Reads as: riskier than 88.1% 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
23
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+32.1 vs natl
GARETZ DAVID
66 facilities
connection
Owner fleet risk far above national
+32.0 vs natl
MINDLE ADAM
56 facilities
connection
Owner fleet risk far above national
+30.5 vs natl
KAPLAN ESTHER
55 facilities
connection
Owner fleet risk far above national
+30.0 vs natl
KAPLAN MORDECHAI
38 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
OPCO CA SKILLED MGMT INC
41 facilities
connection
Owner fleet risk far above national
+28.9 vs natl
UNGER JEFFREY
46 facilities
connection
Owner fleet risk far above national
+28.8 vs natl
GURWITZ SOLOMON
42 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CONTINUUM REHAB GROUP LLC
36 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
MAGNOLIA REALTY LLC
9 facilities
connection
Owner fleet risk far above national
+24.4 vs natl
OPCO TEXAS SKILLED MGMT LLC
21 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
BYROM DAVID
29 facilities
connection
Owner spans multiple chains
12 chains
GARETZ DAVID
61 facilities
connection
Owner spans multiple chains
11 chains
MINDLE ADAM
52 facilities
connection
Owner spans multiple chains
11 chains
KAPLAN ESTHER
54 facilities
connection
Owner spans multiple chains
10 chains
GURWITZ SOLOMON
41 facilities
connection
Owner spans multiple chains
9 chains
UNGER JEFFREY
45 facilities
connection
Owner spans multiple chains
9 chains
OPCO CA SKILLED MGMT INC
40 facilities
connection
Owner spans multiple chains
9 chains
KAPLAN MORDECHAI
37 facilities
connection
Owner spans multiple chains
7 chains
CONTINUUM REHAB GROUP LLC
35 facilities
connection
Owner spans multiple chains
5 chains
OPCO TEXAS SKILLED MGMT LLC
21 facilities
connection
Owner fleet enforcement cluster
41% fined
BYROM DAVID
29 facilities
connection
Owner fleet enforcement cluster
40% fined
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
30 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
2.99
2.67
3.28
2.90–3.77
RN
0.51
0.24
0.39
0.25–0.58
Weekend total
2.77
2.56
3.11
—
Weekday total
3.08
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
138.4
2.99
0.51
0.70
1.79
2.77
0.0%
2025Q3
92
131.4
2.98
0.45
0.77
1.77
2.81
0.0%
2025Q2
91
127.1
2.99
0.44
0.85
1.71
2.80
0.0%
2025Q1
90
118.1
3.00
0.43
0.89
1.68
2.83
0.0%
2024Q4
92
123.7
2.91
0.41
0.81
1.70
2.77
0.0%
2024Q3
92
129.8
2.80
0.40
0.75
1.65
2.67
0.0%
2024Q2
91
132.1
2.74
0.33
0.73
1.68
2.45
0.0%
2024Q1
91
117.6
2.79
0.34
0.81
1.64
2.55
0.0%
2023Q4
92
113.4
2.88
0.31
0.86
1.71
2.74
0.0%
2023Q3
92
113.2
3.04
0.32
0.80
1.92
2.80
0.0%
2023Q2
91
112.9
2.93
0.28
0.85
1.80
2.59
0.1%
2023Q1
90
117.5
2.76
0.28
0.87
1.61
2.61
3.2%
2022Q4
92
108.0
2.85
0.31
0.92
1.61
2.65
4.0%
2022Q3
92
110.3
2.81
0.33
0.82
1.66
2.63
1.0%
2022Q2
91
107.6
2.97
0.35
0.91
1.72
2.74
6.6%
2022Q1
90
103.4
2.92
0.29
1.00
1.63
2.72
17.3%
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.
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
2025-11-27
2025-11-26
Health · complaint
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
2025-11-27
2025-11-26
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-27
2025-11-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-11-25
2025-04-25
Health · complaint
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
2025-04-26
2025-02-05
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.
E
2025-02-07
2025-02-05
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-02-07
2025-02-05
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-02-07
2025-02-05
Health · complaint
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
2025-02-07
2025-02-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-02-07
2025-02-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-02-07
2025-02-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-02-07
2024-07-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-07-05
2024-07-04
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
2024-07-05
2024-07-04
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2024-07-05
2023-10-28
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2023-10-29
2023-08-11
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-08-12
2023-06-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-06-23
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
24
Owner
Role
Pct
From
Status
Source
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-01
current
pecos_ownership
5300 ALTA MESA BLVD, LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
BLACKWELL, KRISTI
ADP OF THE SNF
—
2024-09-30
current
pecos_ownership
BYROM, DAVID
CORPORATE OFFICER
—
2015-03-01
current
pecos_ownership
CONTINUUM REHAB GROUP LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
—
—
2024-03-01
current
tx_hhsc_directory
GARETZ, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
GURWITZ, SOLOMON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-02
current
pecos_ownership
KAPLAN, ESTHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-02
current
pecos_ownership
KAPLAN, MORDECHAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-28
current
pecos_ownership
MAGNOLIA REALTY, LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
MINDLE, ADAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-02
current
pecos_ownership
OPCO CA SKILLED MGMT INC.
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
OPCO TEXAS SKILLED MGMT LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
SOUTHWEST NURSING & REHAB CENTER LLC
—
—
2024-03-01
current
tx_hhsc_directory
SOUTHWEST NURSING & REHAB CENTER, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
UNGER, JEFFREY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-28
current
pecos_ownership
VILLEGAS, RACHEL
ADP OF THE SNF
—
2018-03-14
current
pecos_ownership
DAVID BYROM
CORPORATE OFFICER
0%
2015-03-01
ended 2026-05-18
pecos_ownership
DAVID GARETZ
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
HANSEN HUNTER LLC
ADP OF THE SNF
—
2025-07-02
ended 2026-05-18
pecos_ownership
HANSEN HUNTER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
KRISTI BLACKWELL
ADP OF THE SNF
—
2024-09-30
ended 2026-05-18
pecos_ownership
RACHEL VILLEGAS
ADP OF THE SNF
—
2018-03-14
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.
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
35
Geo
Kind
BR
Amount
As of
Source
county 48439
acs median gross
0
$1,316
2024-12-31
CENSUS_ACS5
county 48439
fmr
0
$1,427
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
1
$1,287
2024-12-31
CENSUS_ACS5
county 48439
fmr
1
$1,473
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
2
$1,576
2024-12-31
CENSUS_ACS5
county 48439
fmr
2
$1,723
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
3
$1,885
2024-12-31
CENSUS_ACS5
county 48439
fmr
3
$2,273
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
4
$2,359
2024-12-31
CENSUS_ACS5
county 48439
fmr
4
$2,815
2025-10-01
HUD_USER_FMR
county 48439
acs median gross
5
$2,682
2024-12-31
CENSUS_ACS5
county 48439
acs median gross
$1,547
2024-12-31
CENSUS_ACS5
county 48439
acs recent mover gross
$1,700
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
0
$1,253
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
1
$1,181
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
2
$1,562
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
3
$1,853
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
4
$2,061
2024-12-31
CENSUS_ACS5
zcta 76133
acs median gross
$1,586
2024-12-31
CENSUS_ACS5
zcta 76133
acs recent mover gross
$1,705
2024-12-31
CENSUS_ACS5
zip 76133
payment standard 110
0
$1,562
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 90
0
$1,278
2025-10-01
HUD_USER_SAFMR
zip 76133
safmr
0
$1,420
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 110
1
$1,606
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 90
1
$1,314
2025-10-01
HUD_USER_SAFMR
zip 76133
safmr
1
$1,460
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 110
2
$1,881
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 90
2
$1,539
2025-10-01
HUD_USER_SAFMR
zip 76133
safmr
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 110
3
$2,486
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 90
3
$2,034
2025-10-01
HUD_USER_SAFMR
zip 76133
safmr
3
$2,260
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 110
4
$3,069
2025-10-01
HUD_USER_SAFMR
zip 76133
payment standard 90
4
$2,511
2025-10-01
HUD_USER_SAFMR
zip 76133
safmr
4
$2,790
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.