Reads as: riskier than 11.9% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
12 chains
SIDHU SARFRAZ
19 facilities
connection
Owner spans multiple chains
6 chains
GRAPE TREE MEDICAL STAFFING LLC
55 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
WI median
National median
National p25–p75
Total nurse
4.28
3.60
3.28
2.90–3.77
RN
0.90
0.64
0.39
0.25–0.58
Weekend total
4.13
3.49
3.11
—
Weekday total
4.34
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.8
4.28
0.90
0.00
3.38
4.13
13.8%
2025Q3
92
42.9
4.03
0.67
0.00
3.37
3.70
11.4%
2025Q2
91
41.6
3.86
0.62
0.00
3.24
3.46
12.1%
2025Q1
90
40.8
3.87
0.67
0.00
3.20
3.33
6.8%
2024Q4
92
37.8
4.13
0.74
0.00
3.39
3.69
3.5%
2024Q3
92
39.8
3.86
0.69
0.00
3.17
3.43
3.1%
2024Q2
91
38.4
3.89
0.70
0.00
3.19
3.48
1.5%
2024Q1
91
36.4
3.82
0.70
0.00
3.12
3.50
0.1%
2023Q4
92
33.6
4.05
0.64
0.00
3.42
3.78
9.0%
2023Q3
92
34.3
4.09
0.64
0.00
3.44
3.81
11.1%
2023Q2
91
37.9
4.25
0.58
0.11
3.55
3.98
18.7%
2023Q1
90
37.3
4.27
0.56
0.08
3.63
4.13
17.8%
2022Q4
92
34.7
4.37
0.61
0.00
3.75
4.22
4.9%
2022Q3
92
35.7
4.28
0.71
0.00
3.57
3.86
2.3%
2022Q2
91
35.6
4.24
0.72
0.00
3.52
3.81
0.7%
2022Q1
90
31.6
4.70
0.96
0.00
3.74
4.12
1.2%
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
13
C × 1D × 11F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-05
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
2026-03-27
2026-03-05
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
2026-03-27
2026-03-05
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
2026-03-27
2026-03-05
Health
F0732
Post nurse staffing information every day.
C
2026-03-27
2026-03-05
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
2026-03-27
2024-11-27
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-12-27
2024-11-27
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-12-27
2024-11-27
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-12-27
2024-11-27
Health
F0610
Respond appropriately to all alleged violations.
D
2024-12-27
2024-11-27
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-12-27
2024-11-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-27
2023-07-17
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-07-19
2023-07-17
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-07-21
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
35
Owner
Role
Pct
From
Status
Source
BERG, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
DRONE, JENNIFER
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
GRAPE TREE MEDICAL STAFFING LLC
ADP OF THE SNF
—
1999-09-17
current
pecos_ownership
HALLETT, SUSAN
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
HODGE, NICHOLAS
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
KLEIST, TYLER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
KLEIST, TYLER
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KNUDSON, SHARON
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
LEADINGCHOICE NETWORK LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
LEADINGCHOICE NETWORK LLC
ADP OF THE SNF
—
2025-12-09
current
pecos_ownership
PLATT, ADDISON
CORPORATE OFFICER
—
2025-06-10
current
pecos_ownership
PLATT, ADDISON
ADP OF THE SNF
—
2024-06-10
current
pecos_ownership
RICHLAND COUNTY BANK
ADP OF THE SNF
—
2017-10-31
current
pecos_ownership
RYNES, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SCHAUF, KARN
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
SIDHU, SARFRAZ
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SIDHU, SARFRAZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
TEWS, JOHN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
THE PEOPLE COMMUNITY BANK
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
ADDISON PLATT
CORPORATE OFFICER
100%
2025-06-10
ended 2026-05-18
pecos_ownership
JENNIFER DRONE
CORPORATE DIRECTOR
10%
2024-10-01
ended 2026-05-18
pecos_ownership
ADDISON PLATT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-10
ended 2026-05-18
pecos_ownership
ERIC RYNES
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
GRAPE TREE MEDICAL STAFFING LLC
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
JOHN TEWS
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
KARN SCHAUF
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
MATTHEW BERG
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS HODGE
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
SARFRAZ SIDHU
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
SARFRAZ SIDHU
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
SHARON KNUDSON
CORPORATE DIRECTOR
—
2022-10-01
ended 2026-05-18
pecos_ownership
SUSAN HALLETT
CORPORATE DIRECTOR
—
2022-10-01
ended 2026-05-18
pecos_ownership
TYLER KLEIST
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
TYLER KLEIST
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
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.
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 55103
acs median gross
0
$518
2024-12-31
CENSUS_ACS5
county 55103
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 55103
acs median gross
1
$656
2024-12-31
CENSUS_ACS5
county 55103
fmr
1
$815
2025-10-01
HUD_USER_FMR
county 55103
acs median gross
2
$867
2024-12-31
CENSUS_ACS5
county 55103
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 55103
acs median gross
3
$1,040
2024-12-31
CENSUS_ACS5
county 55103
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 55103
acs median gross
4
$1,111
2024-12-31
CENSUS_ACS5
county 55103
fmr
4
$1,461
2025-10-01
HUD_USER_FMR
county 55103
acs median gross
5
$1,079
2024-12-31
CENSUS_ACS5
county 55103
acs median gross
$771
2024-12-31
CENSUS_ACS5
county 55103
acs recent mover gross
$684
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
0
$500
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
1
$653
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
3
$1,078
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
4
$1,127
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
5
$1,103
2024-12-31
CENSUS_ACS5
zcta 53581
acs median gross
$724
2024-12-31
CENSUS_ACS5
zcta 53581
acs recent mover gross
$681
2024-12-31
CENSUS_ACS5
zip 53581
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 53581
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 53581
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 53581
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 53581
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 53581
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 53581
safmr
4
$1,460
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.