Reads as: riskier than 66.1% 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 spans multiple chains
7 chains
OMEGA HEALTHCARE INVESTORS INC
44 facilities
connection
Owner spans multiple chains
5 chains
ODENTHAL RICHARD
85 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
IN median
National median
National p25–p75
Total nurse
3.02
2.85
3.28
2.90–3.77
RN
0.11
0.40
0.39
0.25–0.58
Weekend total
2.87
2.71
3.11
—
Weekday total
3.08
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.1
3.02
0.11
1.08
1.84
2.87
1.1%
2025Q3
92
137.3
3.04
0.10
1.03
1.91
2.87
1.0%
2025Q2
91
137.5
2.95
0.10
1.09
1.76
2.73
0.9%
2025Q1
90
142.5
2.77
0.09
1.00
1.69
2.62
1.6%
2024Q4
92
139.7
2.93
0.17
0.88
1.88
2.75
1.1%
2024Q3
92
133.7
3.02
0.29
0.86
1.87
2.79
1.0%
2024Q2
91
144.6
3.05
0.30
0.92
1.83
2.78
0.9%
2024Q1
91
147.6
2.83
0.18
0.88
1.77
2.56
0.0%
2023Q4
92
149.0
2.66
0.14
0.82
1.70
2.49
0.0%
2023Q3
92
142.8
2.68
0.10
0.87
1.70
2.45
0.0%
2023Q2
91
141.6
2.70
0.10
0.86
1.74
2.55
0.0%
2023Q1
90
150.2
2.69
0.17
0.84
1.68
2.59
0.0%
2022Q4
92
146.4
2.74
0.14
0.90
1.71
2.63
4.1%
2022Q3
92
150.2
2.73
0.13
0.91
1.68
2.52
9.8%
2022Q2
91
150.7
2.58
0.10
0.89
1.59
2.37
13.5%
2022Q1
90
152.5
2.64
0.13
0.85
1.66
2.50
11.6%
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
28
B × 1D × 20E × 5F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-09
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2026-02-06
2026-01-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-06
2025-04-16
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-05-14
2025-04-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-05-14
2024-10-30
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2024-11-28
2024-10-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-28
2024-10-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-28
2024-10-30
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
2024-11-28
2024-10-30
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-11-28
2024-10-30
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.
D
2024-11-28
2024-05-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-17
2024-05-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-05-23
2023-09-14
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-10-27
2023-09-14
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2023-10-27
2023-09-14
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-27
2023-09-14
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2023-10-27
2023-09-14
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-10-27
2023-09-14
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-10-27
2023-09-14
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
2023-10-27
2023-09-14
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
2023-10-27
2023-09-14
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
2023-10-27
2023-09-14
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
E
2023-10-27
2023-09-14
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
2023-10-27
2023-09-14
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2023-10-27
2023-09-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-27
2023-09-14
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-10-27
2023-09-14
Health
F0926
Have policies on smoking.
D
2023-10-27
2023-06-28
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
B
2023-08-01
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
36
Owner
Role
Pct
From
Status
Source
HANCOCK REGIONAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-01-01
current
pecos_ownership
BOND, MARIA
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
CLARK, TIMOTHY
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
CLARK, TIMOTHY
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
DAUGHERTY, JOSHUA
TRUSTEE OF THE SNF
—
2020-01-01
current
pecos_ownership
DURHAM-BORING, TAMMY
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
DURHAM-BORING, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-01
current
pecos_ownership
FELKER, DEAN
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
FELKER, DEAN
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
JOYNER, SARA
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
LONG, STEVEN
CORPORATE OFFICER
—
2014-08-01
current
pecos_ownership
LONG, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-14
current
pecos_ownership
ODENTHAL, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS INC
ADP OF THE SNF
—
2017-09-01
current
pecos_ownership
OMG IN MSTR LSCO LLC
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
PEAK, ETHAN
ADP OF THE SNF
—
2018-10-15
current
pecos_ownership
SIXTEENTH MGT CO LLC
ADP OF THE SNF
—
2017-09-01
current
pecos_ownership
WILLARD, LACEY
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
WILSON, ROY
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
WILSON, ROY
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
DEAN FELKER
TRUSTEE OF THE SNF
—
2015-05-01
ended 2026-05-18
pecos_ownership
DEAN FELKER
CORPORATE DIRECTOR
—
2014-01-01
ended 2026-05-18
pecos_ownership
ETHAN PEAK
ADP OF THE SNF
—
2018-10-15
ended 2026-05-18
pecos_ownership
JOSHUA DAUGHERTY
TRUSTEE OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
LACEY WILLARD
TRUSTEE OF THE SNF
—
2022-07-01
ended 2026-05-18
pecos_ownership
MARIA BOND
TRUSTEE OF THE SNF
—
2021-07-01
ended 2026-05-18
pecos_ownership
RICHARD ODENTHAL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-01
ended 2026-05-18
pecos_ownership
ROY WILSON
CORPORATE DIRECTOR
—
2014-01-01
ended 2026-05-18
pecos_ownership
ROY WILSON
TRUSTEE OF THE SNF
—
2015-05-01
ended 2026-05-18
pecos_ownership
SARA JOYNER
TRUSTEE OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
STEVEN LONG
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-14
ended 2026-05-18
pecos_ownership
STEVEN LONG
CORPORATE OFFICER
—
2014-08-01
ended 2026-05-18
pecos_ownership
TAMMY DURHAM-BORING
ADP OF THE SNF
—
2025-12-03
ended 2026-05-18
pecos_ownership
TAMMY DURHAM-BORING
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-01
ended 2026-05-18
pecos_ownership
TIMOTHY CLARK
TRUSTEE OF THE SNF
—
2015-05-01
ended 2026-05-18
pecos_ownership
TIMOTHY CLARK
CORPORATE DIRECTOR
—
2014-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$3,194,608
$1,782,955
$649,658
$564,178
$172,310
0
—
2024-06-30
$3,051,698
$1,753,785
$524,001
$675,447
$98,465
0
—
2023-06-30
$3,188,708
$1,711,010
$643,353
$712,547
$121,798
0
—
2022-06-30
$3,210,411
$1,669,460
—
$672,687
$164,137
0
—
2021-06-30
$2,475,202
$1,595,395
—
—
$201,786
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
34
Geo
Kind
BR
Amount
As of
Source
county 18097
acs median gross
0
$948
2024-12-31
CENSUS_ACS5
county 18097
fmr
0
$1,118
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
1
$1,018
2024-12-31
CENSUS_ACS5
county 18097
fmr
1
$1,267
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
2
$1,178
2024-12-31
CENSUS_ACS5
county 18097
fmr
2
$1,473
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
3
$1,369
2024-12-31
CENSUS_ACS5
county 18097
fmr
3
$1,907
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 18097
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 18097
acs median gross
5
$1,573
2024-12-31
CENSUS_ACS5
county 18097
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 18097
acs recent mover gross
$1,328
2024-12-31
CENSUS_ACS5
zcta 46219
acs median gross
0
$776
2024-12-31
CENSUS_ACS5
zcta 46219
acs median gross
1
$904
2024-12-31
CENSUS_ACS5
zcta 46219
acs median gross
2
$1,108
2024-12-31
CENSUS_ACS5
zcta 46219
acs median gross
3
$1,177
2024-12-31
CENSUS_ACS5
zcta 46219
acs median gross
$1,059
2024-12-31
CENSUS_ACS5
zcta 46219
acs recent mover gross
$1,105
2024-12-31
CENSUS_ACS5
zip 46219
payment standard 110
0
$1,122
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 90
0
$918
2025-10-01
HUD_USER_SAFMR
zip 46219
safmr
0
$1,020
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 46219
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 46219
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 46219
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 110
4
$2,343
2025-10-01
HUD_USER_SAFMR
zip 46219
payment standard 90
4
$1,917
2025-10-01
HUD_USER_SAFMR
zip 46219
safmr
4
$2,130
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.