Reads as: riskier than 9.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 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 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
WV median
National median
National p25–p75
Total nurse
6.65
3.14
3.28
2.90–3.77
RN
2.19
0.37
0.39
0.25–0.58
Weekend total
6.58
2.97
3.11
—
Weekday total
6.68
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
15.6
6.65
2.19
1.49
2.96
6.58
0.0%
2025Q3
92
15.4
6.86
2.46
1.54
2.86
7.18
0.0%
2025Q2
91
15.8
6.42
2.44
1.16
2.81
6.43
0.0%
2025Q1
90
16.0
6.55
2.43
1.29
2.84
6.25
0.0%
2024Q4
92
13.7
5.75
1.65
1.45
2.65
5.55
0.0%
2024Q3
92
12.5
6.42
1.76
1.17
3.49
6.29
0.0%
2024Q2
91
12.6
7.56
2.53
1.37
3.67
7.35
0.0%
2024Q1
91
12.1
8.29
3.48
1.24
3.58
7.55
0.0%
2023Q4
92
13.0
6.50
2.15
1.23
3.13
6.52
7.1%
2023Q3
92
14.6
5.99
2.79
0.70
2.50
6.03
6.2%
2023Q2
91
14.7
6.22
3.02
0.91
2.28
6.53
9.2%
2023Q1
90
12.4
6.55
3.06
0.74
2.75
6.77
18.2%
2022Q4
92
11.6
7.12
2.64
1.32
3.15
6.92
35.4%
2022Q3
92
12.0
6.48
1.84
1.68
2.96
6.83
52.9%
2022Q2
91
9.1
7.81
2.13
2.74
2.94
8.15
45.0%
2022Q1
90
8.4
8.40
2.47
2.85
3.08
9.34
47.4%
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
14
D × 5E × 8F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-31
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
2025-10-01
2025-07-31
Health
F0675
Honor each resident's preferences, choices, values and beliefs.
E
2025-10-01
2025-07-31
Health
F0679
Provide activities to meet all resident's needs.
E
2025-10-01
2025-07-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-10-01
2022-10-12
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2022-10-18
2022-10-12
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
2022-10-18
2022-10-12
Health
F0679
Provide activities to meet all resident's needs.
E
2022-10-18
2022-10-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-10-18
2022-10-12
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
2022-10-18
2022-10-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-10-18
2022-10-12
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2022-10-18
2021-07-14
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2021-07-15
2021-07-14
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2021-07-15
2021-07-14
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2021-07-15
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
43
Owner
Role
Pct
From
Status
Source
WEST VIRGINIA UNITED HEALTH SYSTEM, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-05-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
BARKER, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
BREEDLOVE, PAUL
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
CHALLA, KISHORE
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
ELLIS, TERRELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
EPPERLY, JOHN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
FAIRLESS, LYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
FRANCISCO, PAIGE
CORPORATE OFFICER
—
2024-08-05
current
pecos_ownership
GIZZI, JASON
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
HIGGS, DONALD
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
KAWASH, STEPHEN
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
LAVENSKI, SUSAN
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
MAYFIELD, ANGELA
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
MEEKS, JAIME
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
PACK, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
ROBINSON, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
ROSENCRANCE, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
SAYRE, DAVID
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
SLAUGHTER, CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
STOVER, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
WRIGHT, ALBERT
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
WRIGHT, ALBERT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-05
current
pecos_ownership
ALBERT WRIGHT
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
ANGELA MAYFIELD
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
ASHLEY PACK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
CRAIG SLAUGHTER
CORPORATE OFFICER
—
2024-05-01
ended 2026-05-18
pecos_ownership
DAVID SAYRE
CORPORATE OFFICER
—
2024-05-01
ended 2026-05-18
pecos_ownership
DONALD HIGGS
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
GEORGE BARKER
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
JAIME MEEKS
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
JAMES ROSENCRANCE
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
JASON GIZZI
CORPORATE OFFICER
—
2024-05-01
ended 2026-05-18
pecos_ownership
JOHN EPPERLY
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
KISHORE CHALLA
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
LYLE FAIRLESS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
MARK ROBINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
MATTHEW STOVER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
PAIGE FRANCISCO
ADP OF THE SNF
—
2024-08-05
ended 2026-05-18
pecos_ownership
PAUL BREEDLOVE
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
STEPHEN KAWASH
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
SUSAN LAVENSKI
CORPORATE DIRECTOR
—
2024-05-01
ended 2026-05-18
pecos_ownership
TERRELL ELLIS
CORPORATE DIRECTOR
—
2024-05-01
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
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
28
Geo
Kind
BR
Amount
As of
Source
county 54039
acs median gross
0
$681
2024-12-31
CENSUS_ACS5
county 54039
fmr
0
$714
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
1
$702
2024-12-31
CENSUS_ACS5
county 54039
fmr
1
$829
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
2
$933
2024-12-31
CENSUS_ACS5
county 54039
fmr
2
$1,036
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
3
$1,085
2024-12-31
CENSUS_ACS5
county 54039
fmr
3
$1,325
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
4
$1,153
2024-12-31
CENSUS_ACS5
county 54039
fmr
4
$1,372
2025-10-01
HUD_USER_FMR
county 54039
acs median gross
5
$1,436
2024-12-31
CENSUS_ACS5
county 54039
acs median gross
$906
2024-12-31
CENSUS_ACS5
county 54039
acs recent mover gross
$975
2024-12-31
CENSUS_ACS5
zip 25322
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 25322
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 25322
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 25322
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 25322
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 25322
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 25322
safmr
4
$1,380
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.