Reads as: riskier than 40.8% 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
15
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+20.2 vs natl
SHARON ROBERT
34 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner fleet enforcement cluster
57% fined
TOOTHMAN JAMES
7 facilities
connection
Owner fleet enforcement cluster
55% fined
CHARLES FRANKLIN LLC
11 facilities
connection
Owner fleet enforcement cluster
53% fined
PAAR 108 LLC
15 facilities
connection
Owner fleet enforcement cluster
50% fined
SNW LLC
22 facilities
connection
Owner fleet enforcement cluster
50% fined
HEMANT SHAH 2018 IRREVOCABLE TRUST
12 facilities
connection
Owner fleet enforcement cluster
46% fined
PINAL R PATEL 2017 IRREVOCABLE TRUST F B O ANSH R PATEL
13 facilities
connection
Owner fleet enforcement cluster
46% fined
PINAL R PATEL 2017 IRREVOCABLE TRUST F B O AARNA R PATEL
13 facilities
connection
Owner fleet enforcement cluster
46% fined
RAJAN G PATEL 2020 IRR FAM TR UAD 12 3 2020
13 facilities
connection
Owner fleet enforcement cluster
44% fined
SHAH HEMANT
27 facilities
connection
Owner fleet enforcement cluster
44% fined
DUNN CHARLES
27 facilities
connection
Owner fleet enforcement cluster
43% fined
PINAL R PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10 6 2020
14 facilities
connection
Owner fleet enforcement cluster
42% fined
OPTUM MANAGEMENT SOLUTIONS INC
36 facilities
connection
Owner fleet enforcement cluster
42% fined
PATEL RAJAN
36 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
OH median
National median
National p25–p75
Total nurse
3.10
3.24
3.28
2.90–3.77
RN
0.41
0.38
0.39
0.25–0.58
Weekend total
3.10
3.11
3.11
—
Weekday total
3.10
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.8
3.10
0.41
0.61
2.08
3.10
0.0%
2025Q3
92
81.0
2.96
0.33
0.66
1.97
2.86
0.0%
2025Q2
91
79.9
3.24
0.38
0.76
2.09
3.06
0.0%
2025Q1
90
83.6
3.18
0.34
0.77
2.06
3.11
0.0%
2024Q4
92
84.7
3.24
0.32
0.80
2.12
3.11
0.0%
2024Q3
92
86.6
3.16
0.34
0.72
2.10
3.03
0.3%
2024Q2
91
85.0
3.10
0.36
0.67
2.06
2.98
0.1%
2024Q1
91
84.6
3.03
0.41
0.63
1.99
2.88
5.7%
2023Q4
92
80.3
3.18
0.43
0.62
2.13
2.95
12.8%
2023Q3
92
79.3
2.96
0.38
0.68
1.90
2.71
20.2%
2023Q2
91
71.9
3.09
0.46
0.72
1.92
2.91
34.1%
2023Q1
90
70.7
3.11
0.50
0.66
1.95
2.91
25.5%
2022Q4
92
71.7
2.62
0.41
0.60
1.62
2.47
10.3%
2022Q3
92
67.8
2.27
0.21
0.46
1.60
2.12
2.4%
2022Q2
91
64.0
2.60
0.14
0.68
1.78
2.18
0.0%
2022Q1
90
61.9
2.94
0.41
0.64
1.89
2.66
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
19
D × 17E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-07-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-05
2024-02-12
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-03-15
2024-02-12
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-03-15
2024-02-12
Health
F0610
Respond appropriately to all alleged violations.
D
2024-03-15
2024-02-12
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-03-15
2024-02-12
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
2024-03-15
2024-02-12
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
2024-03-15
2024-02-12
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-03-15
2024-02-12
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-03-15
2024-02-12
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
2024-03-15
2024-02-12
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2024-03-15
2024-02-12
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-03-15
2024-02-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-15
2024-02-12
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-03-15
2022-06-16
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2022-07-08
2022-06-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-07-08
2022-06-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-08
2022-06-16
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
2022-07-08
2022-06-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-07-08
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
35
Owner
Role
Pct
From
Status
Source
OM HOLDCO 4 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-17
current
pecos_ownership
CHARLES FRANKLIN LLC
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DUNN, CHARLES
ADP OF THE SNF
—
2007-10-01
current
pecos_ownership
DUNN, CHARLES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
DUNN, CHARLES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-17
current
pecos_ownership
EAST WEST BANK
5% OR GREATER MORTGAGE INTEREST
—
2022-10-17
current
pecos_ownership
EVANS, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
current
pecos_ownership
EVANS, JOHN
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
FRUM, AMBER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
current
pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
OM NOTE HOLDCO 4 LLC
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
PAAR 108 LLC
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
PATEL, RAJAN
MANAGING CONTROL - GOVERNING BODY
—
2022-10-17
current
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
ADP OF THE SNF
—
2022-10-17
current
pecos_ownership
SCHLAUPITZ MADHAVAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SHAH, HEMANT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
SHARON, ROBERT
ADP OF THE SNF
—
2024-05-13
current
pecos_ownership
SNW LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-17
current
pecos_ownership
TOOTHMAN, JAMES
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
TOOTHMAN, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
current
pecos_ownership
CHARLES DUNN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-10-17
ended 2026-05-18
pecos_ownership
AMBER FRUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
ended 2026-05-18
pecos_ownership
CHARLES DUNN
ADP OF THE SNF
—
2007-10-01
ended 2026-05-18
pecos_ownership
JAMES TOOTHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
ended 2026-05-18
pecos_ownership
JAMES TOOTHMAN
ADP OF THE SNF
—
2025-04-30
ended 2026-05-18
pecos_ownership
JOHN EVANS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-17
ended 2026-05-18
pecos_ownership
JOHN EVANS
ADP OF THE SNF
—
2025-04-30
ended 2026-05-18
pecos_ownership
RAJAN PATEL
MANAGING CONTROL - GOVERNING BODY
—
2022-10-17
ended 2026-05-18
pecos_ownership
ROBERT SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-13
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
$475,268
—
$475,268
—
—
1
—
2023-12-31
$391,085
—
$391,085
—
—
1
—
2022-12-31
$1,007,467
—
$430,735
—
—
1
—
2021-12-31
$781,345
$213,698
$497,873
—
—
1
—
2020-12-31
$814,640
$241,718
$499,093
—
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 39053
acs median gross
0
$383
2024-12-31
CENSUS_ACS5
county 39053
fmr
0
$736
2025-10-01
HUD_USER_FMR
county 39053
acs median gross
1
$661
2024-12-31
CENSUS_ACS5
county 39053
fmr
1
$871
2025-10-01
HUD_USER_FMR
county 39053
acs median gross
2
$732
2024-12-31
CENSUS_ACS5
county 39053
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39053
acs median gross
3
$949
2024-12-31
CENSUS_ACS5
county 39053
fmr
3
$1,240
2025-10-01
HUD_USER_FMR
county 39053
acs median gross
4
$1,357
2024-12-31
CENSUS_ACS5
county 39053
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 39053
acs median gross
5
$979
2024-12-31
CENSUS_ACS5
county 39053
acs median gross
$813
2024-12-31
CENSUS_ACS5
county 39053
acs recent mover gross
$979
2024-12-31
CENSUS_ACS5
zcta 45614
acs median gross
3
$782
2024-12-31
CENSUS_ACS5
zcta 45614
acs median gross
$529
2024-12-31
CENSUS_ACS5
zip 45614
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 45614
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 45614
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 45614
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 45614
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 45614
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 45614
safmr
4
$1,640
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.