Reads as: riskier than 18.3% 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
5 chains
HALL MATTHEW
16 facilities
connection
Owner spans multiple chains
4 chains
MORRISON MANAGEMENT SPECIALISTS INC
13 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
AL median
National median
National p25–p75
Total nurse
3.50
3.37
3.28
2.90–3.77
RN
0.48
0.43
0.39
0.25–0.58
Weekend total
3.18
3.04
3.11
—
Weekday total
3.62
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
122.8
3.50
0.48
0.68
2.34
3.18
0.0%
2025Q3
92
124.9
3.43
0.49
0.72
2.22
3.11
0.0%
2025Q2
91
123.9
3.45
0.57
0.69
2.19
3.08
0.0%
2025Q1
90
123.5
3.39
0.60
0.64
2.15
2.98
0.0%
2024Q4
92
122.8
3.52
0.55
0.67
2.30
3.21
0.0%
2024Q3
92
123.9
3.66
0.62
0.67
2.37
3.33
0.0%
2024Q2
91
121.5
3.56
0.48
0.77
2.31
3.21
0.0%
2024Q1
91
124.3
3.13
0.40
0.74
1.99
3.03
0.0%
2023Q4
92
123.2
3.27
0.46
0.75
2.06
2.97
0.0%
2023Q3
92
109.2
3.13
0.29
0.80
2.04
2.76
0.0%
2023Q2
91
102.8
3.02
0.33
0.64
2.05
2.48
0.0%
2023Q1
90
81.4
3.23
0.31
0.65
2.27
2.68
0.0%
2022Q4
92
83.7
2.38
0.22
0.53
1.63
2.03
0.0%
2022Q3
92
91.5
2.31
0.12
0.65
1.54
2.02
0.0%
2022Q2
91
95.0
2.16
0.09
0.72
1.35
1.86
0.0%
2022Q1
90
87.0
2.50
0.11
0.68
1.70
2.03
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-10-24
2025-09-28
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-10-24
2025-09-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-10-24
2025-09-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-10-24
2025-09-28
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2025-10-24
2023-11-16
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-02-22
2021-05-20
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2021-07-01
2021-05-20
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2021-07-01
2019-07-18
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2019-08-06
2019-07-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-08-06
2019-07-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-08-06
2019-07-18
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
2019-08-06
2019-07-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-08-06
2019-07-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-08-06
2018-07-19
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2018-08-08
2018-07-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2018-08-08
2018-07-19
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2018-08-08
2018-07-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2018-08-08
2018-07-19
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2018-08-08
2018-07-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2018-08-08
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
36
Owner
Role
Pct
From
Status
Source
ADAMSON, MICHELE
CORPORATE DIRECTOR
—
2017-05-10
current
pecos_ownership
BASS, DON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-13
current
pecos_ownership
BLACKWELL, CRYSTAL
ADP OF THE SNF
—
2025-03-09
current
pecos_ownership
BRITTON, ISAAC
MANAGING CONTROL - GOVERNING BODY
—
2009-04-01
current
pecos_ownership
COLLIER, COURTNEY
ADP OF THE SNF
—
2023-10-22
current
pecos_ownership
ESTEP, BARBARA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
GOFF, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2009-04-01
current
pecos_ownership
HALL, MATTHEW
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
current
pecos_ownership
KENWRIGHT, KAREN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-27
current
pecos_ownership
MORRISON MANAGEMENT SPECIALISTS INC
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
NELSON, DEBRA
CORPORATE DIRECTOR
—
2017-05-11
current
pecos_ownership
NOLAND HEALTH SERVICES, INC
ADP OF THE SNF
—
2009-04-01
current
pecos_ownership
NOLAND PHARMACY LLC
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
RENDA, NICHOLAS
CORPORATE DIRECTOR
—
2020-10-26
current
pecos_ownership
SMITH, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
2014-02-07
current
pecos_ownership
SMOTHERS, KATHY
ADP OF THE SNF
—
2021-04-12
current
pecos_ownership
THOMAS, ADEEB
MANAGING CONTROL - GOVERNING BODY
—
2018-02-01
current
pecos_ownership
URBAN, KELLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-03
current
pecos_ownership
WAGGONER, JAMES
CORPORATE DIRECTOR
—
2017-05-10
current
pecos_ownership
WARREN AVERETT LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
BARBARA ESTEP
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
DEBRA NELSON
CORPORATE DIRECTOR
0%
2017-05-11
ended 2026-05-18
pecos_ownership
GEORGE SMITH
CORPORATE DIRECTOR
0%
2014-02-07
ended 2026-05-18
pecos_ownership
ISAAC BRITTON
CORPORATE DIRECTOR
0%
2009-04-01
ended 2026-05-18
pecos_ownership
JAMES WAGGONER
CORPORATE DIRECTOR
0%
2017-05-10
ended 2026-05-18
pecos_ownership
MICHELE ADAMSON
CORPORATE DIRECTOR
0%
2017-05-10
ended 2026-05-18
pecos_ownership
NICHOLAS RENDA
CORPORATE DIRECTOR
0%
2020-10-26
ended 2026-05-18
pecos_ownership
ROBERT GOFF
CORPORATE DIRECTOR
0%
2009-04-01
ended 2026-05-18
pecos_ownership
ADEEB THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2018-02-01
ended 2026-05-18
pecos_ownership
COURTNEY COLLIER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-22
ended 2026-05-18
pecos_ownership
CRYSTAL BLACKWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-09
ended 2026-05-18
pecos_ownership
DON BASS
ADP OF THE SNF
—
2023-03-13
ended 2026-05-18
pecos_ownership
KAREN KENWRIGHT
ADP OF THE SNF
—
2017-11-27
ended 2026-05-18
pecos_ownership
KATHY SMOTHERS
ADP OF THE SNF
—
2021-04-12
ended 2026-05-18
pecos_ownership
KELLEY URBAN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-03
ended 2026-05-18
pecos_ownership
MATTHEW HALL
ADP OF THE SNF
—
2022-01-31
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
2025-06-30
$1,462,784
—
$737,408
$490,816
—
0
—
2024-06-30
$1,334,595
—
$887,120
$447,475
—
0
—
2023-06-30
$1,143,560
—
$715,177
$416,281
—
0
—
2022-06-30
$1,191,760
—
$747,132
$434,814
—
0
—
2021-06-30
$1,287,548
—
$911,335
$376,213
—
0
—
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 01073
acs median gross
0
$1,009
2024-12-31
CENSUS_ACS5
county 01073
fmr
0
$1,024
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
county 01073
fmr
1
$1,155
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
2
$1,155
2024-12-31
CENSUS_ACS5
county 01073
fmr
2
$1,266
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
3
$1,330
2024-12-31
CENSUS_ACS5
county 01073
fmr
3
$1,583
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
4
$1,429
2024-12-31
CENSUS_ACS5
county 01073
fmr
4
$1,801
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
5
$1,496
2024-12-31
CENSUS_ACS5
county 01073
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 01073
acs recent mover gross
$1,352
2024-12-31
CENSUS_ACS5
zcta 35022
acs median gross
0
$891
2024-12-31
CENSUS_ACS5
zcta 35022
acs median gross
1
$950
2024-12-31
CENSUS_ACS5
zcta 35022
acs median gross
2
$1,176
2024-12-31
CENSUS_ACS5
zcta 35022
acs median gross
3
$1,472
2024-12-31
CENSUS_ACS5
zcta 35022
acs median gross
$1,175
2024-12-31
CENSUS_ACS5
zcta 35022
acs recent mover gross
$1,558
2024-12-31
CENSUS_ACS5
zip 35022
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 35022
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 35022
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 35022
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 35022
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 35022
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 35022
safmr
4
$1,550
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.