2416 Sunset Boulevard, West Columbia, SC 29169 · CCN 425105 · chain THE ENSIGN GROUP INC
Composite
47.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
132
Model
v1.2
Reads as: riskier than 47.2% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 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
SC median
National median
National p25–p75
Total nurse
3.89
3.32
3.28
2.90–3.77
RN
0.17
0.33
0.39
0.25–0.58
Weekend total
3.62
3.05
3.11
—
Weekday total
4.00
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.1
3.89
0.17
1.41
2.31
3.62
0.0%
2025Q3
92
116.5
3.75
0.32
1.34
2.09
3.31
0.0%
2025Q2
91
118.3
3.78
0.28
1.30
2.19
3.33
0.0%
2025Q1
90
118.5
4.00
0.29
1.43
2.29
3.50
0.0%
2024Q4
92
117.1
4.02
0.19
1.47
2.36
3.62
0.0%
2024Q3
92
114.9
4.08
0.16
1.50
2.42
3.63
0.0%
2024Q2
91
114.8
4.01
0.16
1.55
2.31
3.55
0.0%
2024Q1
91
116.2
4.01
0.16
1.48
2.37
3.64
5.2%
2023Q4
92
112.1
4.14
0.19
1.57
2.38
3.73
9.0%
2023Q3
92
116.1
4.00
0.25
1.34
2.41
3.50
16.9%
2023Q2
91
113.7
4.13
0.32
1.38
2.43
3.55
22.1%
2023Q1
90
115.3
4.25
0.24
1.42
2.59
3.70
21.4%
2022Q4
92
116.1
4.43
0.30
1.43
2.71
3.87
24.5%
2022Q3
92
115.2
3.61
0.18
1.34
2.09
3.13
21.7%
2022Q2
91
103.2
3.58
0.28
1.23
2.07
3.18
11.5%
2022Q1
90
92.8
3.37
0.33
1.05
1.99
2.83
0.1%
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.
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-04-09
2026-03-17
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-04-09
2026-03-17
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2026-04-09
2025-09-10
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
E
2025-10-06
2025-09-10
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-06
2025-09-10
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
2025-10-06
2025-09-10
Health · complaint
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2025-10-06
2025-09-10
Health · complaint
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
F
2025-10-06
2025-09-10
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-10-06
2025-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-08
2025-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-08
2025-03-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-04-08
2025-03-12
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-04-08
2025-03-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-08
2024-03-29
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-04-22
2024-01-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-21
2024-01-26
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-02-21
2024-01-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-23
2024-01-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-02-21
2024-01-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-23
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
29
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
MANAGING CONTROL - GOVERNING BODY
—
2015-07-16
current
pecos_ownership
BURTON, SPENCER
CORPORATE OFFICER
—
2015-05-30
current
pecos_ownership
CHRISTENSEN, CHRISTOPHER
CORPORATE OFFICER
—
2014-11-01
current
pecos_ownership
CONGAREE HEALTH HOLDINGS LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2014-06-01
current
pecos_ownership
MACON, JONATHAN
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
MACON, JONATHAN
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
current
pecos_ownership
PORT, BARRY
CORPORATE OFFICER
—
2012-08-01
current
pecos_ownership
SNAPPER, SUZANNE
CORPORATE OFFICER
—
2009-08-01
current
pecos_ownership
WILLITS, ADAM
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
WILLITS, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
WITTEKIND, BEVERLY
CORPORATE OFFICER
—
2008-09-29
current
pecos_ownership
HOPEWELL HEALTHCARE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-01-01
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-07-16
ended 2026-05-18
pecos_ownership
ADAM WILLITS
OPERATIONAL/MANAGERIAL CONTROL
0%
2018-01-01
ended 2026-05-18
pecos_ownership
BARRY PORT
CORPORATE OFFICER
0%
2012-08-01
ended 2026-05-18
pecos_ownership
BEVERLY WITTEKIND
CORPORATE OFFICER
0%
2008-09-29
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
0%
2014-06-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER CHRISTENSEN
CORPORATE OFFICER
0%
2014-11-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2015-07-16
ended 2026-05-18
pecos_ownership
SPENCER BURTON
CORPORATE OFFICER
0%
2015-05-30
ended 2026-05-18
pecos_ownership
SUZANNE SNAPPER
CORPORATE OFFICER
0%
2009-08-01
ended 2026-05-18
pecos_ownership
ADAM WILLITS
ADP OF THE SNF
—
2025-04-15
ended 2026-05-18
pecos_ownership
CONGAREE HEALTH HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CONGAREE HEALTH HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CONGAREE HEALTH HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
JONATHAN MACON
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
ended 2026-05-18
pecos_ownership
JONATHAN MACON
ADP OF THE SNF
—
2025-04-14
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
$2,614,711
—
$1,449,395
—
—
4
—
2023-12-31
$3,194,706
—
$1,300,786
—
—
4
—
2022-12-31
$2,915,011
—
$1,529,514
—
—
4
propco
2021-12-31
$2,868,390
—
$1,141,403
—
—
4
propco
2020-12-31
$2,466,135
—
$982,362
—
$297
4
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 45063
acs median gross
0
$1,319
2024-12-31
CENSUS_ACS5
county 45063
fmr
0
$1,032
2025-10-01
HUD_USER_FMR
county 45063
acs median gross
1
$1,250
2024-12-31
CENSUS_ACS5
county 45063
fmr
1
$1,164
2025-10-01
HUD_USER_FMR
county 45063
acs median gross
2
$1,132
2024-12-31
CENSUS_ACS5
county 45063
fmr
2
$1,276
2025-10-01
HUD_USER_FMR
county 45063
acs median gross
3
$1,173
2024-12-31
CENSUS_ACS5
county 45063
fmr
3
$1,623
2025-10-01
HUD_USER_FMR
county 45063
acs median gross
4
$1,517
2024-12-31
CENSUS_ACS5
county 45063
fmr
4
$1,911
2025-10-01
HUD_USER_FMR
county 45063
acs median gross
5
$2,685
2024-12-31
CENSUS_ACS5
county 45063
acs median gross
$1,178
2024-12-31
CENSUS_ACS5
county 45063
acs recent mover gross
$1,500
2024-12-31
CENSUS_ACS5
zcta 29169
acs median gross
0
$1,818
2024-12-31
CENSUS_ACS5
zcta 29169
acs median gross
1
$1,068
2024-12-31
CENSUS_ACS5
zcta 29169
acs median gross
2
$1,121
2024-12-31
CENSUS_ACS5
zcta 29169
acs median gross
3
$1,354
2024-12-31
CENSUS_ACS5
zcta 29169
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
zcta 29169
acs recent mover gross
$1,531
2024-12-31
CENSUS_ACS5
zip 29169
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 29169
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 29169
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 29169
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 110
3
$1,705
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 90
3
$1,395
2025-10-01
HUD_USER_SAFMR
zip 29169
safmr
3
$1,550
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 110
4
$2,013
2025-10-01
HUD_USER_SAFMR
zip 29169
payment standard 90
4
$1,647
2025-10-01
HUD_USER_SAFMR
zip 29169
safmr
4
$1,830
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.