Reads as: riskier than 81.0% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+33.0 vs natl
SATTERFIELD BRENDA
7 facilities
connection
Owner fleet risk far above national
+24.4 vs natl
HOLDCO TABLETOP LLC
7 facilities
connection
Owner fleet risk far above national
+24.4 vs natl
CURCIO DOMINIC
7 facilities
connection
Owner fleet risk far above national
+24.2 vs natl
HOLDCO GOLDFINCH LLC
6 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
MANAGERCO GOLDFINCH LLC
6 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
CHITAI INVESTMENT LLC
7 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
INVESTCO TABLETOP LLC
7 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
TECHCARE CORP
7 facilities
connection
Owner fleet enforcement cluster
57% fined
SATTERFIELD BRENDA
7 facilities
connection
Owner fleet enforcement cluster
42% fined
CAMPBELL STREET SERVICES LLC
19 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
IA median
National median
National p25–p75
Total nurse
2.88
3.15
3.28
2.90–3.77
RN
0.31
0.46
0.39
0.25–0.58
Weekend total
2.84
2.96
3.11
—
Weekday total
2.89
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.9
2.88
0.31
0.56
2.01
2.84
0.5%
2025Q3
92
41.4
3.14
0.41
0.58
2.15
3.09
0.4%
2025Q2
91
37.7
3.25
0.29
0.58
2.37
3.24
0.5%
2025Q1
90
38.5
2.95
0.20
0.48
2.27
2.95
0.7%
2024Q4
92
40.3
2.95
0.26
0.51
2.18
2.84
2.3%
2024Q3
92
38.8
2.98
0.23
0.48
2.27
2.85
0.8%
2024Q2
91
41.9
2.58
0.25
0.50
1.84
2.44
0.5%
2024Q1
91
40.0
2.71
0.22
0.64
1.86
2.61
0.4%
2023Q4
92
39.7
2.80
0.28
0.54
1.98
2.65
0.7%
2023Q3
92
43.4
2.29
0.29
0.35
1.65
2.13
0.0%
2023Q2
91
40.4
3.13
0.30
0.50
2.32
2.91
0.0%
2023Q1
90
43.7
2.87
0.29
0.42
2.15
2.76
0.0%
2022Q4
92
41.7
2.91
0.30
0.33
2.28
2.68
0.0%
2022Q3
92
43.6
2.93
0.34
0.42
2.17
2.73
0.0%
2022Q2
91
42.5
3.26
0.34
0.45
2.48
3.07
0.0%
2022Q1
90
42.4
3.19
0.33
0.43
2.43
3.02
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
24
D × 18E × 5G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-31
Health
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
2026-01-30
2025-12-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-30
2025-12-31
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-01-30
2025-12-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-30
2025-12-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-01-30
2025-01-15
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-02-15
2025-01-15
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-15
2025-01-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-15
2025-01-15
Health
F0948
Ensure that paid feeding assistants have the training they need.
D
2025-02-15
2024-09-11
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-16
2024-09-11
Health · complaint
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
2024-09-16
2024-01-11
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-01-11
2024-01-11
Health · complaint
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
2024-01-11
2023-11-13
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-12-13
2023-11-13
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-12-13
2023-11-13
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-12-13
2023-11-13
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-12-13
2023-11-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-13
2023-11-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-12-13
2023-11-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-13
2023-11-13
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-12-13
2023-11-13
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
2023-12-14
2023-11-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-13
2023-07-10
Health · complaint
F0743
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
D
2023-08-07
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
21
Owner
Role
Pct
From
Status
Source
CAMPBELL STREET SERVICES LLC
ADP OF THE SNF
—
2025-03-21
current
pecos_ownership
CAMPBELL STREET SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
CATES, JANA
ADP OF THE SNF
—
2022-05-05
current
pecos_ownership
CHITAI INVESTMENT, LLC
ADP OF THE SNF
—
2020-03-01
current
pecos_ownership
CONNER, ROBERT
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
CURCIO, DOMINIC
ADP OF THE SNF
—
2020-03-01
current
pecos_ownership
DOLE, ISAAC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
HOLDCO GOLDFINCH, LLC
DIRECT OWNERSHIP INTEREST
—
2020-03-01
current
pecos_ownership
HOLDCO TABLETOP, LLC
ADP OF THE SNF
—
2020-03-01
current
pecos_ownership
INVESTCO TABLETOP, LLC
ADP OF THE SNF
—
2020-03-01
current
pecos_ownership
MANAGERCO GOLDFINCH, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
current
pecos_ownership
SATTERFIELD, BRENDA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-15
current
pecos_ownership
SATTERFIELD, BRENDA
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
TECHCARE CORP
INDIRECT OWNERSHIP INTEREST
—
2020-03-01
current
pecos_ownership
WESTPHAL, TASHA
ADP OF THE SNF
—
2024-09-16
current
pecos_ownership
DOMINIC CURCIO
INDIRECT OWNERSHIP INTEREST
8%
2020-03-01
ended 2026-05-18
pecos_ownership
BRENDA SATTERFIELD
ADP OF THE SNF
—
2025-04-18
ended 2026-05-18
pecos_ownership
ISAAC DOLE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-01
ended 2026-05-18
pecos_ownership
JANA CATES
ADP OF THE SNF
—
2022-05-05
ended 2026-05-18
pecos_ownership
ROBERT CONNER
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
TASHA WESTPHAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$471,900
$248,432
$223,468
—
—
2
—
2023-12-31
$420,757
$248,432
$172,325
—
—
2
—
2022-12-31
$250,047
$40,216
$209,831
—
—
2
—
2021-12-31
$143,340
—
—
—
—
2
—
2020-12-31
$132,654
$33,807
—
—
—
2
—
2020-02-29
$3,262
—
$1,537
—
—
3
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 19073
fmr
0
$682
2025-10-01
HUD_USER_FMR
county 19073
acs median gross
1
$468
2024-12-31
CENSUS_ACS5
county 19073
fmr
1
$700
2025-10-01
HUD_USER_FMR
county 19073
acs median gross
2
$784
2024-12-31
CENSUS_ACS5
county 19073
fmr
2
$919
2025-10-01
HUD_USER_FMR
county 19073
acs median gross
3
$746
2024-12-31
CENSUS_ACS5
county 19073
fmr
3
$1,278
2025-10-01
HUD_USER_FMR
county 19073
acs median gross
4
$1,089
2024-12-31
CENSUS_ACS5
county 19073
fmr
4
$1,486
2025-10-01
HUD_USER_FMR
county 19073
acs median gross
$781
2024-12-31
CENSUS_ACS5
county 19073
acs recent mover gross
$832
2024-12-31
CENSUS_ACS5
zcta 50129
acs median gross
1
$452
2024-12-31
CENSUS_ACS5
zcta 50129
acs median gross
2
$768
2024-12-31
CENSUS_ACS5
zcta 50129
acs median gross
$760
2024-12-31
CENSUS_ACS5
zcta 50129
acs recent mover gross
$746
2024-12-31
CENSUS_ACS5
zip 50129
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 50129
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 50129
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 50129
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 50129
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 50129
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 50129
safmr
4
$1,490
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.