Reads as: riskier than 63.5% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
35 chains
WELLTOWER INC
135 facilities
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner spans multiple chains
28 chains
FREUND NOCHUM
109 facilities
connection
Owner spans multiple chains
28 chains
TRAVITSKY AARON
106 facilities
connection
Owner spans multiple chains
27 chains
WELLTOWER NNN GROUP LLC
102 facilities
connection
Owner spans multiple chains
27 chains
DAGAN AMITAI
101 facilities
connection
Owner spans multiple chains
27 chains
GOLDBERGER ABRAHAM
100 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
THOMPSON JOHNNY
74 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GOLDBERGER FAIGY
111 facilities
connection
Owner spans multiple chains
20 chains
GOLDBERGER FAIGY
68 facilities
connection
Owner fleet risk far above national
+20.0 vs natl
TRAVITSKY AARON
153 facilities
connection
Owner fleet enforcement cluster
46% fined
WELLTOWER NNN GROUP LLC
111 facilities
connection
Owner fleet enforcement cluster
45% fined
THOMPSON JOHNNY
74 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
2.61
2.67
3.28
2.90–3.77
RN
0.24
0.24
0.39
0.25–0.58
Weekend total
2.43
2.56
3.11
—
Weekday total
2.68
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
68.6
2.61
0.24
0.82
1.55
2.43
0.0%
2025Q3
92
78.2
2.27
0.09
0.73
1.45
2.10
3.3%
2025Q2
91
80.7
1.88
0.10
0.70
1.07
1.67
3.5%
2025Q1
90
86.1
1.70
0.03
0.68
0.98
1.57
2.6%
2024Q4
92
84.6
1.81
0.03
0.72
1.07
1.71
0.0%
2024Q3
92
84.1
1.87
0.06
0.43
1.38
1.80
0.0%
2024Q2
91
77.5
1.94
0.09
0.48
1.37
1.78
0.0%
2024Q1
91
79.2
1.81
0.12
0.45
1.24
1.80
0.0%
2023Q4
92
82.1
1.71
0.23
0.32
1.16
1.67
0.0%
2023Q3
92
84.2
1.77
0.23
0.34
1.21
1.70
0.0%
2023Q2
91
79.9
1.94
0.09
0.48
1.37
1.74
13.0%
2023Q1
90
87.2
1.99
0.12
0.58
1.29
1.76
10.6%
2022Q4
92
81.0
2.15
0.09
0.52
1.55
2.00
6.9%
2022Q3
92
88.1
1.98
0.10
0.62
1.26
1.88
3.1%
2022Q2
91
87.7
2.08
0.20
0.65
1.23
1.91
0.0%
2022Q1
90
76.8
2.40
0.27
0.66
1.48
2.24
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.
Provide and implement an infection prevention and control program.
D
2026-03-23
2026-02-21
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.
E
2026-02-22
2026-02-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-02-22
2026-02-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2026-02-22
2026-01-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2026-02-25
2026-01-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-02-25
2026-01-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-25
2026-01-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2026-02-25
2026-01-29
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2026-02-25
2025-11-20
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-11-21
2025-11-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-11-11
2025-11-10
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-11
2024-10-30
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-11-27
2024-10-30
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-11-27
2024-10-30
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
2024-11-27
2024-10-30
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
2024-11-27
2024-10-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-27
2024-10-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-27
2024-09-20
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
2024-09-21
2024-09-20
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
2024-09-21
2024-09-20
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
2024-09-21
2024-09-20
Health · complaint
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
J
2024-09-21
2023-12-29
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
2024-01-24
2023-12-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-01-24
2023-12-29
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-01-24
2023-07-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-23
2023-07-20
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
2023-08-23
2023-07-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-08-23
2023-07-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-08-23
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
37
Owner
Role
Pct
From
Status
Source
3922 W RIVER DR OPCO LLC
ADP OF THE SNF
—
2026-03-13
current
pecos_ownership
3922 W RIVER DR OPCO LLC
—
—
2025-10-06
current
tx_hhsc_directory
3922 W RIVER DR OPCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2002-10-01
current
pecos_ownership
3922 W RIVER DR PROPERTY OWNER LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
DAGAN, AMITAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-13
current
pecos_ownership
FREUND, NOCHUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
GOLDBERGER, ABRAHAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-13
current
pecos_ownership
GOLDBERGER, FAIGY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-06
current
pecos_ownership
MARTINEZ, GILBERTO
ADP OF THE SNF
—
2021-01-11
current
pecos_ownership
THOMPSON, JOHNNY
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
TRAVITSKY, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
WELLTOWER INC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER NNN GROUP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-10-06
current
tx_hhsc_directory
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-04-01
ended 2026-05-18
pecos_ownership
JOHNNY THOMPSON
CORPORATE OFFICER
0%
2023-11-01
ended 2026-05-18
pecos_ownership
AEGIS THERAPIES, INC.
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
BRYON SEHLKE
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
CARVAJAL PHARMACY LTC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
CYNTHIA GILCREASE
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
DARRELL ZUROVEC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
ended 2026-05-18
pecos_ownership
ELIZABETH PEREZ
ADP OF THE SNF
—
2022-08-03
ended 2026-05-18
pecos_ownership
ERNEST FELLBAUM
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
GILBERTO MARTINEZ
ADP OF THE SNF
—
2021-01-11
ended 2026-05-18
pecos_ownership
HEALTHCARE INVESTMENTS 2 LLC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
HERITAGE BULVERDE REAL ESTATE LLC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
LESLIE CAMPBELL
ADP OF THE SNF
—
2020-04-01
ended 2026-05-18
pecos_ownership
LYNNEA CASTILLO
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
NUTRITIOUS LIFESTYLES, INC.
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
PLANTE & MORAN PLLC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
STANLEY STUDER
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
TOUCHSTONE COMMUNITIES INC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
TOUCHSTONE REALTY - CORPUS LLC
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
TOUCHSTONE STRATEGIES - CORPUS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-01
ended 2026-05-18
pecos_ownership
TOUCHSTONE STRATEGIES - CORPUS LLC
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
TRIDENT HEALTH SERVICES INC
ADP OF THE SNF
—
2019-04-01
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
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.
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 48355
acs median gross
0
$993
2024-12-31
CENSUS_ACS5
county 48355
fmr
0
$1,031
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
county 48355
fmr
1
$1,117
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
2
$1,316
2024-12-31
CENSUS_ACS5
county 48355
fmr
2
$1,366
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
3
$1,576
2024-12-31
CENSUS_ACS5
county 48355
fmr
3
$1,796
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
4
$1,845
2024-12-31
CENSUS_ACS5
county 48355
fmr
4
$2,054
2025-10-01
HUD_USER_FMR
county 48355
acs median gross
5
$1,764
2024-12-31
CENSUS_ACS5
county 48355
acs median gross
$1,283
2024-12-31
CENSUS_ACS5
county 48355
acs recent mover gross
$1,408
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
0
$1,037
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
1
$1,150
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
2
$1,060
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
3
$1,666
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
4
$2,692
2024-12-31
CENSUS_ACS5
zcta 78410
acs median gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 78410
acs recent mover gross
$1,447
2024-12-31
CENSUS_ACS5
zip 78410
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 78410
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 78410
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 78410
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 78410
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 110
4
$2,244
2025-10-01
HUD_USER_SAFMR
zip 78410
payment standard 90
4
$1,836
2025-10-01
HUD_USER_SAFMR
zip 78410
safmr
4
$2,040
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.