Reads as: riskier than 71.6% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.5 vs natl
FOCUSED POST ACUTE CARE PARTNERS LLC
23 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC
25 facilities
connection
Owner fleet risk far above national
+24.7 vs natl
STRUBBE LORETTA
25 facilities
connection
Owner fleet risk far above national
+24.0 vs natl
CONLEY SHAWN
25 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
MCKENZIE MARK
26 facilities
connection
Owner spans multiple chains
7 chains
LOCKHART CHRISTOPHER
10 facilities
connection
Owner fleet enforcement cluster
56% fined
FOCUSED POST ACUTE CARE PARTNERS LLC
23 facilities
connection
Owner fleet enforcement cluster
52% fined
CONLEY SHAWN
25 facilities
connection
Owner fleet enforcement cluster
52% fined
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT LLC
25 facilities
connection
Owner fleet enforcement cluster
52% fined
STRUBBE LORETTA
25 facilities
connection
Owner fleet enforcement cluster
50% fined
MCKENZIE MARK
26 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
3.33
2.67
3.28
2.90–3.77
RN
0.34
0.24
0.39
0.25–0.58
Weekend total
3.25
2.56
3.11
—
Weekday total
3.36
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
75.5
3.33
0.34
0.80
2.19
3.25
0.0%
2025Q3
92
74.2
3.10
0.24
0.70
2.17
2.91
0.0%
2025Q2
91
78.4
2.71
0.26
0.70
1.75
2.44
0.0%
2025Q1
90
84.2
2.50
0.18
0.66
1.66
2.20
0.0%
2024Q4
92
86.8
2.54
0.08
0.78
1.68
2.26
2.8%
2024Q3
92
88.6
2.65
0.15
0.68
1.82
2.32
0.0%
2024Q2
91
81.3
2.53
0.15
0.69
1.69
2.40
8.6%
2024Q1
91
80.5
2.09
0.13
0.69
1.27
1.90
0.8%
2023Q4
92
82.2
2.24
0.22
0.68
1.34
2.17
0.0%
2023Q3
92
83.5
1.31
0.09
0.00
1.22
1.30
0.0%
2023Q2
91
80.3
2.17
0.08
0.81
1.28
2.04
0.0%
2023Q1
90
80.7
1.10
0.00
0.00
1.10
0.98
0.0%
2022Q4
92
83.3
0.96
0.01
0.35
0.60
0.97
0.0%
2022Q3
92
81.4
1.91
0.03
0.88
0.99
1.75
0.0%
2022Q2
91
75.1
1.87
0.01
0.91
0.96
1.67
0.0%
2022Q1
90
79.4
2.07
0.05
0.90
1.12
1.92
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-25
2026-04-01
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
2026-04-25
2026-03-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-03
2026-03-10
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-03
2025-11-18
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-12-20
2025-11-18
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-12-20
2025-10-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-10-31
2025-10-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-10-31
2025-01-30
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2025-01-31
2025-01-30
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-12-31
2025-01-30
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2025-01-31
2025-01-30
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-01-31
2025-01-30
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-31
2025-01-30
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
E
2025-01-31
2025-01-30
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-31
2024-11-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-06
2024-10-25
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
2024-11-25
2024-10-25
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-25
2024-10-25
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-11-25
2024-02-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
H
2024-02-21
2023-12-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-01-08
2023-12-09
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-01-08
2023-12-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-01-08
2023-12-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-01-08
2022-09-23
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2022-10-14
2022-09-23
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-10-14
2022-09-23
Health
F0610
Respond appropriately to all alleged violations.
D
2022-10-14
2022-09-23
Health
F0637
Assess the resident when there is a significant change in condition
D
2022-10-14
2022-09-23
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
2022-10-14
2022-09-23
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2022-10-14
2022-09-23
Health
F0814
Dispose of garbage and refuse properly.
D
2022-10-14
2022-09-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-10-14
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
27
Owner
Role
Pct
From
Status
Source
BROSSETTE, KEITH
ADP OF THE SNF
—
2025-05-13
current
pecos_ownership
BROSSETTE, KEITH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-27
current
pecos_ownership
CONLEY, SHAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
current
pecos_ownership
FOCUSED POST ACUTE CARE PARTNERS LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
FOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
current
pecos_ownership
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
current
pecos_ownership
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
—
—
2026-05-20
current
tx_hhsc_directory
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
FOSTER, STACY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
current
pecos_ownership
FOSTER, STACY
ADP OF THE SNF
—
2024-03-01
current
pecos_ownership
FPACP WEBSTER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
current
pecos_ownership
FPACP WEBSTER, LLC
—
—
2026-05-20
current
tx_hhsc_directory
HOYA, SHERRI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
current
pecos_ownership
LOCKHART, CHRISTOPHER
ADP OF THE SNF
—
2020-10-01
current
pecos_ownership
MCKENZIE, MARK
CORPORATE OFFICER
—
2019-05-20
current
pecos_ownership
STRUBBE, LORETTA
CORPORATE OFFICER
—
2019-05-20
current
pecos_ownership
FOCUSED POST ACUTE CARE PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-03-07
ended 2026-05-18
pecos_ownership
LORETTA STRUBBE
CORPORATE OFFICER
100%
2019-05-20
ended 2026-05-18
pecos_ownership
MARK MCKENZIE
CORPORATE OFFICER
100%
2019-05-20
ended 2026-05-18
pecos_ownership
SHAWN CONLEY
CORPORATE OFFICER
100%
2019-05-20
ended 2026-05-18
pecos_ownership
MARK MCKENZIE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
70%
2019-03-07
ended 2026-05-18
pecos_ownership
CHRISTOPHER LOCKHART
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
ended 2026-05-18
pecos_ownership
KEITH BROSSETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-27
ended 2026-05-18
pecos_ownership
KEITH BROSSETTE
ADP OF THE SNF
—
2025-05-13
ended 2026-05-18
pecos_ownership
SHERRI HOYA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-01
ended 2026-05-18
pecos_ownership
STACY FOSTER
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
STACY FOSTER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-20
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
$863,882
—
—
—
—
1
—
2023-12-31
$324,797
—
—
—
—
1
—
2022-12-31
$700,676
—
—
—
—
1
—
2021-12-31
$719,287
—
—
—
—
1
—
2020-12-31
$425,075
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48201
acs median gross
0
$1,177
2024-12-31
CENSUS_ACS5
county 48201
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
1
$1,196
2024-12-31
CENSUS_ACS5
county 48201
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
county 48201
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
3
$1,764
2024-12-31
CENSUS_ACS5
county 48201
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
4
$2,148
2024-12-31
CENSUS_ACS5
county 48201
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
5
$2,339
2024-12-31
CENSUS_ACS5
county 48201
acs median gross
$1,401
2024-12-31
CENSUS_ACS5
county 48201
acs recent mover gross
$1,495
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
0
$1,332
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
1
$1,201
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
2
$1,518
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
3
$1,655
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
4
$2,355
2024-12-31
CENSUS_ACS5
zcta 77598
acs median gross
$1,355
2024-12-31
CENSUS_ACS5
zcta 77598
acs recent mover gross
$1,457
2024-12-31
CENSUS_ACS5
zip 77598
payment standard 110
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 90
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 77598
safmr
0
$1,400
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 110
1
$1,595
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 90
1
$1,305
2025-10-01
HUD_USER_SAFMR
zip 77598
safmr
1
$1,450
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 110
2
$1,892
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 90
2
$1,548
2025-10-01
HUD_USER_SAFMR
zip 77598
safmr
2
$1,720
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 110
3
$2,541
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 90
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 77598
safmr
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 110
4
$3,179
2025-10-01
HUD_USER_SAFMR
zip 77598
payment standard 90
4
$2,601
2025-10-01
HUD_USER_SAFMR
zip 77598
safmr
4
$2,890
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.