Reads as: riskier than 49.9% 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.
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
4.75
2.67
3.28
2.90–3.77
RN
0.86
0.24
0.39
0.25–0.58
Weekend total
4.62
2.56
3.11
—
Weekday total
4.80
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.9
4.75
0.86
1.39
2.50
4.62
3.0%
2025Q3
92
31.8
4.38
0.83
1.29
2.26
4.39
3.6%
2025Q2
91
30.6
3.60
0.85
0.96
1.79
3.53
0.7%
2025Q1
90
35.2
3.38
0.86
0.78
1.74
3.40
0.6%
2024Q4
92
29.5
3.99
0.91
1.04
2.05
3.90
0.4%
2024Q3
92
26.0
4.08
0.89
1.31
1.88
3.85
0.4%
2024Q2
91
30.9
3.59
0.58
1.37
1.65
3.62
0.2%
2024Q1
91
38.0
2.87
0.63
0.89
1.35
2.97
0.5%
2023Q4
92
36.2
3.04
0.62
1.08
1.33
3.09
1.5%
2023Q3
92
39.0
3.30
0.52
1.49
1.29
3.73
1.6%
2023Q2
91
35.1
3.69
0.36
1.79
1.54
3.86
12.0%
2023Q1
90
32.8
3.28
0.47
1.61
1.20
3.10
14.0%
2022Q4
92
36.2
2.94
0.42
1.18
1.34
2.66
14.9%
2022Q3
92
31.7
3.45
0.65
1.11
1.69
3.15
22.9%
2022Q2
91
32.2
3.29
0.69
1.05
1.55
2.85
33.2%
2022Q1
90
38.2
3.20
0.49
1.08
1.63
2.73
28.0%
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.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2026-03-06
2026-01-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-03-06
2026-01-23
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-03-09
2026-01-23
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-03-09
2026-01-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-03-09
2025-01-02
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-01-29
2024-11-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-12-30
2024-10-11
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.
D
2024-11-19
2024-10-11
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-11-19
2024-10-11
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-11-19
2024-10-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-11-19
2023-09-08
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-09-11
2023-09-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-11
2023-09-08
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
2023-09-11
2023-09-08
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-09-11
2023-09-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-09-11
2023-09-08
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
2023-09-11
2023-09-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-09-11
2023-09-08
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
E
2023-09-11
2023-09-08
Health
F0945
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
D
2023-09-11
2023-08-18
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-10-05
2023-08-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-10-05
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
62
Owner
Role
Pct
From
Status
Source
ASIS, RISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-03
current
pecos_ownership
BRYAN, SCOTT
TRUSTEE OF THE SNF
—
2024-01-01
current
pecos_ownership
CRUMP, PATRICK
ADP OF THE SNF
—
2017-02-13
current
pecos_ownership
DROUGHT, JESSICA
TRUSTEE OF THE SNF
—
2023-01-01
current
pecos_ownership
FORGIONE, DANA
TRUSTEE OF THE SNF
—
2023-01-02
current
pecos_ownership
FORGIONE, DANA
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
GARZA, EDWARD
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
HACKETT, GREG
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
KERCHEVILLE, SCOTT
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
MCCULLOUGH, ROBERT
TRUSTEE OF THE SNF
—
2024-01-01
current
pecos_ownership
MCRAE, THOMAS
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MENDOZA, DORA
TRUSTEE OF THE SNF
—
2020-01-01
current
pecos_ownership
MOBLEY, JESSICA
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MONFREY, MARGARET
ADP OF THE SNF
—
—
current
pecos_ownership
MONFREY, MARGARET
OPERATIONAL/MANAGERIAL CONTROL
—
2015-05-21
current
pecos_ownership
MOORE, JOE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MORENO, CHELSEA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-30
current
pecos_ownership
MORNINGSIDE MINISTRIES
DIRECT OWNERSHIP INTEREST
—
2009-10-28
current
pecos_ownership
MORNINGSIDE MINISTRIES
—
—
2026-01-04
current
tx_hhsc_directory
MUNOZ, DIONICIO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-24
current
pecos_ownership
NGUYEN, CHRISINE
ADP OF THE SNF
—
2018-03-19
current
pecos_ownership
ORTIZ, ROBERT
TRUSTEE OF THE SNF
—
2024-01-01
current
pecos_ownership
OSANYINLUSI, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
PHIPPS, AMY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
POWELL, BROOKS
ADP OF THE SNF
—
2022-11-11
current
pecos_ownership
PRATER, MYRANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-07
current
pecos_ownership
PRATER, MYRANDA
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
READ, DAVID
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ROBERTSON, CASSANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-16
current
pecos_ownership
SCOFIELD, GEORGE
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
TYE, RICHARD
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
YOUNGQUIST, HOLLY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
AMY PHIPPS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
CHELSEA MORENO
CORPORATE OFFICER
0%
2023-01-30
ended 2026-05-18
pecos_ownership
DANA FORGIONE
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
DAVID READ
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
DORA MENDOZA
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
EDWARD GARZA
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
GEORGE SCOFIELD
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
GREG HACKETT
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
HOLLY YOUNGQUIST
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JESSICA DROUGHT
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JESSICA MOBLEY
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JOE MOORE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
PATRICK CRUMP
CORPORATE OFFICER
0%
2017-02-13
ended 2026-05-18
pecos_ownership
RICHARD TYE
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
ROBERT MCCULLOUGH
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ROBERT ORTIZ
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
SCOTT BRYAN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
SCOTT KERCHEVILLE
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
THOMAS MCRAE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
BROOKS POWELL
ADP OF THE SNF
—
2022-11-11
ended 2026-05-18
pecos_ownership
CASSANDRA ROBERTSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-16
ended 2026-05-18
pecos_ownership
CHRISINE NGUYEN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-19
ended 2026-05-18
pecos_ownership
DANA FORGIONE
TRUSTEE OF THE SNF
—
2023-01-02
ended 2026-05-18
pecos_ownership
DIONICIO MUNOZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-24
ended 2026-05-18
pecos_ownership
LISA OSANYINLUSI
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
MARGARET MONFREY
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
MARGARET MONFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2015-05-21
ended 2026-05-18
pecos_ownership
MYRANDA PRATER
ADP OF THE SNF
—
2024-12-18
ended 2026-05-18
pecos_ownership
MYRANDA PRATER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-07
ended 2026-05-18
pecos_ownership
RISSA ASIS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-03
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
$829,398
—
—
—
—
1
—
2023-12-31
$853,271
—
—
—
—
1
—
2022-12-31
$663,704
—
—
—
—
1
—
2021-12-31
$517,444
—
—
—
—
1
—
2020-12-31
$477,555
—
—
—
—
1
—
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 48259
acs median gross
0
$1,597
2024-12-31
CENSUS_ACS5
county 48259
fmr
0
$1,301
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
1
$1,224
2024-12-31
CENSUS_ACS5
county 48259
fmr
1
$1,311
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
2
$1,550
2024-12-31
CENSUS_ACS5
county 48259
fmr
2
$1,650
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
3
$1,982
2024-12-31
CENSUS_ACS5
county 48259
fmr
3
$2,176
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
4
$1,717
2024-12-31
CENSUS_ACS5
county 48259
fmr
4
$2,185
2025-10-01
HUD_USER_FMR
county 48259
acs median gross
$1,606
2024-12-31
CENSUS_ACS5
county 48259
acs recent mover gross
$1,626
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
0
$1,597
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
1
$1,316
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
2
$1,618
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
3
$1,980
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
4
$1,928
2024-12-31
CENSUS_ACS5
zcta 78006
acs median gross
$1,650
2024-12-31
CENSUS_ACS5
zcta 78006
acs recent mover gross
$1,549
2024-12-31
CENSUS_ACS5
zip 78006
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 78006
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 78006
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 110
2
$1,881
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 90
2
$1,539
2025-10-01
HUD_USER_SAFMR
zip 78006
safmr
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 110
3
$2,475
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 90
3
$2,025
2025-10-01
HUD_USER_SAFMR
zip 78006
safmr
3
$2,250
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 110
4
$2,541
2025-10-01
HUD_USER_SAFMR
zip 78006
payment standard 90
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 78006
safmr
4
$2,310
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.