Reads as: riskier than 92.7% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
INNOVATIVE NURSE CONSULTING LLC
19 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
STEVEN BOULWARE FAMILY INVESTMENTS LLC
14 facilities
connection
Owner fleet risk far above national
+26.4 vs natl
BRIDGEPOINTE FINANICAL SERVICES LLC
22 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
BAUDER WILLIAM
37 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
BAUDER MADISON
22 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
BAUDER KELLY
22 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
BAUDER PARKER
22 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
BOULWARE SANDRA
18 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
BOULWARE ST JAMES LLC
20 facilities
connection
Owner fleet risk far above national
+21.0 vs natl
BOULWARE THOMAS
24 facilities
connection
Owner fleet risk far above national
+21.0 vs natl
WALKER KATIE
24 facilities
connection
Owner fleet risk far above national
+20.7 vs natl
BAUDER FAMILY INVESTMENTS LLC
20 facilities
connection
Owner spans multiple chains
10 chains
BAUDER WILLIAM
35 facilities
connection
Owner spans multiple chains
9 chains
BOULWARE STEVEN
40 facilities
connection
Owner spans multiple chains
8 chains
PRIORITY MANAGEMENT GROUP LLC
36 facilities
connection
Owner spans multiple chains
7 chains
BAUDER KELLY
21 facilities
connection
Owner spans multiple chains
7 chains
BAUDER PARKER
21 facilities
connection
Owner spans multiple chains
7 chains
BAUDER MADISON
21 facilities
connection
Owner spans multiple chains
7 chains
WALKER KATIE
23 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE THOMAS
23 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE DOUGLAS
38 facilities
connection
Owner spans multiple chains
6 chains
BRIDGEPOINTE FINANICAL SERVICES LLC
21 facilities
connection
Owner spans multiple chains
6 chains
INNOVATIVE NURSE CONSULTING LLC
18 facilities
connection
Owner spans multiple chains
6 chains
PROGRESSIVE REHAB SOLUTIONS LLC
33 facilities
connection
Owner spans multiple chains
5 chains
STEVEN BOULWARE FAMILY INVESTMENTS LLC
13 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
2.76
2.67
3.28
2.90–3.77
RN
0.53
0.24
0.39
0.25–0.58
Weekend total
2.65
2.56
3.11
—
Weekday total
2.80
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.4
2.76
0.53
0.45
1.78
2.65
7.4%
2025Q3
92
87.3
2.77
0.54
0.39
1.85
2.67
7.7%
2025Q2
91
75.2
2.81
0.64
0.32
1.86
2.71
6.6%
2025Q1
90
69.3
2.58
0.63
0.38
1.56
2.52
0.0%
2024Q4
92
74.0
2.74
0.51
0.53
1.71
2.73
10.2%
2024Q3
92
64.6
2.88
0.51
0.55
1.81
2.69
0.0%
2024Q2
91
78.9
2.31
0.40
0.51
1.40
1.93
0.0%
2024Q1
91
76.3
2.53
0.27
0.45
1.81
2.48
3.1%
2023Q4
92
77.5
2.40
0.18
0.43
1.78
2.38
6.9%
2023Q3
92
72.6
2.30
0.11
0.36
1.83
2.20
31.6%
2023Q2
91
71.6
2.94
0.36
0.66
1.92
2.78
0.0%
2023Q1
90
68.8
3.32
0.35
0.74
2.23
3.26
0.0%
2022Q4
92
73.7
3.13
0.42
0.66
2.05
3.03
0.0%
2022Q3
92
73.5
3.36
0.47
0.68
2.21
3.12
0.0%
2022Q2
91
69.1
3.68
0.46
0.81
2.41
3.38
0.0%
2022Q1
90
60.5
3.88
0.46
0.91
2.51
3.82
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.
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-09-26
2025-12-09
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-12-23
2025-12-09
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-12-23
2025-01-30
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-13
2024-03-26
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
2024-04-19
2023-12-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-11-29
2023-12-07
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
2023-12-15
2023-12-07
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-15
2023-09-19
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-09-20
2023-09-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-15
2023-09-12
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2023-09-15
2023-07-22
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
J
2023-07-23
2023-07-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2023-07-23
2023-07-22
Health · complaint
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
J
2023-07-23
2023-07-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-23
2023-06-22
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2023-07-21
2022-10-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-11-11
2022-10-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-11-11
2022-10-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-11-11
2022-10-06
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2022-11-11
2022-10-06
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2022-11-11
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
38
Owner
Role
Pct
From
Status
Source
PMG REALCO - GARLAND LLC
Corporation, partnership or other organization has financial interest in provider
33%
2024-01-01
current
hcris_a_8_1
BAUDER FAMILY INVESTMENTS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2024-04-01
current
pecos_ownership
BOULWARE ST JAMES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2024-04-01
current
pecos_ownership
STEVEN BOULWARE FAMILY INVESTMENTS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2024-04-01
current
pecos_ownership
BAUDER, KELLY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
BAUDER, MADISON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
BAUDER, PARKER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
BOULWARE, THOMAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
WALKER, KATIE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
BAUDER, WILLIAM
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
BOULWARE, DOUGLAS
INDIRECT OWNERSHIP INTEREST
—
2024-04-01
current
pecos_ownership
BOULWARE, SANDRA
INDIRECT OWNERSHIP INTEREST
—
2024-04-01
current
pecos_ownership
BOULWARE, STEVEN
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
BRIDGEPOINTE FINANICAL SERVICES, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
INNOVATIVE NURSE CONSULTING, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
MILLER, BOBBIE
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
MIRZA, MUHAMMAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
PMG OPCOGARLAND LLC
—
—
2025-01-12
current
tx_hhsc_directory
PMG REALCO-GARLAND, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
ZAID, MUSAAB
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
STEVEN BOULWARE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
42%
2024-04-01
ended 2026-05-18
pecos_ownership
KATIE WALKER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
KELLY BAUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
MADISON BAUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
PARKER BAUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
THOMAS BOULWARE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
WILLIAM BAUDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-05-18
pecos_ownership
DOUGLAS BOULWARE
INDIRECT OWNERSHIP INTEREST
4%
2024-04-01
ended 2026-05-18
pecos_ownership
SANDRA BOULWARE
INDIRECT OWNERSHIP INTEREST
4%
2024-04-01
ended 2026-05-18
pecos_ownership
BOBBIE MILLER
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
BRIDGEPOINTE FINANICAL SERVICES, LLC
ADP OF THE SNF
—
2025-05-13
ended 2026-05-18
pecos_ownership
INNOVATIVE NURSE CONSULTING, LLC
ADP OF THE SNF
—
2025-05-13
ended 2026-05-18
pecos_ownership
MUHAMMAD MIRZA
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
MUSAAB ZAID
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC
ADP OF THE SNF
—
2025-05-13
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,661,237
$783,000
$4,109
$624,739
$73,336
16
propco
2022-12-31
$1,089,852
—
—
—
—
1
—
2021-12-31
$566,194
—
—
—
—
1
—
2020-12-31
$587,631
—
—
$66,849
$34,928
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
0
$1,694
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
1
$1,582
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
2
$1,929
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
3
$2,089
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
4
$2,407
2024-12-31
CENSUS_ACS5
zcta 75044
acs median gross
$1,810
2024-12-31
CENSUS_ACS5
zcta 75044
acs recent mover gross
$1,909
2024-12-31
CENSUS_ACS5
zip 75044
payment standard 110
0
$1,925
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 90
0
$1,575
2025-10-01
HUD_USER_SAFMR
zip 75044
safmr
0
$1,750
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 110
1
$2,002
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 90
1
$1,638
2025-10-01
HUD_USER_SAFMR
zip 75044
safmr
1
$1,820
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 110
2
$2,343
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 90
2
$1,917
2025-10-01
HUD_USER_SAFMR
zip 75044
safmr
2
$2,130
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 110
3
$2,948
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 90
3
$2,412
2025-10-01
HUD_USER_SAFMR
zip 75044
safmr
3
$2,680
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 110
4
$3,751
2025-10-01
HUD_USER_SAFMR
zip 75044
payment standard 90
4
$3,069
2025-10-01
HUD_USER_SAFMR
zip 75044
safmr
4
$3,410
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.