Reads as: riskier than 17.2% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 facilities
connection
Owner spans multiple chains
5 chains
RADADIYA PRAGNESHKUMAR
14 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
2.34
2.85
3.28
2.90–3.77
RN
0.60
0.40
0.39
0.25–0.58
Weekend total
2.30
2.71
3.11
—
Weekday total
2.36
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.1
2.34
0.60
0.43
1.31
2.30
0.0%
2025Q3
92
29.0
2.44
0.39
0.51
1.54
2.40
0.0%
2025Q2
91
27.1
2.90
0.54
0.69
1.68
2.68
0.0%
2025Q1
90
28.2
2.74
0.52
0.60
1.61
2.56
0.0%
2024Q4
92
28.3
2.36
0.68
0.36
1.32
2.17
0.0%
2024Q3
92
28.0
2.12
0.77
0.20
1.15
2.07
0.0%
2024Q2
91
28.1
2.16
0.73
0.23
1.20
2.11
0.0%
2024Q1
91
28.1
2.28
0.62
0.34
1.32
2.15
0.0%
2023Q4
92
28.1
2.34
0.58
0.40
1.37
2.25
0.0%
2023Q3
92
27.4
2.29
0.60
0.34
1.34
2.22
0.0%
2023Q2
91
28.3
2.24
0.50
0.42
1.31
2.14
0.0%
2023Q1
90
28.2
2.24
0.61
0.27
1.36
2.23
0.0%
2022Q4
92
28.4
2.18
0.64
0.24
1.30
2.18
0.0%
2022Q3
92
28.2
2.15
0.80
0.20
1.16
1.88
0.0%
2022Q2
91
25.8
2.30
0.89
0.22
1.19
1.98
0.0%
2022Q1
90
27.8
1.88
0.67
0.35
0.85
1.65
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
14
D × 11E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-23
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
2026-01-31
2025-12-23
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2026-01-31
2025-12-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-31
2025-12-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-31
2025-12-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-01-31
2025-12-23
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
—
2025-09-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-19
2024-11-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-20
2024-11-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-12-20
2024-11-26
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2024-12-13
2023-09-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-05
2023-09-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-10-05
2023-09-15
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-10-05
2023-09-15
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
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
35
Owner
Role
Pct
From
Status
Source
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
current
pecos_ownership
ADVANCED CARE CONSULTANTS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
FLUECKIGER, RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2015-10-01
current
pecos_ownership
JSJ HOLDINGS LLC
ADP OF THE SNF
—
2026-01-12
current
pecos_ownership
LEHMAN, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
2020-07-14
current
pecos_ownership
LME FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
MACKLIN, LARRY
MANAGING CONTROL - GOVERNING BODY
—
2015-10-01
current
pecos_ownership
MCINTIRE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
current
pecos_ownership
MIDWEST IN OPCO LLC
ADP OF THE SNF
—
2026-01-12
current
pecos_ownership
RADADIYA, PRAGNESHKUMAR
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-01
current
pecos_ownership
SAMARA FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
SILVER MEMORIES NURSING AND REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-01
current
pecos_ownership
SILVER MEMORIES NURSING AND REHAB LLC
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
SMITH, SCOTT
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
current
pecos_ownership
WOODS, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
DANE WHEELER
CORPORATE OFFICER
100%
2015-10-01
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
JSJ HOLDINGS LLC
ADP OF THE SNF
—
2026-01-05
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-10-01
ended 2026-05-18
pecos_ownership
MIDWEST IN OPCO LLC
ADP OF THE SNF
—
2026-01-02
ended 2026-05-18
pecos_ownership
PRAGNESHKUMAR RADADIYA
ADP OF THE SNF
—
2020-11-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
MANAGING CONTROL - GOVERNING BODY
—
2015-10-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-14
ended 2026-05-18
pecos_ownership
SCOTT SMITH
CORPORATE OFFICER
—
2020-01-01
ended 2026-05-18
pecos_ownership
SHARON WOODS
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
SIMM PROPERTIES
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$349,864
—
—
$118,229
$42,335
7
—
2023-12-31
$359,796
—
$40,658
$160,411
$38,304
8
—
2022-12-31
$393,343
—
$37,785
$166,869
$38,257
7
—
2021-12-31
$227,324
—
$34,159
$97,038
$22,174
7
—
2020-12-31
$143,069
—
—
—
$5,825
5
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 18137
acs median gross
0
$1,568
2024-12-31
CENSUS_ACS5
county 18137
fmr
0
$681
2025-10-01
HUD_USER_FMR
county 18137
acs median gross
1
$685
2024-12-31
CENSUS_ACS5
county 18137
fmr
1
$752
2025-10-01
HUD_USER_FMR
county 18137
acs median gross
2
$863
2024-12-31
CENSUS_ACS5
county 18137
fmr
2
$987
2025-10-01
HUD_USER_FMR
county 18137
acs median gross
3
$980
2024-12-31
CENSUS_ACS5
county 18137
fmr
3
$1,302
2025-10-01
HUD_USER_FMR
county 18137
acs median gross
4
$923
2024-12-31
CENSUS_ACS5
county 18137
fmr
4
$1,307
2025-10-01
HUD_USER_FMR
county 18137
acs median gross
$839
2024-12-31
CENSUS_ACS5
county 18137
acs recent mover gross
$830
2024-12-31
CENSUS_ACS5
zcta 47042
acs median gross
1
$641
2024-12-31
CENSUS_ACS5
zcta 47042
acs median gross
2
$865
2024-12-31
CENSUS_ACS5
zcta 47042
acs median gross
3
$1,196
2024-12-31
CENSUS_ACS5
zcta 47042
acs median gross
$773
2024-12-31
CENSUS_ACS5
zcta 47042
acs recent mover gross
$639
2024-12-31
CENSUS_ACS5
zip 47042
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 47042
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 47042
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 47042
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 47042
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 110
4
$1,397
2025-10-01
HUD_USER_SAFMR
zip 47042
payment standard 90
4
$1,143
2025-10-01
HUD_USER_SAFMR
zip 47042
safmr
4
$1,270
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.