Reads as: riskier than 12.4% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
40% fined
SANDERS JAMES
5 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
AL median
National median
National p25–p75
Total nurse
4.57
3.37
3.28
2.90–3.77
RN
0.11
0.43
0.39
0.25–0.58
Weekend total
4.47
3.04
3.11
—
Weekday total
4.61
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
152.3
4.57
0.11
1.19
3.27
4.47
10.4%
2025Q3
92
155.5
3.76
0.05
1.00
2.71
3.63
1.0%
2025Q2
91
152.3
4.24
0.11
1.12
3.01
4.30
8.6%
2025Q1
90
164.7
3.92
0.11
1.01
2.80
3.93
8.5%
2024Q4
92
168.4
3.92
0.11
0.97
2.83
3.80
8.1%
2024Q3
92
162.7
4.05
0.11
1.02
2.92
3.91
5.5%
2024Q2
91
157.3
4.14
0.17
1.06
2.90
3.95
5.3%
2024Q1
91
154.5
4.28
0.22
1.10
2.96
4.09
5.9%
2023Q4
92
158.1
4.27
0.23
1.03
3.01
4.02
3.8%
2023Q3
92
157.1
4.17
0.32
0.99
2.87
3.75
0.0%
2023Q2
91
155.8
4.01
0.00
1.09
2.92
3.67
12.9%
2023Q1
90
153.9
4.00
0.27
1.09
2.64
3.65
12.9%
2022Q4
92
153.3
4.08
0.27
1.06
2.75
3.77
9.4%
2022Q3
92
155.0
4.07
0.34
1.07
2.65
3.81
12.6%
2022Q2
91
155.5
4.08
0.38
1.09
2.61
3.54
18.8%
2022Q1
90
149.5
4.08
0.40
1.11
2.57
3.57
17.5%
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.
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.
B
2024-04-27
2024-03-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-27
2024-03-23
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-04-27
2024-03-23
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
2023-09-18
2024-03-23
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-04-27
2024-03-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-09-18
2024-03-23
Health · complaint
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
2024-04-27
2024-03-23
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-04-27
2018-08-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2018-10-04
2018-08-30
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.
D
2018-10-04
2018-08-30
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
2018-10-04
2018-08-30
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
2018-10-04
2018-08-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2018-10-04
2018-08-30
Health
F0814
Dispose of garbage and refuse properly.
C
2018-10-04
2018-08-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2018-10-04
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
51
Owner
Role
Pct
From
Status
Source
BAXTER, JOHN
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
CARDEN, NATHAN
CORPORATE DIRECTOR
—
2019-08-08
current
pecos_ownership
CHAPMAN, LYNN
CORPORATE DIRECTOR
—
2013-08-08
current
pecos_ownership
CLARK, MARSHA
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
GILES, MICHAEL
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
HOLLOWAY, MAUDINE
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
JACKSON, VICKI
CORPORATE OFFICER
—
2012-04-26
current
pecos_ownership
LYLES, STEVEN
CORPORATE OFFICER
—
2011-08-11
current
pecos_ownership
MARCH, DANIEL
W-2 MANAGING EMPLOYEE
—
2020-03-23
current
pecos_ownership
MATHISON, JOHN
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
MCKEE, ROBERT
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
METHODIST HOME FOR THE AGING
OPERATIONAL/MANAGERIAL CONTROL
—
2010-02-22
current
pecos_ownership
MOUNT, JOHN
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
PEACOCK, TOMMY
CORPORATE DIRECTOR
—
2012-08-16
current
pecos_ownership
ROBERTS, HENRY
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
RUSSELL, SCOTT
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
SALTER, BETTY
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
SANDERS, JAMES
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
SCALES, ROBERT
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
SCHULTZ, RONALD
CORPORATE OFFICER
—
2010-08-19
current
pecos_ownership
STEELE, JAMES
CORPORATE DIRECTOR
—
2016-08-11
current
pecos_ownership
SUMNER, SAMUEL
CORPORATE DIRECTOR
—
2012-08-16
current
pecos_ownership
TAKACS, TERRYE
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
TOMLIN, CHRISTOPHER
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
WATERS, THOMAS
CORPORATE DIRECTOR
—
2010-08-19
current
pecos_ownership
WILLIAMSON, SAMUAL
CORPORATE DIRECTOR
—
2010-02-22
current
pecos_ownership
NATHAN CARDEN
CORPORATE DIRECTOR
0%
2019-08-08
ended 2026-05-18
pecos_ownership
BETTY SALTER
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
CHRISTOPHER TOMLIN
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
DANIEL MARCH
W-2 MANAGING EMPLOYEE
—
2020-03-23
ended 2026-05-18
pecos_ownership
HENRY ROBERTS
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
JAMES SANDERS
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
JAMES STEELE
CORPORATE DIRECTOR
—
2016-08-11
ended 2026-05-18
pecos_ownership
JOHN BAXTER
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
JOHN MATHISON
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
JOHN MOUNT
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
LYNN CHAPMAN
CORPORATE DIRECTOR
—
2013-08-08
ended 2026-05-18
pecos_ownership
MARSHA CLARK
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
MAUDINE HOLLOWAY
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
MICHAEL GILES
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
ROBERT MCKEE
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
ROBERT SCALES
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
RONALD SCHULTZ
CORPORATE OFFICER
—
2010-08-19
ended 2026-05-18
pecos_ownership
SAMUAL WILLIAMSON
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
SAMUEL SUMNER
CORPORATE DIRECTOR
—
2012-08-16
ended 2026-05-18
pecos_ownership
SCOTT RUSSELL
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
STEVEN LYLES
CORPORATE OFFICER
—
2011-08-11
ended 2026-05-18
pecos_ownership
TERRYE TAKACS
CORPORATE DIRECTOR
—
2010-02-22
ended 2026-05-18
pecos_ownership
THOMAS WATERS
CORPORATE DIRECTOR
—
2010-08-19
ended 2026-05-18
pecos_ownership
TOMMY PEACOCK
CORPORATE DIRECTOR
—
2012-08-16
ended 2026-05-18
pecos_ownership
VICKI JACKSON
CORPORATE OFFICER
—
2012-04-26
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
2025-06-30
$20,483
—
$20,483
—
—
1
—
2024-06-30
$798,600
—
$798,600
—
—
1
—
2023-06-30
$909,143
—
—
—
—
0
—
2022-06-30
$990,990
—
—
—
—
0
—
2021-06-30
$895,849
—
—
—
—
0
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 01069
acs median gross
0
$738
2024-12-31
CENSUS_ACS5
county 01069
fmr
0
$757
2025-10-01
HUD_USER_FMR
county 01069
acs median gross
1
$656
2024-12-31
CENSUS_ACS5
county 01069
fmr
1
$762
2025-10-01
HUD_USER_FMR
county 01069
acs median gross
2
$860
2024-12-31
CENSUS_ACS5
county 01069
fmr
2
$950
2025-10-01
HUD_USER_FMR
county 01069
acs median gross
3
$1,062
2024-12-31
CENSUS_ACS5
county 01069
fmr
3
$1,288
2025-10-01
HUD_USER_FMR
county 01069
acs median gross
4
$1,156
2024-12-31
CENSUS_ACS5
county 01069
fmr
4
$1,428
2025-10-01
HUD_USER_FMR
county 01069
acs median gross
5
$2,167
2024-12-31
CENSUS_ACS5
county 01069
acs median gross
$945
2024-12-31
CENSUS_ACS5
county 01069
acs recent mover gross
$1,030
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
0
$1,125
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
1
$1,041
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
2
$1,082
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
3
$1,380
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
4
$1,250
2024-12-31
CENSUS_ACS5
zcta 36305
acs median gross
$1,156
2024-12-31
CENSUS_ACS5
zcta 36305
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zip 36305
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 36305
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 36305
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 110
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 90
2
$1,134
2025-10-01
HUD_USER_SAFMR
zip 36305
safmr
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 36305
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 110
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 36305
payment standard 90
4
$1,701
2025-10-01
HUD_USER_SAFMR
zip 36305
safmr
4
$1,890
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.