Reads as: riskier than 97.3% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+36.8 vs natl
SYED ASIF
6 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HOOPER GRADY
61 facilities
connection
Owner spans multiple chains
6 chains
SYED ASIF
6 facilities
connection
Owner fleet enforcement cluster
49% fined
HOOPER GRADY
61 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 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
0.13
0.24
0.39
0.25–0.58
Weekend total
2.59
2.56
3.11
—
Weekday total
2.88
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
102.1
2.79
0.13
0.89
1.77
2.59
0.3%
2025Q3
92
105.1
2.72
0.25
0.77
1.70
2.59
0.5%
2025Q2
91
103.5
2.70
0.18
0.80
1.72
2.52
0.2%
2025Q1
90
101.5
2.91
0.16
0.93
1.82
2.69
0.9%
2024Q4
92
102.2
2.74
0.12
0.87
1.76
2.55
0.3%
2024Q3
92
100.5
2.84
0.21
0.85
1.78
2.69
0.1%
2024Q2
91
101.6
2.73
0.28
0.81
1.64
2.59
0.2%
2024Q1
91
99.2
2.50
0.25
0.85
1.40
2.33
0.5%
2023Q4
92
94.8
2.70
0.22
0.94
1.54
2.55
0.7%
2023Q3
92
87.2
2.64
0.16
0.88
1.60
2.49
0.7%
2023Q2
91
77.8
2.59
0.19
0.76
1.64
2.30
0.7%
2023Q1
90
72.1
2.60
0.16
0.84
1.59
2.36
0.1%
2022Q4
92
70.3
2.65
0.05
0.98
1.62
2.35
10.1%
2022Q3
92
68.0
2.37
0.07
0.90
1.39
2.11
10.1%
2022Q2
91
63.2
2.30
0.10
0.95
1.25
1.93
0.0%
2022Q1
90
68.8
2.43
0.03
1.02
1.38
1.97
6.0%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-03-26
2026-03-11
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-03-26
2026-03-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-26
2026-03-11
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2026-03-26
2026-02-17
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
2026-02-18
2025-12-01
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-09-10
2025-11-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-10-14
2025-08-09
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
2025-08-12
2025-06-04
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
2025-06-06
2025-01-18
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-01-23
2025-01-18
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-01-23
2025-01-18
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-01-23
2025-01-18
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-01-23
2025-01-18
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.
E
2025-01-23
2025-01-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-01-23
2025-01-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-01-23
2025-01-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-23
2025-01-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-23
2025-01-18
Health
F0880
Provide and implement an infection prevention and control program.
K
2025-01-23
2024-12-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-12-05
2024-11-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-12-03
2024-11-06
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-03
2024-06-24
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-07-20
2024-06-24
Health · complaint
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-07-20
2024-02-07
Health · complaint
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-02-28
2023-12-13
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-01-08
2023-12-13
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-08
2023-12-13
Health
F0610
Respond appropriately to all alleged violations.
D
2024-01-08
2023-12-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-08
2023-12-13
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-01-02
2023-12-13
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2024-01-08
2023-12-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-08
2023-09-24
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-10-13
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
20
Owner
Role
Pct
From
Status
Source
ASOGWA, AMY
ADP OF THE SNF
—
2025-03-19
current
pecos_ownership
FIRST PARK VALLEY CAPITAL FUNDING LLC
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
—
—
2024-05-01
current
tx_hhsc_directory
HOOPER, GRADY
CORPORATE OFFICER
—
2015-12-01
current
pecos_ownership
HOOPER, GRADY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
LOPEZ, RICARDO
ADP OF THE SNF
—
2025-02-17
current
pecos_ownership
PARK VALLEY HEALTH CARE CENTER LTD CO
—
—
2024-05-01
current
tx_hhsc_directory
PARK VALLEY HEALTH CARE CENTER LTD. CO.
ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
PARK VALLEY HEALTH CARE CENTER LTD. CO.
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
STEPHEN DUCK, CPA PC
ADP OF THE SNF
—
2022-12-06
current
pecos_ownership
SYED, ASIF
ADP OF THE SNF
—
2022-07-30
current
pecos_ownership
SYED, ASIF
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
GRADY HOOPER
CORPORATE OFFICER
0%
2015-12-01
ended 2026-05-18
pecos_ownership
1ST PV
Corporation, partnership or other organization has financial interest in provider
—
2019-12-11
ended 2020-04-30
hcris_a_8_1
AMY ASOGWA
ADP OF THE SNF
—
2025-03-19
ended 2026-05-18
pecos_ownership
ASIF SYED
ADP OF THE SNF
—
2022-07-30
ended 2026-05-18
pecos_ownership
ASIF SYED
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
ended 2026-05-18
pecos_ownership
GRADY HOOPER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
ended 2026-05-18
pecos_ownership
RICARDO LOPEZ
ADP OF THE SNF
—
2025-02-17
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-09-30
$1
—
—
—
—
0
—
2022-09-30
$1
—
—
—
—
0
—
2020-04-30
$427,050
—
$113,844
—
—
3
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 48491
acs median gross
0
$1,577
2024-12-31
CENSUS_ACS5
county 48491
fmr
0
$1,474
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
county 48491
fmr
1
$1,562
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
county 48491
fmr
2
$1,852
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
3
$2,154
2024-12-31
CENSUS_ACS5
county 48491
fmr
3
$2,347
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
4
$2,584
2024-12-31
CENSUS_ACS5
county 48491
fmr
4
$2,760
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
5
$2,617
2024-12-31
CENSUS_ACS5
county 48491
acs median gross
$1,796
2024-12-31
CENSUS_ACS5
county 48491
acs recent mover gross
$1,868
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
0
$1,407
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
1
$1,542
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
2
$1,968
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
3
$2,223
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
4
$2,614
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
5
$3,029
2024-12-31
CENSUS_ACS5
zcta 78681
acs median gross
$1,963
2024-12-31
CENSUS_ACS5
zcta 78681
acs recent mover gross
$2,277
2024-12-31
CENSUS_ACS5
zip 78681
payment standard 110
0
$1,826
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 90
0
$1,494
2025-10-01
HUD_USER_SAFMR
zip 78681
safmr
0
$1,660
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 110
1
$1,936
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 90
1
$1,584
2025-10-01
HUD_USER_SAFMR
zip 78681
safmr
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 110
2
$2,299
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 90
2
$1,881
2025-10-01
HUD_USER_SAFMR
zip 78681
safmr
2
$2,090
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 110
3
$2,915
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 90
3
$2,385
2025-10-01
HUD_USER_SAFMR
zip 78681
safmr
3
$2,650
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 110
4
$3,432
2025-10-01
HUD_USER_SAFMR
zip 78681
payment standard 90
4
$2,808
2025-10-01
HUD_USER_SAFMR
zip 78681
safmr
4
$3,120
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.