Reads as: riskier than 58.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
LIFE CARE SERVICES LLC
58 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
NC median
National median
National p25–p75
Total nurse
3.24
3.08
3.28
2.90–3.77
RN
0.44
0.30
0.39
0.25–0.58
Weekend total
2.84
2.93
3.11
—
Weekday total
3.40
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.4
3.24
0.44
0.07
2.74
2.84
0.0%
2025Q3
92
52.3
3.07
0.40
0.07
2.61
2.83
0.0%
2025Q2
91
54.2
2.96
0.30
0.07
2.59
2.79
0.0%
2025Q1
90
54.0
3.02
0.24
0.10
2.67
2.88
0.0%
2024Q4
92
54.9
3.31
0.41
0.16
2.75
3.08
0.0%
2024Q3
92
56.9
3.11
0.38
0.16
2.58
2.87
0.0%
2024Q2
91
54.3
4.70
0.27
0.30
4.13
3.55
0.1%
2024Q1
91
52.8
3.57
0.30
0.21
3.05
3.00
0.0%
2023Q4
92
52.7
4.06
0.39
0.22
3.46
3.43
0.0%
2023Q3
92
51.1
3.90
0.48
0.21
3.22
3.05
0.0%
2023Q2
91
42.3
4.16
0.54
0.12
3.50
4.02
0.0%
2023Q1
90
35.0
4.20
0.58
0.13
3.49
3.94
0.0%
2022Q4
92
42.8
3.55
0.58
0.09
2.87
3.30
2.7%
2022Q3
92
46.7
3.75
0.59
0.10
3.06
3.67
0.0%
2022Q2
91
24.5
4.71
0.78
0.14
3.79
4.37
0.0%
2022Q1
90
14.1
7.03
0.54
1.82
4.67
6.15
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.
Assist a resident in gaining access to vision and hearing services.
D
2025-05-07
2025-04-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-05-07
2025-04-17
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2025-05-07
2025-04-17
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-10-29
2025-04-17
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
E
2025-05-07
2025-04-17
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-07
2022-08-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-08-25
2022-08-05
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-08-17
2022-08-05
Health
F0880
Provide and implement an infection prevention and control program.
K
2022-08-26
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
MASONIC AND EASTERN STAR HOME OF NORTH CAROLINA, INCORPORATED
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BAILEY, GILBERT
CORPORATE DIRECTOR
—
2025-02-14
current
pecos_ownership
BROWNING, JERRY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
BURRIS, LINDA
CORPORATE DIRECTOR
—
2020-06-14
current
pecos_ownership
EDWARDS, DENNIS
CORPORATE OFFICER
—
2023-06-14
current
pecos_ownership
FISCHER, AMY -JO
CORPORATE DIRECTOR
—
2023-06-14
current
pecos_ownership
GRIFFITH, DAVID
CORPORATE DIRECTOR
—
2020-02-01
current
pecos_ownership
HILLEGASS, JOSHUA
ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
HILLEGASS, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-03
current
pecos_ownership
HUGHES, JAMES
CORPORATE DIRECTOR
—
2019-06-14
current
pecos_ownership
JERNIGAN, GENE
CORPORATE DIRECTOR
—
2011-06-28
current
pecos_ownership
JOHNSON, EDWARD
CORPORATE DIRECTOR
—
2021-09-18
current
pecos_ownership
LEWIS, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-15
current
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-04-24
current
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-01
current
pecos_ownership
MILLS, TOMMY
CORPORATE DIRECTOR
—
2024-12-14
current
pecos_ownership
NORRIS, STEVE
CORPORATE DIRECTOR
—
2024-02-14
current
pecos_ownership
OWEN, DEBRA
CORPORATE DIRECTOR
—
2024-06-11
current
pecos_ownership
PATTON, CARL
CORPORATE DIRECTOR
—
2023-01-14
current
pecos_ownership
PUBLIC FINANCE AUTHORITY
5% OR GREATER MORTGAGE INTEREST
—
2020-09-01
current
pecos_ownership
RIDEOUT, ROBERT
CORPORATE DIRECTOR
—
2023-02-14
current
pecos_ownership
SAWYER, DAVID
CORPORATE DIRECTOR
—
2022-02-04
current
pecos_ownership
SLADE-HARTMAN, VENEZELA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-15
current
pecos_ownership
SLADE-HARTMAN, VENEZELA
ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
TRANSOU, JOSEPH
CORPORATE DIRECTOR
—
2022-02-01
current
pecos_ownership
UNDERWOOD, NORMA
CORPORATE DIRECTOR
—
2024-06-12
current
pecos_ownership
WEBSTER, BRYANT
CORPORATE DIRECTOR
—
2002-12-14
current
pecos_ownership
WELLS, EDWARD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
AMY -JO FISCHER
CORPORATE DIRECTOR
0%
2023-06-14
ended 2026-05-18
pecos_ownership
BRYANT WEBSTER
CORPORATE DIRECTOR
0%
2002-12-14
ended 2026-05-18
pecos_ownership
CARL PATTON
CORPORATE DIRECTOR
0%
2023-01-14
ended 2026-05-18
pecos_ownership
DAVID GRIFFITH
CORPORATE DIRECTOR
0%
2020-02-01
ended 2026-05-18
pecos_ownership
DAVID SAWYER
CORPORATE DIRECTOR
0%
2022-02-04
ended 2026-05-18
pecos_ownership
DEBRA OWEN
CORPORATE DIRECTOR
0%
2024-06-11
ended 2026-05-18
pecos_ownership
DENNIS EDWARDS
CORPORATE DIRECTOR
0%
2023-06-14
ended 2026-05-18
pecos_ownership
EDWARD JOHNSON
CORPORATE DIRECTOR
0%
2021-09-18
ended 2026-05-18
pecos_ownership
EDWARD WELLS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
GENE JERNIGAN
CORPORATE OFFICER
0%
2011-06-28
ended 2026-05-18
pecos_ownership
GILBERT BAILEY
CORPORATE DIRECTOR
0%
2025-02-14
ended 2026-05-18
pecos_ownership
JAMES HUGHES
CORPORATE DIRECTOR
0%
2019-06-14
ended 2026-05-18
pecos_ownership
JERRY BROWNING
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
JOSEPH TRANSOU
CORPORATE DIRECTOR
0%
2022-02-01
ended 2026-05-18
pecos_ownership
LINDA BURRIS
CORPORATE DIRECTOR
0%
2020-06-14
ended 2026-05-18
pecos_ownership
MARK LEWIS
OPERATIONAL/MANAGERIAL CONTROL
0%
2018-03-15
ended 2026-05-18
pecos_ownership
NORMA UNDERWOOD
CORPORATE DIRECTOR
0%
2024-06-12
ended 2026-05-18
pecos_ownership
ROBERT RIDEOUT
CORPORATE DIRECTOR
0%
2023-02-14
ended 2026-05-18
pecos_ownership
STEVE NORRIS
CORPORATE DIRECTOR
0%
2024-02-14
ended 2026-05-18
pecos_ownership
TOMMY MILLS
CORPORATE DIRECTOR
0%
2024-12-14
ended 2026-05-18
pecos_ownership
JOSHUA HILLEGASS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-03
ended 2026-05-18
pecos_ownership
JOSHUA HILLEGASS
ADP OF THE SNF
—
2026-02-02
ended 2026-05-18
pecos_ownership
VENEZELA SLADE-HARTMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-15
ended 2026-05-18
pecos_ownership
VENEZELA SLADE-HARTMAN
ADP OF THE SNF
—
2026-02-02
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 37081
acs median gross
0
$1,077
2024-12-31
CENSUS_ACS5
county 37081
fmr
0
$1,159
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
1
$1,040
2024-12-31
CENSUS_ACS5
county 37081
fmr
1
$1,213
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
2
$1,122
2024-12-31
CENSUS_ACS5
county 37081
fmr
2
$1,330
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
3
$1,358
2024-12-31
CENSUS_ACS5
county 37081
fmr
3
$1,703
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
4
$1,655
2024-12-31
CENSUS_ACS5
county 37081
fmr
4
$1,960
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
5
$2,116
2024-12-31
CENSUS_ACS5
county 37081
acs median gross
$1,163
2024-12-31
CENSUS_ACS5
county 37081
acs recent mover gross
$1,374
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
0
$1,112
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
1
$936
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
2
$1,141
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
3
$1,416
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
4
$1,687
2024-12-31
CENSUS_ACS5
zcta 27407
acs median gross
$1,154
2024-12-31
CENSUS_ACS5
zcta 27407
acs recent mover gross
$1,402
2024-12-31
CENSUS_ACS5
zip 27407
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 27407
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 27407
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 27407
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 110
3
$2,024
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 90
3
$1,656
2025-10-01
HUD_USER_SAFMR
zip 27407
safmr
3
$1,840
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 110
4
$2,332
2025-10-01
HUD_USER_SAFMR
zip 27407
payment standard 90
4
$1,908
2025-10-01
HUD_USER_SAFMR
zip 27407
safmr
4
$2,120
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.