Reads as: riskier than 43.2% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 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
NM median
National median
National p25–p75
Total nurse
3.86
2.82
3.28
2.90–3.77
RN
0.60
0.41
0.39
0.25–0.58
Weekend total
3.54
2.65
3.11
—
Weekday total
3.98
2.88
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.8
3.86
0.60
0.19
3.07
3.54
0.0%
2025Q3
92
80.2
3.93
0.62
0.29
3.02
3.61
0.0%
2025Q2
91
67.7
4.84
0.75
0.34
3.75
4.39
0.0%
2025Q1
90
70.5
4.21
0.78
0.24
3.20
3.90
0.0%
2024Q4
92
74.8
4.10
0.68
0.16
3.25
3.87
0.0%
2024Q3
92
77.5
4.20
0.68
0.14
3.38
3.91
0.0%
2024Q2
91
78.6
4.09
0.64
0.20
3.24
3.83
0.0%
2024Q1
91
75.1
4.47
0.64
0.26
3.58
4.10
0.0%
2023Q4
92
75.7
4.30
0.66
0.20
3.44
3.90
0.0%
2023Q3
92
79.3
4.08
0.66
0.24
3.18
3.81
0.0%
2023Q2
91
82.6
4.38
0.55
0.31
3.52
3.86
0.0%
2023Q1
90
83.1
3.79
0.55
0.24
2.99
3.48
0.3%
2022Q4
92
83.0
3.35
0.52
0.25
2.59
3.14
1.1%
2022Q3
92
86.2
3.45
0.55
0.19
2.72
3.25
0.0%
2022Q2
91
85.0
3.15
0.55
0.10
2.49
2.94
0.0%
2022Q1
90
80.3
3.43
0.60
0.22
2.62
3.17
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.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2026-04-06
2025-11-17
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2025-12-12
2025-11-17
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
C
2025-12-12
2025-11-17
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F
2025-12-12
2025-11-17
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2025-12-12
2025-11-17
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
2025-12-12
2025-11-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-12-12
2025-11-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-12-12
2025-11-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-12-12
2025-06-12
Health · complaint
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
2025-07-11
2024-08-01
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
2024-08-29
2024-08-01
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-08-29
2024-02-28
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-03-22
2024-02-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-03-22
2023-09-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-10-16
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
BUESGENS, TERRY
MANAGING CONTROL - GOVERNING BODY
—
2019-02-11
current
pecos_ownership
BURROW, KIMBERLY
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
BURROW, KIMBERLY
W-2 MANAGING EMPLOYEE
—
2021-06-23
current
pecos_ownership
CARRIAGE HEALTHCARE COMPANIES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-26
current
pecos_ownership
CARRIAGE HEALTHCARE COMPANIES INC
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
CONTEMPORARY BENEFITS, LLC
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
FRERICHS, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2017-02-13
current
pecos_ownership
HARRIS, DOYLE
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
HARRIS, DOYLE
W-2 MANAGING EMPLOYEE
—
2007-11-16
current
pecos_ownership
HARTLEY, LORI
MANAGING CONTROL - GOVERNING BODY
—
2018-11-12
current
pecos_ownership
POMEROY, HARRY
MANAGING CONTROL - GOVERNING BODY
—
2001-01-01
current
pecos_ownership
SAHAY, BHASKAR
CONTRACTED MANAGING EMPLOYEE
—
2021-09-10
current
pecos_ownership
SAHAY, BHASKAR
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
SPEARS, KEVIN
TRUSTEE OF THE SNF
—
2021-02-01
current
pecos_ownership
TATUM, CHRISTINA
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
THE CITIZENS BANK OF CLOVIS
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
TUNNELL, TWILA
MANAGING CONTROL - GOVERNING BODY
—
2017-02-13
current
pecos_ownership
DOYLE HARRIS
W-2 MANAGING EMPLOYEE
75%
2007-11-16
ended 2026-05-18
pecos_ownership
CLIFTONLARSONALLEN LLP
OTHER
0%
2022-01-01
ended 2026-05-18
pecos_ownership
CONTEMPORARY BENEFITS, LLC
OTHER
0%
1996-01-01
ended 2026-05-18
pecos_ownership
HBT IT LLC
OTHER
0%
2023-02-01
ended 2026-05-18
pecos_ownership
KIMBERLY BURROW
W-2 MANAGING EMPLOYEE
0%
2021-06-23
ended 2026-05-18
pecos_ownership
THE CITIZENS BANK OF CLOVIS
OTHER
0%
—
ended 2026-05-18
pecos_ownership
BHASKAR SAHAY
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
BHASKAR SAHAY
CONTRACTED MANAGING EMPLOYEE
—
2021-09-10
ended 2026-05-18
pecos_ownership
CHRISTINA TATUM
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
DOYLE HARRIS
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
HARRY POMEROY
MANAGING CONTROL - GOVERNING BODY
—
2001-01-01
ended 2026-05-18
pecos_ownership
JOHN FRERICHS
MANAGING CONTROL - GOVERNING BODY
—
2017-02-13
ended 2026-05-18
pecos_ownership
KEVIN SPEARS
TRUSTEE OF THE SNF
—
2021-02-01
ended 2026-05-18
pecos_ownership
KIMBERLY BURROW
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
LORI HARTLEY
MANAGING CONTROL - GOVERNING BODY
—
2018-11-12
ended 2026-05-18
pecos_ownership
TERRY BUESGENS
MANAGING CONTROL - GOVERNING BODY
—
2019-02-11
ended 2026-05-18
pecos_ownership
TWILA TUNNELL
MANAGING CONTROL - GOVERNING BODY
—
2017-02-13
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
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
34
Geo
Kind
BR
Amount
As of
Source
county 35009
acs median gross
0
$924
2024-12-31
CENSUS_ACS5
county 35009
fmr
0
$757
2025-10-01
HUD_USER_FMR
county 35009
acs median gross
1
$646
2024-12-31
CENSUS_ACS5
county 35009
fmr
1
$892
2025-10-01
HUD_USER_FMR
county 35009
acs median gross
2
$986
2024-12-31
CENSUS_ACS5
county 35009
fmr
2
$1,098
2025-10-01
HUD_USER_FMR
county 35009
acs median gross
3
$1,254
2024-12-31
CENSUS_ACS5
county 35009
fmr
3
$1,425
2025-10-01
HUD_USER_FMR
county 35009
acs median gross
4
$1,355
2024-12-31
CENSUS_ACS5
county 35009
fmr
4
$1,842
2025-10-01
HUD_USER_FMR
county 35009
acs median gross
$1,024
2024-12-31
CENSUS_ACS5
county 35009
acs recent mover gross
$1,005
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
0
$924
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
1
$646
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
2
$1,001
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
3
$1,266
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
4
$1,358
2024-12-31
CENSUS_ACS5
zcta 88101
acs median gross
$1,030
2024-12-31
CENSUS_ACS5
zcta 88101
acs recent mover gross
$1,025
2024-12-31
CENSUS_ACS5
zip 88101
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 88101
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 88101
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 88101
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 88101
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 110
4
$2,101
2025-10-01
HUD_USER_SAFMR
zip 88101
payment standard 90
4
$1,719
2025-10-01
HUD_USER_SAFMR
zip 88101
safmr
4
$1,910
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.