Reads as: riskier than 63.7% 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
12
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
REGENCY IHS REHAB LLC
68 facilities
connection
Owner spans multiple chains
8 chains
REGENCY IHS CLINICAL CONSULTING LLC
67 facilities
connection
Owner spans multiple chains
7 chains
DEKOWSKI DONOVAN
66 facilities
connection
Owner spans multiple chains
7 chains
MANDELBAUM ELLIOT
61 facilities
connection
Owner spans multiple chains
7 chains
CSV RHEA MANAGEMENT HOLDCO LLC
63 facilities
connection
Owner spans multiple chains
7 chains
REGENCY INTEGRATED HEALTH SERVICES LLC
67 facilities
connection
Owner fleet enforcement cluster
42% fined
MANDELBAUM ELLIOT
62 facilities
connection
Owner fleet enforcement cluster
42% fined
DEKOWSKI DONOVAN
67 facilities
connection
Owner fleet enforcement cluster
41% fined
REGENCY INTEGRATED HEALTH SERVICES LLC
68 facilities
connection
Owner fleet enforcement cluster
41% fined
REGENCY IHS CLINICAL CONSULTING LLC
68 facilities
connection
Owner fleet enforcement cluster
41% fined
REGENCY IHS REHAB LLC
69 facilities
connection
Owner fleet enforcement cluster
41% fined
CSV RHEA MANAGEMENT HOLDCO LLC
64 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
TX median
National median
National p25–p75
Total nurse
2.47
2.67
3.28
2.90–3.77
RN
0.09
0.24
0.39
0.25–0.58
Weekend total
2.40
2.56
3.11
—
Weekday total
2.50
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.6
2.47
0.09
0.72
1.67
2.40
0.0%
2025Q3
92
110.3
2.60
0.08
0.73
1.79
2.55
0.0%
2025Q2
91
111.4
2.56
0.12
0.67
1.77
2.54
0.0%
2025Q1
90
107.0
2.60
0.14
0.69
1.77
2.54
0.0%
2024Q4
92
110.9
2.53
0.15
0.68
1.70
2.50
0.0%
2024Q3
92
109.0
2.57
0.09
0.71
1.76
2.54
0.0%
2024Q2
91
108.9
2.53
0.06
0.73
1.73
2.50
0.0%
2024Q1
91
109.4
2.46
0.07
0.74
1.64
2.43
0.0%
2023Q4
92
100.9
2.65
0.06
0.78
1.81
2.57
0.0%
2023Q3
92
109.2
2.47
0.04
0.76
1.68
2.39
0.0%
2023Q2
91
104.6
2.46
0.07
0.76
1.62
2.40
0.0%
2023Q1
90
101.1
2.52
0.11
0.77
1.64
2.46
0.0%
2022Q4
92
98.3
2.54
0.05
0.86
1.63
2.52
0.3%
2022Q3
92
98.6
2.48
0.02
0.84
1.62
2.43
0.0%
2022Q2
91
97.7
2.47
0.05
0.83
1.60
2.44
0.0%
2022Q1
90
97.3
2.42
0.07
0.76
1.59
2.33
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.
D
2025-11-28
2025-03-13
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
2025-03-14
2025-03-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-14
2025-01-28
Health · complaint
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
2025-02-10
2023-12-14
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
C
2023-12-15
2023-12-14
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-22
2023-12-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-12-11
2023-10-20
Health · complaint
F0584
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.
D
2023-10-21
2022-09-30
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2022-10-30
2022-09-30
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
2022-10-30
2022-09-30
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2022-10-30
2022-09-30
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.
E
2022-10-30
2022-09-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-10-30
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
39
Owner
Role
Pct
From
Status
Source
ALEXANDER, ALMA
CORPORATE OFFICER
—
2020-05-27
current
pecos_ownership
BROWN, BRIAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
CSV RHEA MANAGEMENT HOLDCO, LLC
INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
DEKOWSKI, DONOVAN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
DEKOWSKI, DONOVAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DEWITT MEDICAL DISTRICT
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
DEWITT MEDICAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
DEWITT MEDICAL DISTRICT
—
—
2025-01-01
current
tx_hhsc_directory
DOMINGUEZ, FRANCISCO
ADP OF THE SNF
—
2023-08-01
current
pecos_ownership
FRELS, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2014-11-04
current
pecos_ownership
MANDELBAUM, ELLIOT
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
MANZANO, MONICA
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
NEWMAN, JALEN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PAPACEK, CHARLES
MANAGING CONTROL - GOVERNING BODY
—
1997-10-01
current
pecos_ownership
REGENCY IHS CLINICAL CONSULTING, LLC
ADP OF THE SNF
—
2015-01-01
current
pecos_ownership
REGENCY IHS OF WINDSOR CORPUS CHRISTI LLC
DIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
REGENCY IHS OF WINDSOR CORPUS CHRISTI LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
REGENCY IHS OF WINDSOR CORPUS CHRISTI, LLC
—
—
2025-01-01
current
tx_hhsc_directory
REGENCY IHS REHAB LLC
ADP OF THE SNF
—
2015-01-01
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
RH REGENCY EQUITY II LLC
INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
RIEDER, SAMUEL
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
SHEPPARD, ANNA
MANAGING CONTROL - GOVERNING BODY
—
2019-05-01
current
pecos_ownership
SHEPPARD, CYNTHIA
MANAGING CONTROL - GOVERNING BODY
—
2013-06-25
current
pecos_ownership
SRSB WINDSOR LLC
INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
ALMA ALEXANDER
CORPORATE OFFICER
0%
2020-05-27
ended 2026-05-18
pecos_ownership
ANNA SHEPPARD
MANAGING CONTROL - GOVERNING BODY
—
2019-05-01
ended 2026-05-18
pecos_ownership
BRIAN BROWN
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
CHARLES PAPACEK
MANAGING CONTROL - GOVERNING BODY
—
1997-10-01
ended 2026-05-18
pecos_ownership
CYNTHIA SHEPPARD
MANAGING CONTROL - GOVERNING BODY
—
2013-06-25
ended 2026-05-18
pecos_ownership
DONOVAN DEKOWSKI
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
DONOVAN DEKOWSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
ended 2026-05-18
pecos_ownership
ELLIOT MANDELBAUM
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
FRANCISCO DOMINGUEZ
ADP OF THE SNF
—
2023-08-01
ended 2026-05-18
pecos_ownership
JALEN NEWMAN
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
JOHN FRELS
MANAGING CONTROL - GOVERNING BODY
—
2014-11-04
ended 2026-05-18
pecos_ownership
MONICA MANZANO
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
SAMUEL RIEDER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 48355
acs median gross
0
$993
2024-12-31
CENSUS_ACS5
county 48355
fmr
0
$1,031
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
county 48355
fmr
1
$1,117
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
2
$1,316
2024-12-31
CENSUS_ACS5
county 48355
fmr
2
$1,366
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
3
$1,576
2024-12-31
CENSUS_ACS5
county 48355
fmr
3
$1,796
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
4
$1,845
2024-12-31
CENSUS_ACS5
county 48355
fmr
4
$2,054
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
5
$1,764
2024-12-31
CENSUS_ACS5
county 48355
acs median gross
$1,283
2024-12-31
CENSUS_ACS5
county 48355
acs recent mover gross
$1,408
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
0
$941
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
1
$800
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
2
$1,223
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
3
$1,584
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
4
$1,448
2024-12-31
CENSUS_ACS5
zcta 78404
acs median gross
$1,273
2024-12-31
CENSUS_ACS5
zcta 78404
acs recent mover gross
$1,680
2024-12-31
CENSUS_ACS5
zip 78404
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 78404
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 78404
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 110
2
$1,419
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 90
2
$1,161
2025-10-01
HUD_USER_SAFMR
zip 78404
safmr
2
$1,290
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 110
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 90
3
$1,530
2025-10-01
HUD_USER_SAFMR
zip 78404
safmr
3
$1,700
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 110
4
$2,134
2025-10-01
HUD_USER_SAFMR
zip 78404
payment standard 90
4
$1,746
2025-10-01
HUD_USER_SAFMR
zip 78404
safmr
4
$1,940
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.