Reads as: riskier than 34.4% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.7 vs natl
LEWIS CORWIN
8 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 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
KS median
National median
National p25–p75
Total nurse
3.00
3.03
3.28
2.90–3.77
RN
0.47
0.44
0.39
0.25–0.58
Weekend total
2.92
2.87
3.11
—
Weekday total
3.04
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
65.9
3.00
0.47
0.73
1.80
2.92
0.0%
2025Q3
92
65.6
3.00
0.43
0.86
1.71
2.77
0.0%
2025Q2
91
63.9
3.30
0.55
0.92
1.83
3.17
0.0%
2025Q1
90
67.3
3.08
0.49
0.86
1.74
2.97
0.0%
2024Q4
92
65.5
3.20
0.49
0.83
1.89
2.97
0.0%
2024Q3
92
66.3
3.15
0.34
1.01
1.80
2.90
0.0%
2024Q2
91
65.4
3.26
0.36
0.96
1.94
2.98
0.0%
2024Q1
91
65.3
3.24
0.37
0.96
1.91
2.95
0.0%
2023Q4
92
66.2
3.12
0.39
0.88
1.85
2.77
0.0%
2023Q3
92
65.5
3.15
0.55
0.75
1.85
2.87
0.0%
2023Q2
91
62.5
3.02
0.61
0.73
1.69
2.96
0.0%
2023Q1
90
67.1
2.67
0.47
0.80
1.41
2.62
0.0%
2022Q4
92
65.8
2.52
0.47
0.82
1.23
2.42
0.0%
2022Q3
92
66.2
2.70
0.50
0.85
1.36
2.60
0.0%
2022Q2
91
65.8
2.75
0.47
0.73
1.54
2.56
0.0%
2022Q1
90
66.1
2.90
0.42
0.74
1.74
2.82
0.0%
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
18
D × 15E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-18
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-01-24
2025-12-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-01-24
2024-02-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-15
2024-02-13
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-03-15
2024-02-13
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-03-15
2024-02-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-15
2024-02-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-03-15
2024-02-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-15
2024-02-13
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
2024-03-15
2024-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-15
2024-02-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-03-15
2022-08-31
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-09-30
2022-08-31
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
2022-09-30
2022-08-31
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-09-30
2022-08-31
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
2022-09-30
2022-08-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-09-30
2022-08-31
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
2022-09-30
2022-08-31
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
2022-09-30
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
10
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2015-01-22
current
pecos_ownership
FITCH, CRAIG
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
LEIKER, BENJAMIN
W-2 MANAGING EMPLOYEE
—
2016-08-03
current
pecos_ownership
LEWIS, CORWIN
CORPORATE OFFICER
—
2021-06-01
current
pecos_ownership
GATEWAY HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-01-22
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-01-22
ended 2026-05-18
pecos_ownership
BENJAMIN LEIKER
OPERATIONAL/MANAGERIAL CONTROL
0%
2016-08-03
ended 2026-05-18
pecos_ownership
CORWIN LEWIS
CORPORATE OFFICER
0%
2021-06-01
ended 2026-05-18
pecos_ownership
CRAIG FITCH
CORPORATE OFFICER
0%
2019-01-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2015-01-22
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
2024-12-31
$1,914,634
—
$988,780
—
—
3
—
2023-12-31
$1,716,786
—
$844,063
—
—
3
—
2022-12-31
$1,834,762
—
$937,021
—
—
3
—
2021-12-31
$1,317,825
—
$803,814
—
—
3
—
2020-12-31
$869,497
—
$625,826
—
$2,146
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
33
Geo
Kind
BR
Amount
As of
Source
county 20177
acs median gross
0
$671
2024-12-31
CENSUS_ACS5
county 20177
fmr
0
$792
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
1
$760
2024-12-31
CENSUS_ACS5
county 20177
fmr
1
$820
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
2
$1,017
2024-12-31
CENSUS_ACS5
county 20177
fmr
2
$1,057
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
3
$1,230
2024-12-31
CENSUS_ACS5
county 20177
fmr
3
$1,392
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
4
$1,414
2024-12-31
CENSUS_ACS5
county 20177
fmr
4
$1,411
2025-10-01
HUD_USER_FMR
county 20177
acs median gross
5
$1,607
2024-12-31
CENSUS_ACS5
county 20177
acs median gross
$1,000
2024-12-31
CENSUS_ACS5
county 20177
acs recent mover gross
$1,036
2024-12-31
CENSUS_ACS5
zcta 66615
acs median gross
1
$1,186
2024-12-31
CENSUS_ACS5
zcta 66615
acs median gross
2
$1,343
2024-12-31
CENSUS_ACS5
zcta 66615
acs median gross
3
$1,615
2024-12-31
CENSUS_ACS5
zcta 66615
acs median gross
$1,310
2024-12-31
CENSUS_ACS5
zcta 66615
acs recent mover gross
$1,454
2024-12-31
CENSUS_ACS5
zip 66615
payment standard 110
0
$1,122
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 90
0
$918
2025-10-01
HUD_USER_SAFMR
zip 66615
safmr
0
$1,020
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 66615
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 66615
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 66615
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 66615
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 66615
safmr
4
$1,820
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.