Reads as: riskier than 86.0% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
BLACKROCK INC
303 facilities
connection
Owner spans multiple chains
8 chains
VANGUARD GROUP INC
324 facilities
connection
Owner spans multiple chains
4 chains
MORGAN STANLEY
39 facilities
connection
Owner spans multiple chains
4 chains
DIMENSIONAL FUND ADVISORS LP
46 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
GA median
National median
National p25–p75
Total nurse
2.91
3.02
3.28
2.90–3.77
RN
0.54
0.26
0.39
0.25–0.58
Weekend total
2.67
2.76
3.11
—
Weekday total
3.00
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.6
2.91
0.54
0.58
1.78
2.67
0.0%
2025Q3
92
84.7
2.83
0.63
0.56
1.64
2.51
0.0%
2025Q2
91
86.0
2.95
0.60
0.57
1.78
2.58
0.0%
2025Q1
90
81.4
3.03
0.58
0.59
1.86
2.79
0.0%
2024Q4
92
83.6
3.03
0.59
0.60
1.84
2.71
0.0%
2024Q3
92
88.1
2.94
0.59
0.57
1.77
2.62
0.0%
2024Q2
91
82.5
3.11
0.51
0.70
1.90
2.85
0.0%
2024Q1
91
89.4
2.83
0.41
0.71
1.72
2.42
0.0%
2023Q4
92
90.4
2.77
0.43
0.64
1.70
2.51
0.0%
2023Q3
92
90.5
2.75
0.37
0.66
1.72
2.41
0.0%
2023Q2
91
90.1
2.70
0.40
0.69
1.61
2.39
0.0%
2023Q1
90
92.6
2.77
0.47
0.68
1.62
2.48
8.9%
2022Q4
92
88.9
3.06
0.47
0.82
1.78
2.70
26.9%
2022Q3
92
92.0
2.83
0.31
0.72
1.79
2.65
48.6%
2022Q2
91
94.5
2.72
0.24
0.75
1.73
2.63
47.6%
2022Q1
90
87.2
2.97
0.29
0.87
1.80
2.90
40.7%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-03-29
2024-03-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-03-29
2024-03-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
L
2024-03-29
2024-03-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
L
2024-03-29
2024-03-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-09-17
2024-03-08
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.
E
2024-03-29
2024-03-08
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-29
2024-03-08
Health · complaint
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-03-29
2024-03-08
Health · complaint
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
2024-03-29
2024-03-08
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
L
2024-03-29
2023-01-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-02-20
2023-01-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-02-20
2023-01-19
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
2023-02-20
2023-01-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-20
2023-01-19
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2023-02-20
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
BIDWELL, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
current
pecos_ownership
BLACKROCK INC
ADP OF THE SNF
—
2019-03-20
current
pecos_ownership
DIMENSIONAL FUND ADVISORS LP
ADP OF THE SNF
—
2023-03-07
current
pecos_ownership
DODSON, VICKI
ADP OF THE SNF
—
2019-06-01
current
pecos_ownership
DODSON, VICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
HARNDEN, CELESTE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-01
current
pecos_ownership
KIDD, BRIAN
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
MORGAN STANLEY
ADP OF THE SNF
—
2024-11-08
current
pecos_ownership
MORGAN STANLEY INSTITUTIONAL ADVISORS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-08
current
pecos_ownership
NATIONAL HEALTH CORPORATION
ADP OF THE SNF
—
2002-01-01
current
pecos_ownership
NATIONAL HEALTHCARE CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
current
pecos_ownership
NHC-OP LP
ADP OF THE SNF
—
2002-01-01
current
pecos_ownership
NHC/DELAWARE INC
DIRECT OWNERSHIP INTEREST
—
2002-01-01
current
pecos_ownership
SALYERS, MARINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-01
current
pecos_ownership
SALYERS, MARINDA
ADP OF THE SNF
—
2025-03-29
current
pecos_ownership
SHEFFIELD, ALEXANDER
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-20
current
pecos_ownership
USSERY, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
current
pecos_ownership
VANGUARD GROUP INC
ADP OF THE SNF
—
2017-03-27
current
pecos_ownership
ALEXANDER SHEFFIELD
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-20
ended 2026-05-18
pecos_ownership
BRIAN KIDD
ADP OF THE SNF
—
2017-01-01
ended 2026-05-18
pecos_ownership
CELESTE HARNDEN
ADP OF THE SNF
—
2023-11-01
ended 2026-05-18
pecos_ownership
GREGORY BIDWELL
MANAGING CONTROL - GOVERNING BODY
—
2002-01-01
ended 2026-05-18
pecos_ownership
MARINDA SALYERS
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-01
ended 2026-05-18
pecos_ownership
MARINDA SALYERS
ADP OF THE SNF
—
2025-03-29
ended 2026-05-18
pecos_ownership
ROBERT USSERY
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
ended 2026-05-18
pecos_ownership
VICKI DODSON
ADP OF THE SNF
—
2019-06-01
ended 2026-05-18
pecos_ownership
VICKI DODSON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$807,878
—
$441,613
—
—
1
—
2023-12-31
$199,063
—
$188,515
—
—
2
—
2022-12-31
$427,661
—
$240,887
—
—
2
—
2021-12-31
$918,116
—
$382,154
$21,918
$31,017
2
—
2020-12-31
$1,336,418
—
$231,931
$561,910
$66,613
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 13295
acs median gross
0
$1,017
2024-12-31
CENSUS_ACS5
county 13295
fmr
0
$1,211
2025-10-01
HUD_USER_FMR
county 13295
acs median gross
1
$678
2024-12-31
CENSUS_ACS5
county 13295
fmr
1
$1,263
2025-10-01
HUD_USER_FMR
county 13295
acs median gross
2
$876
2024-12-31
CENSUS_ACS5
county 13295
fmr
2
$1,390
2025-10-01
HUD_USER_FMR
county 13295
acs median gross
3
$1,046
2024-12-31
CENSUS_ACS5
county 13295
fmr
3
$1,734
2025-10-01
HUD_USER_FMR
county 13295
acs median gross
4
$1,220
2024-12-31
CENSUS_ACS5
county 13295
fmr
4
$1,853
2025-10-01
HUD_USER_FMR
county 13295
acs median gross
$940
2024-12-31
CENSUS_ACS5
county 13295
acs recent mover gross
$1,245
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
0
$832
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
1
$821
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
2
$985
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
3
$1,134
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
4
$1,404
2024-12-31
CENSUS_ACS5
zcta 30741
acs median gross
$1,040
2024-12-31
CENSUS_ACS5
zcta 30741
acs recent mover gross
$1,214
2024-12-31
CENSUS_ACS5
zip 30741
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 30741
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 30741
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 30741
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 110
3
$1,738
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 90
3
$1,422
2025-10-01
HUD_USER_SAFMR
zip 30741
safmr
3
$1,580
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 30741
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 30741
safmr
4
$1,690
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.