Reads as: riskier than 29.6% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
MCCUE TAMARA
10 facilities
connection
Owner spans multiple chains
5 chains
HEALTH DIMENSIONS CONSULTING INC
14 facilities
connection
Owner fleet enforcement cluster
73% fined
SMOOT KENNETH
11 facilities
connection
Owner fleet enforcement cluster
73% fined
ASCENSION HEALTH SENIOR CARE
11 facilities
connection
Owner fleet enforcement cluster
73% fined
MUSGRAVE LISA
11 facilities
connection
Owner fleet enforcement cluster
73% fined
SHADBOLT ERIN
11 facilities
connection
Owner fleet enforcement cluster
57% fined
MEDICAL SOLUTIONS LLC
14 facilities
connection
Owner fleet enforcement cluster
46% fined
MCCUE TAMARA
13 facilities
connection
Owner fleet enforcement cluster
40% fined
HEALTH DIMENSIONS CONSULTING INC
20 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
KS median
National median
National p25–p75
Total nurse
3.96
3.03
3.28
2.90–3.77
RN
0.80
0.44
0.39
0.25–0.58
Weekend total
3.83
2.87
3.11
—
Weekday total
4.01
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.9
3.96
0.80
0.97
2.18
3.83
0.0%
2025Q3
92
70.5
3.80
0.69
1.05
2.06
3.73
0.0%
2025Q2
91
71.5
3.90
0.71
0.96
2.23
3.84
0.3%
2025Q1
90
74.6
3.76
0.65
0.92
2.19
3.65
0.9%
2024Q4
92
78.8
3.60
0.67
0.88
2.06
3.46
2.6%
2024Q3
92
69.5
3.88
0.66
0.97
2.25
3.75
2.7%
2024Q2
91
71.7
3.65
0.68
0.93
2.05
3.46
1.5%
2024Q1
91
76.3
3.69
0.60
0.96
2.13
3.51
7.0%
2023Q4
92
72.5
3.84
0.62
0.99
2.23
3.69
8.9%
2023Q3
92
72.2
3.58
0.63
0.96
1.99
3.40
8.0%
2023Q2
91
59.4
3.61
0.47
1.19
1.95
3.46
5.2%
2023Q1
90
57.8
3.47
0.50
1.08
1.89
3.27
1.1%
2022Q4
92
65.3
3.27
0.52
0.81
1.93
3.13
1.4%
2022Q3
92
68.4
3.48
0.54
0.83
2.11
3.40
0.0%
2022Q2
91
67.3
3.52
0.54
0.79
2.19
3.40
0.0%
2022Q1
90
60.7
3.71
0.61
0.94
2.16
3.56
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2026-03-15
2026-02-11
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-03-15
2026-02-11
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-03-15
2026-02-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-15
2026-02-11
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2026-03-15
2026-02-11
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-03-15
2026-02-11
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-03-15
2026-02-11
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
C
2026-03-15
2025-09-23
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-10-22
2024-06-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-07-15
2024-04-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-27
2024-04-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-27
2024-04-04
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-04-27
2024-04-04
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
2024-04-27
2024-04-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-04-27
2024-04-04
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2024-04-27
2022-04-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-05-18
2022-04-11
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
2022-05-18
2022-04-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-05-18
2022-04-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-05-18
2022-04-11
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-05-18
2022-04-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-05-18
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
20
Owner
Role
Pct
From
Status
Source
ASCENSION HEALTH SENIOR CARE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-07-01
current
pecos_ownership
ASCENSION HEALTH SENIOR CARE
ADP OF THE SNF
—
2015-07-01
current
pecos_ownership
HEALTH DIMENSIONS CONSULTING INC
ADP OF THE SNF
—
2019-08-02
current
pecos_ownership
INTERIM HEALTH CARE OF WICHITA INC
ADP OF THE SNF
—
2023-03-08
current
pecos_ownership
LOYD, MICHAIL
ADP OF THE SNF
—
2024-10-30
current
pecos_ownership
MCCUE, TAMARA
ADP OF THE SNF
—
2023-12-02
current
pecos_ownership
MEDICAL SOLUTIONS LLC
ADP OF THE SNF
—
2017-06-17
current
pecos_ownership
MUSGRAVE, LISA
CORPORATE DIRECTOR
—
2023-04-25
current
pecos_ownership
MUSGRAVE, LISA
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
SHADBOLT, ERIN
CORPORATE OFFICER
—
2023-02-28
current
pecos_ownership
SHADBOLT, ERIN
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
SMOOT, KENNETH
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
WEISS STAFFING SOLUTIONS
ADP OF THE SNF
—
2022-10-20
current
pecos_ownership
ERIN SHADBOLT
CORPORATE OFFICER
—
2023-02-28
ended 2026-05-18
pecos_ownership
ERIN SHADBOLT
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
KENNETH SMOOT
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
LISA MUSGRAVE
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
LISA MUSGRAVE
CORPORATE DIRECTOR
—
2023-04-25
ended 2026-05-18
pecos_ownership
MICHAIL LOYD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-30
ended 2026-05-18
pecos_ownership
TAMARA MCCUE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-02
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$2,958,138
—
—
—
$759,455
0
—
2024-06-30
$2,399,561
—
—
—
$653,757
0
—
2023-06-30
$2,534,770
—
—
—
$731,940
0
—
2022-06-30
$2,297,698
—
—
—
$637,631
0
—
2021-06-30
$2,307,034
—
—
—
$766,574
0
—
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 20173
acs median gross
0
$793
2024-12-31
CENSUS_ACS5
county 20173
fmr
0
$782
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 20173
fmr
1
$849
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
2
$1,007
2024-12-31
CENSUS_ACS5
county 20173
fmr
2
$1,099
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
3
$1,258
2024-12-31
CENSUS_ACS5
county 20173
fmr
3
$1,444
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
4
$1,539
2024-12-31
CENSUS_ACS5
county 20173
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 20173
acs median gross
5
$1,589
2024-12-31
CENSUS_ACS5
county 20173
acs median gross
$998
2024-12-31
CENSUS_ACS5
county 20173
acs recent mover gross
$1,074
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
0
$1,149
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
1
$1,220
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
2
$1,132
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
3
$1,538
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
4
$1,326
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
5
$2,078
2024-12-31
CENSUS_ACS5
zcta 67205
acs median gross
$1,286
2024-12-31
CENSUS_ACS5
zcta 67205
acs recent mover gross
$1,431
2024-12-31
CENSUS_ACS5
zip 67205
payment standard 110
0
$1,243
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 90
0
$1,017
2025-10-01
HUD_USER_SAFMR
zip 67205
safmr
0
$1,130
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 67205
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 110
2
$1,749
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 90
2
$1,431
2025-10-01
HUD_USER_SAFMR
zip 67205
safmr
2
$1,590
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 67205
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 110
4
$2,838
2025-10-01
HUD_USER_SAFMR
zip 67205
payment standard 90
4
$2,322
2025-10-01
HUD_USER_SAFMR
zip 67205
safmr
4
$2,580
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.