Reads as: riskier than 91.6% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+43.9 vs natl
PRINCE DANNY
12 facilities
connection
Owner fleet risk far above national
+42.5 vs natl
DKP INVESTMENTS LLC
10 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
AZIZ WESAM
8 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HOOPER GRADY
61 facilities
connection
Owner spans multiple chains
5 chains
AZIZ WESAM
6 facilities
connection
Owner fleet enforcement cluster
50% fined
PRINCE DANNY
12 facilities
connection
Owner fleet enforcement cluster
49% fined
HOOPER GRADY
61 facilities
connection
Owner fleet enforcement cluster
40% fined
DKP INVESTMENTS LLC
10 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
2.87
2.67
3.28
2.90–3.77
RN
0.18
0.24
0.39
0.25–0.58
Weekend total
2.82
2.56
3.11
—
Weekday total
2.89
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.4
2.87
0.18
0.77
1.92
2.82
0.2%
2025Q3
92
77.9
2.93
0.12
0.86
1.95
2.83
0.1%
2025Q2
91
75.8
2.85
0.13
0.88
1.83
2.81
0.2%
2025Q1
90
76.1
2.87
0.17
0.87
1.82
2.80
0.3%
2024Q4
92
71.9
2.80
0.20
0.87
1.74
2.65
0.3%
2024Q3
92
70.3
2.91
0.14
0.97
1.81
2.68
0.3%
2024Q2
91
67.4
2.83
0.22
0.88
1.73
2.55
0.8%
2024Q1
91
67.0
2.77
0.23
0.89
1.66
2.62
6.1%
2023Q4
92
61.4
2.88
0.17
0.99
1.72
2.79
1.2%
2023Q3
92
67.5
2.83
0.23
0.93
1.67
2.68
1.2%
2023Q2
91
68.7
2.94
0.19
1.02
1.73
2.70
8.5%
2023Q1
90
64.8
3.09
0.10
1.14
1.84
2.90
9.9%
2022Q4
92
65.4
2.67
0.11
0.94
1.63
2.26
0.9%
2022Q3
92
61.5
2.33
0.10
0.75
1.49
1.95
0.4%
2022Q2
91
86.7
1.62
0.05
0.58
0.99
1.44
0.4%
2022Q1
90
106.5
1.74
0.06
0.62
1.06
1.52
0.6%
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.
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
26
B × 2D × 18E × 4F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-03-06
2025-11-26
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-12-12
2025-04-04
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
2025-04-23
2025-04-04
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
2025-04-23
2025-04-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-04-14
2025-04-04
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-04-23
2025-04-04
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
2025-04-23
2025-04-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-23
2025-04-04
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-04-23
2025-04-04
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-04-23
2025-04-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-23
2025-04-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-07
2024-02-23
Health
F0563
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F
2024-02-28
2024-02-23
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
2024-02-28
2024-02-23
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-02-28
2024-02-23
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-02-28
2024-02-23
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2024-02-28
2024-02-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-02-28
2024-01-11
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2024-01-25
2023-01-18
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-01-20
2023-01-18
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-01-20
2023-01-18
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
2023-01-26
2023-01-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-01-26
2023-01-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-01-20
2023-01-18
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.
E
2023-01-20
2023-01-18
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2023-02-03
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
15
Owner
Role
Pct
From
Status
Source
ALLANTE PROPERTIES OF TEXAS, LP
5% OR GREATER MORTGAGE INTEREST
—
2023-05-01
current
pecos_ownership
AZIZ, WESAM
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
DKP INVESTMENTS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
—
—
2026-05-01
current
tx_hhsc_directory
HOOPER, GRADY
CORPORATE OFFICER
—
2023-05-01
current
pecos_ownership
PRINCE, DANNY
5% OR GREATER MORTGAGE INTEREST
—
2023-05-01
current
pecos_ownership
THE WILLIAMSBURG CARE COMPANY LP
—
—
2026-05-01
current
tx_hhsc_directory
THE WILLIAMSBURG CARE COMPANY, LP
ADP OF THE SNF
—
2025-04-22
current
pecos_ownership
THE WILLIAMSBURG CARE COMPANY, LP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
WAMPLER, DEB
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
DANNY PRINCE
OPERATIONAL/MANAGERIAL CONTROL
100%
2023-05-01
ended 2026-05-18
pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-05-01
ended 2026-05-18
pecos_ownership
GRADY HOOPER
CORPORATE OFFICER
0%
2023-05-01
ended 2026-05-18
pecos_ownership
DEB WAMPLER
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
WESAM AZIZ
ADP OF THE SNF
—
2023-05-01
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2020-12-31
$530,687
$242,500
$288,187
—
—
6
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 48029
acs median gross
0
$1,088
2024-12-31
CENSUS_ACS5
county 48029
fmr
0
$1,077
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
1
$1,145
2024-12-31
CENSUS_ACS5
county 48029
fmr
1
$1,177
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
2
$1,389
2024-12-31
CENSUS_ACS5
county 48029
fmr
2
$1,426
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
3
$1,668
2024-12-31
CENSUS_ACS5
county 48029
fmr
3
$1,830
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 48029
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 48029
acs median gross
5
$2,324
2024-12-31
CENSUS_ACS5
county 48029
acs median gross
$1,354
2024-12-31
CENSUS_ACS5
county 48029
acs recent mover gross
$1,427
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
0
$912
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
1
$902
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
2
$1,103
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
3
$1,359
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
4
$1,375
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
5
$2,600
2024-12-31
CENSUS_ACS5
zcta 78228
acs median gross
$1,032
2024-12-31
CENSUS_ACS5
zcta 78228
acs recent mover gross
$1,277
2024-12-31
CENSUS_ACS5
zip 78228
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 78228
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 78228
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 78228
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 78228
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 78228
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 78228
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.