Reads as: riskier than 39.9% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.8 vs natl
WEST CHRISTIAN
31 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
ROBERTSON BRETT
31 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
FRAGOSO LINDSAY
31 facilities
connection
Owner fleet risk far above national
+21.4 vs natl
ESPINOSA STEPHANIE
29 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
SAMUELIAN SPENCER
31 facilities
connection
Owner fleet enforcement cluster
56% fined
MARRIOTT STEPHEN
9 facilities
connection
Owner fleet enforcement cluster
50% fined
MONUMENT HEALTH GROUP LLC
10 facilities
connection
Owner fleet enforcement cluster
46% fined
CLAWSON TRAVIS
11 facilities
connection
Owner fleet enforcement cluster
44% fined
MONUMENT HEALTH PROPERTIES LLC
9 facilities
connection
Owner fleet enforcement cluster
40% fined
MURRAY BRIAN
15 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
UT median
National median
National p25–p75
Total nurse
2.90
3.19
3.28
2.90–3.77
RN
0.52
0.78
0.39
0.25–0.58
Weekend total
2.73
3.04
3.11
—
Weekday total
2.97
3.25
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
64.4
2.90
0.52
0.48
1.91
2.73
6.4%
2025Q3
92
64.1
2.95
0.73
0.30
1.92
2.63
12.0%
2025Q2
91
57.4
3.18
0.93
0.17
2.08
2.93
23.9%
2025Q1
90
46.8
1.59
0.47
0.13
1.00
1.41
12.3%
2024Q4
92
41.2
3.11
0.79
0.31
2.02
2.96
20.5%
2024Q3
92
41.5
3.02
0.72
0.37
1.93
2.84
19.0%
2024Q2
91
38.5
3.14
0.66
0.43
2.05
2.96
23.0%
2024Q1
91
39.9
3.00
0.64
0.44
1.91
2.85
25.7%
2023Q4
92
43.2
2.72
0.66
0.41
1.66
2.63
47.3%
2023Q3
92
41.3
2.82
0.56
0.71
1.54
2.54
41.1%
2023Q2
91
35.4
3.46
0.80
0.88
1.78
3.21
40.6%
2023Q1
90
37.5
3.43
0.78
0.76
1.89
3.24
43.8%
2022Q4
92
40.9
3.27
0.72
0.74
1.80
3.27
41.5%
2022Q3
92
43.2
3.33
0.66
0.81
1.86
3.24
47.4%
2022Q2
91
43.7
3.50
0.60
0.98
1.92
3.37
46.8%
2022Q1
90
52.5
3.30
0.63
0.75
1.92
3.05
43.5%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2024-12-16
2024-12-16
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2024-12-16
2022-08-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2022-09-09
2022-08-17
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2022-09-09
2022-08-17
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-09-09
2022-08-17
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2022-09-09
2022-08-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-09-09
2022-08-17
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.
D
2022-09-09
2022-08-17
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-09-09
2022-08-17
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.
D
2022-09-09
2022-08-17
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-09-09
2022-08-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-09-09
2020-02-25
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
H
2020-07-25
2020-02-25
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2020-07-25
2020-02-25
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2020-07-25
2020-02-25
Health
F0610
Respond appropriately to all alleged violations.
E
2020-07-25
2020-02-25
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
2020-07-25
2020-02-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2020-07-25
2020-02-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2020-07-25
2020-02-25
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2020-07-25
2020-02-25
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
E
2020-07-25
2020-02-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-07-25
2020-02-25
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
E
2020-07-25
2020-02-25
Health
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
E
2020-07-25
2020-02-25
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2020-07-25
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
40
Owner
Role
Pct
From
Status
Source
MONUMENT PROPERTIES LLC
Other (financial or non-financial)
47%
2024-07-01
current
hcris_a_8_1
2730 EAST 3300 SOUTH PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
18%
2023-07-01
current
hcris_a_8_1
2730 EAST 3300 SOUTH PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
18%
2024-07-01
current
hcris_a_8_1
BALSER, BRANDON
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
CLAWSON, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
ESPINOSA, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
FRAGOSO, LINDSAY
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
GALINDO, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
GUNNISON VALLEY HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
GUNNISON VALLEY HOSPITAL
ADP OF THE SNF
—
2025-08-21
current
pecos_ownership
HEALTH GROUP MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
HEALTH GROUP MANAGEMENT LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
MARRIOTT, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
MONUMENT HEALTH GROUP LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
MONUMENT HEALTH GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
MONUMENT HEALTH PROPERTIES LLC
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
MONUMENT REAL ESTATE CANYON RIM LLC
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
MURRAY, BRIAN
ADP OF THE SNF
—
2020-07-01
current
pecos_ownership
ROBERTSON, BRETT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
SAMUELIAN, SPENCER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
current
pecos_ownership
SEASTRAND, JASON
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
TONGA, ELAINE
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
WEST, CHRISTIAN
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
GUNNISON VALLEY HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-07-01
ended 2026-05-18
pecos_ownership
2730 EAST 3300 SOUTH PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
18%
2022-07-01
ended 2023-06-30
hcris_a_8_1
BRIAN MURRAY
CORPORATE OFFICER
0%
2020-07-01
ended 2026-05-18
pecos_ownership
BRANDON BALSER
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
BRETT ROBERTSON
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
CANYON RIM - REALTY LLC
Other (financial or non-financial)
—
2021-07-01
ended 2022-06-30
hcris_a_8_1
CANYON RIM - REALTY LLC
Other (financial or non-financial)
—
2020-07-01
ended 2021-06-30
hcris_a_8_1
CANYON RIM - REALTY LLC
Other (financial or non-financial)
—
2022-07-01
ended 2023-06-30
hcris_a_8_1
CHRISTIAN WEST
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
ended 2026-05-18
pecos_ownership
ELAINE TONGA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
ended 2026-05-18
pecos_ownership
JASON SEASTRAND
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
LINDSAY FRAGOSO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
ended 2026-05-18
pecos_ownership
MICHAEL GALINDO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
ended 2026-05-18
pecos_ownership
SPENCER SAMUELIAN
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
STEPHANIE ESPINOSA
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
STEPHEN MARRIOTT
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
TRAVIS CLAWSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-07
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
$2,945,544
—
—
—
$864,938
36
propco
2024-06-30
$3,449,647
—
—
—
$1,388,798
18
propco
2023-06-30
$2,592,666
—
—
—
$1,238,650
17
propco
2022-06-30
$2,904,365
—
—
—
$1,855,447
3
propco
2021-06-30
$2,615,148
—
—
—
$1,632,262
3
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 49035
acs median gross
0
$1,256
2024-12-31
CENSUS_ACS5
county 49035
fmr
0
$1,259
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
1
$1,328
2024-12-31
CENSUS_ACS5
county 49035
fmr
1
$1,456
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
2
$1,605
2024-12-31
CENSUS_ACS5
county 49035
fmr
2
$1,747
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
3
$1,930
2024-12-31
CENSUS_ACS5
county 49035
fmr
3
$2,333
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
4
$2,187
2024-12-31
CENSUS_ACS5
county 49035
fmr
4
$2,666
2025-10-01
HUD_USER_FMR
county 49035
acs median gross
5
$2,322
2024-12-31
CENSUS_ACS5
county 49035
acs median gross
$1,592
2024-12-31
CENSUS_ACS5
county 49035
acs recent mover gross
$1,743
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
1
$1,471
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
2
$1,616
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
3
$2,026
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
4
$2,219
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
5
$2,679
2024-12-31
CENSUS_ACS5
zcta 84109
acs median gross
$1,639
2024-12-31
CENSUS_ACS5
zcta 84109
acs recent mover gross
$1,695
2024-12-31
CENSUS_ACS5
zip 84109
payment standard 110
0
$1,551
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 90
0
$1,269
2025-10-01
HUD_USER_SAFMR
zip 84109
safmr
0
$1,410
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 110
1
$1,793
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 90
1
$1,467
2025-10-01
HUD_USER_SAFMR
zip 84109
safmr
1
$1,630
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 110
2
$2,156
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 90
2
$1,764
2025-10-01
HUD_USER_SAFMR
zip 84109
safmr
2
$1,960
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 110
3
$2,882
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 90
3
$2,358
2025-10-01
HUD_USER_SAFMR
zip 84109
safmr
3
$2,620
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 110
4
$3,289
2025-10-01
HUD_USER_SAFMR
zip 84109
payment standard 90
4
$2,691
2025-10-01
HUD_USER_SAFMR
zip 84109
safmr
4
$2,990
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.