Reads as: riskier than 27.4% 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
4 chains
ANDERSON ROBERT
7 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
3.17
2.85
3.28
2.90–3.77
RN
0.21
0.40
0.39
0.25–0.58
Weekend total
2.98
2.71
3.11
—
Weekday total
3.24
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.5
3.17
0.21
0.68
2.28
2.98
5.6%
2025Q3
92
59.3
3.23
0.19
0.76
2.28
2.92
11.1%
2025Q2
91
59.2
3.08
0.21
0.61
2.27
2.86
6.8%
2025Q1
90
57.3
3.26
0.21
0.59
2.46
3.14
7.7%
2024Q4
92
54.9
3.38
0.19
0.66
2.52
3.10
12.7%
2024Q3
92
50.1
3.06
0.33
0.43
2.30
2.88
3.2%
2024Q2
91
46.8
3.22
0.28
0.50
2.44
3.08
0.8%
2024Q1
91
47.6
3.21
0.30
0.42
2.49
3.11
0.1%
2023Q4
92
50.0
3.25
0.33
0.46
2.46
3.17
0.0%
2023Q3
92
48.1
3.29
0.37
0.49
2.44
3.26
0.8%
2023Q2
91
50.6
3.24
0.36
0.41
2.47
3.08
0.1%
2023Q1
90
51.8
3.10
0.25
0.64
2.22
3.07
3.7%
2022Q4
92
50.3
3.04
0.36
0.62
2.06
2.87
31.7%
2022Q3
92
46.1
3.63
0.29
0.90
2.45
3.45
22.5%
2022Q2
91
43.7
2.36
0.37
0.29
1.71
1.88
4.0%
2022Q1
90
33.5
2.33
0.48
0.49
1.37
2.23
5.4%
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-05-12
2026-04-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-05-12
2026-04-10
Health
F0732
Post nurse staffing information every day.
C
2026-05-12
2026-04-10
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2026-05-12
2026-04-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-05-12
2025-07-25
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-03
2025-07-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-03
2025-07-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-09-03
2025-07-25
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2025-09-03
2025-05-22
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-06-20
2024-12-03
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-26
2024-07-26
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-08-19
2024-07-26
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-08-19
2024-07-26
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
2024-08-19
2024-07-26
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-08-19
2024-03-15
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-04-05
2023-09-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-09-20
2023-07-14
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2023-08-18
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
33
Owner
Role
Pct
From
Status
Source
ANDERSON NURSING HOLDINGS LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
ANDERSON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
ANDERSON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
ANDERSON PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
ANDERSON, ROBERT
ADP OF THE SNF
—
2024-11-01
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
ENVIVE NURSING HOLDINGS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
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
KINZIE, RYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
current
pecos_ownership
LEHMAN, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
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
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
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
ADAMS COUNTY MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-01
ended 2026-05-18
pecos_ownership
ANDERSON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2021-12-01
ended 2022-12-31
hcris_a_8_1
ANDERSON PROPERTY HOLDINGS LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-11-30
hcris_a_8_1
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
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
OPERATIONAL/MANAGERIAL CONTROL
—
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
ROBERT ANDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
RYAN KINZIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
MANAGING CONTROL - GOVERNING BODY
—
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
$1,141,698
$795,536
$346,162
—
—
10
propco
2023-12-31
$1,148,063
$769,375
$378,688
—
—
10
propco
2022-12-31
$1,185,872
$772,754
$413,118
—
—
10
propco
2021-11-30
$907,355
$572,634
—
$197,019
—
15
propco
2020-12-31
$726,338
—
—
$436,182
$54,097
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
35
Geo
Kind
BR
Amount
As of
Source
county 18095
acs median gross
0
$694
2024-12-31
CENSUS_ACS5
county 18095
fmr
0
$898
2025-10-01
HUD_USER_FMR
county 18095
acs median gross
1
$721
2024-12-31
CENSUS_ACS5
county 18095
fmr
1
$919
2025-10-01
HUD_USER_FMR
county 18095
acs median gross
2
$947
2024-12-31
CENSUS_ACS5
county 18095
fmr
2
$1,206
2025-10-01
HUD_USER_FMR
county 18095
acs median gross
3
$1,160
2024-12-31
CENSUS_ACS5
county 18095
fmr
3
$1,594
2025-10-01
HUD_USER_FMR
county 18095
acs median gross
4
$1,177
2024-12-31
CENSUS_ACS5
county 18095
fmr
4
$1,597
2025-10-01
HUD_USER_FMR
county 18095
acs median gross
5
$1,453
2024-12-31
CENSUS_ACS5
county 18095
acs median gross
$939
2024-12-31
CENSUS_ACS5
county 18095
acs recent mover gross
$963
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
0
$99
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
1
$773
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
2
$987
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
3
$1,410
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
4
$1,092
2024-12-31
CENSUS_ACS5
zcta 46012
acs median gross
$1,032
2024-12-31
CENSUS_ACS5
zcta 46012
acs recent mover gross
$1,038
2024-12-31
CENSUS_ACS5
zip 46012
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 46012
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 46012
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 46012
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 110
3
$1,848
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 90
3
$1,512
2025-10-01
HUD_USER_SAFMR
zip 46012
safmr
3
$1,680
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 46012
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 46012
safmr
4
$1,680
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.