Reads as: riskier than 92.5% 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
+30.5 vs natl
BACUS RANDY
5 facilities
connection
Owner fleet risk far above national
+30.5 vs natl
PARKER COUNTY HOSPITAL DISTRICT
5 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
BOULWARE THOMAS
23 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE DOUGLAS
38 facilities
connection
Owner spans multiple chains
7 chains
BAUDER MADISON
21 facilities
connection
Owner spans multiple chains
7 chains
BAUDER PARKER
21 facilities
connection
Owner spans multiple chains
7 chains
WALKER KATIE
23 facilities
connection
Owner spans multiple chains
7 chains
BAUDER KELLY
21 facilities
connection
Owner spans multiple chains
6 chains
INNOVATIVE NURSE CONSULTING LLC
18 facilities
connection
Owner spans multiple chains
6 chains
BRIDGEPOINTE FINANICAL SERVICES LLC
21 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
2.84
2.67
3.28
2.90–3.77
RN
0.10
0.24
0.39
0.25–0.58
Weekend total
2.61
2.56
3.11
—
Weekday total
2.93
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.1
2.84
0.10
1.00
1.74
2.61
5.2%
2025Q3
92
92.3
3.07
0.19
1.00
1.88
2.85
11.6%
2025Q2
91
94.6
3.02
0.24
1.02
1.76
2.86
14.7%
2025Q1
90
86.0
3.32
0.16
1.21
1.95
3.17
18.4%
2024Q4
92
91.7
3.02
0.18
1.06
1.79
3.08
11.8%
2024Q3
92
102.3
2.32
0.21
0.91
1.20
1.88
11.4%
2024Q2
91
108.6
2.44
0.14
1.04
1.27
2.02
13.2%
2024Q1
91
102.3
3.10
0.21
1.35
1.54
3.27
24.1%
2023Q4
92
104.8
3.38
0.23
1.31
1.83
3.67
26.9%
2023Q3
92
94.4
3.32
0.20
1.31
1.81
3.64
27.9%
2023Q2
91
86.1
3.46
0.23
1.41
1.82
3.64
24.9%
2023Q1
90
91.1
3.36
0.20
1.35
1.81
3.52
33.2%
2022Q4
92
82.9
3.25
0.21
1.26
1.78
3.22
37.9%
2022Q3
92
86.7
2.99
0.20
1.28
1.51
3.09
34.1%
2022Q2
91
84.5
2.97
0.21
1.27
1.49
2.98
23.2%
2022Q1
90
94.1
3.18
0.33
1.24
1.61
3.22
34.5%
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-04-10
2026-03-17
Health · complaint
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-10
2026-03-17
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-04-10
2025-09-04
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.
E
2025-09-22
2025-09-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-22
2025-02-14
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.
K
2025-02-15
2025-02-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
K
2025-02-15
2025-02-14
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-02-15
2024-08-22
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-09-09
2024-08-22
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
2024-09-09
2024-08-22
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-09-09
2024-08-22
Health
F0732
Post nurse staffing information every day.
C
2024-09-09
2024-08-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-09
2024-08-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-09
2024-05-22
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-06-21
2024-05-22
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-06-21
2024-05-22
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-05-23
2024-05-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-06-21
2024-02-01
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-02-02
2023-07-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-08-14
2023-07-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-14
2023-07-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-08-14
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
PARKER COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-01-15
current
pecos_ownership
BACUS, RANDY
CORPORATE OFFICER
—
2015-01-15
current
pecos_ownership
BAUDER FAMILY INVESTMENTS, LLC
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
BAUDER, KELLY
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BAUDER, MADISON
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BAUDER, PARKER
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BAUDER, WILLIAM
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
BOULWARE ST JAMES LLC
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BOULWARE, DOUGLAS
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BOULWARE, SANDRA
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
BOULWARE, STEVEN
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
BOULWARE, STEVEN
ADP OF THE SNF
—
2018-01-15
current
pecos_ownership
BOULWARE, THOMAS
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
BRIDGEPOINTE FINANICAL SERVICES, LLC
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
INNOVATIVE NURSE CONSULTING, LLC
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
PARKER COUNTY HOSPITAL DISTRICT
—
—
2025-01-15
current
tx_hhsc_directory
PMG OPCO HILLTOP LLC
—
—
2025-01-15
current
tx_hhsc_directory
PMG OPCO - HILLTOP LLC
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
PMG OPCO - HILLTOP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-15
current
pecos_ownership
PMG REALCO-HILLTOP, LLC
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
STEVEN BOULWARE FAMILY INVESTMENTS LLC
5% OR GREATER MORTGAGE INTEREST
—
2015-01-15
current
pecos_ownership
WALKER, KATIE
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
WARD, NORMAN
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
WUSTERHAUSEN, KRIS
ADP OF THE SNF
—
2015-01-15
current
pecos_ownership
STEVEN BOULWARE
5% OR GREATER MORTGAGE INTEREST
42%
2015-01-15
ended 2026-05-18
pecos_ownership
DOUGLAS BOULWARE
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
KATIE WALKER
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
KELLY BAUDER
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
MADISON BAUDER
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
PARKER BAUDER
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
SANDRA BOULWARE
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
THOMAS BOULWARE
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
WILLIAM BAUDER
5% OR GREATER MORTGAGE INTEREST
8%
2015-01-15
ended 2026-05-18
pecos_ownership
KRIS WUSTERHAUSEN
ADP OF THE SNF
—
2015-01-15
ended 2026-05-18
pecos_ownership
NORMAN WARD
ADP OF THE SNF
—
2015-01-15
ended 2026-05-18
pecos_ownership
RANDY BACUS
CORPORATE OFFICER
—
2015-01-15
ended 2026-05-18
pecos_ownership
STEVEN BOULWARE
ADP OF THE SNF
—
2018-01-15
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
35
Geo
Kind
BR
Amount
As of
Source
county 48367
acs median gross
0
$1,332
2024-12-31
CENSUS_ACS5
county 48367
fmr
0
$1,427
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
1
$1,309
2024-12-31
CENSUS_ACS5
county 48367
fmr
1
$1,473
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
2
$1,326
2024-12-31
CENSUS_ACS5
county 48367
fmr
2
$1,723
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
3
$1,706
2024-12-31
CENSUS_ACS5
county 48367
fmr
3
$2,273
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
4
$2,450
2024-12-31
CENSUS_ACS5
county 48367
fmr
4
$2,815
2025-10-01
HUD_USER_FMR
county 48367
acs median gross
5
$2,625
2024-12-31
CENSUS_ACS5
county 48367
acs median gross
$1,500
2024-12-31
CENSUS_ACS5
county 48367
acs recent mover gross
$1,614
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
0
$1,309
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
1
$1,270
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
2
$1,319
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
4
$1,755
2024-12-31
CENSUS_ACS5
zcta 76086
acs median gross
$1,441
2024-12-31
CENSUS_ACS5
zcta 76086
acs recent mover gross
$1,636
2024-12-31
CENSUS_ACS5
zip 76086
payment standard 110
0
$1,507
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
0
$1,233
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
0
$1,370
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
1
$1,562
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
1
$1,278
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
1
$1,420
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
2
$1,826
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
2
$1,494
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
2
$1,660
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
3
$2,409
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
3
$1,971
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
3
$2,190
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 110
4
$2,981
2025-10-01
HUD_USER_SAFMR
zip 76086
payment standard 90
4
$2,439
2025-10-01
HUD_USER_SAFMR
zip 76086
safmr
4
$2,710
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.