Reads as: riskier than 16.1% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
10 chains
OFFERLE ANDREW
13 facilities
connection
Owner spans multiple chains
4 chains
LT CARE ACQUISITION CORP
16 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.
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
15
2025Q3 HPRD
This facility
IN median
National median
National p25–p75
Total nurse
3.00
2.85
3.28
2.90–3.77
RN
0.28
0.40
0.39
0.25–0.58
Weekend total
2.99
2.71
3.11
—
Weekday total
3.01
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q3
92
45.9
3.00
0.28
0.38
2.35
2.99
0.0%
2025Q2
91
46.6
3.03
0.40
0.37
2.26
2.90
0.0%
2025Q1
90
45.2
2.98
0.38
0.39
2.21
2.98
0.0%
2024Q4
92
45.2
2.99
0.39
0.39
2.21
2.89
0.0%
2024Q3
92
38.3
3.13
0.48
0.45
2.20
3.05
0.0%
2024Q2
91
35.7
2.98
0.45
0.49
2.04
2.79
0.0%
2024Q1
91
35.7
3.02
0.46
0.43
2.13
2.85
0.0%
2023Q4
92
34.0
3.03
0.36
0.52
2.15
3.05
0.0%
2023Q3
92
31.4
3.16
0.35
0.58
2.22
3.04
0.0%
2023Q2
91
34.4
3.10
0.28
0.54
2.28
3.04
0.0%
2023Q1
90
29.7
3.14
0.35
0.51
2.27
3.08
0.9%
2022Q4
92
32.1
3.32
0.36
0.61
2.34
3.24
33.8%
2022Q3
92
34.2
2.20
0.09
0.45
1.66
2.20
51.3%
2022Q2
91
33.0
2.38
0.06
0.56
1.76
2.15
39.6%
2022Q1
90
30.5
2.86
0.04
0.91
1.91
2.60
40.7%
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
21
D × 18E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-07
Health · complaint
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
2026-04-20
2026-03-20
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2026-04-20
2026-03-20
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-04-20
2026-03-20
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
2026-04-20
2026-03-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-20
2026-01-30
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-18
2026-01-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-18
2025-09-19
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-15
2025-09-19
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-15
2025-09-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-10-15
2025-01-23
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
2025-02-28
2025-01-23
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
2025-02-28
2025-01-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-28
2025-01-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-02-28
2025-01-23
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
2025-02-28
2024-09-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-10-04
2024-09-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-04
2024-09-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-10-04
2024-04-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-22
2023-06-29
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-07-12
2023-06-29
Health · complaint
F0774
Help the resident with transportation to and from laboratory services outside of the facility.
D
2023-07-12
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
32
Owner
Role
Pct
From
Status
Source
HUNTINGTON PROPERTY HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
COPPERNOLL, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-26
current
pecos_ownership
ENVIVE HEALTHCARE LLC
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
FLUECKIGER, RUSSELL
TRUSTEE OF THE SNF
—
2021-12-01
current
pecos_ownership
HUNTINGTON NURSING HOLDINGS LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
HUNTINGTON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
HUNTINGTON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
LEHMAN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
LT CARE ACQUISITION CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
MACKLIN, LARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
MCINTIRE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
NBH BANK
5% OR GREATER MORTGAGE INTEREST
—
2021-12-01
current
pecos_ownership
OFFERLE, ANDREW
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
SMITH, SCOTT
CORPORATE OFFICER
—
2021-12-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
WHEELER, DANE
CORPORATE OFFICER
—
2021-12-01
current
pecos_ownership
ADAMS COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
CORPORATE OFFICER
100%
2021-12-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
CORPORATE OFFICER
100%
2021-12-01
ended 2026-05-18
pecos_ownership
SCOTT SMITH
CORPORATE OFFICER
100%
2021-12-01
ended 2026-05-18
pecos_ownership
ANDREW OFFERLE
ADP OF THE SNF
—
2021-12-01
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
DEBRA COPPERNOLL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-26
ended 2026-05-18
pecos_ownership
HUNTINGTON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2021-12-01
ended 2022-12-31
hcris_a_8_1
HUNTINGTON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-11-30
hcris_a_8_1
LARRY MACKLIN
TRUSTEE OF THE SNF
—
2021-12-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
TRUSTEE OF THE SNF
—
2021-12-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
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
$910,086
$633,219
$276,867
—
—
10
propco
2023-12-31
$848,249
$593,720
$254,529
—
—
10
propco
2022-12-31
$822,684
$534,718
$287,966
—
—
10
propco
2021-11-30
$578,364
$364,114
—
$126,435
—
15
propco
2020-12-31
$408,839
—
—
$223,801
$34,499
15
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 18069
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18069
acs median gross
1
$683
2024-12-31
CENSUS_ACS5
county 18069
fmr
1
$731
2025-10-01
HUD_USER_FMR
county 18069
acs median gross
2
$910
2024-12-31
CENSUS_ACS5
county 18069
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18069
acs median gross
3
$1,028
2024-12-31
CENSUS_ACS5
county 18069
fmr
3
$1,239
2025-10-01
HUD_USER_FMR
county 18069
acs median gross
4
$1,503
2024-12-31
CENSUS_ACS5
county 18069
fmr
4
$1,483
2025-10-01
HUD_USER_FMR
county 18069
acs median gross
$879
2024-12-31
CENSUS_ACS5
county 18069
acs recent mover gross
$863
2024-12-31
CENSUS_ACS5
zcta 46750
acs median gross
1
$661
2024-12-31
CENSUS_ACS5
zcta 46750
acs median gross
2
$927
2024-12-31
CENSUS_ACS5
zcta 46750
acs median gross
3
$1,033
2024-12-31
CENSUS_ACS5
zcta 46750
acs median gross
4
$1,544
2024-12-31
CENSUS_ACS5
zcta 46750
acs median gross
$892
2024-12-31
CENSUS_ACS5
zcta 46750
acs recent mover gross
$878
2024-12-31
CENSUS_ACS5
zip 46750
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 46750
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 46750
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 46750
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 46750
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 46750
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 46750
safmr
4
$1,480
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.