Reads as: riskier than 37.8% 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
22
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.3 vs natl
INTERNATIONAL BANK OF COMMERCE
7 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
THOMPSON JOHNNY
74 facilities
connection
Owner spans multiple chains
18 chains
PLANTE MORAN PLLC
55 facilities
connection
Owner spans multiple chains
15 chains
AEGIS THERAPIES INC
32 facilities
connection
Owner spans multiple chains
9 chains
STUDER STANLEY
26 facilities
connection
Owner spans multiple chains
9 chains
FELLBAUM ERNEST
26 facilities
connection
Owner spans multiple chains
9 chains
TRIDENT HEALTHCARE SERVICES INC
24 facilities
connection
Owner spans multiple chains
8 chains
NUTRITIOUS LIFESTYLES INC
18 facilities
connection
Owner spans multiple chains
8 chains
SEHLKE BRYON
22 facilities
connection
Owner spans multiple chains
8 chains
CASTILLO LYNNEA
23 facilities
connection
Owner spans multiple chains
8 chains
CARVAJAL PHARMACY LTC
22 facilities
connection
Owner spans multiple chains
8 chains
ZUROVEC DARRELL
23 facilities
connection
Owner spans multiple chains
8 chains
TOUCHSTONE COMMUNITIES INC
23 facilities
connection
Owner spans multiple chains
7 chains
CAMPBELL LESLIE
22 facilities
connection
Owner spans multiple chains
5 chains
THE BRYON AND RENA SEHLKE LIVING TRUST
12 facilities
connection
Owner fleet enforcement cluster
58% fined
THE BRYON AND RENA SEHLKE LIVING TRUST
12 facilities
connection
Owner fleet enforcement cluster
45% fined
THOMPSON JOHNNY
74 facilities
connection
Owner fleet enforcement cluster
44% fined
BOENING CHRISTOPHER
9 facilities
connection
Owner fleet enforcement cluster
43% fined
INTERNATIONAL BANK OF COMMERCE
7 facilities
connection
Owner fleet enforcement cluster
41% fined
CAMPBELL LESLIE
22 facilities
connection
Owner fleet enforcement cluster
41% fined
SEHLKE BRYON
22 facilities
connection
Owner fleet enforcement cluster
41% fined
STUDER STANLEY
27 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
2.78
2.67
3.28
2.90–3.77
RN
0.23
0.24
0.39
0.25–0.58
Weekend total
2.56
2.56
3.11
—
Weekday total
2.87
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.2
2.78
0.23
0.70
1.85
2.56
2.0%
2025Q3
92
111.1
2.93
0.19
0.75
1.99
2.82
2.2%
2025Q2
91
110.6
2.86
0.13
0.78
1.95
2.79
2.3%
2025Q1
90
109.7
2.75
0.09
0.84
1.81
2.56
2.0%
2024Q4
92
107.4
2.82
0.11
0.91
1.81
2.62
1.7%
2024Q3
92
107.1
2.58
0.08
0.79
1.72
2.33
2.1%
2024Q2
91
108.7
2.62
0.12
0.79
1.71
2.41
0.0%
2024Q1
91
105.0
2.59
0.14
0.76
1.69
2.36
0.0%
2023Q4
92
101.8
2.62
0.18
0.73
1.72
2.35
0.0%
2023Q3
92
108.7
2.73
0.18
0.74
1.80
2.42
0.0%
2023Q2
91
108.0
2.58
0.19
0.67
1.73
2.31
0.0%
2023Q1
90
98.0
2.69
0.17
0.80
1.72
2.30
0.0%
2022Q4
92
99.6
2.64
0.16
0.85
1.63
2.40
0.0%
2022Q3
92
99.1
2.59
0.16
0.82
1.61
2.33
0.0%
2022Q2
91
101.0
2.54
0.20
0.79
1.56
2.20
0.0%
2022Q1
90
92.7
2.58
0.23
0.76
1.58
2.28
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
11
D × 7E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-01-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-02-28
2025-01-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-02-28
2025-01-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-28
2025-01-16
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-02-28
2025-01-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-28
2025-01-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-02-28
2025-01-16
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2025-02-14
2023-11-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-12-22
2023-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-14
2022-09-22
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
2022-10-14
2022-09-22
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-10-14
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
36
Owner
Role
Pct
From
Status
Source
AEGIS THERAPIES, INC.
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
BOENING, CHRISTOPHER
ADP OF THE SNF
—
2020-01-13
current
pecos_ownership
CAMPBELL, LESLIE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-01
current
pecos_ownership
CARVAJAL PHARMACY LTC
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
CASTILLO, LYNNEA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
current
pecos_ownership
FELLBAUM, ERNEST
ADP OF THE SNF
—
2019-01-29
current
pecos_ownership
GREENE, CALANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-21
current
pecos_ownership
HARE, SONDRA
ADP OF THE SNF
—
2019-08-26
current
pecos_ownership
INTERNATIONAL BANK OF COMMERCE
5% OR GREATER SECURITY INTEREST
—
2022-05-19
current
pecos_ownership
NUTRITIOUS LIFESTYLES, INC.
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
PLANTE & MORAN PLLC
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
SEHLKE, BRYON
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
STUDER, STANLEY
ADP OF THE SNF
—
2019-01-29
current
pecos_ownership
TANGUILIG-ROBINSON, CYNTHIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-01
current
pecos_ownership
THE BRYON AND RENA SEHLKE LIVING TRUST
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
THOMPSON, JOHNNY
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
TOUCHSTONE COMMUNITIES INC
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
TOUCHSTONE REALTY - WEST OAKS LLC
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
TOUCHSTONE STRATEGIES WEST OAKS LLC
—
—
2025-04-01
current
tx_hhsc_directory
TOUCHSTONE STRATEGIES - WEST OAKS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
current
pecos_ownership
TOUCHSTONE STRATEGIES - WEST OAKS LLC
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
TRIDENT HEALTH SERVICES INC
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-04-01
current
tx_hhsc_directory
ZUROVEC, DARRELL
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-04-01
ended 2026-05-18
pecos_ownership
JOHNNY THOMPSON
CORPORATE OFFICER
0%
2023-11-01
ended 2026-05-18
pecos_ownership
BRYON SEHLKE
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
CALANDRA GREENE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-21
ended 2026-05-18
pecos_ownership
CHRISTOPHER BOENING
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-13
ended 2026-05-18
pecos_ownership
CYNTHIA TANGUILIG-ROBINSON
ADP OF THE SNF
—
2025-09-01
ended 2026-05-18
pecos_ownership
DARRELL ZUROVEC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
ERNEST FELLBAUM
ADP OF THE SNF
—
2019-01-29
ended 2026-05-18
pecos_ownership
LESLIE CAMPBELL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-01
ended 2026-05-18
pecos_ownership
LYNNEA CASTILLO
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
SONDRA HARE
ADP OF THE SNF
—
2019-08-26
ended 2026-05-18
pecos_ownership
STANLEY STUDER
ADP OF THE SNF
—
2019-01-29
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
36
Geo
Kind
BR
Amount
As of
Source
county 48201
acs median gross
0
$1,177
2024-12-31
CENSUS_ACS5
county 48201
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
1
$1,196
2024-12-31
CENSUS_ACS5
county 48201
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
county 48201
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
3
$1,764
2024-12-31
CENSUS_ACS5
county 48201
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
4
$2,148
2024-12-31
CENSUS_ACS5
county 48201
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
5
$2,339
2024-12-31
CENSUS_ACS5
county 48201
acs median gross
$1,401
2024-12-31
CENSUS_ACS5
county 48201
acs recent mover gross
$1,495
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
0
$1,301
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
1
$1,250
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
2
$1,480
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
3
$1,783
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
4
$2,103
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
5
$2,218
2024-12-31
CENSUS_ACS5
zcta 77082
acs median gross
$1,416
2024-12-31
CENSUS_ACS5
zcta 77082
acs recent mover gross
$1,434
2024-12-31
CENSUS_ACS5
zip 77082
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 77082
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 110
1
$1,529
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 90
1
$1,251
2025-10-01
HUD_USER_SAFMR
zip 77082
safmr
1
$1,390
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 110
2
$1,815
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 90
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 77082
safmr
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 110
3
$2,442
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 90
3
$1,998
2025-10-01
HUD_USER_SAFMR
zip 77082
safmr
3
$2,220
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 110
4
$3,047
2025-10-01
HUD_USER_SAFMR
zip 77082
payment standard 90
4
$2,493
2025-10-01
HUD_USER_SAFMR
zip 77082
safmr
4
$2,770
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.