Reads as: riskier than 56.2% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MUSTAKLEM MARWAN
17 facilities
connection
Owner spans multiple chains
4 chains
LT CARE ACQUISITION CORP
16 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
IN median
National median
National p25–p75
Total nurse
3.16
2.85
3.28
2.90–3.77
RN
0.39
0.40
0.39
0.25–0.58
Weekend total
3.13
2.71
3.11
—
Weekday total
3.17
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.9
3.16
0.39
0.95
1.82
3.13
7.4%
2025Q3
92
48.7
3.08
0.37
0.93
1.78
3.04
5.0%
2025Q2
91
50.1
3.33
0.36
0.94
2.03
3.30
11.1%
2025Q1
90
49.9
2.92
0.34
0.79
1.79
2.90
3.7%
2024Q4
92
41.4
3.70
0.40
1.19
2.12
3.60
21.8%
2024Q3
92
37.7
3.20
0.44
0.88
1.88
3.29
17.9%
2024Q2
91
41.7
3.42
0.91
0.70
1.82
3.54
0.7%
2024Q1
91
48.4
3.26
0.92
0.62
1.72
3.20
0.0%
2023Q4
92
47.3
3.46
0.75
0.61
2.10
3.41
0.0%
2023Q3
92
45.7
3.31
0.63
0.56
2.12
3.17
0.0%
2023Q2
91
39.0
3.14
0.52
0.67
1.95
3.09
1.2%
2023Q1
90
34.4
3.30
0.42
0.67
2.22
3.42
5.5%
2022Q4
92
31.5
3.62
0.58
0.92
2.12
3.58
25.5%
2022Q3
92
32.9
3.39
0.33
1.11
1.95
3.28
53.4%
2022Q2
91
36.8
3.31
0.28
0.87
2.17
3.39
55.5%
2022Q1
90
37.2
2.89
0.03
0.84
2.02
2.75
30.1%
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 × 17E × 4F × 1G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-20
Health
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2026-03-12
2026-02-20
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-03-12
2026-02-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-03-12
2026-02-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-03-12
2026-02-20
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
2026-03-12
2026-02-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-12
2025-09-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-11-07
2025-09-22
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-11-07
2025-06-19
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-07-10
2025-03-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-02
2025-03-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-02
2025-03-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-05-02
2025-03-17
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
2025-05-02
2025-03-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-02
2024-10-02
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-10-03
2024-08-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-08-21
2024-02-09
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.
E
2024-03-22
2024-02-09
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
2024-03-22
2024-02-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-22
2024-02-09
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-03-22
2024-02-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-22
2024-02-09
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
2024-03-22
2024-02-09
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2024-03-22
2023-08-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-08-31
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
32
Owner
Role
Pct
From
Status
Source
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2021-12-01
current
pecos_ownership
ENVIVE HEALTHCARE LLC
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
FLUECKIGER, RUSSELL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
LAWRENCEBURG NURSING HOLDINGS INC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
LAWRENCEBURG PROPERTY HOLDINGS INC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
LAWRENCEBURG PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
LAWRENCEBURG PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
LEHMAN, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
LT CARE ACQUISITION CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
MACKLIN, LARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
MCINTIRE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2021-12-01
current
pecos_ownership
MUSTAKLEM, MARWAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-08
current
pecos_ownership
NBH BANK
5% OR GREATER MORTGAGE INTEREST
—
2021-12-01
current
pecos_ownership
SMITH, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
WHEELER, DANE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
WOOD, PENINAH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-23
current
pecos_ownership
LAWRENCEBURG PROPERTY HOLDINGS LLC
Other (financial or non-financial)
100%
2021-01-01
ended 2021-11-30
hcris_a_8_1
CANDICE BORNE-BAUMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
DANE WHEELER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
MANAGING CONTROL - GOVERNING BODY
—
2021-12-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
LAWRENCEBURG PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2021-12-01
ended 2022-12-31
hcris_a_8_1
MARWAN MUSTAKLEM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-08
ended 2026-05-18
pecos_ownership
PENINAH WOOD
ADP OF THE SNF
—
2024-09-23
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
MANAGING CONTROL - GOVERNING BODY
—
2021-12-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
SCOTT SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
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
$1,320,146
$959,504
$360,642
—
—
10
propco
2023-12-31
$1,332,654
$949,390
$383,264
—
—
9
propco
2022-12-31
$1,411,152
$996,111
$415,041
—
—
10
propco
2021-11-30
$683,098
$437,725
—
$105,699
—
15
propco
2020-12-31
$505,950
—
—
$211,635
$54,873
15
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 18029
acs median gross
0
$1,072
2024-12-31
CENSUS_ACS5
county 18029
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
1
$580
2024-12-31
CENSUS_ACS5
county 18029
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
2
$914
2024-12-31
CENSUS_ACS5
county 18029
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
3
$1,177
2024-12-31
CENSUS_ACS5
county 18029
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
4
$1,410
2024-12-31
CENSUS_ACS5
county 18029
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
$845
2024-12-31
CENSUS_ACS5
county 18029
acs recent mover gross
$1,041
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
0
$1,298
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
1
$504
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
2
$913
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
3
$1,195
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
$801
2024-12-31
CENSUS_ACS5
zip 47025
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
3
$1,500
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
4
$1,660
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.