Reads as: riskier than 64.2% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
BLACKROCK INC
303 facilities
connection
Owner spans multiple chains
8 chains
VANGUARD GROUP INC
324 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
MO median
National median
National p25–p75
Total nurse
2.89
2.41
3.28
2.90–3.77
RN
0.50
0.25
0.39
0.25–0.58
Weekend total
2.44
2.24
3.11
—
Weekday total
3.07
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.0
2.89
0.50
0.62
1.77
2.44
0.0%
2025Q3
92
67.1
2.65
0.56
0.43
1.67
2.17
0.0%
2025Q2
91
64.8
2.61
0.45
0.32
1.83
2.19
0.0%
2025Q1
90
68.5
2.33
0.39
0.28
1.66
2.01
0.0%
2024Q4
92
69.2
2.23
0.43
0.24
1.55
2.10
0.0%
2024Q3
92
63.6
2.18
0.59
0.05
1.54
2.13
0.0%
2024Q2
91
62.6
2.28
0.49
0.23
1.57
2.13
0.0%
2024Q1
91
55.3
2.48
0.66
0.30
1.51
2.21
3.1%
2023Q4
92
54.1
2.53
0.65
0.32
1.56
2.21
23.5%
2023Q3
92
61.5
2.31
0.48
0.35
1.47
2.08
49.4%
2023Q2
91
65.9
2.02
0.35
0.41
1.26
1.92
43.0%
2023Q1
90
60.8
2.12
0.41
0.42
1.29
2.11
44.0%
2022Q4
92
60.1
2.25
0.28
0.43
1.54
1.83
51.3%
2022Q3
92
60.5
2.37
0.19
0.54
1.65
2.08
36.1%
2022Q2
91
57.7
2.90
0.23
0.74
1.93
2.55
42.4%
2022Q1
90
59.8
2.30
0.20
0.53
1.56
2.08
18.6%
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
29
D × 25E × 2F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-24
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
2025-06-08
2025-04-24
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-06-08
2025-04-24
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-06-08
2025-04-24
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-08
2025-04-24
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
2025-06-08
2025-04-24
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.
D
2025-06-08
2025-04-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-06-08
2025-04-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-08
2024-03-29
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-04-22
2024-03-29
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2024-04-22
2024-03-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-04-22
2024-03-29
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-04-22
2024-03-29
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-04-22
2024-03-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-22
2024-03-29
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-04-22
2024-03-29
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-04-22
2024-03-29
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-04-22
2024-03-29
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-04-22
2024-03-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-22
2022-09-23
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
2022-11-04
2022-09-23
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-11-04
2022-09-23
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-11-04
2022-09-23
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-11-04
2022-09-23
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-11-04
2022-09-23
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.
D
2022-11-04
2022-09-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-11-04
2022-09-23
Health
F0814
Dispose of garbage and refuse properly.
D
2022-11-04
2022-09-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-11-04
2022-09-23
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-11-04
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
28
Owner
Role
Pct
From
Status
Source
BLACKROCK INC
ADP OF THE SNF
—
2010-01-20
current
pecos_ownership
BURKE, EDWARD
ADP OF THE SNF
—
2018-11-13
current
pecos_ownership
DODSON, VICKI
ADP OF THE SNF
—
2019-06-01
current
pecos_ownership
KIDD, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
NATIONAL HEALTH CORPORATION
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
NATIONAL HEALTHCARE CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-01
current
pecos_ownership
NATIONAL HEALTHCARE CORPORATION
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
NHC-OP LP
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-01
current
pecos_ownership
NHC/DELAWARE INC
DIRECT OWNERSHIP INTEREST
—
2000-02-01
current
pecos_ownership
NIXON, BECCA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-14
current
pecos_ownership
RECTOR, MELVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2000-02-01
current
pecos_ownership
RIDDLE, JORDAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-14
current
pecos_ownership
RIDDLE, JORDAN
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
USSERY, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
VANGUARD GROUP INC
ADP OF THE SNF
—
2006-11-30
current
pecos_ownership
BLACKROCK INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2019-03-20
ended 2026-05-18
pecos_ownership
VANGUARD GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2017-03-27
ended 2026-05-18
pecos_ownership
NATIONAL HEALTH CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2000-02-01
ended 2026-05-18
pecos_ownership
DIMENSIONAL FUND ADVISORS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2023-03-07
ended 2026-05-18
pecos_ownership
MORGAN STANLEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-11-08
ended 2026-05-18
pecos_ownership
BECCA NIXON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-14
ended 2026-05-18
pecos_ownership
BRIAN KIDD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
EDWARD BURKE
ADP OF THE SNF
—
2018-11-13
ended 2026-05-18
pecos_ownership
JORDAN RIDDLE
ADP OF THE SNF
—
2025-04-14
ended 2026-05-18
pecos_ownership
JORDAN RIDDLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-14
ended 2026-05-18
pecos_ownership
MELVIN RECTOR
CORPORATE OFFICER
—
2000-02-01
ended 2026-05-18
pecos_ownership
ROBERT USSERY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
VICKI DODSON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$589,858
—
$335,001
—
—
1
—
2023-12-31
$309,459
—
$7,619
—
—
2
—
2022-12-31
$304,894
—
$5,170
—
—
2
—
2021-12-31
$713,108
—
$272,496
$23,290
$333,204
2
—
2020-12-31
$702,513
—
$190,661
$159,352
$299,113
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 29187
acs median gross
0
$720
2024-12-31
CENSUS_ACS5
county 29187
fmr
0
$684
2025-10-01
HUD_USER_FMR
county 29187
acs median gross
1
$582
2024-12-31
CENSUS_ACS5
county 29187
fmr
1
$689
2025-10-01
HUD_USER_FMR
county 29187
acs median gross
2
$834
2024-12-31
CENSUS_ACS5
county 29187
fmr
2
$904
2025-10-01
HUD_USER_FMR
county 29187
acs median gross
3
$883
2024-12-31
CENSUS_ACS5
county 29187
fmr
3
$1,169
2025-10-01
HUD_USER_FMR
county 29187
acs median gross
4
$973
2024-12-31
CENSUS_ACS5
county 29187
fmr
4
$1,197
2025-10-01
HUD_USER_FMR
county 29187
acs median gross
$794
2024-12-31
CENSUS_ACS5
county 29187
acs recent mover gross
$862
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
0
$549
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
1
$544
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
3
$878
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
4
$988
2024-12-31
CENSUS_ACS5
zcta 63601
acs median gross
$768
2024-12-31
CENSUS_ACS5
zcta 63601
acs recent mover gross
$952
2024-12-31
CENSUS_ACS5
zip 63601
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 63601
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 110
1
$748
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 90
1
$612
2025-10-01
HUD_USER_SAFMR
zip 63601
safmr
1
$680
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 63601
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 110
3
$1,265
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 90
3
$1,035
2025-10-01
HUD_USER_SAFMR
zip 63601
safmr
3
$1,150
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 110
4
$1,298
2025-10-01
HUD_USER_SAFMR
zip 63601
payment standard 90
4
$1,062
2025-10-01
HUD_USER_SAFMR
zip 63601
safmr
4
$1,180
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.