Reads as: riskier than 92.6% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
35 chains
WELLTOWER INC
135 facilities
connection
Owner spans multiple chains
14 chains
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
58 facilities
connection
Owner spans multiple chains
14 chains
DAVIS DAVID
122 facilities
connection
Owner spans multiple chains
14 chains
BARNEY LEIGH
122 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT HOLDINGS LP
67 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REAL ESTATE INVESTMENT TRUST
68 facilities
connection
Owner spans multiple chains
13 chains
AMERICAN HEALTHCARE REIT INC
68 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY MANAGEMENT SERVICES LLC
119 facilities
connection
Owner spans multiple chains
13 chains
CONTINENTAL MERGER SUB LLC
95 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY INVESTORS LLC
67 facilities
connection
Owner spans multiple chains
13 chains
GAHC3 TRILOGY JV LLC
69 facilities
connection
Owner spans multiple chains
13 chains
TRILOGY REIT HOLDINGS LLC
68 facilities
connection
Owner spans multiple chains
12 chains
GAHC4 TRILOGY JV LLC
68 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
IN median
National median
National p25–p75
Total nurse
3.16
2.85
3.28
2.90–3.77
RN
0.69
0.40
0.39
0.25–0.58
Weekend total
3.16
2.71
3.11
—
Weekday total
3.16
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
46.9
3.16
0.69
0.61
1.86
3.16
0.0%
2025Q3
92
46.9
3.08
0.74
0.58
1.76
3.04
0.0%
2025Q2
91
46.7
3.20
0.63
0.67
1.90
3.26
0.0%
2025Q1
90
49.6
3.04
0.52
0.78
1.74
3.05
0.0%
2024Q4
92
47.5
3.19
0.66
0.70
1.84
3.11
0.0%
2024Q3
92
49.8
3.02
0.60
0.73
1.69
2.93
0.0%
2024Q2
91
47.9
3.12
0.57
0.79
1.76
3.17
0.0%
2024Q1
91
46.6
3.25
0.61
0.85
1.79
3.23
0.0%
2023Q4
92
43.6
3.35
0.64
0.79
1.92
3.30
0.0%
2023Q3
92
45.4
3.31
0.74
0.65
1.91
3.32
0.0%
2023Q2
91
43.4
3.43
0.82
0.68
1.93
3.46
0.0%
2023Q1
90
43.5
3.39
0.77
0.70
1.92
3.36
0.0%
2022Q4
92
45.1
3.44
0.71
0.66
2.08
3.43
0.0%
2022Q3
92
49.4
2.61
0.64
0.60
1.37
2.57
0.0%
2022Q2
91
50.1
2.52
0.61
0.64
1.26
2.53
0.0%
2022Q1
90
49.0
2.85
0.64
0.76
1.45
2.84
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
17
D × 12E × 3F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-20
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-21
2026-04-20
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-05-06
2026-04-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-05-06
2026-04-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-05-06
2026-04-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-06
2026-04-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-05-06
2025-12-11
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
2025-12-19
2025-06-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-02
2025-06-25
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-07-02
2025-02-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-03-07
2025-02-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-07
2025-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-07
2025-02-06
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-03-07
2025-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-07
2024-02-20
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
2024-03-08
2024-02-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-08
2024-02-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-08
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
39
Owner
Role
Pct
From
Status
Source
HANCOCK REGIONAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-07-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT HOLDINGS LP
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
AMERICAN HEALTHCARE REIT INC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
BARNEY, LEIGH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
BOND, MARIA
TRUSTEE OF THE SNF
—
2021-07-01
current
pecos_ownership
CLARK, TIMOTHY
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
CONTINENTAL MERGER SUB LLC
ADP OF THE SNF
—
2021-10-01
current
pecos_ownership
DAUGHERTY, JOSHUA
TRUSTEE OF THE SNF
—
2020-01-01
current
pecos_ownership
DAVIS, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
DUPRE, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-15
current
pecos_ownership
FELKER, DEAN
TRUSTEE OF THE SNF
—
2015-05-01
current
pecos_ownership
GAHC3 TRILOGY JV LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
GAHC4 TRILOGY JV LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
JOYNER, SARA
TRUSTEE OF THE SNF
—
2022-01-01
current
pecos_ownership
LCS SOUTH BEND LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
LONG, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-13
current
pecos_ownership
LONG, STEVEN
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
MILLER, JAMES
TRUSTEE OF THE SNF
—
2023-12-31
current
pecos_ownership
PARAGON OUTPATIENT REHABILITATION SERVICES LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
STEINHAUS, KARL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-20
current
pecos_ownership
TRILOGY INVESTORS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-01
current
pecos_ownership
TRILOGY REAL ESTATE INVESTMENT TRUST
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
TRILOGY REIT HOLDINGS LLC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
WELLTOWER INC
ADP OF THE SNF
—
2015-12-01
current
pecos_ownership
WILLARD, LACEY
MANAGING CONTROL - GOVERNING BODY
—
2022-07-01
current
pecos_ownership
WILSON, ROY
MANAGING CONTROL - GOVERNING BODY
—
2015-05-01
current
pecos_ownership
DEAN FELKER
MANAGING CONTROL - GOVERNING BODY
—
2015-05-01
ended 2026-05-18
pecos_ownership
JAMES MILLER
TRUSTEE OF THE SNF
—
2023-12-31
ended 2026-05-18
pecos_ownership
JOSHUA DAUGHERTY
TRUSTEE OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
KARL STEINHAUS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-20
ended 2026-05-18
pecos_ownership
LACEY WILLARD
TRUSTEE OF THE SNF
—
2022-07-01
ended 2026-05-18
pecos_ownership
MARIA BOND
MANAGING CONTROL - GOVERNING BODY
—
2021-07-01
ended 2026-05-18
pecos_ownership
MATTHEW DUPRE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-15
ended 2026-05-18
pecos_ownership
ROY WILSON
TRUSTEE OF THE SNF
—
2015-05-01
ended 2026-05-18
pecos_ownership
SARA JOYNER
TRUSTEE OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
STEVEN LONG
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
STEVEN LONG
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-13
ended 2026-05-18
pecos_ownership
TIMOTHY CLARK
MANAGING CONTROL - GOVERNING BODY
—
2015-05-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,265,406
—
—
$786,216
$265,106
4
—
2023-12-31
$1,838,979
—
—
$707,171
$211,120
4
—
2022-12-31
$1,928,542
—
—
$614,600
$248,855
4
—
2021-12-31
$1,514,894
—
—
$526,214
$187,373
3
—
2020-12-31
$1,453,345
—
—
$668,517
$151,836
3
—
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 18141
acs median gross
0
$858
2024-12-31
CENSUS_ACS5
county 18141
fmr
0
$898
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
1
$905
2024-12-31
CENSUS_ACS5
county 18141
fmr
1
$1,105
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
2
$1,092
2024-12-31
CENSUS_ACS5
county 18141
fmr
2
$1,292
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
3
$1,197
2024-12-31
CENSUS_ACS5
county 18141
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 18141
fmr
4
$1,711
2025-10-01
HUD_USER_FMR
county 18141
acs median gross
5
$1,404
2024-12-31
CENSUS_ACS5
county 18141
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
county 18141
acs recent mover gross
$1,164
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
0
$1,252
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
1
$1,138
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
2
$1,157
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
3
$1,326
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
4
$1,211
2024-12-31
CENSUS_ACS5
zcta 46637
acs median gross
$1,163
2024-12-31
CENSUS_ACS5
zcta 46637
acs recent mover gross
$1,114
2024-12-31
CENSUS_ACS5
zip 46637
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 46637
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 46637
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 46637
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 110
3
$1,925
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 90
3
$1,575
2025-10-01
HUD_USER_SAFMR
zip 46637
safmr
3
$1,750
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 110
4
$2,101
2025-10-01
HUD_USER_SAFMR
zip 46637
payment standard 90
4
$1,719
2025-10-01
HUD_USER_SAFMR
zip 46637
safmr
4
$1,910
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.