Reads as: riskier than 7.9% 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.
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
15
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
3.09
2.67
3.28
2.90–3.77
RN
0.29
0.24
0.39
0.25–0.58
Weekend total
2.79
2.56
3.11
—
Weekday total
3.21
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.5
3.09
0.29
0.78
2.02
2.79
0.0%
2025Q2
91
38.8
3.03
0.21
0.73
2.09
2.82
0.0%
2025Q1
90
39.7
2.87
0.14
0.72
2.00
2.83
0.0%
2024Q4
92
46.0
2.53
0.12
0.65
1.76
2.40
0.0%
2024Q3
92
43.5
2.60
0.12
0.69
1.78
2.43
0.0%
2024Q2
91
43.3
2.75
0.13
0.72
1.90
2.65
0.0%
2024Q1
91
41.9
2.67
0.15
0.66
1.86
2.56
0.0%
2023Q4
92
43.2
2.61
0.21
0.64
1.76
2.48
0.0%
2023Q3
92
46.5
2.42
0.19
0.56
1.68
2.24
0.0%
2023Q2
91
42.8
2.50
0.22
0.50
1.78
2.40
0.0%
2023Q1
90
41.4
2.52
0.17
0.60
1.74
2.46
0.0%
2022Q4
92
41.4
2.54
0.17
0.66
1.70
2.39
0.0%
2022Q3
92
42.2
2.45
0.16
0.60
1.69
2.39
0.0%
2022Q2
91
40.1
2.37
0.18
0.57
1.62
2.22
0.0%
2022Q1
90
40.0
2.39
0.15
0.62
1.62
2.32
0.0%
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
12
D × 4E × 7F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-26
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2025-07-17
2025-06-26
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-07-17
2025-06-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-07-17
2025-06-26
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2025-07-17
2024-05-16
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2024-06-06
2024-05-16
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
2024-06-06
2024-05-16
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2024-06-06
2024-05-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-06-06
2024-05-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-06
2024-05-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-06
2023-03-23
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.
E
2023-04-28
2023-03-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-04-28
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
ALBUS, JOANN
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
BATY, LOUIS
CORPORATE DIRECTOR
—
2023-03-06
current
pecos_ownership
CARTWRIGHT, TRACY
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
CARVER, JENNIFER
CORPORATE OFFICER
—
2019-06-17
current
pecos_ownership
HOBERT, JUDY
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
KNOX COUNTY HOSPITAL DISTRICT
—
—
2024-12-01
current
tx_hhsc_directory
KNOX COUNTY HOSPITAL DISTRICT
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
KNOX COUNTY HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-04
current
pecos_ownership
KUEHLER, STEPHEN
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
KUEHLER, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-10
current
pecos_ownership
KUEHLER, STEPHEN
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
SIMMONS, KELSEY
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
SIMMONS, KELSEY
W-2 MANAGING EMPLOYEE
—
2018-03-01
current
pecos_ownership
WAINSCOTT, DANIEL
CORPORATE OFFICER
—
2016-06-01
current
pecos_ownership
WELCH, LARRY
CORPORATE DIRECTOR
—
2022-02-21
current
pecos_ownership
WILLIAMS, KENDRA
W-2 MANAGING EMPLOYEE
—
2024-01-01
current
pecos_ownership
WILLIAMS, KENDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
current
pecos_ownership
WILLIAMS, KENDRA
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
KENDRA WILLIAMS
W-2 MANAGING EMPLOYEE
100%
2024-01-01
ended 2026-05-18
pecos_ownership
DANIEL WAINSCOTT
CORPORATE OFFICER
0%
2016-06-01
ended 2026-05-18
pecos_ownership
KELSEY SIMMONS
W-2 MANAGING EMPLOYEE
0%
2018-03-01
ended 2026-05-18
pecos_ownership
JENNIFER CARVER
CORPORATE OFFICER
—
2019-06-17
ended 2026-05-18
pecos_ownership
JOANN ALBUS
CORPORATE OFFICER
—
2012-12-01
ended 2026-05-18
pecos_ownership
JUDY HOBERT
CORPORATE OFFICER
—
2012-12-01
ended 2026-05-18
pecos_ownership
KELSEY SIMMONS
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
KENDRA WILLIAMS
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
KENDRA WILLIAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
ended 2026-05-18
pecos_ownership
LARRY WELCH
CORPORATE DIRECTOR
—
2022-02-21
ended 2026-05-18
pecos_ownership
LOUIS BATY
CORPORATE DIRECTOR
—
2023-03-06
ended 2026-05-18
pecos_ownership
STEPHEN KUEHLER
CORPORATE OFFICER
—
2012-12-01
ended 2026-05-18
pecos_ownership
STEPHEN KUEHLER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-10
ended 2026-05-18
pecos_ownership
STEPHEN KUEHLER
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
TRACY CARTWRIGHT
CORPORATE OFFICER
—
2012-12-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
26
Geo
Kind
BR
Amount
As of
Source
county 48275
fmr
0
$756
2025-10-01
HUD_USER_FMR
county 48275
acs median gross
1
$338
2024-12-31
CENSUS_ACS5
county 48275
fmr
1
$778
2025-10-01
HUD_USER_FMR
county 48275
acs median gross
2
$560
2024-12-31
CENSUS_ACS5
county 48275
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 48275
acs median gross
3
$471
2024-12-31
CENSUS_ACS5
county 48275
fmr
3
$1,266
2025-10-01
HUD_USER_FMR
county 48275
fmr
4
$1,432
2025-10-01
HUD_USER_FMR
county 48275
acs median gross
$521
2024-12-31
CENSUS_ACS5
zcta 76371
acs median gross
3
$457
2024-12-31
CENSUS_ACS5
zcta 76371
acs median gross
$483
2024-12-31
CENSUS_ACS5
zip 76371
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 76371
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 76371
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 76371
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 76371
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 110
4
$1,650
2025-10-01
HUD_USER_SAFMR
zip 76371
payment standard 90
4
$1,350
2025-10-01
HUD_USER_SAFMR
zip 76371
safmr
4
$1,500
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.