
current
pecos_ownership
STEPHENS MEMORIAL HOSPITAL DISTRICT
—
—
2026-04-01
current
tx_hhsc_directory
TIDWELL, TODD
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
current
pecos_ownership
TOOMBS, WADE
MANAGING CONTROL - GOVERNING BODY
—
2017-04-01
current
pecos_ownership
WILLIG, ZACHARY
CORPORATE DIRECTOR
—
2025-07-01
current
pecos_ownership
GENA SPEER
CORPORATE OFFICER
0%
2025-07-01
ended 2026-05-18
pecos_ownership
JOHN ECHOLS
CORPORATE DIRECTOR
0%
2017-04-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
CORPORATE DIRECTOR
0%
2025-07-01
ended 2026-05-18
pecos_ownership
BRUCE CURRY
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
ended 2026-05-18
pecos_ownership
CLARA BORTEY
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
GARY BLAKE
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
GREGG GOODALL
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
ended 2026-05-18
pecos_ownership
KARL SIMMONS
MANAGING CONTROL - GOVERNING BODY
—
2017-04-01
ended 2026-05-18
pecos_ownership
KAYLEE CURTIS
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
NORBERTO MONTANI
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
TODD TIDWELL
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
ended 2026-05-18
pecos_ownership
WADE TOOMBS
MANAGING CONTROL - GOVERNING BODY
—
2017-04-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
0
$1,289
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
1
$1,390
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
2
$1,697
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
3
$1,774
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
4
$1,966
2024-12-31
CENSUS_ACS5
zcta 75050
acs median gross
$1,586
2024-12-31
CENSUS_ACS5
zcta 75050
acs recent mover gross
$1,633
2024-12-31
CENSUS_ACS5
zip 75050
payment standard 110
0
$1,661
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 90
0
$1,359
2025-10-01
HUD_USER_SAFMR
zip 75050
safmr
0
$1,510
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 110
1
$1,727
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 90
1
$1,413
2025-10-01
HUD_USER_SAFMR
zip 75050
safmr
1
$1,570
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 110
2
$2,024
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 90
2
$1,656
2025-10-01
HUD_USER_SAFMR
zip 75050
safmr
2
$1,840
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 110
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 90
3
$2,106
2025-10-01
HUD_USER_SAFMR
zip 75050
safmr
3
$2,340
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 110
4
$3,256
2025-10-01
HUD_USER_SAFMR
zip 75050
payment standard 90
4
$2,664
2025-10-01
HUD_USER_SAFMR
zip 75050
safmr
4
$2,960
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.