Reads as: riskier than 20.5% 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
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
6 chains
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
22 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
VA median
National median
National p25–p75
Total nurse
4.45
3.13
3.28
2.90–3.77
RN
0.64
0.30
0.39
0.25–0.58
Weekend total
4.32
2.96
3.11
—
Weekday total
4.50
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.9
4.45
0.64
0.90
2.91
4.32
0.0%
2025Q3
92
44.0
4.38
0.61
0.92
2.85
4.18
0.0%
2025Q2
91
40.9
4.61
0.64
1.03
2.94
4.36
0.0%
2025Q1
90
40.2
4.69
0.70
1.02
2.97
4.46
0.0%
2024Q4
92
41.4
4.63
0.72
0.91
3.00
4.49
0.8%
2024Q3
92
44.1
4.56
0.69
0.87
3.00
4.23
7.6%
2024Q2
91
41.2
5.17
0.77
0.85
3.55
4.83
6.5%
2024Q1
91
44.3
4.97
0.69
0.86
3.41
4.65
5.9%
2023Q4
92
44.5
4.54
0.79
0.83
2.92
4.21
6.3%
2023Q3
92
60.6
3.29
0.63
0.58
2.08
3.16
7.1%
2023Q2
91
49.0
4.13
1.03
0.51
2.60
3.79
7.6%
2023Q1
90
47.7
3.85
0.64
0.91
2.30
3.71
6.5%
2022Q4
92
45.3
3.82
0.48
0.94
2.40
3.62
12.5%
2022Q3
92
43.7
3.94
0.43
1.13
2.38
3.83
11.6%
2022Q2
91
43.1
4.20
0.38
1.26
2.56
4.14
13.3%
2022Q1
90
41.3
4.44
0.43
1.29
2.73
4.25
11.1%
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
19
B × 1D × 13E × 3F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-10-18
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2023-12-01
2023-10-18
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2023-12-01
2023-10-18
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
2023-12-01
2023-10-18
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
2023-12-01
2023-10-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-01
2023-10-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-01
2023-10-18
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-12-01
2023-10-18
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2023-12-01
2023-10-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-01
2023-10-18
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-12-01
2022-04-07
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
2022-04-22
2022-04-07
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-04-22
2022-04-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-04-22
2022-04-07
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2022-04-22
2022-04-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-04-22
2021-02-18
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
2021-03-22
2021-02-18
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
2021-03-22
2021-02-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2021-03-22
2021-02-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-03-22
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
52
Owner
Role
Pct
From
Status
Source
ALBRITTON, TRACEY
CORPORATE OFFICER
—
2021-12-01
current
pecos_ownership
BALES, JAMES
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
BROOKS, SHARON
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
BROWNING, HERBERT
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
CARLTON, DANIEL
CORPORATE OFFICER
—
2021-12-31
current
pecos_ownership
CARTER, VALERIE
CORPORATE DIRECTOR
—
2018-02-01
current
pecos_ownership
CAVE, R
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2012-01-01
current
pecos_ownership
COOK, JONATHAN
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
FRANKS, TIFFANY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
HARRIS, CHARLES
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
HAWTHORNE, LISA
CORPORATE OFFICER
—
2021-06-14
current
pecos_ownership
JACOBSEN, JAMES
W-2 MANAGING EMPLOYEE
—
2018-02-01
current
pecos_ownership
JUNG, JOHN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KECK, MICHAEL
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
MARCHELLO, SALLIE
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
MARKWITH, CHRISTOPHER
CORPORATE OFFICER
—
2018-01-31
current
pecos_ownership
MORAN, CHRISTINE
CORPORATE OFFICER
—
2021-03-31
current
pecos_ownership
OAKEY, SAMUEL
CORPORATE DIRECTOR
—
2009-08-01
current
pecos_ownership
OWENS, ARNE
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
POATS, JIM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
POMA, JOHN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
REMEDI SENIORCARE OF VIRGINIA LLC
ADP OF THE SNF
—
2009-01-26
current
pecos_ownership
ROBINSON, JOHN
CORPORATE OFFICER
—
2018-02-01
current
pecos_ownership
SCOTT, MATTHEW
CORPORATE DIRECTOR
—
2018-02-01
current
pecos_ownership
THOMSON, GARY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
VIRGINIA BAPTIST HOMES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-01
current
pecos_ownership
ARNE OWENS
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
CHARLES HARRIS
CORPORATE DIRECTOR
0%
2009-08-01
ended 2026-05-18
pecos_ownership
CHRISTINE MORAN
CORPORATE OFFICER
0%
2021-03-31
ended 2026-05-18
pecos_ownership
CHRISTOPHER MARKWITH
CORPORATE OFFICER
0%
2018-01-31
ended 2026-05-18
pecos_ownership
DANIEL CARLTON
CORPORATE OFFICER
0%
2021-12-31
ended 2026-05-18
pecos_ownership
GARY THOMSON
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
HERBERT BROWNING
CORPORATE DIRECTOR
0%
2009-08-01
ended 2026-05-18
pecos_ownership
JAMES BALES
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
JAMES JACOBSEN
W-2 MANAGING EMPLOYEE
0%
2018-02-01
ended 2026-05-18
pecos_ownership
JIM POATS
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JOHN JUNG
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JOHN POMA
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
JOHN ROBINSON
CORPORATE OFFICER
0%
2018-02-01
ended 2026-05-18
pecos_ownership
LISA HAWTHORNE
CORPORATE OFFICER
0%
2021-06-14
ended 2026-05-18
pecos_ownership
MATTHEW SCOTT
CORPORATE DIRECTOR
0%
2018-02-01
ended 2026-05-18
pecos_ownership
MICHAEL KECK
CORPORATE DIRECTOR
0%
2009-08-01
ended 2026-05-18
pecos_ownership
R CAVE
CORPORATE DIRECTOR
0%
2021-12-31
ended 2026-05-18
pecos_ownership
SALLIE MARCHELLO
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
SAMUEL OAKEY
CORPORATE DIRECTOR
0%
2009-08-01
ended 2026-05-18
pecos_ownership
SHARON BROOKS
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
TIFFANY FRANKS
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
TRACEY ALBRITTON
CORPORATE OFFICER
0%
2021-12-01
ended 2026-05-18
pecos_ownership
VALERIE CARTER
CORPORATE DIRECTOR
0%
2018-02-01
ended 2026-05-18
pecos_ownership
JONATHAN COOK
CORPORATE OFFICER
—
2015-01-01
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
$2,226,567
—
$2,226,567
—
—
1
—
2023-12-31
$1,953,715
—
$1,953,715
—
—
1
—
2022-12-31
$1,816,895
—
$1,816,895
—
—
1
—
2021-12-31
$1,335,702
—
$1,335,702
—
—
1
—
2020-12-31
$1,053,586
—
$1,053,586
—
—
1
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 51047
fmr
0
$1,149
2025-10-01
HUD_USER_FMR
county 51047
acs median gross
1
$1,017
2024-12-31
CENSUS_ACS5
county 51047
fmr
1
$1,170
2025-10-01
HUD_USER_FMR
county 51047
acs median gross
2
$1,322
2024-12-31
CENSUS_ACS5
county 51047
fmr
2
$1,423
2025-10-01
HUD_USER_FMR
county 51047
acs median gross
3
$1,723
2024-12-31
CENSUS_ACS5
county 51047
fmr
3
$1,978
2025-10-01
HUD_USER_FMR
county 51047
acs median gross
4
$1,847
2024-12-31
CENSUS_ACS5
county 51047
fmr
4
$2,007
2025-10-01
HUD_USER_FMR
county 51047
acs median gross
$1,423
2024-12-31
CENSUS_ACS5
county 51047
acs recent mover gross
$1,261
2024-12-31
CENSUS_ACS5
zcta 22701
acs median gross
1
$1,017
2024-12-31
CENSUS_ACS5
zcta 22701
acs median gross
2
$1,329
2024-12-31
CENSUS_ACS5
zcta 22701
acs median gross
3
$1,703
2024-12-31
CENSUS_ACS5
zcta 22701
acs median gross
4
$1,722
2024-12-31
CENSUS_ACS5
zcta 22701
acs median gross
$1,409
2024-12-31
CENSUS_ACS5
zcta 22701
acs recent mover gross
$1,261
2024-12-31
CENSUS_ACS5
zip 22701
payment standard 110
0
$1,243
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 90
0
$1,017
2025-10-01
HUD_USER_SAFMR
zip 22701
safmr
0
$1,130
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 22701
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 110
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 90
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 22701
safmr
2
$1,400
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 110
3
$2,145
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 90
3
$1,755
2025-10-01
HUD_USER_SAFMR
zip 22701
safmr
3
$1,950
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 110
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 22701
payment standard 90
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 22701
safmr
4
$1,980
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.