Reads as: riskier than 54.7% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
10 chains
OFFERLE ANDREW
13 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 facilities
connection
Owner spans multiple chains
5 chains
SEBBAG GABRIEL
32 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
IN median
National median
National p25–p75
Total nurse
2.27
2.85
3.28
2.90–3.77
RN
0.42
0.40
0.39
0.25–0.58
Weekend total
2.22
2.71
3.11
—
Weekday total
2.28
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.9
2.27
0.42
0.18
1.66
2.22
7.2%
2025Q3
92
58.0
2.32
0.42
0.25
1.65
2.29
5.3%
2025Q2
91
54.8
2.12
0.36
0.27
1.49
2.04
2.5%
2025Q1
90
56.7
2.26
0.39
0.31
1.56
1.96
2.9%
2024Q4
92
58.4
2.28
0.38
0.31
1.59
2.10
3.0%
2024Q3
92
64.0
1.99
0.28
0.29
1.43
1.74
11.6%
2024Q2
91
60.9
1.88
0.25
0.36
1.27
1.63
12.1%
2024Q1
91
58.8
1.87
0.23
0.40
1.23
1.69
10.1%
2023Q4
92
60.0
2.04
0.19
0.37
1.48
1.96
17.8%
2023Q3
92
55.5
2.02
0.15
0.45
1.42
1.99
30.3%
2023Q2
91
54.9
2.07
0.22
0.62
1.23
1.98
43.2%
2023Q1
90
57.6
2.10
0.20
0.56
1.34
1.97
36.6%
2022Q4
92
60.0
2.04
0.17
0.54
1.33
2.01
54.2%
2022Q3
92
59.4
2.28
0.20
0.52
1.56
2.26
70.2%
2022Q2
91
47.1
2.84
0.14
0.91
1.80
2.80
72.0%
2022Q1
90
53.0
2.64
0.24
0.57
1.82
2.52
68.0%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-01-30
2025-10-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-11-18
2025-09-08
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-10-06
2025-09-08
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-10-06
2025-09-08
Health
F0610
Respond appropriately to all alleged violations.
D
2025-10-06
2025-09-08
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
2025-10-06
2025-09-08
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.
E
2025-10-06
2025-09-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-10-06
2025-09-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-06
2025-09-08
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-10-06
2025-09-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-10-06
2025-09-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-06
2025-07-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2024-12-20
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-19
2024-08-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-09-13
2024-08-13
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-09-13
2024-08-13
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
2024-09-13
2024-08-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-13
2024-08-13
Health
F0679
Provide activities to meet all resident's needs.
D
2024-09-13
2024-08-13
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2024-09-13
2024-08-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-13
2024-08-13
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-13
2024-08-13
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
2024-09-13
2024-08-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-13
2023-11-28
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2023-12-15
2023-10-13
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
G
2023-11-02
2023-10-13
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-11-02
2023-08-10
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
2023-08-29
2023-08-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-08-29
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
39
Owner
Role
Pct
From
Status
Source
300 PRARIE PROPCO LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
current
pecos_ownership
ADVANCED CARE CONSULTANTS LLC
ADP OF THE SNF
—
2022-09-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER MORTGAGE INTEREST
—
2020-11-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
FLUECKIGER, RUSSELL
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
current
pecos_ownership
GREATOREX, TINA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
JACKSON, NATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-03
current
pecos_ownership
JSJ HOLDINGS LLC
ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
LEHMAN, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
2020-07-14
current
pecos_ownership
LME FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
MACKLIN, LARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
current
pecos_ownership
MCINTIRE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
current
pecos_ownership
MIDWEST IN OPCO LLC
ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
OFFERLE, ANDREW
ADP OF THE SNF
—
2021-01-02
current
pecos_ownership
SAMARA FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
SCHIOWITZ, MARC
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
SEBBAG, GABRIEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
SMITH, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
WARSAW MEADOWS NURSING AND REHAB LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
current
pecos_ownership
300 PRAIRIE PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
300 PRAIRIE PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
ANDREW OFFERLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-02
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
ended 2026-05-18
pecos_ownership
IMG HC PROP
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2012-07-01
ended 2026-05-18
pecos_ownership
NATHAN JACKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-03
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
MANAGING CONTROL - GOVERNING BODY
—
2012-07-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-14
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
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
$1,005,922
—
—
$464,000
$87,543
7
—
2023-12-31
$919,847
—
$98,825
$471,538
$83,092
8
—
2022-12-31
$964,721
—
$111,575
$443,969
$80,955
7
—
2021-12-31
$899,802
$217,669
$111,043
$317,950
$53,103
8
propco
2020-12-31
$418,488
—
—
—
$16,501
6
propco
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 18085
acs median gross
0
$906
2024-12-31
CENSUS_ACS5
county 18085
fmr
0
$875
2025-10-01
HUD_USER_FMR
county 18085
acs median gross
1
$818
2024-12-31
CENSUS_ACS5
county 18085
fmr
1
$881
2025-10-01
HUD_USER_FMR
county 18085
acs median gross
2
$1,048
2024-12-31
CENSUS_ACS5
county 18085
fmr
2
$1,142
2025-10-01
HUD_USER_FMR
county 18085
acs median gross
3
$1,191
2024-12-31
CENSUS_ACS5
county 18085
fmr
3
$1,385
2025-10-01
HUD_USER_FMR
county 18085
acs median gross
4
$1,292
2024-12-31
CENSUS_ACS5
county 18085
fmr
4
$1,560
2025-10-01
HUD_USER_FMR
county 18085
acs median gross
5
$1,636
2024-12-31
CENSUS_ACS5
county 18085
acs median gross
$1,043
2024-12-31
CENSUS_ACS5
county 18085
acs recent mover gross
$1,381
2024-12-31
CENSUS_ACS5
zcta 46580
acs median gross
1
$715
2024-12-31
CENSUS_ACS5
zcta 46580
acs median gross
2
$1,099
2024-12-31
CENSUS_ACS5
zcta 46580
acs median gross
3
$1,197
2024-12-31
CENSUS_ACS5
zcta 46580
acs median gross
4
$1,085
2024-12-31
CENSUS_ACS5
zcta 46580
acs median gross
$1,050
2024-12-31
CENSUS_ACS5
zcta 46580
acs recent mover gross
$1,283
2024-12-31
CENSUS_ACS5
zip 46580
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 46580
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 46580
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 110
2
$1,243
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 90
2
$1,017
2025-10-01
HUD_USER_SAFMR
zip 46580
safmr
2
$1,130
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 110
3
$1,507
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 90
3
$1,233
2025-10-01
HUD_USER_SAFMR
zip 46580
safmr
3
$1,370
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 110
4
$1,694
2025-10-01
HUD_USER_SAFMR
zip 46580
payment standard 90
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 46580
safmr
4
$1,540
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.