Reads as: riskier than 58.5% 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
+20.2 vs natl
SHARON ROBERT
34 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner fleet enforcement cluster
56% fined
SIENA LENDING GROUP LLC
16 facilities
connection
Owner fleet enforcement cluster
50% fined
SNW LLC
22 facilities
connection
Owner fleet enforcement cluster
44% fined
SHAH HEMANT
27 facilities
connection
Owner fleet enforcement cluster
44% fined
DUNN CHARLES
27 facilities
connection
Owner fleet enforcement cluster
42% fined
PATEL RAJAN
36 facilities
connection
Owner fleet enforcement cluster
42% fined
OPTUM MANAGEMENT SOLUTIONS INC
36 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
OH median
National median
National p25–p75
Total nurse
3.44
3.24
3.28
2.90–3.77
RN
0.45
0.38
0.39
0.25–0.58
Weekend total
3.14
3.11
3.11
—
Weekday total
3.56
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
102.9
3.44
0.45
0.90
2.10
3.14
0.8%
2025Q3
92
110.0
3.78
0.63
0.86
2.29
3.56
7.8%
2025Q2
91
111.4
3.42
0.65
0.70
2.08
3.24
11.8%
2025Q1
90
113.0
3.22
0.53
0.72
1.98
3.06
9.8%
2024Q4
92
108.3
3.38
0.56
0.72
2.09
3.20
9.0%
2024Q3
92
108.0
3.29
0.45
0.66
2.19
3.06
7.7%
2024Q2
91
103.3
3.18
0.47
0.62
2.09
3.14
11.4%
2024Q1
91
109.0
3.15
0.63
0.42
2.10
3.12
22.1%
2023Q4
92
116.1
3.20
0.57
0.44
2.19
3.08
30.9%
2023Q3
92
110.2
3.07
0.52
0.44
2.11
3.01
20.7%
2023Q2
91
106.1
2.96
0.44
0.47
2.05
2.83
23.8%
2023Q1
90
100.1
3.00
0.38
0.64
1.98
2.84
31.8%
2022Q4
92
98.6
2.88
0.34
0.62
1.92
2.80
42.1%
2022Q3
92
89.6
2.86
0.29
0.66
1.91
2.69
52.9%
2022Q2
91
87.2
3.25
0.26
0.78
2.21
3.06
45.0%
2022Q1
90
80.0
3.05
0.28
0.72
2.04
2.95
31.3%
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
32
B × 1D × 19E × 3F × 8G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-09
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
2025-08-08
2025-06-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-06-03
2025-04-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-30
2024-11-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-31
2024-11-24
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.
D
2024-12-31
2024-11-24
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-12-31
2024-11-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-12-31
2024-11-24
Health
F0679
Provide activities to meet all resident's needs.
E
2024-12-31
2024-11-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-31
2024-11-24
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-12-31
2024-11-24
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-12-31
2024-11-24
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
2024-12-31
2024-11-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-12-31
2024-11-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-31
2024-11-24
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-12-31
2024-11-24
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-12-31
2024-11-24
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2024-12-31
2024-11-24
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2024-12-31
2024-11-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-31
2024-11-24
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-12-31
2023-11-14
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-15
2023-11-14
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2023-12-15
2022-05-05
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
2022-06-20
2022-05-05
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
2022-06-20
2022-05-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-06-20
2022-05-05
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2022-06-20
2022-05-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-06-20
2022-05-05
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2022-06-20
2019-08-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-09-20
2019-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-09-20
2019-08-07
Health
F0814
Dispose of garbage and refuse properly.
F
2019-09-20
2019-08-07
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2019-09-20
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
33
Owner
Role
Pct
From
Status
Source
OM HOLDCO 3 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-01
current
pecos_ownership
DUNN, CHARLES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
current
pecos_ownership
SNW LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DUNN, CHARLES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
LINK, MARSHA
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
LINK, MARSHA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
PATEL, RAJAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
RATNARAJAH, GOKULAN
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
RATNARAJAH, GOKULAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
current
pecos_ownership
SCHLAUPITZ MADHAVAN
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
SHAH, HEMANT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
SHARON, ROBERT
ADP OF THE SNF
—
2024-05-13
current
pecos_ownership
SIENA LENDING GROUP LLC
5% OR GREATER SECURITY INTEREST
—
2022-06-01
current
pecos_ownership
SIZEMORE, ASHLEE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
SPTMISC PROPERTIES TRUST
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PAAR 108 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
ended 2026-05-18
pecos_ownership
CHARLES DUNN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
ended 2026-05-18
pecos_ownership
CHARLES FRANKLIN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
ended 2026-05-18
pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-06-01
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
ended 2026-05-18
pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
ended 2026-05-18
pecos_ownership
ASHLEE SIZEMORE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
GOKULAN RATNARAJAH
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
GOKULAN RATNARAJAH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
ended 2026-05-18
pecos_ownership
MARSHA LINK
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
MARSHA LINK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-31
ended 2026-05-18
pecos_ownership
RAJAN PATEL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
ended 2026-05-18
pecos_ownership
ROBERT SHARON
ADP OF THE SNF
—
2024-05-13
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
$598,713
—
$598,713
—
—
1
—
2023-12-31
$564,525
—
$564,525
—
—
1
—
2022-12-31
$501,683
—
$501,683
—
—
1
—
2021-12-31
$541,521
—
$541,521
—
—
1
—
2020-12-31
$659,595
—
$659,595
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 39049
acs median gross
0
$1,112
2024-12-31
CENSUS_ACS5
county 39049
fmr
0
$1,111
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
1
$1,119
2024-12-31
CENSUS_ACS5
county 39049
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
2
$1,339
2024-12-31
CENSUS_ACS5
county 39049
fmr
2
$1,430
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
3
$1,469
2024-12-31
CENSUS_ACS5
county 39049
fmr
3
$1,715
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
4
$1,711
2024-12-31
CENSUS_ACS5
county 39049
fmr
4
$1,927
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
5
$1,617
2024-12-31
CENSUS_ACS5
county 39049
acs median gross
$1,302
2024-12-31
CENSUS_ACS5
county 39049
acs recent mover gross
$1,444
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
0
$1,310
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
1
$1,148
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
2
$1,333
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
3
$1,610
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
4
$2,101
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
5
$3,172
2024-12-31
CENSUS_ACS5
zcta 43123
acs median gross
$1,341
2024-12-31
CENSUS_ACS5
zcta 43123
acs recent mover gross
$1,520
2024-12-31
CENSUS_ACS5
zip 43123
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 43123
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 43123
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 110
2
$1,573
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 90
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 43123
safmr
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 43123
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 110
4
$2,123
2025-10-01
HUD_USER_SAFMR
zip 43123
payment standard 90
4
$1,737
2025-10-01
HUD_USER_SAFMR
zip 43123
safmr
4
$1,930
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.