Reads as: riskier than 36.1% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.5 vs natl
FAGLIE KELLY
9 facilities
connection
Owner fleet risk far above national
+24.5 vs natl
GONZALES HECTOR
9 facilities
connection
Owner fleet risk far above national
+24.0 vs natl
REG LEASED OPCO LLC
24 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
ZAMORA RAUL
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
GAITONDE GAJANAN
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
GUTIERREZ MONICA
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
KESSLER WILLIAM
8 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
REGENCY TEXAS HOLDINGS LLC
65 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
REG OPERATOR HOLDCO LLC
65 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
DWD TX HOLDINGS LLC
65 facilities
connection
Owner spans multiple chains
8 chains
REGENCY IHS CLINICAL CONSULTING LLC
67 facilities
connection
Owner spans multiple chains
8 chains
REGENCY IHS REHAB LLC
68 facilities
connection
Owner spans multiple chains
7 chains
REGENCY INTEGRATED HEALTH SERVICES LLC
67 facilities
connection
Owner spans multiple chains
7 chains
REG OPERATOR HOLDCO LLC
64 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
DWD TX HOLDINGS LLC
64 facilities
connection
Owner spans multiple chains
7 chains
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC
65 facilities
connection
Owner spans multiple chains
7 chains
CSV RHEA MANAGEMENT HOLDCO LLC
63 facilities
connection
Owner spans multiple chains
7 chains
CLAPP BARBARA
66 facilities
connection
Owner spans multiple chains
7 chains
REGENCY TEXAS HOLDINGS LLC
64 facilities
connection
Owner spans multiple chains
6 chains
GIBSON PATRICIA
58 facilities
connection
Owner spans multiple chains
6 chains
CORTESE DAREN
59 facilities
connection
Owner spans multiple chains
6 chains
BAIRD DANIEL
59 facilities
connection
Owner fleet enforcement cluster
63% fined
ZAMORA RAUL
8 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
2.55
2.67
3.28
2.90–3.77
RN
0.12
0.24
0.39
0.25–0.58
Weekend total
2.48
2.56
3.11
—
Weekday total
2.57
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.5
2.55
0.12
1.11
1.31
2.48
0.0%
2025Q3
92
43.4
2.78
0.08
1.19
1.52
2.80
0.0%
2025Q2
91
42.3
2.79
0.10
1.18
1.51
2.76
0.0%
2025Q1
90
40.7
2.87
0.18
1.08
1.62
2.95
0.0%
2024Q4
92
40.0
2.85
0.23
0.98
1.65
2.93
0.0%
2024Q3
92
40.9
2.81
0.16
1.08
1.58
2.89
0.0%
2024Q2
91
44.5
2.60
0.05
1.01
1.53
2.71
0.0%
2024Q1
91
48.4
2.58
0.07
0.98
1.52
2.60
0.0%
2023Q4
92
49.7
2.71
0.16
0.93
1.62
2.72
0.0%
2023Q3
92
51.1
2.70
0.26
0.83
1.61
2.67
0.0%
2023Q2
91
55.2
2.61
0.28
0.72
1.61
2.56
0.0%
2023Q1
90
58.5
2.33
0.25
0.74
1.33
2.20
0.0%
2022Q4
92
58.3
2.27
0.17
0.85
1.25
2.23
0.0%
2022Q3
92
55.1
2.18
0.12
0.90
1.16
2.03
0.0%
2022Q2
91
53.5
2.20
0.07
0.97
1.15
2.01
0.0%
2022Q1
90
57.5
2.16
0.09
0.84
1.23
1.98
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.
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
7
D × 3E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-13
2023-11-17
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-18
2023-11-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-11-18
2023-10-05
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-24
2022-08-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-09-12
2022-08-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-09-09
2022-08-18
Health
F0922
Have enough backup water supply for essential areas of the nursing home.
F
2022-09-09
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
54
Owner
Role
Pct
From
Status
Source
APOLINAR, ADAM
CORPORATE OFFICER
—
2015-07-23
current
pecos_ownership
BAIRD, DANIEL
INDIRECT OWNERSHIP INTEREST
—
2021-04-13
current
pecos_ownership
CANTU, SERGIO
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
CLAPP, BARBARA
INDIRECT OWNERSHIP INTEREST
—
2021-06-01
current
pecos_ownership
CONTRERAS, TERRI
CORPORATE OFFICER
—
2019-04-29
current
pecos_ownership
CORTESE, DAREN
INDIRECT OWNERSHIP INTEREST
—
2021-08-10
current
pecos_ownership
CSV RHEA MANAGEMENT HOLDCO, LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
DEKOWSKI, DONOVAN
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
DWD TX HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
ELLIOTT, BENJAMIN
CORPORATE OFFICER
—
2015-07-23
current
pecos_ownership
FAGLIE, KELLY
CORPORATE OFFICER
—
2016-01-25
current
pecos_ownership
GAITONDE, GAJANAN
CORPORATE OFFICER
—
2015-02-28
current
pecos_ownership
GIBSON, PATRICIA
INDIRECT OWNERSHIP INTEREST
—
2021-08-01
current
pecos_ownership
GONZALES, HECTOR
CORPORATE OFFICER
—
2001-03-27
current
pecos_ownership
GUTIERREZ, MONICA
CORPORATE OFFICER
—
2015-02-28
current
pecos_ownership
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
KESSLER, WILLIAM
CORPORATE OFFICER
—
2015-02-28
current
pecos_ownership
LEAL, CRUZ
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MANDELBAUM, ELLIOT
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
REG LEASED OPCO LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
REG OPERATOR HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
REGENCY IHS CLINICAL CONSULTING, LLC
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
REGENCY IHS OF LA PALOMA LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
REGENCY IHS OF LA PALOMA LLC
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
REGENCY IHS OF LA PALOMA LLC
—
—
2025-02-28
current
tx_hhsc_directory
REGENCY IHS REHAB LLC
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
REGENCY TEXAS HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2022-10-01
current
pecos_ownership
STONE, AMANDA
DIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
—
—
2025-02-28
current
tx_hhsc_directory
UVALDE COUNTY HOSPITAL AUTHORITY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
VELA, DOROTHY
DIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
ZAMORA, RAUL
CORPORATE OFFICER
—
2015-02-28
current
pecos_ownership
ADAM APOLINAR
CORPORATE OFFICER
100%
2015-07-23
ended 2026-05-18
pecos_ownership
AMANDA STONE
DIRECT OWNERSHIP INTEREST
100%
2024-07-01
ended 2026-05-18
pecos_ownership
BARBARA CLAPP
INDIRECT OWNERSHIP INTEREST
100%
2021-06-01
ended 2026-05-18
pecos_ownership
BENJAMIN ELLIOTT
CORPORATE OFFICER
100%
2015-07-23
ended 2026-05-18
pecos_ownership
CRUZ LEAL
DIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
DANIEL BAIRD
INDIRECT OWNERSHIP INTEREST
100%
2021-04-13
ended 2026-05-18
pecos_ownership
DAREN CORTESE
INDIRECT OWNERSHIP INTEREST
100%
2021-08-10
ended 2026-05-18
pecos_ownership
DONOVAN DEKOWSKI
INDIRECT OWNERSHIP INTEREST
100%
2022-10-01
ended 2026-05-18
pecos_ownership
DOROTHY VELA
DIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
ELLIOT MANDELBAUM
INDIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
GAJANAN GAITONDE
CORPORATE OFFICER
100%
2015-02-28
ended 2026-05-18
pecos_ownership
HECTOR GONZALES
CORPORATE OFFICER
100%
2001-03-27
ended 2026-05-18
pecos_ownership
KELLY FAGLIE
CORPORATE OFFICER
100%
2016-01-25
ended 2026-05-18
pecos_ownership
MONICA GUTIERREZ
CORPORATE OFFICER
100%
2015-02-28
ended 2026-05-18
pecos_ownership
PATRICIA GIBSON
INDIRECT OWNERSHIP INTEREST
100%
2021-08-01
ended 2026-05-18
pecos_ownership
RAUL ZAMORA
CORPORATE OFFICER
100%
2015-02-28
ended 2026-05-18
pecos_ownership
SERGIO CANTU
DIRECT OWNERSHIP INTEREST
100%
2025-01-01
ended 2026-05-18
pecos_ownership
TERRI CONTRERAS
CORPORATE OFFICER
100%
2019-04-29
ended 2026-05-18
pecos_ownership
WILLIAM KESSLER
CORPORATE OFFICER
100%
2015-02-28
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
27
Geo
Kind
BR
Amount
As of
Source
county 48131
fmr
0
$789
2025-10-01
HUD_USER_FMR
county 48131
acs median gross
1
$253
2024-12-31
CENSUS_ACS5
county 48131
fmr
1
$811
2025-10-01
HUD_USER_FMR
county 48131
acs median gross
2
$774
2024-12-31
CENSUS_ACS5
county 48131
fmr
2
$1,015
2025-10-01
HUD_USER_FMR
county 48131
acs median gross
3
$738
2024-12-31
CENSUS_ACS5
county 48131
fmr
3
$1,321
2025-10-01
HUD_USER_FMR
county 48131
fmr
4
$1,493
2025-10-01
HUD_USER_FMR
county 48131
acs median gross
$741
2024-12-31
CENSUS_ACS5
county 48131
acs recent mover gross
$433
2024-12-31
CENSUS_ACS5
zcta 78384
acs median gross
3
$941
2024-12-31
CENSUS_ACS5
zcta 78384
acs median gross
$764
2024-12-31
CENSUS_ACS5
zip 78384
payment standard 110
0
$1,023
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 90
0
$837
2025-10-01
HUD_USER_SAFMR
zip 78384
safmr
0
$930
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 110
1
$1,045
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 90
1
$855
2025-10-01
HUD_USER_SAFMR
zip 78384
safmr
1
$950
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 78384
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 78384
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 110
4
$1,947
2025-10-01
HUD_USER_SAFMR
zip 78384
payment standard 90
4
$1,593
2025-10-01
HUD_USER_SAFMR
zip 78384
safmr
4
$1,770
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.