Reads as: riskier than 66.1% 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
26
Kind
Finding
Signal
Subject
First seen
anomaly
Federal penalty spike
no prior fines
this facility
2026-07-29
connection
Owner fleet risk far above national
+29.3 vs natl
KISSLING MONICA
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
HOLT ERIN
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
TROMPLER KELLY
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
MCBEAN PATRICIA
16 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
KEETON WENDY
16 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
SANDERSON CLARK
58 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
FANNIN COUNTY HOSPITAL AUTHORITY
54 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
8 facilities
FANNIN COUNTY HOSPITAL AUTHORITY
8 facilities
connection
Owner fleet enforcement cluster
50% fined
KISSLING MONICA
16 facilities
connection
Owner fleet enforcement cluster
50% fined
MCBEAN PATRICIA
16 facilities
connection
Owner fleet enforcement cluster
50% fined
HOLT ERIN
16 facilities
connection
Owner fleet enforcement cluster
50% fined
TROMPLER KELLY
16 facilities
connection
Owner fleet enforcement cluster
50% fined
KEETON WENDY
16 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 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
2.79
2.67
3.28
2.90–3.77
RN
0.34
0.24
0.39
0.25–0.58
Weekend total
2.72
2.56
3.11
—
Weekday total
2.81
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
37.3
2.79
0.34
0.85
1.60
2.72
0.0%
2025Q3
92
43.3
2.72
0.44
0.88
1.40
2.41
0.0%
2025Q2
91
45.1
2.90
0.37
1.14
1.40
2.93
0.0%
2025Q1
90
40.0
2.84
0.11
1.54
1.19
2.89
0.0%
2024Q4
92
41.1
2.70
0.04
1.27
1.39
3.05
0.0%
2024Q3
92
40.8
2.52
0.20
0.88
1.44
2.77
0.0%
2024Q2
91
39.4
2.60
0.18
1.03
1.39
2.60
0.0%
2024Q1
91
37.6
2.57
0.07
1.18
1.31
2.84
0.0%
2023Q4
92
34.2
2.67
0.08
1.08
1.50
2.84
0.0%
2023Q3
92
37.8
2.38
0.10
0.88
1.41
2.50
0.0%
2023Q2
91
40.2
2.44
0.08
0.80
1.57
2.44
0.0%
2023Q1
90
39.0
2.29
0.11
0.72
1.47
2.39
0.8%
2022Q4
92
39.7
1.44
0.07
0.37
1.00
1.42
1.6%
2022Q3
92
40.7
2.62
0.20
0.42
2.00
2.31
0.0%
2022Q2
91
39.5
2.16
0.11
0.51
1.55
2.03
0.0%
2022Q1
90
39.9
1.85
0.19
0.59
1.07
1.77
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-04-19
2025-09-19
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-09-20
2025-09-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-09-20
2025-09-19
Health · complaint
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
J
2025-09-20
2025-09-19
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
J
2025-09-20
2025-09-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2025-09-20
2025-09-19
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.
J
2025-09-20
2025-09-19
Health · complaint
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
E
2025-09-20
2025-05-15
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.
E
2025-06-04
2025-05-15
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-16
2025-05-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-05-16
2025-03-07
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2025-03-14
2025-03-07
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-03-11
2024-03-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-03-11
2024-03-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-11
2024-03-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-11
2023-12-28
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-12-29
2023-12-28
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
2023-12-29
2023-10-20
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2023-11-03
2023-10-20
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-11-06
2023-07-18
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-07-20
2023-02-07
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
2023-02-27
2023-02-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-02-27
2023-02-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-02-27
2023-02-07
Health
F0732
Post nurse staffing information every day.
C
2023-02-27
2023-02-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-27
2023-02-07
Health
F0814
Dispose of garbage and refuse properly.
F
2023-02-27
2023-02-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-02-27
2021-12-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-12-29
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
29
Owner
Role
Pct
From
Status
Source
FANNIN COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
current
pecos_ownership
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
current
pecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY
—
—
2025-04-01
current
tx_hhsc_directory
HOLT, ERIN
MANAGING CONTROL - GOVERNING BODY
—
2020-02-25
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
KEETON, WENDY
MANAGING CONTROL - GOVERNING BODY
—
2012-10-29
current
pecos_ownership
KISSLING, MONICA
MANAGING CONTROL - GOVERNING BODY
—
2017-06-21
current
pecos_ownership
MCBEAN, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2021-08-30
current
pecos_ownership
RODRIGUEZ, KIMBERLY
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
SANDERSON, CLARK
CORPORATE OFFICER
—
2012-10-29
current
pecos_ownership
TROMPLER, KELLY
MANAGING CONTROL - GOVERNING BODY
—
2022-02-22
current
pecos_ownership
WEATHERFORD I ENTERPRISES, L.L.C.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
current
pecos_ownership
WEATHERFORD I ENTERPRISES, L.L.C.
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
WEATHERFORD I ENTERPRISES, LLC
—
—
2025-04-01
current
tx_hhsc_directory
WILLIG, ZACHARY
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
WUSTERHAUSEN, KRIS
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
CLARK SANDERSON
CORPORATE OFFICER
0%
2012-10-29
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2022-11-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
ERIN HOLT
MANAGING CONTROL - GOVERNING BODY
—
2020-02-25
ended 2026-05-18
pecos_ownership
GARY BLAKE
ADP OF THE SNF
—
2022-11-01
ended 2026-05-18
pecos_ownership
KELLY TROMPLER
MANAGING CONTROL - GOVERNING BODY
—
2022-02-22
ended 2026-05-18
pecos_ownership
KIMBERLY RODRIGUEZ
ADP OF THE SNF
—
2025-04-13
ended 2026-05-18
pecos_ownership
KRIS WUSTERHAUSEN
ADP OF THE SNF
—
2025-04-13
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
ended 2026-05-18
pecos_ownership
MONICA KISSLING
MANAGING CONTROL - GOVERNING BODY
—
2017-06-21
ended 2026-05-18
pecos_ownership
PATRICIA MCBEAN
MANAGING CONTROL - GOVERNING BODY
—
2021-08-30
ended 2026-05-18
pecos_ownership
WENDY KEETON
MANAGING CONTROL - GOVERNING BODY
—
2012-10-29
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.
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
35
Geo
Kind
BR
Amount
As of
Source
county 48367
acs median gross
0
$1,332
2024-12-31
CENSUS_ACS5
county 48367
fmr
0
$1,427
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
1
$1,309
2024-12-31
CENSUS_ACS5
county 48367
fmr
1
$1,473
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
2
$1,326
2024-12-31
CENSUS_ACS5
county 48367
fmr
2
$1,723
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
3
$1,706
2024-12-31
CENSUS_ACS5
county 48367
fmr
3
$2,273
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
4
$2,450
2024-12-31
CENSUS_ACS5
county 48367
fmr
4
$2,815
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
5
$2,625
2024-12-31
CENSUS_ACS5
county 48367
acs median gross
$1,500
2024-12-31
CENSUS_ACS5
county 48367
acs recent mover gross
$1,614
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
0
$1,309
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
1
$1,270
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
2
$1,319
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
4
$1,755
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
$1,441
2024-12-31
CENSUS_ACS5
zcta 76086
acs recent mover gross
$1,636
2024-12-31
CENSUS_ACS5
zip 76086
payment standard 110
0
$1,507
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
0
$1,233
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
0
$1,370
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
1
$1,562
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
1
$1,278
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
1
$1,420
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
2
$1,826
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
2
$1,494
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
2
$1,660
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
3
$2,409
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
3
$1,971
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
3
$2,190
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
4
$2,981
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
4
$2,439
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
4
$2,710
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.