Reads as: riskier than 59.3% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+20.7 vs natl
MILLER DANIEL
14 facilities
connection
Owner spans multiple chains
9 chains
MILLER DANIEL
12 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
3.64
3.24
3.28
2.90–3.77
RN
0.42
0.38
0.39
0.25–0.58
Weekend total
3.54
3.11
3.11
—
Weekday total
3.69
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.8
3.64
0.42
0.72
2.51
3.54
10.6%
2025Q3
92
71.7
4.02
0.54
0.71
2.77
3.85
5.2%
2025Q2
91
73.1
4.07
0.62
0.70
2.76
3.87
8.1%
2025Q1
90
74.9
3.99
0.67
0.55
2.77
3.91
5.1%
2024Q4
92
74.5
4.01
0.60
0.64
2.76
3.92
10.8%
2024Q3
92
75.4
3.87
0.47
0.77
2.62
3.92
14.3%
2024Q2
91
76.6
3.68
0.30
0.84
2.54
3.67
10.5%
2024Q1
91
75.9
3.61
0.29
0.85
2.48
3.53
4.4%
2023Q4
92
73.4
3.89
0.31
0.90
2.67
3.76
7.6%
2023Q3
92
73.8
4.36
0.28
1.14
2.94
4.37
5.5%
2023Q2
91
70.9
4.57
0.24
1.25
3.08
4.55
5.9%
2023Q1
90
76.7
4.14
0.24
1.18
2.72
4.05
5.3%
2022Q4
92
74.4
3.63
0.09
0.91
2.63
3.55
4.5%
2022Q3
92
76.6
3.50
0.15
0.83
2.52
3.42
5.8%
2022Q2
91
75.2
3.32
0.10
0.83
2.39
3.24
5.8%
2022Q1
90
70.8
3.48
0.12
0.82
2.54
3.53
3.0%
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
20
D × 11E × 6F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-10-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-20
2024-10-31
Health
F0920
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
E
2024-11-20
2024-10-31
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-11-20
2024-02-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-19
2023-07-12
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-01
2022-03-28
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-05-06
2022-03-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2022-05-06
2022-03-28
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-05-06
2022-03-28
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2022-05-06
2022-03-28
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2022-05-06
2022-03-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-05-06
2022-03-28
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-05-06
2022-03-28
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2022-05-06
2022-03-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2022-05-06
2019-04-11
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2019-05-14
2019-04-11
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
2019-05-14
2019-04-11
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
2019-05-14
2019-04-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2019-05-14
2019-04-11
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
2019-05-14
2019-04-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-05-14
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
50
Owner
Role
Pct
From
Status
Source
BAILEY, PETER
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
BATES, TREVOR
CORPORATE DIRECTOR
—
2017-02-01
current
pecos_ownership
BENJAMIN, PAMELA
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
BILLS, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-26
current
pecos_ownership
BLACK, GEOFFREY
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
BOLLINGER, NATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-31
current
pecos_ownership
BRUBAKER, TAMRA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-19
current
pecos_ownership
BUNTING, DARRIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
BUNTING, DARRIN
ADP OF THE SNF
—
2026-04-27
current
pecos_ownership
CARMEN, KIM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-06
current
pecos_ownership
D'AGOSTINO, JOANNA
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
DURBIN, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-08
current
pecos_ownership
EUSANIO, VINCENT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
current
pecos_ownership
FARRELL, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
1996-01-26
current
pecos_ownership
GRAHAM, GEORGE
CORPORATE DIRECTOR
—
2025-06-01
current
pecos_ownership
GUESS, JAMES
CORPORATE DIRECTOR
—
2021-06-01
current
pecos_ownership
HAWES-SAUNDERS, RO NITA
CORPORATE DIRECTOR
—
2024-02-01
current
pecos_ownership
HENRY, JAMES
CORPORATE DIRECTOR
—
2019-06-01
current
pecos_ownership
HURWITZ, GLORIA
OPERATIONAL/MANAGERIAL CONTROL
—
2013-10-07
current
pecos_ownership
JAMES, JILL
CORPORATE DIRECTOR
—
2025-06-01
current
pecos_ownership
KELLEY, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-01
current
pecos_ownership
KLENZMAN, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-15
current
pecos_ownership
LAWSON, GRANT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-07
current
pecos_ownership
LEIMEISTER, MARCIA
OPERATIONAL/MANAGERIAL CONTROL
—
2002-04-25
current
pecos_ownership
LONG-HIGGINS, DAVID
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
LONG-HIGGINS, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-02
current
pecos_ownership
MAGHES, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-24
current
pecos_ownership
MERICLE, HOLLY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-10
current
pecos_ownership
MILLER, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-04
current
pecos_ownership
NADERHOFF, JUDITH
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-01
current
pecos_ownership
NAMETH, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-15
current
pecos_ownership
O'BRIEN, ROBIN
OPERATIONAL/MANAGERIAL CONTROL
—
2000-06-12
current
pecos_ownership
SANDMAN, ROBERT
CORPORATE DIRECTOR
—
2025-06-01
current
pecos_ownership
SLUTZ, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-01
current
pecos_ownership
SPITZNAGEL, TERESA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-15
current
pecos_ownership
TILLMAN, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-08-21
current
pecos_ownership
ULRICH, KARL
CORPORATE DIRECTOR
—
2016-06-01
current
pecos_ownership
WILLIAMS, SAMANTHA
OPERATIONAL/MANAGERIAL CONTROL
—
2014-10-01
current
pecos_ownership
WILLIAMS, STEPHANIE
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
WINFREY, LAPEARL
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
YOUNG, KENNETH
CORPORATE OFFICER
—
2025-02-07
current
pecos_ownership
CATHERINE GREEN
CORPORATE DIRECTOR
—
2014-12-31
ended 2026-05-18
pecos_ownership
JAMES HENRY
CORPORATE DIRECTOR
—
2014-12-31
ended 2026-05-18
pecos_ownership
JOHN RENNER
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-27
ended 2026-05-18
pecos_ownership
KEN KELLER
W-2 MANAGING EMPLOYEE
—
—
ended 2026-05-18
pecos_ownership
KENNETH DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2013-02-14
ended 2026-05-18
pecos_ownership
KENNETH DANIEL
CORPORATE OFFICER
—
2011-06-01
ended 2026-05-18
pecos_ownership
ROBERT KUTSCHBACH
CORPORATE DIRECTOR
—
2014-12-31
ended 2026-05-18
pecos_ownership
SUSAN SHEIDLER
CORPORATE DIRECTOR
—
2014-12-31
ended 2026-05-18
pecos_ownership
THOMAS BROWNFIELD
CORPORATE DIRECTOR
—
2014-12-31
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
$873,283
—
$873,283
—
—
0
—
2023-12-31
$752,469
—
$752,469
—
—
0
—
2022-12-31
$672,558
—
$672,558
—
—
0
—
2021-12-31
$597,343
—
$597,343
—
—
0
—
2020-12-31
$538,233
—
$538,233
—
—
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 39043
acs median gross
0
$703
2024-12-31
CENSUS_ACS5
county 39043
fmr
0
$854
2025-10-01
HUD_USER_FMR
county 39043
acs median gross
1
$721
2024-12-31
CENSUS_ACS5
county 39043
fmr
1
$886
2025-10-01
HUD_USER_FMR
county 39043
acs median gross
2
$944
2024-12-31
CENSUS_ACS5
county 39043
fmr
2
$1,106
2025-10-01
HUD_USER_FMR
county 39043
acs median gross
3
$1,104
2024-12-31
CENSUS_ACS5
county 39043
fmr
3
$1,384
2025-10-01
HUD_USER_FMR
county 39043
acs median gross
4
$1,128
2024-12-31
CENSUS_ACS5
county 39043
fmr
4
$1,557
2025-10-01
HUD_USER_FMR
county 39043
acs median gross
5
$1,205
2024-12-31
CENSUS_ACS5
county 39043
acs median gross
$933
2024-12-31
CENSUS_ACS5
county 39043
acs recent mover gross
$1,116
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
0
$643
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
1
$715
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
2
$943
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
3
$1,065
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
4
$1,204
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
5
$1,242
2024-12-31
CENSUS_ACS5
zcta 44870
acs median gross
$922
2024-12-31
CENSUS_ACS5
zcta 44870
acs recent mover gross
$1,072
2024-12-31
CENSUS_ACS5
zip 44870
payment standard 110
0
$979
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 90
0
$801
2025-10-01
HUD_USER_SAFMR
zip 44870
safmr
0
$890
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 110
1
$1,012
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 90
1
$828
2025-10-01
HUD_USER_SAFMR
zip 44870
safmr
1
$920
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 110
2
$1,265
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 90
2
$1,035
2025-10-01
HUD_USER_SAFMR
zip 44870
safmr
2
$1,150
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 44870
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 44870
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 44870
safmr
4
$1,620
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.