Reads as: riskier than 99.1% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.8 vs natl
WEST CHRISTIAN
31 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
ROBERTSON BRETT
31 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
FRAGOSO LINDSAY
31 facilities
connection
Owner fleet risk far above national
+21.4 vs natl
ESPINOSA STEPHANIE
29 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
SAMUELIAN SPENCER
31 facilities
connection
Owner fleet enforcement cluster
60% fined
NIXON TYLER
5 facilities
connection
Owner fleet enforcement cluster
56% fined
MARRIOTT STEPHEN
9 facilities
connection
Owner fleet enforcement cluster
50% fined
MONUMENT HEALTH GROUP LLC
10 facilities
connection
Owner fleet enforcement cluster
46% fined
CLAWSON TRAVIS
11 facilities
connection
Owner fleet enforcement cluster
44% fined
MONUMENT HEALTH PROPERTIES LLC
9 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
UT median
National median
National p25–p75
Total nurse
3.17
3.19
3.28
2.90–3.77
RN
0.46
0.78
0.39
0.25–0.58
Weekend total
3.07
3.04
3.11
—
Weekday total
3.22
3.25
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
68.9
3.17
0.46
0.76
1.96
3.07
0.0%
2025Q3
92
71.4
3.27
0.54
0.73
1.99
3.10
0.0%
2025Q2
91
69.1
3.04
0.60
0.61
1.83
2.79
0.0%
2025Q1
90
56.6
3.27
0.81
0.52
1.93
3.06
0.0%
2024Q4
92
52.1
3.29
0.77
0.56
1.97
3.13
0.1%
2024Q3
92
51.2
3.20
0.83
0.32
2.04
3.15
15.9%
2024Q2
91
51.3
3.22
0.99
0.16
2.07
3.22
36.2%
2024Q1
91
43.5
3.37
0.98
0.18
2.20
3.22
18.9%
2023Q4
92
46.1
3.62
0.99
0.34
2.29
3.41
22.1%
2023Q3
92
42.7
3.53
0.97
0.28
2.28
3.39
15.3%
2023Q2
91
43.6
3.39
0.83
0.47
2.08
3.09
11.4%
2023Q1
90
45.1
3.49
0.85
0.56
2.08
3.24
18.7%
2022Q4
92
42.7
3.38
0.76
0.56
2.06
3.12
22.2%
2022Q3
92
42.0
3.85
1.06
0.51
2.27
3.64
31.2%
2022Q2
91
43.0
3.83
1.13
0.48
2.23
3.59
35.3%
2022Q1
90
41.3
3.38
0.92
0.52
1.95
3.15
37.8%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-11-26
2025-11-06
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-11-26
2025-11-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-11-26
2025-06-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-05-10
2025-06-09
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-05-17
2024-12-18
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-17
2024-12-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-20
2024-12-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-01-20
2024-12-18
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-01-20
2024-12-18
Health
F0779
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
D
2025-01-20
2024-12-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-23
2023-03-16
Health
F0585
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
2023-04-25
2023-03-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-25
2023-03-16
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
2023-04-25
2023-03-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-04-25
2023-03-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-25
2022-08-18
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2022-09-22
2022-08-18
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.
E
2022-09-22
2022-08-18
Health
F0775
Keep complete, dated laboratory records in the resident's record.
D
2022-09-22
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
2022-09-22
2022-08-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-09-22
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
37
Owner
Role
Pct
From
Status
Source
BOUNTIFUL R/E INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
CLAWSON, TRAVIS
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ESPINOSA, STEPHANIE
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
FRAGOSO, LINDSAY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
HEALTH GROUP MANAGEMENT LLC
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
HEALTH GROUP MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
MARRIOTT, STEPHEN
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
MILFORD MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
MILFORD MEMORIAL HOSPITAL
ADP OF THE SNF
—
2025-03-06
current
pecos_ownership
MONUMENT HEALTH BOUNTIFUL LLC
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
MONUMENT HEALTH BOUNTIFUL LLC
5% OR GREATER MORTGAGE INTEREST
—
2025-02-07
current
pecos_ownership
MONUMENT HEALTH GROUP LLC
ADP OF THE SNF
—
2025-03-05
current
pecos_ownership
MONUMENT HEALTH GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
MONUMENT HEALTH PROPERTIES LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-02-01
current
pecos_ownership
MOSS, TYLER
CORPORATE OFFICER
—
2024-02-01
current
pecos_ownership
MURPHY, CORY
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
NIXON, TYLER
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
OLNEY, KAYLA
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ROBERTSON, BRETT
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
SAMUELIAN, SPENCER
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
SEASTRAND, JASON
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
WEST, CHRISTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
BOUNTIFUL R/E INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
BOUNTIFUL R/E INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
BOUNTIFUL R/E INVESTORS LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
TYLER MOSS
CORPORATE OFFICER
0%
2024-02-01
ended 2026-05-18
pecos_ownership
BRETT ROBERTSON
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
CHRISTIAN WEST
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
CORY MURPHY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
JASON SEASTRAND
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
KAYLA OLNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
LINDSAY FRAGOSO
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
SPENCER SAMUELIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
STEPHANIE ESPINOSA
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
STEPHEN MARRIOTT
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
TRAVIS CLAWSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
TYLER NIXON
ADP OF THE SNF
—
2024-02-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$934,583
$310,396
—
—
$323,926
5
propco
2022-12-31
$901,652
$310,640
—
—
$282,811
5
propco
2021-12-31
$963,085
$322,510
—
—
$323,409
5
propco
2020-12-31
$1,083,757
$325,152
—
—
$375,128
5
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 49011
acs median gross
0
$1,172
2024-12-31
CENSUS_ACS5
county 49011
fmr
0
$1,208
2025-10-01
HUD_USER_FMR
county 49011
acs median gross
1
$1,316
2024-12-31
CENSUS_ACS5
county 49011
fmr
1
$1,281
2025-10-01
HUD_USER_FMR
county 49011
acs median gross
2
$1,474
2024-12-31
CENSUS_ACS5
county 49011
fmr
2
$1,614
2025-10-01
HUD_USER_FMR
county 49011
acs median gross
3
$1,833
2024-12-31
CENSUS_ACS5
county 49011
fmr
3
$2,163
2025-10-01
HUD_USER_FMR
county 49011
acs median gross
4
$2,123
2024-12-31
CENSUS_ACS5
county 49011
fmr
4
$2,612
2025-10-01
HUD_USER_FMR
county 49011
acs median gross
5
$2,296
2024-12-31
CENSUS_ACS5
county 49011
acs median gross
$1,621
2024-12-31
CENSUS_ACS5
county 49011
acs recent mover gross
$1,848
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
0
$1,118
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
1
$1,282
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
2
$1,512
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
3
$1,779
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
4
$2,377
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
5
$2,375
2024-12-31
CENSUS_ACS5
zcta 84010
acs median gross
$1,572
2024-12-31
CENSUS_ACS5
zcta 84010
acs recent mover gross
$1,558
2024-12-31
CENSUS_ACS5
zip 84010
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 84010
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 84010
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 110
2
$1,848
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 90
2
$1,512
2025-10-01
HUD_USER_SAFMR
zip 84010
safmr
2
$1,680
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 110
3
$2,475
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 90
3
$2,025
2025-10-01
HUD_USER_SAFMR
zip 84010
safmr
3
$2,250
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 110
4
$2,992
2025-10-01
HUD_USER_SAFMR
zip 84010
payment standard 90
4
$2,448
2025-10-01
HUD_USER_SAFMR
zip 84010
safmr
4
$2,720
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.