Reads as: riskier than 19.6% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
ODENTHAL RICHARD
85 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
WV median
National median
National p25–p75
Total nurse
3.18
3.14
3.28
2.90–3.77
RN
0.20
0.37
0.39
0.25–0.58
Weekend total
2.97
2.97
3.11
—
Weekday total
3.27
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
62.4
3.18
0.20
1.00
1.99
2.97
0.0%
2025Q3
92
62.9
3.24
0.19
0.99
2.06
2.95
0.0%
2025Q2
91
63.7
3.17
0.24
0.92
2.02
3.00
0.0%
2025Q1
90
63.3
3.18
0.28
0.86
2.04
3.00
0.0%
2024Q4
92
58.2
3.71
0.24
1.04
2.42
3.41
0.0%
2024Q3
92
62.8
3.25
0.21
1.00
2.04
2.93
0.0%
2024Q2
91
61.0
3.11
0.26
0.94
1.91
2.92
0.0%
2024Q1
91
60.7
2.99
0.25
0.90
1.84
2.85
0.0%
2023Q4
92
61.0
2.97
0.26
0.86
1.85
2.88
3.0%
2023Q3
92
57.7
3.14
0.28
0.95
1.90
3.05
1.6%
2023Q2
91
56.9
3.15
0.38
0.88
1.90
2.97
0.9%
2023Q1
90
59.7
3.07
0.43
0.74
1.91
2.88
0.0%
2022Q4
92
58.5
3.11
0.47
0.73
1.91
2.90
0.0%
2022Q3
92
59.6
2.99
0.42
0.66
1.91
2.74
0.0%
2022Q2
91
58.2
2.47
0.45
0.58
1.44
2.23
0.0%
2022Q1
90
56.8
2.71
0.61
0.70
1.40
2.52
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
25
D × 18E × 6F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-04-25
2025-04-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-04-25
2025-04-23
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-04-25
2025-04-23
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
2025-04-25
2025-04-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-25
2023-07-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-07-17
2023-07-12
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.
D
2023-07-17
2023-07-12
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-07-17
2023-07-12
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2023-07-17
2023-07-12
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-07-17
2023-07-12
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-07-17
2023-07-12
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-07-17
2023-07-12
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
2023-07-17
2023-07-12
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2023-07-17
2023-07-12
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-07-17
2023-07-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-07-17
2023-07-12
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2023-07-17
2022-04-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-05-13
2022-04-13
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-05-13
2022-04-13
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-05-13
2022-04-13
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
2022-05-13
2022-04-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-05-13
2022-04-13
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
2022-05-13
2022-04-13
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-05-13
2022-04-13
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2022-05-13
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
29
Owner
Role
Pct
From
Status
Source
RCA NH HOLDINGS OP CO., LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-04-14
current
pecos_ownership
BEALL, JODY
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
C.R. STOLTZ FAMILY INVESTMENT COMPANY INC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
C.R. STOLTZ IRREVOCABLE TRUST
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
DAYS MGT CO., LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
current
pecos_ownership
DAYS MGT CO., LLC
ADP OF THE SNF
—
2025-05-07
current
pecos_ownership
GROVES, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
current
pecos_ownership
HEALTH CARE HOLDINGS, LLC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
I. ROSEDALE FAMILY INVESTMENT COMPANY INC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
I. ROSEDALE IRREVOCABLE TRUST
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
JACKSON, JEANETTE
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
MARANTZ WV HOLDINGS, LLC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
ODENTHAL, RICHARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-23
current
pecos_ownership
R.S. WILHEIM IRREVOCABLE TRUST
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
RCA HEALTHCARE HOLDINGS, LLC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
ROMEO, DOMINIC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
current
pecos_ownership
RONALD S WILHEIM 2012 SPOUSAL TRUST
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
ROSEDALE FAMILY INVESTMENT COMPANY, INC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
RRW, LLC
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
S.L. ROSEDALE IRREVOCABLE TRUST
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
STOLTZ, CHARLES
CORPORATE OFFICER
—
2023-04-14
current
pecos_ownership
WILHEIM FAMILY INVESTMENT COMPANY, INC.
ADP OF THE SNF
—
2023-04-14
current
pecos_ownership
WILHEIM, RONALD
CORPORATE OFFICER
—
2023-04-14
current
pecos_ownership
CHARLES STOLTZ
CORPORATE OFFICER
—
2023-04-14
ended 2026-05-18
pecos_ownership
DOMINIC ROMEO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
ended 2026-05-18
pecos_ownership
DONNA GROVES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
ended 2026-05-18
pecos_ownership
JEANETTE JACKSON
ADP OF THE SNF
—
2023-04-14
ended 2026-05-18
pecos_ownership
JODY BEALL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
ended 2026-05-18
pecos_ownership
RONALD WILHEIM
CORPORATE OFFICER
—
2023-04-14
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,591,471
$652,683
$548,996
$389,792
—
0
—
2023-12-31
$1,027,159
$377,374
$384,338
$265,447
—
0
—
2023-04-13
$356,743
—
—
—
—
0
—
2022-12-31
$727,763
—
—
—
$74,185
0
—
2021-12-31
$691,217
—
—
—
$82,264
0
—
2020-12-31
$660,340
—
—
—
$75,406
0
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 54007
fmr
0
$660
2025-10-01
HUD_USER_FMR
county 54007
acs median gross
1
$503
2024-12-31
CENSUS_ACS5
county 54007
fmr
1
$665
2025-10-01
HUD_USER_FMR
county 54007
acs median gross
2
$636
2024-12-31
CENSUS_ACS5
county 54007
fmr
2
$869
2025-10-01
HUD_USER_FMR
county 54007
acs median gross
3
$719
2024-12-31
CENSUS_ACS5
county 54007
fmr
3
$1,147
2025-10-01
HUD_USER_FMR
county 54007
acs median gross
4
$909
2024-12-31
CENSUS_ACS5
county 54007
fmr
4
$1,311
2025-10-01
HUD_USER_FMR
county 54007
acs median gross
$606
2024-12-31
CENSUS_ACS5
county 54007
acs recent mover gross
$726
2024-12-31
CENSUS_ACS5
zcta 26601
acs median gross
1
$527
2024-12-31
CENSUS_ACS5
zcta 26601
acs median gross
2
$691
2024-12-31
CENSUS_ACS5
zcta 26601
acs median gross
3
$838
2024-12-31
CENSUS_ACS5
zcta 26601
acs median gross
$549
2024-12-31
CENSUS_ACS5
zip 26601
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 26601
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 110
1
$726
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 90
1
$594
2025-10-01
HUD_USER_SAFMR
zip 26601
safmr
1
$660
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 110
2
$957
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 90
2
$783
2025-10-01
HUD_USER_SAFMR
zip 26601
safmr
2
$870
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 110
3
$1,265
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 90
3
$1,035
2025-10-01
HUD_USER_SAFMR
zip 26601
safmr
3
$1,150
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 110
4
$1,441
2025-10-01
HUD_USER_SAFMR
zip 26601
payment standard 90
4
$1,179
2025-10-01
HUD_USER_SAFMR
zip 26601
safmr
4
$1,310
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.