8565 W ROME BLVD, LAS VEGAS, NV 89149 · CCN 295106 · chain PACS HOLDINGS LLC
Composite
46.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
72
Model
v1.2
Reads as: riskier than 46.2% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
JERGENSEN JOSHUA
249 facilities
connection
Owner spans multiple chains
7 chains
MITCHELL JOHN
264 facilities
connection
Owner spans multiple chains
6 chains
APT FREDERICK
254 facilities
connection
Owner spans multiple chains
5 chains
HANCOCK MARK
158 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
14
2025Q4 HPRD
This facility
NV median
National median
National p25–p75
Total nurse
4.17
3.62
3.28
2.90–3.77
RN
1.47
0.64
0.39
0.25–0.58
Weekend total
3.81
3.46
3.11
—
Weekday total
4.32
3.68
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
69.6
4.17
1.47
0.76
1.94
3.81
0.0%
2025Q3
92
69.0
4.30
1.45
0.91
1.95
3.81
0.0%
2025Q2
91
69.3
4.40
1.27
1.05
2.08
3.72
0.0%
2025Q1
90
70.8
4.29
1.38
1.00
1.92
3.67
0.0%
2024Q4
92
69.3
4.25
1.29
1.01
1.95
3.89
1.3%
2024Q3
92
69.3
4.12
1.09
1.13
1.90
3.66
4.2%
2024Q2
91
70.6
4.00
1.09
1.07
1.84
3.67
0.0%
2024Q1
91
71.0
4.41
1.29
1.12
1.99
3.86
3.6%
2023Q4
92
71.1
4.49
1.11
1.36
2.02
4.04
0.0%
2023Q3
92
71.7
4.33
0.78
1.58
1.97
3.76
0.0%
2023Q2
91
71.4
4.33
0.79
1.51
2.03
3.69
0.0%
2023Q1
90
81.4
3.47
0.37
1.33
1.77
3.16
0.0%
2022Q4
92
70.4
3.95
0.39
1.52
2.03
3.74
0.0%
2022Q3
92
68.8
3.99
0.45
1.52
2.02
3.74
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-16
2025-05-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-16
2025-05-09
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-07-16
2025-05-09
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
G
2025-07-15
2025-05-09
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-06-16
2024-11-20
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-12-09
2024-11-20
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-12-09
2024-06-07
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-18
2024-06-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-18
2024-06-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-06-18
2024-06-07
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-06-18
2024-06-07
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-06-18
2024-06-07
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
2024-06-18
2024-06-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-18
2023-08-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-08-25
2023-08-02
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2023-08-25
2023-08-02
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-08-25
2023-04-06
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
2023-05-05
2023-04-06
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-05-05
2023-04-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-05-05
2023-04-06
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-05-05
2023-04-06
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-05-05
2023-04-06
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-05-05
2023-04-06
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-05-05
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
18
Owner
Role
Pct
From
Status
Source
NEVADA OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-11-05
current
pecos_ownership
PROVIDENCE GROUP NH, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-06-30
current
pecos_ownership
APT, FREDERICK
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
GOLDEN, SHIVANI
CONTRACTED MANAGING EMPLOYEE
—
2023-07-01
current
pecos_ownership
HANCOCK, MARK
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
JERGENSEN, JOSHUA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
MITCHELL, JOHN
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
ZOLLINGER, ADAM
W-2 MANAGING EMPLOYEE
—
2021-11-15
current
pecos_ownership
PACS GROUP, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-06-30
ended 2026-05-18
pecos_ownership
PACS HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-06-30
ended 2026-05-18
pecos_ownership
JASON MURRAY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
42%
2024-04-15
ended 2026-05-18
pecos_ownership
MARK HANCOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
42%
2024-04-15
ended 2026-05-18
pecos_ownership
ADAM ZOLLINGER
W-2 MANAGING EMPLOYEE
—
2021-11-15
ended 2026-05-18
pecos_ownership
FREDERICK APT
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
JOHN MITCHELL
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
JOSHUA JERGENSEN
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
MARK HANCOCK
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
SHIVANI GOLDEN
CONTRACTED MANAGING EMPLOYEE
—
2023-07-01
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
$853,931
—
$853,931
—
—
1
—
2023-12-31
$986,338
—
$986,338
—
—
1
—
2022-12-31
$818,288
—
$818,288
—
—
1
—
2021-12-31
$637,758
—
$637,758
—
—
1
—
2020-12-31
$422,984
$26
—
—
$41,489
1
—
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 32003
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 32003
fmr
0
$1,333
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
1
$1,308
2024-12-31
CENSUS_ACS5
county 32003
fmr
1
$1,478
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
2
$1,553
2024-12-31
CENSUS_ACS5
county 32003
fmr
2
$1,735
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
3
$1,908
2024-12-31
CENSUS_ACS5
county 32003
fmr
3
$2,413
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
4
$2,227
2024-12-31
CENSUS_ACS5
county 32003
fmr
4
$2,764
2025-10-01
HUD_USER_FMR
county 32003
acs median gross
5
$2,581
2024-12-31
CENSUS_ACS5
county 32003
acs median gross
$1,626
2024-12-31
CENSUS_ACS5
county 32003
acs recent mover gross
$1,755
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
0
$1,690
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
1
$1,470
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
2
$1,850
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
3
$2,077
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
4
$2,776
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
5
$2,478
2024-12-31
CENSUS_ACS5
zcta 89149
acs median gross
$1,897
2024-12-31
CENSUS_ACS5
zcta 89149
acs recent mover gross
$1,819
2024-12-31
CENSUS_ACS5
zip 89149
payment standard 110
0
$1,738
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 90
0
$1,422
2025-10-01
HUD_USER_SAFMR
zip 89149
safmr
0
$1,580
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 110
1
$1,925
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 90
1
$1,575
2025-10-01
HUD_USER_SAFMR
zip 89149
safmr
1
$1,750
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 110
2
$2,266
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 90
2
$1,854
2025-10-01
HUD_USER_SAFMR
zip 89149
safmr
2
$2,060
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 110
3
$3,146
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 90
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 89149
safmr
3
$2,860
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 110
4
$3,608
2025-10-01
HUD_USER_SAFMR
zip 89149
payment standard 90
4
$2,952
2025-10-01
HUD_USER_SAFMR
zip 89149
safmr
4
$3,280
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.