Reads as: riskier than 17.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
REDDY VIKAS
13 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
15
2025Q4 HPRD
This facility
CO median
National median
National p25–p75
Total nurse
3.35
3.19
3.28
2.90–3.77
RN
0.50
0.57
0.39
0.25–0.58
Weekend total
3.08
3.02
3.11
—
Weekday total
3.46
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
105.9
3.35
0.50
0.80
2.04
3.08
0.0%
2025Q3
92
105.6
3.36
0.60
0.68
2.08
3.06
0.0%
2025Q2
91
104.9
3.22
0.60
0.66
1.96
3.00
0.3%
2025Q1
90
104.8
3.36
0.57
0.68
2.11
3.07
3.0%
2024Q4
92
103.5
3.42
0.42
0.82
2.17
3.19
7.3%
2024Q3
92
93.0
3.15
0.32
0.78
2.04
2.91
0.8%
2024Q2
91
97.4
3.16
0.33
0.77
2.07
2.97
0.0%
2024Q1
91
102.1
3.24
0.34
0.82
2.08
3.02
1.7%
2023Q4
92
102.9
3.23
0.36
0.81
2.07
3.06
13.5%
2023Q2
91
109.8
2.78
0.29
0.69
1.80
2.64
8.4%
2023Q1
90
100.1
3.07
0.31
0.77
2.00
2.92
9.7%
2022Q4
92
100.7
2.97
0.35
0.71
1.91
2.81
8.7%
2022Q3
92
94.3
2.51
0.36
0.66
1.49
2.56
0.4%
2022Q2
91
93.3
2.68
0.32
0.55
1.81
2.40
17.5%
2022Q1
90
96.5
2.55
0.31
0.53
1.71
2.26
21.4%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-07-29
2025-07-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-07-29
2025-07-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-29
2025-05-22
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-06-14
2025-05-22
Health · complaint
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F
2025-06-14
2024-12-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-12-06
2024-12-05
Health
F0732
Post nurse staffing information every day.
C
2024-12-06
2024-12-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-06
2024-04-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-04-20
2024-04-17
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2024-04-20
2023-07-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-08-12
2023-07-13
Health
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.
E
2023-08-30
2023-07-13
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
E
2023-08-12
2023-07-13
Health
F0679
Provide activities to meet all resident's needs.
D
2023-08-12
2023-07-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-12
2023-07-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-08-12
2023-07-13
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
2023-08-12
2023-07-13
Health
F0791
Provide or obtain dental services for each resident.
D
2023-08-12
2023-07-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-10-06
2023-07-13
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2023-08-12
2023-07-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-09-27
2022-05-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-06-10
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
19
Owner
Role
Pct
From
Status
Source
SWEETWATER CARE RESOURCE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-06-01
current
pecos_ownership
CHESLEY, AARON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-06-01
current
pecos_ownership
BOUZIDA, NABIL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
current
pecos_ownership
CHESLEY, AARON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
GAMETT, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
current
pecos_ownership
GAMETT, SHAUNA
TRUSTEE OF THE SNF
—
2024-06-01
current
pecos_ownership
LANDLORD
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
REDDY, VIKAS
ADP OF THE SNF
—
2024-06-01
current
pecos_ownership
AJC HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-06-01
ended 2026-05-18
pecos_ownership
J&S GAMETT NEVADA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-06-01
ended 2026-05-18
pecos_ownership
JAMES GAMETT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-06-01
ended 2026-05-18
pecos_ownership
JBG PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-06-01
ended 2026-05-18
pecos_ownership
AARON CHESLEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-06-01
ended 2026-05-18
pecos_ownership
LANDLORD
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
LANDLORD
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
LANDLORD
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
NABIL BOUZIDA
ADP OF THE SNF
—
2024-06-01
ended 2026-05-18
pecos_ownership
SHAUNA GAMETT
TRUSTEE OF THE SNF
—
2024-06-01
ended 2026-05-18
pecos_ownership
VIKAS REDDY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
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
2024-12-31
$380,260
—
—
—
—
2
—
2023-12-31
$541,500
$504,000
—
—
—
3
propco
2022-12-31
$544,000
$504,000
—
—
—
3
propco
2021-12-31
$544,000
$504,000
—
—
—
3
propco
2020-12-31
$544,000
$504,000
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 08005
acs median gross
0
$1,660
2024-12-31
CENSUS_ACS5
county 08005
fmr
0
$1,643
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
1
$1,577
2024-12-31
CENSUS_ACS5
county 08005
fmr
1
$1,754
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
2
$1,978
2024-12-31
CENSUS_ACS5
county 08005
fmr
2
$2,089
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
3
$2,412
2024-12-31
CENSUS_ACS5
county 08005
fmr
3
$2,734
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
4
$2,786
2024-12-31
CENSUS_ACS5
county 08005
fmr
4
$3,049
2025-10-01
HUD_USER_FMR
county 08005
acs median gross
5
$2,710
2024-12-31
CENSUS_ACS5
county 08005
acs median gross
$1,891
2024-12-31
CENSUS_ACS5
county 08005
acs recent mover gross
$2,014
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
0
$1,179
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
1
$1,197
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
2
$1,581
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
3
$2,078
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
4
$2,073
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
5
$2,533
2024-12-31
CENSUS_ACS5
zcta 80010
acs median gross
$1,485
2024-12-31
CENSUS_ACS5
zcta 80010
acs recent mover gross
$1,817
2024-12-31
CENSUS_ACS5
zip 80010
payment standard 110
0
$1,628
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 90
0
$1,332
2025-10-01
HUD_USER_SAFMR
zip 80010
safmr
0
$1,480
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 110
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 90
1
$1,458
2025-10-01
HUD_USER_SAFMR
zip 80010
safmr
1
$1,620
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 110
2
$2,123
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 90
2
$1,737
2025-10-01
HUD_USER_SAFMR
zip 80010
safmr
2
$1,930
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 110
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 90
3
$2,268
2025-10-01
HUD_USER_SAFMR
zip 80010
safmr
3
$2,520
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 110
4
$3,102
2025-10-01
HUD_USER_SAFMR
zip 80010
payment standard 90
4
$2,538
2025-10-01
HUD_USER_SAFMR
zip 80010
safmr
4
$2,820
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.