Reads as: riskier than 95.8% 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
20
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+41.4 vs natl
CLANTON AUSTON
6 facilities
connection
Owner fleet risk far above national
+37.8 vs natl
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
HONOR X ENTERPRISES LLC
7 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
5 chains
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet enforcement cluster
83% fined
CLANTON AUSTON
6 facilities
connection
Owner fleet enforcement cluster
80% fined
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet enforcement cluster
71% fined
HONOR X ENTERPRISES LLC
7 facilities
connection
Owner fleet enforcement cluster
56% fined
CREATIVE SOLUTIONS IN HEALTHCARE INC
45 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 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
3.03
2.67
3.28
2.90–3.77
RN
0.51
0.24
0.39
0.25–0.58
Weekend total
2.76
2.56
3.11
—
Weekday total
3.13
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
46.0
3.03
0.51
0.73
1.78
2.76
0.0%
2025Q3
92
41.1
3.11
0.66
0.70
1.76
3.08
0.0%
2025Q2
91
39.9
3.32
0.66
0.75
1.91
3.16
0.0%
2025Q1
90
39.7
3.25
0.49
0.87
1.89
3.12
0.0%
2024Q4
92
42.9
3.23
0.40
0.94
1.88
3.11
0.0%
2024Q3
92
48.1
2.47
0.27
0.84
1.36
2.45
0.0%
2024Q2
91
49.2
2.62
0.04
1.06
1.52
2.63
6.0%
2024Q1
91
47.4
2.71
0.10
1.07
1.53
2.61
0.7%
2023Q4
92
52.7
2.36
0.04
0.86
1.46
2.44
3.0%
2023Q3
92
49.3
2.73
0.09
0.94
1.69
2.62
20.5%
2023Q2
91
43.9
2.52
0.08
0.93
1.51
2.63
17.4%
2023Q1
90
39.4
2.53
0.07
0.98
1.48
2.81
31.5%
2022Q4
92
39.7
2.60
0.07
1.02
1.50
2.63
38.1%
2022Q3
92
39.7
2.81
0.08
0.99
1.74
2.67
48.2%
2022Q2
91
36.0
3.20
0.23
1.12
1.84
3.36
29.1%
2022Q1
90
41.9
2.83
0.13
0.96
1.74
2.83
29.2%
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.
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
C
—
2025-11-21
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-11-22
2025-08-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-08-02
2025-03-05
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2025-04-14
2025-02-21
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-22
2025-02-21
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-02-22
2024-10-10
Health · complaint
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
2024-10-11
2024-10-10
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-10-11
2024-10-10
Health · complaint
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
E
2024-10-11
2024-10-10
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-11
2024-10-10
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-10-11
2024-10-10
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-10-11
2024-10-10
Health
F0679
Provide activities to meet all resident's needs.
E
2024-10-11
2024-10-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-10-11
2024-10-10
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-11
2024-10-10
Health · complaint
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2024-10-11
2024-10-10
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
C
2024-10-11
2024-10-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-10-11
2024-05-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2024-05-24
2024-05-02
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
K
2024-05-24
2024-04-03
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-04-26
2024-02-03
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
2024-02-28
2024-02-03
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-02-28
2024-01-29
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-02-16
2023-12-06
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-12-29
2023-09-20
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-10-20
2023-09-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-10-20
2023-08-31
Health · complaint
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
2023-10-06
2023-08-31
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2023-10-06
2022-07-27
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-08-17
2022-07-27
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
2022-08-17
2022-07-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-08-15
2022-07-27
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.
D
2022-07-28
2022-07-27
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-08-17
2022-07-27
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2022-08-17
2022-07-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-08-17
2022-07-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-08-19
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
21
Owner
Role
Pct
From
Status
Source
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
BLAKE, MALISA
INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
CLANTON, AUSTON
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
CREATIVE SOLUTIONS IN HEALTHCARE INC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
CREATIVE SOLUTIONS IN HEALTHCARE, INC
—
—
1979-01-01
current
tx_hhsc_directory
EAMIGUEL, CHRISTOPHER
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
HONOR X ENTERPRISES, LLC
DIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
LANCASTER I ENTERPRISES, LLC
—
—
1979-01-01
current
tx_hhsc_directory
LANCASTER I ENTERPRISES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
SILVA, PHILLIP
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
STAPLETON, LILLIAN
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
WILLIG, ZACHARY
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
GARY BLAKE
INDIRECT OWNERSHIP INTEREST
50%
2024-07-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
INDIRECT OWNERSHIP INTEREST
50%
2024-07-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
AUSTON CLANTON
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER EAMIGUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
LILLIAN STAPLETON
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
PHILLIP SILVA
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
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
34
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75134
acs median gross
1
$1,227
2024-12-31
CENSUS_ACS5
zcta 75134
acs median gross
2
$1,401
2024-12-31
CENSUS_ACS5
zcta 75134
acs median gross
3
$2,009
2024-12-31
CENSUS_ACS5
zcta 75134
acs median gross
4
$1,938
2024-12-31
CENSUS_ACS5
zcta 75134
acs median gross
$1,818
2024-12-31
CENSUS_ACS5
zcta 75134
acs recent mover gross
$1,566
2024-12-31
CENSUS_ACS5
zip 75134
payment standard 110
0
$1,859
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 90
0
$1,521
2025-10-01
HUD_USER_SAFMR
zip 75134
safmr
0
$1,690
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 110
1
$1,936
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 90
1
$1,584
2025-10-01
HUD_USER_SAFMR
zip 75134
safmr
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 110
2
$2,266
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 90
2
$1,854
2025-10-01
HUD_USER_SAFMR
zip 75134
safmr
2
$2,060
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 110
3
$2,849
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 90
3
$2,331
2025-10-01
HUD_USER_SAFMR
zip 75134
safmr
3
$2,590
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 110
4
$3,630
2025-10-01
HUD_USER_SAFMR
zip 75134
payment standard 90
4
$2,970
2025-10-01
HUD_USER_SAFMR
zip 75134
safmr
4
$3,300
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.