Reads as: riskier than 79.9% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
HARRISON JOHN
71 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
KY median
National median
National p25–p75
Total nurse
2.89
3.11
3.28
2.90–3.77
RN
0.57
0.41
0.39
0.25–0.58
Weekend total
2.65
3.01
3.11
—
Weekday total
2.98
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
121.3
2.89
0.57
0.34
1.98
2.65
1.9%
2025Q3
92
119.2
2.75
0.44
0.41
1.90
2.59
2.0%
2025Q2
91
117.8
2.80
0.43
0.42
1.96
2.57
1.8%
2025Q1
90
120.0
3.07
0.40
0.52
2.15
2.93
9.4%
2024Q4
92
122.1
3.15
0.42
0.60
2.12
3.01
12.6%
2024Q3
92
121.2
3.25
0.47
0.60
2.18
3.06
21.6%
2024Q2
91
120.8
3.13
0.56
0.56
2.01
2.85
26.0%
2024Q1
91
117.8
3.01
0.56
0.50
1.95
2.70
18.8%
2023Q4
92
112.4
3.06
0.56
0.47
2.03
2.94
18.5%
2023Q3
92
110.4
2.92
0.43
0.55
1.93
2.79
14.2%
2023Q2
91
108.9
2.77
0.38
0.57
1.81
2.49
22.9%
2023Q1
90
105.7
2.71
0.43
0.55
1.73
2.55
20.0%
2022Q4
92
101.5
2.77
0.48
0.50
1.79
2.70
13.5%
2022Q3
92
100.3
2.82
0.51
0.42
1.89
2.71
13.2%
2022Q2
91
112.1
2.80
0.56
0.33
1.90
2.63
16.0%
2022Q1
90
108.1
2.84
0.49
0.44
1.91
2.59
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
28
D × 24E × 1F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-29
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-06-19
2025-05-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-06-19
2025-05-29
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-19
2025-05-29
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-06-19
2025-05-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-06-19
2025-05-29
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
2025-06-19
2025-05-29
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-06-19
2025-05-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-19
2025-01-23
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-24
2024-05-03
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-05-27
2024-05-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-27
2019-06-07
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-07-12
2019-06-07
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
2019-07-12
2019-06-07
Health
F0637
Assess the resident when there is a significant change in condition
D
2019-07-12
2019-06-07
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2019-07-12
2019-06-07
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2019-07-12
2019-06-07
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-07-12
2019-06-07
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2019-07-12
2019-06-07
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2019-07-12
2019-06-07
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
2019-07-12
2019-06-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-07-12
2019-06-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-07-12
2019-06-07
Health
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
2019-07-12
2019-06-07
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2019-07-12
2019-06-07
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2019-07-12
2019-06-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-07-12
2019-06-07
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
2019-07-12
2019-06-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-07-12
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
15
Owner
Role
Pct
From
Status
Source
SHC LP HOLDINGS II LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
SHC LP HOLDINGS III LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
SHC LP HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-12-01
current
pecos_ownership
ASBR HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-01
current
pecos_ownership
HARRISON, JOHN
CORPORATE OFFICER
—
2007-11-01
current
pecos_ownership
JJLA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
LPSNF LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
STEIER III, ELMER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
STRASBURGER, JOSHUA
W-2 MANAGING EMPLOYEE
—
2023-06-12
current
pecos_ownership
WHEATEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-12-01
current
pecos_ownership
ELMER STEIER III
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2015-12-01
ended 2026-05-18
pecos_ownership
IRA SMEDRA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2015-12-01
ended 2026-05-18
pecos_ownership
SIGNATURE HEALTHCARE LLC
OTHER
0%
2015-12-01
ended 2026-05-18
pecos_ownership
JOHN HARRISON
CORPORATE OFFICER
—
2007-11-01
ended 2026-05-18
pecos_ownership
JOSHUA STRASBURGER
W-2 MANAGING EMPLOYEE
—
2023-06-12
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
$2,760,741
—
$865,785
$1,161,146
$560,603
34
propco
2023-12-31
$2,062,251
—
$740,993
$1,054,112
$4,267
22
—
2022-12-31
$1,958,646
—
$713,145
$1,011,614
$18,009
26
—
2021-12-31
$1,746,102
—
$622,983
$955,141
$17,082
28
—
2020-12-31
$1,715,169
—
$690,014
$887,400
$15,062
22
—
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 21093
acs median gross
0
$646
2024-12-31
CENSUS_ACS5
county 21093
fmr
0
$841
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
1
$691
2024-12-31
CENSUS_ACS5
county 21093
fmr
1
$846
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
2
$920
2024-12-31
CENSUS_ACS5
county 21093
fmr
2
$1,056
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
3
$1,223
2024-12-31
CENSUS_ACS5
county 21093
fmr
3
$1,469
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
4
$1,697
2024-12-31
CENSUS_ACS5
county 21093
fmr
4
$1,771
2025-10-01
HUD_USER_FMR
county 21093
acs median gross
5
$1,757
2024-12-31
CENSUS_ACS5
county 21093
acs median gross
$971
2024-12-31
CENSUS_ACS5
county 21093
acs recent mover gross
$1,160
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
0
$566
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
1
$704
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
2
$853
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
3
$1,197
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
4
$1,472
2024-12-31
CENSUS_ACS5
zcta 40160
acs median gross
$942
2024-12-31
CENSUS_ACS5
zcta 40160
acs recent mover gross
$1,014
2024-12-31
CENSUS_ACS5
zip 40160
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 40160
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 40160
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 40160
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 40160
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 40160
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 40160
safmr
4
$1,640
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.