Reads as: riskier than 62.4% 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
+20.3 vs natl
BLACKFORD GARY
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
DARKEY HRINYA JOYCE
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
DUTRA ANA
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
FIELDS VENITA
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
KRESSE NIKKI
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
SOKEYE JONATHAN
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
SPANGLER PATRICK
9 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
YANOFSKY NEAL
9 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
KS median
National median
National p25–p75
Total nurse
3.58
3.03
3.28
2.90–3.77
RN
0.64
0.44
0.39
0.25–0.58
Weekend total
3.52
2.87
3.11
—
Weekday total
3.61
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.0
3.58
0.64
0.69
2.25
3.52
1.1%
2025Q3
92
41.7
3.70
0.54
0.83
2.33
3.58
2.1%
2025Q2
91
42.8
3.52
0.66
0.68
2.18
3.49
6.0%
2025Q1
90
41.2
3.75
0.72
0.62
2.40
3.53
0.0%
2024Q4
92
41.6
3.97
0.75
0.57
2.65
3.71
4.6%
2024Q3
92
40.5
3.90
0.73
0.66
2.52
3.66
0.7%
2024Q2
91
38.8
4.04
0.71
0.73
2.60
3.72
7.4%
2024Q1
91
38.3
3.93
0.62
0.84
2.46
3.76
13.5%
2023Q4
92
41.4
3.87
0.48
0.86
2.52
3.58
9.8%
2023Q3
92
40.5
3.79
0.49
0.97
2.32
3.31
0.2%
2023Q2
91
41.8
3.55
0.49
0.92
2.14
3.08
0.0%
2023Q1
90
41.3
3.64
0.49
0.90
2.25
3.21
0.0%
2022Q4
92
42.5
3.69
0.55
0.86
2.27
3.39
0.3%
2022Q3
92
42.5
3.60
0.57
0.85
2.19
3.37
1.8%
2022Q2
91
43.5
3.53
0.54
0.84
2.15
3.29
3.3%
2022Q1
90
42.4
3.43
0.43
0.94
2.06
3.20
9.6%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-02-06
2026-01-14
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-02-06
2026-01-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-02-06
2024-02-27
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
2024-04-11
2024-02-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-11
2024-02-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-11
2024-02-27
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2024-04-11
2024-02-27
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-04-11
2024-02-27
Health
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
2024-04-11
2024-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-11
2022-08-04
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-08-26
2022-08-04
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
2022-08-26
2022-08-04
Health
F0675
Honor each resident's preferences, choices, values and beliefs.
D
2022-08-26
2022-08-04
Health
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
2022-08-26
2022-08-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-08-26
2022-08-04
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
2022-05-16
2022-08-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-08-26
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
37
Owner
Role
Pct
From
Status
Source
LIFESPACE COMMUNITIES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2009-07-08
current
pecos_ownership
BLACKFORD, GARY
CORPORATE DIRECTOR
—
2021-12-01
current
pecos_ownership
DARKEY-HRINYA, JOYCE
CORPORATE DIRECTOR
—
2018-01-15
current
pecos_ownership
DUTRA, ANA
CORPORATE DIRECTOR
—
2016-07-18
current
pecos_ownership
FIELDS, VENITA
CORPORATE DIRECTOR
—
2018-01-15
current
pecos_ownership
FILLA, EMILY
W-2 MANAGING EMPLOYEE
—
2015-11-09
current
pecos_ownership
GORMAN, JOSEPH
CORPORATE OFFICER
—
2022-07-26
current
pecos_ownership
HARSHFIELD, NICHOLAS
CORPORATE OFFICER
—
2020-07-01
current
pecos_ownership
JANTZEN, JESSE
CORPORATE OFFICER
—
2020-04-30
current
pecos_ownership
JENSEN, CLAUS
CORPORATE DIRECTOR
—
2023-04-26
current
pecos_ownership
KRESSE, NIKKI
CORPORATE OFFICER
—
2021-04-19
current
pecos_ownership
MCDONOUGH, AMY
CORPORATE DIRECTOR
—
2023-04-26
current
pecos_ownership
POPE, ERIN
CORPORATE OFFICER
—
2022-07-25
current
pecos_ownership
SALAMINO, JENIFER
CORPORATE DIRECTOR
—
2023-04-26
current
pecos_ownership
SOKEYE, JONATHAN
CORPORATE DIRECTOR
—
2021-12-01
current
pecos_ownership
SPANGLER, PATRICK
CORPORATE DIRECTOR
—
2016-07-18
current
pecos_ownership
STRETCH, CLYDE
CORPORATE DIRECTOR
—
2023-04-26
current
pecos_ownership
WILLIAMS, DAVID
CORPORATE DIRECTOR
—
2021-12-01
current
pecos_ownership
YANOFSKY, NEAL
CORPORATE DIRECTOR
—
2016-07-18
current
pecos_ownership
AMY MCDONOUGH
CORPORATE DIRECTOR
—
2023-04-26
ended 2026-05-18
pecos_ownership
ANA DUTRA
CORPORATE DIRECTOR
—
2016-07-18
ended 2026-05-18
pecos_ownership
CLAUS JENSEN
CORPORATE DIRECTOR
—
2023-04-26
ended 2026-05-18
pecos_ownership
CLYDE STRETCH
CORPORATE DIRECTOR
—
2023-04-26
ended 2026-05-18
pecos_ownership
DAVID WILLIAMS
CORPORATE DIRECTOR
—
2021-12-01
ended 2026-05-18
pecos_ownership
EMILY FILLA
W-2 MANAGING EMPLOYEE
—
2015-11-09
ended 2026-05-18
pecos_ownership
ERIN POPE
CORPORATE OFFICER
—
2022-07-25
ended 2026-05-18
pecos_ownership
GARY BLACKFORD
CORPORATE DIRECTOR
—
2021-12-01
ended 2026-05-18
pecos_ownership
JENIFER SALAMINO
CORPORATE DIRECTOR
—
2023-04-26
ended 2026-05-18
pecos_ownership
JESSE JANTZEN
CORPORATE OFFICER
—
2020-04-30
ended 2026-05-18
pecos_ownership
JONATHAN SOKEYE
CORPORATE DIRECTOR
—
2021-12-01
ended 2026-05-18
pecos_ownership
JOSEPH GORMAN
CORPORATE OFFICER
—
2022-07-26
ended 2026-05-18
pecos_ownership
JOYCE DARKEY-HRINYA
CORPORATE DIRECTOR
—
2018-01-15
ended 2026-05-18
pecos_ownership
NEAL YANOFSKY
CORPORATE DIRECTOR
—
2016-07-18
ended 2026-05-18
pecos_ownership
NICHOLAS HARSHFIELD
CORPORATE OFFICER
—
2020-07-01
ended 2026-05-18
pecos_ownership
NIKKI KRESSE
CORPORATE OFFICER
—
2021-04-19
ended 2026-05-18
pecos_ownership
PATRICK SPANGLER
CORPORATE DIRECTOR
—
2016-07-18
ended 2026-05-18
pecos_ownership
VENITA FIELDS
CORPORATE DIRECTOR
—
2018-01-15
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
$1,176,233
—
—
—
—
1
—
2023-12-31
$1,106,839
—
—
—
—
1
—
2022-12-31
$931,233
—
—
—
—
1
—
2021-12-31
$792,121
—
—
—
—
1
—
2020-12-31
$546,735
—
—
—
—
1
—
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 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
1
$1,363
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
2
$1,630
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
3
$1,815
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
4
$2,773
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
5
$1,639
2024-12-31
CENSUS_ACS5
zcta 66208
acs median gross
$1,767
2024-12-31
CENSUS_ACS5
zcta 66208
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zip 66208
payment standard 110
0
$1,672
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
0
$1,368
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
0
$1,520
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
1
$1,837
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
1
$1,503
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
1
$1,670
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
2
$2,079
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
2
$1,701
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
3
$2,706
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
3
$2,214
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
3
$2,460
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 66208
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 66208
safmr
4
$2,930
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.