Reads as: riskier than 52.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 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
2.64
2.41
3.28
2.90–3.77
RN
0.40
0.25
0.39
0.25–0.58
Weekend total
2.46
2.24
3.11
—
Weekday total
2.71
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.1
2.64
0.40
0.32
1.91
2.46
0.0%
2025Q3
92
112.2
2.52
0.38
0.30
1.85
2.19
0.0%
2025Q2
91
110.8
2.43
0.40
0.32
1.71
2.09
0.0%
2025Q1
90
110.5
2.37
0.35
0.37
1.65
1.92
0.0%
2024Q4
92
110.2
2.32
0.31
0.34
1.67
1.82
0.0%
2024Q3
92
107.2
2.31
0.20
0.38
1.73
1.88
9.2%
2024Q2
91
109.1
2.61
0.24
0.42
1.95
2.31
33.7%
2024Q1
91
108.2
2.72
0.26
0.46
2.00
2.35
40.0%
2023Q4
92
109.8
2.33
0.23
0.36
1.74
2.08
34.6%
2023Q3
92
109.9
2.50
0.23
0.39
1.88
2.32
31.0%
2023Q2
91
109.3
2.58
0.24
0.41
1.93
2.43
29.7%
2023Q1
90
109.0
2.67
0.23
0.40
2.03
2.55
30.6%
2022Q4
92
109.8
2.46
0.22
0.41
1.83
2.35
29.2%
2022Q3
92
109.7
2.40
0.23
0.47
1.70
2.22
26.9%
2022Q2
91
106.5
2.37
0.21
0.45
1.71
2.25
28.8%
2022Q1
90
106.1
2.35
0.23
0.42
1.71
2.16
24.8%
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
24
D × 19E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-11
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-04-24
2026-03-11
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2026-04-24
2026-03-11
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
2026-04-24
2026-03-11
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.
D
2026-04-24
2026-03-11
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
2026-04-24
2026-03-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-24
2026-03-11
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-24
2024-12-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-01-18
2024-12-06
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.
E
2025-01-18
2024-12-06
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2025-01-18
2024-12-06
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.
E
2025-01-18
2024-12-06
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
2025-01-18
2024-12-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-01-18
2024-12-06
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-01-18
2024-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-18
2024-12-06
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-01-18
2024-09-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-08
2024-09-26
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-11-08
2023-01-20
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-03-06
2023-01-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-06
2023-01-20
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-03-06
2023-01-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-03-06
2023-01-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-03-06
2023-01-20
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-03-06
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
41
Owner
Role
Pct
From
Status
Source
ABRAMS, KENDIKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
ASHWORTH, JAMES
ADP OF THE SNF
—
2021-06-17
current
pecos_ownership
BABB, DONALD
ADP OF THE SNF
—
—
current
pecos_ownership
BANNER, KATRINA
ADP OF THE SNF
—
2022-11-17
current
pecos_ownership
CALHOUN, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-02
current
pecos_ownership
CALHOUN, MICHAEL
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
DAWSON, ERAN
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
current
pecos_ownership
FINNELL, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
current
pecos_ownership
FINNELL, HEATHER
ADP OF THE SNF
—
2021-11-21
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2024-06-27
current
pecos_ownership
FRANCKA, TIM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-18
current
pecos_ownership
FULBRIGHT, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-17
current
pecos_ownership
HANAK, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
current
pecos_ownership
HANCOCK, JANIECA
MANAGING CONTROL - GOVERNING BODY
—
2018-03-15
current
pecos_ownership
KALLENBACH, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-20
current
pecos_ownership
KOWITI, D
ADP OF THE SNF
—
2024-10-27
current
pecos_ownership
MEENTS, DANA
MANAGING CONTROL - GOVERNING BODY
—
2010-10-14
current
pecos_ownership
MEYER, RENEE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-12
current
pecos_ownership
MEYER, RENEE
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
PACE, ROY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-12
current
pecos_ownership
SMITH, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2023-03-30
current
pecos_ownership
D KOWITI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-27
ended 2026-05-18
pecos_ownership
DANA MEENTS
ADP OF THE SNF
—
2010-10-14
ended 2026-05-18
pecos_ownership
DONALD BABB
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
ERAN DAWSON
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
ended 2026-05-18
pecos_ownership
GARY FULBRIGHT
MANAGING CONTROL - GOVERNING BODY
—
2022-03-17
ended 2026-05-18
pecos_ownership
HEATHER FINNELL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
ended 2026-05-18
pecos_ownership
HEATHER FINNELL
ADP OF THE SNF
—
2021-11-21
ended 2026-05-18
pecos_ownership
JAMES ASHWORTH
ADP OF THE SNF
—
2021-06-17
ended 2026-05-18
pecos_ownership
JANIECA HANCOCK
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-15
ended 2026-05-18
pecos_ownership
JOHN KALLENBACH
ADP OF THE SNF
—
2019-06-20
ended 2026-05-18
pecos_ownership
KATRINA BANNER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-17
ended 2026-05-18
pecos_ownership
KENDIKA ABRAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
ended 2026-05-18
pecos_ownership
KENNETH SMITH
ADP OF THE SNF
—
2023-03-30
ended 2026-05-18
pecos_ownership
MICHAEL CALHOUN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-02
ended 2026-05-18
pecos_ownership
MICHAEL CALHOUN
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
RENEE MEYER
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
RENEE MEYER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-12
ended 2026-05-18
pecos_ownership
ROY PACE
ADP OF THE SNF
—
2024-02-12
ended 2026-05-18
pecos_ownership
SARAH HANAK
ADP OF THE SNF
—
2020-01-05
ended 2026-05-18
pecos_ownership
TIM FRANCKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-18
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
2025-05-31
$499,104
—
—
—
$23,234
7
—
2024-05-31
$464,253
—
—
$22,737
$1,790
6
—
2023-05-31
$502,816
—
—
$23,952
—
3
—
2022-05-31
$495,993
—
—
$24,792
—
3
—
2021-05-31
$580,800
—
—
$23,904
—
3
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 29059
fmr
0
$727
2025-10-01
HUD_USER_FMR
county 29059
acs median gross
1
$563
2024-12-31
CENSUS_ACS5
county 29059
fmr
1
$732
2025-10-01
HUD_USER_FMR
county 29059
acs median gross
2
$608
2024-12-31
CENSUS_ACS5
county 29059
fmr
2
$888
2025-10-01
HUD_USER_FMR
county 29059
acs median gross
3
$844
2024-12-31
CENSUS_ACS5
county 29059
fmr
3
$1,235
2025-10-01
HUD_USER_FMR
county 29059
acs median gross
4
$1,077
2024-12-31
CENSUS_ACS5
county 29059
fmr
4
$1,490
2025-10-01
HUD_USER_FMR
county 29059
acs median gross
$642
2024-12-31
CENSUS_ACS5
county 29059
acs recent mover gross
$820
2024-12-31
CENSUS_ACS5
zcta 65622
acs median gross
1
$571
2024-12-31
CENSUS_ACS5
zcta 65622
acs median gross
2
$618
2024-12-31
CENSUS_ACS5
zcta 65622
acs median gross
3
$880
2024-12-31
CENSUS_ACS5
zcta 65622
acs median gross
$634
2024-12-31
CENSUS_ACS5
zcta 65622
acs recent mover gross
$821
2024-12-31
CENSUS_ACS5
zip 65622
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 65622
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 65622
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 65622
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 110
3
$1,353
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 90
3
$1,107
2025-10-01
HUD_USER_SAFMR
zip 65622
safmr
3
$1,230
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 65622
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 65622
safmr
4
$1,490
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.