Reads as: riskier than 70.8% 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 enforcement cluster
50% fined
ZEIDLER JEANNE
6 facilities
connection
Owner fleet enforcement cluster
40% fined
HAYWOOD BARBARA
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SMITH CONWAY
5 facilities
connection
Owner fleet enforcement cluster
40% fined
ALEWYNSE JOYCE
5 facilities
connection
Owner fleet enforcement cluster
40% fined
TILLER BROOKE
5 facilities
connection
Owner fleet enforcement cluster
40% fined
VERSER JOSEPH
5 facilities
connection
Owner fleet enforcement cluster
40% fined
SMITH KIRBY
5 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 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
VA median
National median
National p25–p75
Total nurse
3.56
3.13
3.28
2.90–3.77
RN
0.41
0.30
0.39
0.25–0.58
Weekend total
3.65
2.96
3.11
—
Weekday total
3.52
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
49.7
3.56
0.41
1.22
1.93
3.65
3.4%
2025Q3
92
47.2
3.74
0.40
1.19
2.14
3.72
3.0%
2025Q2
91
49.1
3.60
0.24
1.20
2.16
3.71
1.4%
2025Q1
90
49.9
3.47
0.35
1.14
1.97
3.63
0.7%
2024Q4
92
46.5
3.69
0.46
1.10
2.13
3.70
4.8%
2024Q3
92
47.3
3.56
0.45
1.12
1.99
3.60
3.6%
2024Q2
91
50.0
3.58
0.33
1.22
2.03
3.63
1.2%
2024Q1
91
51.0
3.65
0.21
1.36
2.07
3.76
0.0%
2023Q4
92
51.4
3.79
0.25
1.40
2.15
3.79
0.0%
2023Q3
92
50.3
3.87
0.27
1.47
2.13
3.85
0.0%
2023Q2
91
51.4
3.71
0.24
1.41
2.06
3.73
0.0%
2023Q1
90
51.2
3.73
0.24
1.40
2.08
3.76
0.0%
2022Q4
92
51.3
3.92
0.27
1.40
2.25
3.93
0.0%
2022Q3
92
50.4
3.89
0.25
1.36
2.27
3.90
0.0%
2022Q2
91
49.5
4.08
0.25
1.50
2.33
4.00
0.0%
2022Q1
90
50.3
3.84
0.28
1.42
2.15
3.83
0.6%
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
23
D × 18E × 3F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-07-20
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
2023-08-25
2023-07-20
Health
F0679
Provide activities to meet all resident's needs.
D
2023-08-25
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.
F
2023-08-25
2022-03-03
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
D
2022-04-15
2022-03-03
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-04-15
2022-03-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-04-15
2019-07-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-08-18
2019-07-11
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2019-08-18
2019-07-11
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
2019-08-18
2019-07-11
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2019-08-18
2019-07-11
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2019-08-18
2019-07-11
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
2019-08-18
2019-07-11
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
2019-08-18
2019-07-11
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-08-18
2019-07-11
Health
F0679
Provide activities to meet all resident's needs.
D
2019-08-18
2019-07-11
Health
F0680
Ensure the activities program is directed by a qualified professional.
E
2019-08-18
2019-07-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2019-08-18
2019-07-11
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
2019-08-18
2019-07-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2019-08-18
2019-07-11
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
2019-09-18
2019-07-11
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2019-08-18
2019-07-11
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2019-08-18
2019-07-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-08-18
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
31
Owner
Role
Pct
From
Status
Source
RIVERSIDE INTEGRATED SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2023-07-10
current
pecos_ownership
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-07-10
current
pecos_ownership
ALEWYNSE, JOYCE
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
AUSTIN, WALTER
CORPORATE OFFICER
—
2012-07-02
current
pecos_ownership
BATES, JARED
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
DACEY, MICHAEL
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
DOWNEY, WILLIAM
CORPORATE OFFICER
—
2007-06-01
current
pecos_ownership
HAYWOOD, BARBARA
CORPORATE DIRECTOR
—
2016-01-01
current
pecos_ownership
HECKLER, EDWARD
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
HOUSER, JASON
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
NELSON, LINWOOD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
RIVERSIDE HEALTHCARE ASSOCIATION, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2003-09-10
current
pecos_ownership
SMITH, CONWAY
CORPORATE DIRECTOR
—
2010-01-01
current
pecos_ownership
SMITH, KIRBY
CORPORATE DIRECTOR
—
2007-06-01
current
pecos_ownership
TILLER, BROOKE
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
VERSER, JOSEPH
CORPORATE DIRECTOR
—
2022-03-01
current
pecos_ownership
ZEIDLER, JEANNE
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
BARBARA HAYWOOD
CORPORATE DIRECTOR
—
2016-01-01
ended 2026-05-18
pecos_ownership
BROOKE TILLER
CORPORATE DIRECTOR
—
2022-03-01
ended 2026-05-18
pecos_ownership
CONWAY SMITH
CORPORATE DIRECTOR
—
2010-01-01
ended 2026-05-18
pecos_ownership
EDWARD HECKLER
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
JARED BATES
CORPORATE DIRECTOR
—
2022-03-01
ended 2026-05-18
pecos_ownership
JASON HOUSER
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
JEANNE ZEIDLER
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
JOSEPH VERSER
CORPORATE DIRECTOR
—
2022-03-01
ended 2026-05-18
pecos_ownership
JOYCE ALEWYNSE
CORPORATE DIRECTOR
—
2022-03-01
ended 2026-05-18
pecos_ownership
KIRBY SMITH
CORPORATE DIRECTOR
—
2007-06-01
ended 2026-05-18
pecos_ownership
LINWOOD NELSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHAEL DACEY
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
WALTER AUSTIN
CORPORATE OFFICER
—
2012-07-02
ended 2026-05-18
pecos_ownership
WILLIAM DOWNEY
CORPORATE OFFICER
—
2007-06-01
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
$4,068,218
—
—
$1,540,395
$109,602
4
—
2023-12-31
$4,241,963
—
$9,483
$1,390,333
$62,156
4
—
2022-12-31
$4,039,275
—
—
$1,392,274
$25,744
4
—
2021-12-31
$3,794,932
—
—
$1,267,844
$86,240
4
—
2020-12-31
$3,202,875
—
—
$1,118,351
$55,974
4
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 51073
fmr
0
$1,492
2025-10-01
HUD_USER_FMR
county 51073
acs median gross
1
$931
2024-12-31
CENSUS_ACS5
county 51073
fmr
1
$1,512
2025-10-01
HUD_USER_FMR
county 51073
acs median gross
2
$1,005
2024-12-31
CENSUS_ACS5
county 51073
fmr
2
$1,713
2025-10-01
HUD_USER_FMR
county 51073
acs median gross
3
$1,295
2024-12-31
CENSUS_ACS5
county 51073
fmr
3
$2,376
2025-10-01
HUD_USER_FMR
county 51073
acs median gross
4
$1,418
2024-12-31
CENSUS_ACS5
county 51073
fmr
4
$2,797
2025-10-01
HUD_USER_FMR
county 51073
acs median gross
$1,096
2024-12-31
CENSUS_ACS5
county 51073
acs recent mover gross
$849
2024-12-31
CENSUS_ACS5
zcta 23061
acs median gross
2
$845
2024-12-31
CENSUS_ACS5
zcta 23061
acs median gross
3
$1,213
2024-12-31
CENSUS_ACS5
zcta 23061
acs median gross
4
$1,452
2024-12-31
CENSUS_ACS5
zcta 23061
acs median gross
$1,121
2024-12-31
CENSUS_ACS5
zip 23061
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 23061
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 110
1
$1,496
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 90
1
$1,224
2025-10-01
HUD_USER_SAFMR
zip 23061
safmr
1
$1,360
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 23061
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 110
3
$2,354
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 90
3
$1,926
2025-10-01
HUD_USER_SAFMR
zip 23061
safmr
3
$2,140
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 110
4
$2,761
2025-10-01
HUD_USER_SAFMR
zip 23061
payment standard 90
4
$2,259
2025-10-01
HUD_USER_SAFMR
zip 23061
safmr
4
$2,510
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.