Reads as: riskier than 89.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner fleet enforcement cluster
46% fined
GHC HOLDINGS LLC
11 facilities
connection
Owner fleet enforcement cluster
44% fined
FC GEN OPERATIONS INVESTMENT LLC
23 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
WV median
National median
National p25–p75
Total nurse
3.00
3.14
3.28
2.90–3.77
RN
0.24
0.37
0.39
0.25–0.58
Weekend total
2.95
2.97
3.11
—
Weekday total
3.02
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.4
3.00
0.24
0.91
1.85
2.95
0.0%
2025Q3
92
54.3
2.90
0.24
0.91
1.75
2.74
0.0%
2025Q2
91
53.6
2.87
0.33
0.89
1.64
2.73
0.0%
2025Q1
90
56.0
2.95
0.31
0.88
1.76
2.87
0.0%
2024Q4
92
54.6
3.04
0.39
0.86
1.79
2.85
0.0%
2024Q3
92
54.4
2.99
0.51
0.72
1.75
2.74
0.0%
2024Q2
91
54.5
3.07
0.41
0.84
1.82
2.84
0.0%
2024Q1
91
54.8
3.15
0.41
0.89
1.85
2.94
0.0%
2023Q4
92
54.6
3.11
0.51
0.81
1.79
2.87
0.0%
2023Q3
92
54.2
3.28
0.54
0.88
1.86
2.99
0.0%
2023Q2
91
54.6
3.20
0.46
0.97
1.77
2.77
0.0%
2023Q1
90
54.7
3.15
0.47
0.89
1.78
2.75
1.1%
2022Q4
92
53.8
3.04
0.46
0.91
1.67
2.69
3.0%
2022Q3
92
54.3
2.88
0.23
0.78
1.87
2.74
0.8%
2022Q2
91
51.8
3.01
0.28
0.90
1.83
2.88
0.0%
2022Q1
90
52.3
3.04
0.33
0.91
1.80
2.92
0.6%
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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-02-18
2026-01-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2026-02-18
2026-01-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-18
2026-01-21
Health
F0732
Post nurse staffing information every day.
D
2026-02-18
2026-01-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-18
2026-01-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-18
2024-11-21
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-01-09
2024-11-21
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-01-09
2024-11-21
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
2025-01-09
2024-11-21
Health
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
2025-01-09
2024-11-21
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-01-09
2024-11-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-09
2024-11-21
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-01-09
2024-11-21
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-02-05
2024-11-21
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-01-09
2024-11-21
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2025-01-09
2024-11-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-01-09
2024-11-21
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-01-09
2024-11-21
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-01-16
2024-11-21
Health
F0760
Ensure that residents are free from significant medication errors.
E
2025-01-09
2024-11-21
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2025-01-09
2024-11-21
Health
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
2024-11-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-09
2023-02-15
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2023-03-15
2023-02-15
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-03-15
2023-02-15
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2023-03-15
2023-02-15
Health
F0641
Ensure each resident receives an accurate assessment.
F
2023-03-15
2023-02-15
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-03-15
2023-02-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-03-15
2023-02-15
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2023-03-15
2023-02-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-03-15
2023-02-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-03-15
2023-02-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-03-15
2023-02-15
Health
F0885
Report COVID19 data to residents and families.
E
2023-03-15
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
45
Owner
Role
Pct
From
Status
Source
GENESIS WV HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-04-01
current
pecos_ownership
BERG, MICHAEL
CORPORATE OFFICER
—
2015-03-02
current
pecos_ownership
BRIDGEFORD, LAURA
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GEN OPERATIONS I LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GEN OPERATIONS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GEN OPERATIONS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GEN OPERATIONS II LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GENESIS HEALTHCARE INC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GENESIS HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HEALTHCARE LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GENESIS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HOLDINGS LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GENESIS OPERATIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS OPERATIONS LLC
ADP OF THE SNF
—
2025-10-14
current
pecos_ownership
GENESIS WV HOLDINGS LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
GHC HOLDINGS LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
MARSHALL, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-05
current
pecos_ownership
MARSHALL, CHRISTOPHER
ADP OF THE SNF
—
2025-10-10
current
pecos_ownership
MENDELSON, AVI
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
PAINE, WARD
ADP OF THE SNF
—
2025-10-10
current
pecos_ownership
PAINE, WARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
current
pecos_ownership
SUN HEALTHCARE GROUP INC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
SUN HEALTHCARE GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
WHITMAN, ARNOLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
ZAC PROPERTIES XI LLC
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
AVI MENDELSON
CORPORATE OFFICER
100%
2024-06-01
ended 2026-05-18
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-02-02
ended 2026-05-18
pecos_ownership
GHC HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-02-02
ended 2026-05-18
pecos_ownership
LAURA BRIDGEFORD
CORPORATE OFFICER
100%
2024-06-01
ended 2026-05-18
pecos_ownership
MICHAEL BERG
CORPORATE OFFICER
100%
2015-03-02
ended 2026-05-18
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2015-02-02
ended 2026-05-18
pecos_ownership
STEVEN FISHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2015-02-02
ended 2026-05-18
pecos_ownership
ZAC PROPERTIES XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2015-02-02
ended 2026-05-18
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2016-01-01
ended 2026-05-18
pecos_ownership
WELLTOWER OP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2024-03-01
ended 2026-05-18
pecos_ownership
ARNOLD WHITMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
ended 2026-05-18
pecos_ownership
CHRISTOPHER MARSHALL
ADP OF THE SNF
—
2025-10-10
ended 2026-05-18
pecos_ownership
CHRISTOPHER MARSHALL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-05
ended 2026-05-18
pecos_ownership
WARD PAINE
ADP OF THE SNF
—
2025-10-10
ended 2026-05-18
pecos_ownership
WARD PAINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
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
2025-06-30
$3,311,876
$2,138,288
$416,901
$709,514
—
7
—
2024-06-30
$3,146,442
$2,047,603
$390,569
$655,950
—
7
—
2023-06-30
$870,541
$352,696
$405,592
—
$62,654
5
—
2022-06-30
$626,539
—
—
$521,075
$60,682
7
—
2021-06-30
$1,164,660
—
$423,005
$568,139
$124,691
9
—
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 54061
acs median gross
0
$683
2024-12-31
CENSUS_ACS5
county 54061
fmr
0
$871
2025-10-01
HUD_USER_FMR
county 54061
acs median gross
1
$835
2024-12-31
CENSUS_ACS5
county 54061
fmr
1
$877
2025-10-01
HUD_USER_FMR
county 54061
acs median gross
2
$1,070
2024-12-31
CENSUS_ACS5
county 54061
fmr
2
$1,099
2025-10-01
HUD_USER_FMR
county 54061
acs median gross
3
$1,219
2024-12-31
CENSUS_ACS5
county 54061
fmr
3
$1,318
2025-10-01
HUD_USER_FMR
county 54061
acs median gross
4
$1,323
2024-12-31
CENSUS_ACS5
county 54061
fmr
4
$1,657
2025-10-01
HUD_USER_FMR
county 54061
acs median gross
5
$1,266
2024-12-31
CENSUS_ACS5
county 54061
acs median gross
$987
2024-12-31
CENSUS_ACS5
county 54061
acs recent mover gross
$1,066
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
0
$842
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
1
$835
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
2
$1,073
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
3
$1,323
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
4
$1,443
2024-12-31
CENSUS_ACS5
zcta 26508
acs median gross
$1,011
2024-12-31
CENSUS_ACS5
zcta 26508
acs recent mover gross
$1,203
2024-12-31
CENSUS_ACS5
zip 26508
payment standard 110
0
$1,023
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 90
0
$837
2025-10-01
HUD_USER_SAFMR
zip 26508
safmr
0
$930
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 26508
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 110
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 90
2
$1,053
2025-10-01
HUD_USER_SAFMR
zip 26508
safmr
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 26508
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 110
4
$1,936
2025-10-01
HUD_USER_SAFMR
zip 26508
payment standard 90
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 26508
safmr
4
$1,760
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.