Reads as: riskier than 81.2% 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 fleet risk far above national
+23.6 vs natl
FREUDENBERGER JOSEPH
35 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
OAKBEND MEDICAL CENTER
32 facilities
connection
Owner fleet enforcement cluster
50% fined
OAKBEND MEDICAL CENTER
32 facilities
connection
Owner fleet enforcement cluster
49% fined
FREUDENBERGER JOSEPH
35 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
TX median
National median
National p25–p75
Total nurse
3.29
2.67
3.28
2.90–3.77
RN
0.24
0.24
0.39
0.25–0.58
Weekend total
3.33
2.56
3.11
—
Weekday total
3.28
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
83.4
3.29
0.24
0.60
2.45
3.33
15.8%
2025Q3
92
84.7
3.21
0.14
0.70
2.37
3.15
15.8%
2025Q2
91
86.4
2.99
0.15
0.66
2.17
3.04
17.1%
2025Q1
90
85.1
3.10
0.14
0.74
2.21
3.07
16.0%
2024Q4
92
86.1
3.00
0.17
0.70
2.13
2.97
15.5%
2024Q3
92
81.8
3.00
0.14
0.74
2.13
2.94
16.0%
2024Q2
91
82.9
2.91
0.14
0.71
2.05
2.86
11.6%
2024Q1
91
82.7
2.70
0.09
0.70
1.91
2.63
11.4%
2023Q4
92
82.1
2.70
0.11
0.69
1.90
2.59
10.9%
2023Q3
92
84.1
2.61
0.11
0.65
1.85
2.57
4.5%
2023Q2
91
81.5
2.52
0.11
0.55
1.86
2.23
0.0%
2023Q1
90
80.2
2.87
0.12
0.69
2.06
2.61
10.9%
2022Q4
92
79.1
2.81
0.12
0.66
2.04
2.51
6.3%
2022Q3
92
73.9
2.83
0.15
0.63
2.05
2.54
5.9%
2022Q2
91
74.7
5.18
0.32
1.53
3.34
4.82
3.4%
2022Q1
90
77.7
2.39
0.17
0.56
1.66
2.29
1.1%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-12
2026-01-16
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2026-02-12
2026-01-16
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
2026-02-12
2026-01-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-02-12
2026-01-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-12
2026-01-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-02-12
2024-10-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-16
2024-10-17
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-11-16
2024-10-17
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-11-16
2024-10-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-11-16
2024-10-17
Health
F0679
Provide activities to meet all resident's needs.
E
2024-11-16
2024-10-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-11-16
2024-10-17
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
2024-11-16
2024-10-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-11-16
2024-10-17
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
2024-11-16
2024-10-17
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-11-16
2024-10-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-16
2024-10-17
Health · complaint
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2024-11-16
2024-10-17
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-11-16
2024-10-17
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-11-16
2024-07-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-25
2024-07-27
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.
J
2024-08-25
2024-07-27
Health · complaint
F0908
Keep all essential equipment working safely.
J
2024-08-25
2024-06-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-06-07
2024-06-06
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
2024-06-07
2024-02-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-19
2024-02-29
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.
E
2024-03-19
2024-02-12
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-03-07
2023-10-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-14
2023-08-31
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2023-10-06
2023-08-31
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-10-09
2023-08-31
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
2023-10-06
2023-08-31
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-06
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
12
Owner
Role
Pct
From
Status
Source
OAKBEND MEDICAL CENTER
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-06-01
current
pecos_ownership
FREUDENBERGER, JOSEPH
CORPORATE OFFICER
—
2021-06-01
current
pecos_ownership
GHEEWALA, RAEEDA
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
LESHIKAR, HOWARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
OAKBEND MEDICAL CENTER
—
—
2024-06-01
current
tx_hhsc_directory
SPJST REST HOME
5% OR GREATER SECURITY INTEREST
—
2021-06-01
current
pecos_ownership
SPJST SENIOR LIVING
—
—
2024-06-01
current
tx_hhsc_directory
TEPLICEK, BEVERLY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
VARTA, VALERIE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
VICTORICK, DONNIE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
JOSEPH FREUDENBERGER
CORPORATE OFFICER
—
2021-06-01
ended 2026-05-18
pecos_ownership
RAEEDA GHEEWALA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 48491
acs median gross
0
$1,577
2024-12-31
CENSUS_ACS5
county 48491
fmr
0
$1,474
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
1
$1,457
2024-12-31
CENSUS_ACS5
county 48491
fmr
1
$1,562
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
county 48491
fmr
2
$1,852
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
3
$2,154
2024-12-31
CENSUS_ACS5
county 48491
fmr
3
$2,347
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
4
$2,584
2024-12-31
CENSUS_ACS5
county 48491
fmr
4
$2,760
2025-10-01
HUD_USER_FMR
county 48491
acs median gross
5
$2,617
2024-12-31
CENSUS_ACS5
county 48491
acs median gross
$1,796
2024-12-31
CENSUS_ACS5
county 48491
acs recent mover gross
$1,868
2024-12-31
CENSUS_ACS5
zcta 76574
acs median gross
1
$924
2024-12-31
CENSUS_ACS5
zcta 76574
acs median gross
2
$1,181
2024-12-31
CENSUS_ACS5
zcta 76574
acs median gross
3
$1,483
2024-12-31
CENSUS_ACS5
zcta 76574
acs median gross
$1,134
2024-12-31
CENSUS_ACS5
zcta 76574
acs recent mover gross
$908
2024-12-31
CENSUS_ACS5
zip 76574
payment standard 110
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 90
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 76574
safmr
0
$1,400
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 110
1
$1,639
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 90
1
$1,341
2025-10-01
HUD_USER_SAFMR
zip 76574
safmr
1
$1,490
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 110
2
$1,936
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 90
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 76574
safmr
2
$1,760
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 110
3
$2,464
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 90
3
$2,016
2025-10-01
HUD_USER_SAFMR
zip 76574
safmr
3
$2,240
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 110
4
$2,860
2025-10-01
HUD_USER_SAFMR
zip 76574
payment standard 90
4
$2,340
2025-10-01
HUD_USER_SAFMR
zip 76574
safmr
4
$2,600
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.