Reads as: riskier than 54.6% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner spans multiple chains
6 chains
REDDY VIKAS
13 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
CO median
National median
National p25–p75
Total nurse
3.07
3.19
3.28
2.90–3.77
RN
0.60
0.57
0.39
0.25–0.58
Weekend total
2.95
3.02
3.11
—
Weekday total
3.12
3.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
79.1
3.07
0.60
0.46
2.01
2.95
1.1%
2025Q3
92
84.3
2.85
0.61
0.36
1.88
2.73
4.0%
2025Q2
91
82.6
2.82
0.67
0.34
1.81
2.73
4.5%
2025Q1
90
78.9
3.09
0.80
0.32
1.97
2.93
1.0%
2024Q4
92
75.1
3.17
0.83
0.33
2.02
3.07
0.9%
2024Q3
92
75.7
1.05
0.28
0.10
0.67
1.07
0.0%
2024Q2
91
72.9
3.04
0.79
0.27
1.99
2.95
0.0%
2024Q1
91
84.2
3.32
0.77
0.29
2.27
3.34
7.8%
2023Q4
92
80.1
3.21
0.69
0.32
2.20
3.19
7.3%
2023Q3
92
81.4
2.15
0.45
0.22
1.49
2.12
10.9%
2023Q2
91
82.7
3.28
0.76
0.33
2.19
3.19
6.3%
2023Q1
90
80.9
3.45
0.68
0.42
2.35
3.36
5.6%
2022Q4
92
76.4
3.38
0.84
0.29
2.25
3.31
1.0%
2022Q3
92
71.7
3.11
0.82
0.31
1.98
3.05
0.0%
2022Q2
91
63.4
3.11
0.91
0.31
1.88
3.07
0.0%
2022Q1
90
68.4
2.97
0.85
0.29
1.83
2.85
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
30
D × 21E × 8F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-24
2025-08-28
Health
F0679
Provide activities to meet all resident's needs.
D
2025-09-24
2025-08-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-24
2025-08-28
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
2025-09-24
2025-08-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-24
2025-08-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-09-24
2025-08-28
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-09-24
2025-08-28
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
2025-09-24
2025-08-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-24
2025-08-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-09-24
2025-02-26
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2025-04-01
2025-02-26
Health · complaint
F0679
Provide activities to meet all resident's needs.
E
2025-04-01
2023-10-26
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-11-24
2023-10-26
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.
E
2023-11-24
2023-10-26
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-23
2023-10-26
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2023-11-24
2023-10-26
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-24
2023-10-26
Health
F0659
Provide care by qualified persons according to each resident's written plan of care.
D
2023-11-24
2023-10-26
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2023-12-19
2023-10-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-24
2023-10-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-06
2023-10-26
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-11-24
2023-10-26
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.
E
2023-11-24
2023-10-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-24
2023-10-26
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-12-13
2023-10-26
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2023-11-24
2022-07-07
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2022-07-30
2022-07-07
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-07-30
2022-07-07
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
2022-07-30
2022-07-07
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-07-30
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
22
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2024-05-24
current
pecos_ownership
DUNYON, DAVID
CORPORATE OFFICER
—
2024-05-24
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
JORGENSEN, DAVID
CORPORATE DIRECTOR
—
2024-05-24
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
MALONEY, ANN
ADP OF THE SNF
—
2025-06-21
current
pecos_ownership
MALONEY, ANN
MANAGING CONTROL - GOVERNING BODY
—
2024-09-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-21
current
pecos_ownership
PRIME TIME HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
REDDY, VIKAS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
SATO, AMI
CORPORATE OFFICER
—
2024-09-09
current
pecos_ownership
SMV PUEBLO LLC
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
ENDURA HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-05-24
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-05-24
ended 2026-05-18
pecos_ownership
AMI SATO
CORPORATE OFFICER
—
2024-09-09
ended 2026-05-18
pecos_ownership
ANN MALONEY
MANAGING CONTROL - GOVERNING BODY
—
2024-09-01
ended 2026-05-18
pecos_ownership
ANN MALONEY
ADP OF THE SNF
—
2025-06-21
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
DAVID DUNYON
CORPORATE OFFICER
—
2024-05-24
ended 2026-05-18
pecos_ownership
DAVID JORGENSEN
CORPORATE DIRECTOR
—
2024-05-24
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
—
2024-05-24
ended 2026-05-18
pecos_ownership
VIKAS REDDY
ADP OF THE SNF
—
2024-09-01
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
$323,383
—
$243,206
—
—
4
—
2022-12-31
$298,603
—
—
—
—
1
—
2021-12-31
$74,395
—
—
—
—
1
—
2021-09-30
$506,416
—
$506,416
—
—
2
—
2020-09-30
$591,168
—
$591,168
—
—
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2024-09-01
—
STEEL CITY HEALTHCARE, INC.
DESERT WILLOW HEALTH AND REHABILITATION CENTER LLC
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 08101
acs median gross
0
$726
2024-12-31
CENSUS_ACS5
county 08101
fmr
0
$875
2025-10-01
HUD_USER_FMR
county 08101
acs median gross
1
$827
2024-12-31
CENSUS_ACS5
county 08101
fmr
1
$967
2025-10-01
HUD_USER_FMR
county 08101
acs median gross
2
$1,127
2024-12-31
CENSUS_ACS5
county 08101
fmr
2
$1,269
2025-10-01
HUD_USER_FMR
county 08101
acs median gross
3
$1,337
2024-12-31
CENSUS_ACS5
county 08101
fmr
3
$1,617
2025-10-01
HUD_USER_FMR
county 08101
acs median gross
4
$1,314
2024-12-31
CENSUS_ACS5
county 08101
fmr
4
$1,893
2025-10-01
HUD_USER_FMR
county 08101
acs median gross
5
$1,947
2024-12-31
CENSUS_ACS5
county 08101
acs median gross
$1,111
2024-12-31
CENSUS_ACS5
county 08101
acs recent mover gross
$1,240
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
0
$734
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
1
$788
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
2
$1,101
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
3
$1,390
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
4
$1,029
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
5
$1,958
2024-12-31
CENSUS_ACS5
zcta 81004
acs median gross
$1,065
2024-12-31
CENSUS_ACS5
zcta 81004
acs recent mover gross
$1,153
2024-12-31
CENSUS_ACS5
zip 81004
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 81004
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 81004
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 81004
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 81004
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 81004
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 81004
safmr
4
$1,830
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.