Reads as: riskier than 64.8% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.6 vs natl
MONROE DUSTIN
9 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
BEWSEY MICHAEL
31 facilities
connection
Owner spans multiple chains
6 chains
BEWSEY MICHAEL
29 facilities
connection
Owner fleet enforcement cluster
56% fined
MONROE DUSTIN
9 facilities
connection
Owner fleet enforcement cluster
48% fined
BEWSEY MICHAEL
31 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 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
MT median
National median
National p25–p75
Total nurse
4.01
3.25
3.28
2.90–3.77
RN
0.47
0.62
0.39
0.25–0.58
Weekend total
3.90
3.12
3.11
—
Weekday total
4.05
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.4
4.01
0.47
0.54
3.01
3.90
55.5%
2025Q3
92
48.9
3.71
0.57
0.51
2.63
3.54
40.0%
2025Q2
91
50.4
3.51
0.51
0.43
2.56
3.42
49.5%
2025Q1
90
54.1
3.32
0.34
0.60
2.38
3.24
57.3%
2024Q4
92
52.6
3.79
0.37
0.62
2.79
3.71
59.0%
2024Q3
92
56.3
3.16
0.30
0.37
2.49
3.07
32.9%
2024Q2
91
54.5
2.99
0.29
0.10
2.59
2.87
32.6%
2024Q1
91
51.5
2.58
0.63
0.33
1.63
2.34
20.7%
2023Q4
92
56.7
3.31
0.60
0.41
2.29
3.09
51.9%
2023Q3
92
57.7
2.89
0.72
0.21
1.96
2.72
61.4%
2023Q2
91
54.3
3.22
0.66
0.27
2.29
3.10
75.9%
2023Q1
90
53.9
1.25
0.15
0.19
0.91
1.02
84.4%
2022Q4
92
54.4
4.80
0.78
0.55
3.47
4.53
89.4%
2022Q3
92
57.0
4.57
0.65
0.63
3.29
4.35
84.3%
2022Q2
91
54.5
4.36
0.72
0.73
2.91
4.07
80.6%
2022Q1
90
49.3
4.09
0.96
0.43
2.70
3.79
58.6%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-01-18
2025-06-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-07-21
2025-06-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-21
2025-06-19
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-07-21
2025-06-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-07-21
2025-02-13
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
2025-04-14
2025-02-13
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
2025-04-14
2025-02-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2025-04-14
2025-02-13
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-04-14
2025-02-13
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
2025-04-14
2025-02-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-14
2025-02-13
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.
F
2025-04-14
2025-02-13
Health
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.
D
2025-04-14
2025-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-14
2024-10-24
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-11-21
2024-10-24
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-11-21
2024-10-24
Health · complaint
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
2024-11-21
2024-10-24
Health · complaint
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2024-11-21
2023-10-11
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-12-22
2023-10-11
Health · complaint
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
C
2023-12-22
2023-02-15
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-03-28
2023-02-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-03-28
2023-02-15
Health
F0610
Respond appropriately to all alleged violations.
E
2023-03-28
2023-02-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-03-28
2023-02-15
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
2023-03-28
2023-02-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2023-03-28
2023-02-15
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2023-03-28
2023-02-15
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-03-28
2023-02-15
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
G
2023-03-28
2023-02-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-22
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
9
Owner
Role
Pct
From
Status
Source
BEWSEY, MICHAEL
CORPORATE DIRECTOR
—
2023-03-01
current
pecos_ownership
MONROE, DUSTIN
CORPORATE OFFICER
—
2023-03-01
current
pecos_ownership
ROBINSON, KARI
W-2 MANAGING EMPLOYEE
—
2023-03-01
current
pecos_ownership
EDURO HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-05-05
ended 2026-05-18
pecos_ownership
MICHAEL BEWSEY
CORPORATE DIRECTOR
100%
2023-03-01
ended 2026-05-18
pecos_ownership
DUSTIN MONROE
CORPORATE OFFICER
—
2023-03-01
ended 2026-05-18
pecos_ownership
JOSEPH LEAL
OTHER
—
2024-01-01
ended 2026-05-18
pecos_ownership
KARI ROBINSON
W-2 MANAGING EMPLOYEE
—
2023-03-01
ended 2026-05-18
pecos_ownership
MICHAEL BEWSEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-05-05
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$348,651
—
—
—
—
4
—
2023-12-31
$324,898
—
—
—
—
4
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 30021
fmr
0
$940
2025-10-01
HUD_USER_FMR
county 30021
acs median gross
1
$535
2024-12-31
CENSUS_ACS5
county 30021
fmr
1
$956
2025-10-01
HUD_USER_FMR
county 30021
acs median gross
2
$802
2024-12-31
CENSUS_ACS5
county 30021
fmr
2
$1,254
2025-10-01
HUD_USER_FMR
county 30021
acs median gross
3
$1,162
2024-12-31
CENSUS_ACS5
county 30021
fmr
3
$1,504
2025-10-01
HUD_USER_FMR
county 30021
acs median gross
4
$1,036
2024-12-31
CENSUS_ACS5
county 30021
fmr
4
$1,942
2025-10-01
HUD_USER_FMR
county 30021
acs median gross
$815
2024-12-31
CENSUS_ACS5
county 30021
acs recent mover gross
$912
2024-12-31
CENSUS_ACS5
zcta 59330
acs median gross
1
$536
2024-12-31
CENSUS_ACS5
zcta 59330
acs median gross
2
$799
2024-12-31
CENSUS_ACS5
zcta 59330
acs median gross
3
$1,188
2024-12-31
CENSUS_ACS5
zcta 59330
acs median gross
4
$1,021
2024-12-31
CENSUS_ACS5
zcta 59330
acs median gross
$812
2024-12-31
CENSUS_ACS5
zcta 59330
acs recent mover gross
$912
2024-12-31
CENSUS_ACS5
zip 59330
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 59330
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 59330
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 110
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 90
2
$1,215
2025-10-01
HUD_USER_SAFMR
zip 59330
safmr
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 59330
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 110
4
$2,376
2025-10-01
HUD_USER_SAFMR
zip 59330
payment standard 90
4
$1,944
2025-10-01
HUD_USER_SAFMR
zip 59330
safmr
4
$2,160
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.