Reads as: riskier than 98.0% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.9 vs natl
ISRAEL YEHUDIS
17 facilities
connection
Owner fleet risk far above national
+23.9 vs natl
BERGER AVIVA
17 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
STERN TODD
45 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
FIELDS TIMOTHY
21 facilities
connection
Owner fleet risk far above national
+21.7 vs natl
ISRAEL BENJAMIN
40 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
CARR BARRY
21 facilities
connection
Owner spans multiple chains
4 chains
OOMMEN BIJU
7 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
3.30
2.67
3.28
2.90–3.77
RN
0.51
0.24
0.39
0.25–0.58
Weekend total
3.45
2.56
3.11
—
Weekday total
3.23
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.0
3.30
0.51
1.15
1.64
3.45
0.0%
2025Q3
92
49.6
3.30
0.62
1.06
1.62
3.32
0.0%
2025Q2
91
24.7
4.32
0.94
1.45
1.93
4.40
0.0%
2025Q1
90
21.6
4.42
1.35
1.13
1.94
4.41
2.8%
2024Q4
92
25.9
4.22
1.36
0.89
1.97
4.09
1.1%
2024Q3
92
27.9
3.54
0.69
0.97
1.88
3.64
6.5%
2024Q2
91
15.8
3.80
0.20
1.50
2.10
3.72
1.9%
2024Q1
91
12.5
3.15
0.00
1.27
1.88
3.13
0.0%
2023Q4
92
43.2
2.35
0.22
0.81
1.32
2.14
0.0%
2023Q3
92
29.2
3.18
0.09
1.36
1.73
2.88
0.0%
2023Q2
91
20.7
4.34
0.32
1.54
2.47
4.07
7.3%
2023Q1
90
28.9
3.06
0.33
0.38
2.35
2.75
0.8%
2022Q4
92
37.6
3.86
0.49
1.34
2.03
3.68
3.3%
2022Q3
92
37.3
3.90
0.33
1.38
2.20
3.11
2.1%
2022Q2
91
39.7
4.15
0.70
1.26
2.18
3.37
2.0%
2022Q1
90
42.0
3.65
1.10
1.09
1.47
3.30
4.5%
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.
Reasonably accommodate the needs and preferences of each resident.
E
2025-12-15
2024-09-27
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-07
2024-09-27
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
2024-11-20
2024-09-27
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-20
2024-09-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-11-20
2024-09-27
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-11-20
2024-09-27
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-12-27
2024-09-27
Health · complaint
F0814
Dispose of garbage and refuse properly.
D
2024-11-20
2024-09-27
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-12-27
2024-08-30
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2024-09-01
2024-08-30
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
J
2024-10-04
2024-08-30
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
J
2024-10-04
2023-08-09
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-08-17
2023-06-26
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-07-25
2023-06-26
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
2023-07-25
2023-06-26
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
2023-07-25
2023-06-26
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.
E
2023-07-25
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
23
Owner
Role
Pct
From
Status
Source
IGNITE MEDICAL RESORT SUGAR LAND, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-06-01
current
pecos_ownership
IGNITE SUGAR LAND JV, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2025-06-01
current
pecos_ownership
PRESTIGE WORLDWIDE SUGAR LAND, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2025-06-01
current
pecos_ownership
BERGER, AVIVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
CARR, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
FIELDS, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
IGNITE TEAM PARTNERS LLC
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
ISRAEL, BENJAMIN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
ISRAEL, YEHUDIS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
OOMMEN, BIJU
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
STERN, TODD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
WASHINGTON, RULKIYA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
TIMOTHY FIELDS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2025-06-01
ended 2026-05-18
pecos_ownership
BERGER FAM TR UA 06252014
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2024-12-01
ended 2026-05-18
pecos_ownership
STERN FAMILY INVESTMENT TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2025-06-01
ended 2026-05-18
pecos_ownership
BARRY CARR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2025-02-01
ended 2026-05-18
pecos_ownership
BLUE PEARL FINANCIAL LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2025-06-01
ended 2026-05-18
pecos_ownership
IGNITE POST ACUTE SOLUTIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2025-06-01
ended 2026-05-18
pecos_ownership
ISRAEL FAMILY INVESTMENT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-12-01
ended 2026-05-18
pecos_ownership
GOLD PEARL, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2025-06-01
ended 2026-05-18
pecos_ownership
BARRY CARR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
ended 2026-05-18
pecos_ownership
BIJU OOMMEN
ADP OF THE SNF
—
2025-06-01
ended 2026-05-18
pecos_ownership
RULKIYA WASHINGTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$485,165
$485,165
—
—
—
1
—
2023-12-31
$1,213,571
$1,213,571
—
—
—
1
—
2022-12-31
$675,844
$675,844
—
—
—
1
—
2021-12-31
$714,346
$714,346
—
—
—
1
—
2020-12-31
$934,802
$934,802
—
—
—
1
—
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 48157
acs median gross
0
$1,418
2024-12-31
CENSUS_ACS5
county 48157
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48157
acs median gross
1
$1,423
2024-12-31
CENSUS_ACS5
county 48157
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48157
acs median gross
2
$1,732
2024-12-31
CENSUS_ACS5
county 48157
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48157
acs median gross
3
$1,973
2024-12-31
CENSUS_ACS5
county 48157
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48157
acs median gross
4
$2,578
2024-12-31
CENSUS_ACS5
county 48157
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48157
acs median gross
5
$2,991
2024-12-31
CENSUS_ACS5
county 48157
acs median gross
$1,807
2024-12-31
CENSUS_ACS5
county 48157
acs recent mover gross
$1,863
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
0
$1,243
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
1
$1,576
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
2
$1,866
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
3
$2,256
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
4
$2,757
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 77479
acs median gross
$2,063
2024-12-31
CENSUS_ACS5
zcta 77479
acs recent mover gross
$2,261
2024-12-31
CENSUS_ACS5
zip 77479
payment standard 110
0
$2,112
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 90
0
$1,728
2025-10-01
HUD_USER_SAFMR
zip 77479
safmr
0
$1,920
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 110
1
$2,178
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 90
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 77479
safmr
1
$1,980
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 77479
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 110
3
$3,487
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 90
3
$2,853
2025-10-01
HUD_USER_SAFMR
zip 77479
safmr
3
$3,170
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 110
4
$4,356
2025-10-01
HUD_USER_SAFMR
zip 77479
payment standard 90
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 77479
safmr
4
$3,960
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.