Reads as: riskier than 90.9% 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
8
Kind
Finding
Signal
Subject
First seen
anomaly
Top-decile risk vs 4–5 star rating
5.9
this facility
2026-07-29
connection
Owner fleet risk far above national
+27.7 vs natl
CERISE FREDERICK
34 facilities
connection
Owner fleet risk far above national
+26.4 vs natl
CASTANEDA EDMUNDO
36 facilities
connection
Owner fleet risk far above national
+25.5 vs natl
DALLAS COUNTY HOSPITAL DISTRICT
37 facilities
connection
Owner spans multiple chains
4 chains
LONE JAMAL
4 facilities
connection
Owner fleet enforcement cluster
47% fined
CERISE FREDERICK
34 facilities
connection
Owner fleet enforcement cluster
46% fined
DALLAS COUNTY HOSPITAL DISTRICT
37 facilities
connection
Owner fleet enforcement cluster
44% fined
CASTANEDA EDMUNDO
36 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
2.83
2.67
3.28
2.90–3.77
RN
0.62
0.24
0.39
0.25–0.58
Weekend total
2.76
2.56
3.11
—
Weekday total
2.86
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.1
2.83
0.62
0.78
1.43
2.76
1.1%
2025Q3
92
87.1
2.66
0.58
0.79
1.29
2.56
0.9%
2025Q2
91
84.8
2.78
0.48
0.94
1.37
2.67
0.9%
2025Q1
90
94.9
2.87
0.40
1.00
1.48
2.78
0.7%
2024Q4
92
92.2
2.91
0.42
1.01
1.48
2.85
1.4%
2024Q3
92
85.3
2.91
0.35
1.10
1.46
2.86
1.3%
2024Q2
91
88.4
2.83
0.41
1.00
1.42
2.82
0.9%
2024Q1
91
90.8
2.74
0.33
1.04
1.37
2.69
0.8%
2023Q4
92
91.0
2.87
0.43
1.10
1.35
2.77
0.9%
2023Q3
92
77.4
2.89
0.35
1.21
1.33
2.81
1.2%
2023Q2
91
77.1
2.72
0.32
1.11
1.29
2.62
1.2%
2023Q1
90
81.8
2.71
0.36
1.17
1.19
2.49
0.9%
2022Q4
92
79.7
2.48
0.30
1.05
1.13
2.24
0.7%
2022Q3
92
75.1
2.61
0.33
1.11
1.17
2.33
1.1%
2022Q2
91
72.5
2.83
0.30
1.13
1.41
2.49
0.0%
2022Q1
90
79.9
2.84
0.34
1.12
1.38
2.60
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.
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
18
D × 13E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-30
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-05-01
2026-02-19
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-20
2026-02-19
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-02-20
2024-12-05
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2025-01-03
2024-12-05
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-01-03
2024-12-05
Health · complaint
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
2025-01-03
2024-12-05
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-03
2024-12-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-01-03
2024-03-11
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-12
2024-01-30
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-01-31
2024-01-30
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-01-31
2023-10-12
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
2023-10-13
2023-10-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-10-13
2023-10-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-10-13
2023-07-19
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-08-18
2023-07-19
Health · complaint
F0687
Provide appropriate foot care.
D
2023-08-18
2023-07-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-08-18
2022-09-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-09-26
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
14
Owner
Role
Pct
From
Status
Source
DALLAS COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-09-01
current
pecos_ownership
CASTANEDA, EDMUNDO
CORPORATE OFFICER
—
2022-01-10
current
pecos_ownership
CERISE, FREDERICK
CORPORATE OFFICER
—
2014-03-24
current
pecos_ownership
DALLAS COUNTY HOSPITAL DISTRICT
—
—
2025-09-01
current
tx_hhsc_directory
LONE, JAMAL
ADP OF THE SNF
—
2022-09-01
current
pecos_ownership
MARTIN, MURRY
ADP OF THE SNF
—
2023-04-17
current
pecos_ownership
RUNYAN, CARMEN
ADP OF THE SNF
—
2020-02-03
current
pecos_ownership
SR SENIOR COMMUNITY LTD CO
—
—
2025-09-01
current
tx_hhsc_directory
SR SENIOR COMMUNITY LTD. CO
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
EDMUNDO CASTANEDA
CORPORATE OFFICER
0%
2022-01-10
ended 2026-05-18
pecos_ownership
FREDERICK CERISE
CORPORATE OFFICER
0%
2014-03-24
ended 2026-05-18
pecos_ownership
CARMEN RUNYAN
ADP OF THE SNF
—
2020-02-03
ended 2026-05-18
pecos_ownership
JAMAL LONE
ADP OF THE SNF
—
2022-09-01
ended 2026-05-18
pecos_ownership
MURRY MARTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-17
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$24,619
—
—
—
$3,608
0
—
2021-09-30
$23,234
—
—
—
$2,894
0
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 48085
acs median gross
0
$1,594
2024-12-31
CENSUS_ACS5
county 48085
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48085
acs median gross
1
$1,544
2024-12-31
CENSUS_ACS5
county 48085
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48085
acs median gross
2
$1,963
2024-12-31
CENSUS_ACS5
county 48085
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48085
acs median gross
3
$2,337
2024-12-31
CENSUS_ACS5
county 48085
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48085
acs median gross
4
$2,829
2024-12-31
CENSUS_ACS5
county 48085
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48085
acs median gross
5
$2,810
2024-12-31
CENSUS_ACS5
county 48085
acs median gross
$1,859
2024-12-31
CENSUS_ACS5
county 48085
acs recent mover gross
$1,937
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
0
$1,707
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
1
$1,728
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
2
$2,160
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
3
$2,248
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
4
$2,788
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
5
$2,750
2024-12-31
CENSUS_ACS5
zcta 75082
acs median gross
$1,906
2024-12-31
CENSUS_ACS5
zcta 75082
acs recent mover gross
$1,798
2024-12-31
CENSUS_ACS5
zip 75082
payment standard 110
0
$2,222
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 90
0
$1,818
2025-10-01
HUD_USER_SAFMR
zip 75082
safmr
0
$2,020
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 110
1
$2,310
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 90
1
$1,890
2025-10-01
HUD_USER_SAFMR
zip 75082
safmr
1
$2,100
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 110
2
$2,706
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 90
2
$2,214
2025-10-01
HUD_USER_SAFMR
zip 75082
safmr
2
$2,460
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 110
3
$3,410
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 90
3
$2,790
2025-10-01
HUD_USER_SAFMR
zip 75082
safmr
3
$3,100
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 110
4
$4,334
2025-10-01
HUD_USER_SAFMR
zip 75082
payment standard 90
4
$3,546
2025-10-01
HUD_USER_SAFMR
zip 75082
safmr
4
$3,940
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.