Reads as: riskier than 71.0% 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
16
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
3.48
2.67
3.28
2.90–3.77
RN
0.65
0.24
0.39
0.25–0.58
Weekend total
3.46
2.56
3.11
—
Weekday total
3.48
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
50.2
3.48
0.65
0.99
1.84
3.46
0.0%
2025Q3
92
46.7
3.70
0.78
1.03
1.90
3.83
0.0%
2025Q2
91
39.3
3.04
0.69
0.62
1.72
3.04
0.0%
2025Q1
90
51.4
2.99
0.58
0.79
1.62
2.89
2.5%
2024Q4
92
58.7
3.00
0.65
0.73
1.61
3.01
1.2%
2024Q3
92
64.8
3.14
0.69
0.65
1.81
3.17
3.4%
2024Q2
91
70.6
3.19
0.57
0.73
1.90
3.18
0.4%
2024Q1
91
73.8
3.17
0.52
0.79
1.86
3.38
0.4%
2023Q4
92
72.0
3.00
0.51
0.71
1.79
3.18
3.5%
2023Q3
92
66.8
3.22
0.52
0.82
1.88
3.35
5.9%
2023Q2
91
70.6
3.21
0.48
0.90
1.83
3.29
7.8%
2023Q1
90
76.0
3.05
0.49
0.73
1.82
3.20
11.7%
2022Q4
92
72.3
3.19
0.48
0.81
1.90
3.27
11.7%
2022Q3
92
72.4
3.23
0.48
0.83
1.93
3.35
10.2%
2022Q2
91
74.1
3.19
0.43
0.80
1.95
3.15
13.6%
2022Q1
90
73.8
3.27
0.47
0.80
2.00
3.41
15.2%
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.
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
C
2025-08-29
2025-08-21
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-08-29
2025-08-21
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-08-29
2025-08-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-29
2025-08-21
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
2025-08-29
2025-08-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-08-29
2025-01-14
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
K
2025-02-11
2024-10-07
Health · complaint
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
2024-10-12
2024-09-01
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-09-05
2024-09-01
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
J
2024-09-05
2024-07-31
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
2024-08-08
2024-07-31
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-08-08
2024-07-31
Health
F0732
Post nurse staffing information every day.
B
2024-08-08
2024-07-31
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
2024-08-08
2024-07-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-08
2023-06-09
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-07-01
2023-06-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-07-01
2023-06-09
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-07-01
2023-06-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2023-07-01
2023-06-09
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.
F
2023-07-01
2023-06-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-01
2023-06-09
Health
F0814
Dispose of garbage and refuse properly.
D
2023-07-01
2023-06-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-07-01
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
47
Owner
Role
Pct
From
Status
Source
BROOKDALE SENIOR LIVING INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2008-12-23
current
pecos_ownership
AMERICAN RETIREMENT CORPORATION
ADP OF THE SNF
—
2008-12-23
current
pecos_ownership
ARC LAKEWAY SNF, LLC
ADP OF THE SNF
—
2008-12-23
current
pecos_ownership
ASHER, JORDAN
MANAGING CONTROL - GOVERNING BODY
—
2020-02-24
current
pecos_ownership
DRAYTON, CLAUDIA
MANAGING CONTROL - GOVERNING BODY
—
2024-06-18
current
pecos_ownership
FIORAVANTI, MARK
MANAGING CONTROL - GOVERNING BODY
—
2025-04-13
current
pecos_ownership
FREED, VICTORIA
MANAGING CONTROL - GOVERNING BODY
—
2019-10-29
current
pecos_ownership
FRY, LIAM
ADP OF THE SNF
—
2025-07-25
current
pecos_ownership
HAUSMAN, JOSHUA
MANAGING CONTROL - GOVERNING BODY
—
2025-04-24
current
pecos_ownership
IBARRA, CYNTHIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
KAESTNER, HENRY
CORPORATE OFFICER
—
2022-03-01
current
pecos_ownership
KUSSOW, DAWN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-23
current
pecos_ownership
LA MARRE, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
LBMC PC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
LEBLANC, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
LEBLANC, JACOB
ADP OF THE SNF
—
2025-07-25
current
pecos_ownership
LESKOWICZ, JOANNE
CORPORATE OFFICER
—
2016-04-01
current
pecos_ownership
MACE, ELIZABETH
MANAGING CONTROL - GOVERNING BODY
—
2024-06-18
current
pecos_ownership
MUNOZ, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
current
pecos_ownership
PANDO, EDWARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
current
pecos_ownership
STENGLE, NIKOLAS
CORPORATE OFFICER
—
2025-11-08
current
pecos_ownership
WALTERS FINANCIAL SERVICES INC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
WARREN, DENISE
MANAGING CONTROL - GOVERNING BODY
—
2018-10-04
current
pecos_ownership
WHITE, CHADWICK
CORPORATE OFFICER
—
2018-03-09
current
pecos_ownership
WIELANSKY, LEE
MANAGING CONTROL - GOVERNING BODY
—
2015-04-23
current
pecos_ownership
CHADWICK WHITE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
5% OR GREATER INDIRECT OWNERSHIP INTEREST
0%
2025-04-30
ended 2026-05-18
pecos_ownership
HENRY KAESTNER
CORPORATE OFFICER
0%
2022-03-01
ended 2026-05-18
pecos_ownership
ANNA MUNOZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
CHADWICK WHITE
CORPORATE OFFICER
—
2018-03-09
ended 2026-05-18
pecos_ownership
CLAUDIA DRAYTON
MANAGING CONTROL - GOVERNING BODY
—
2024-06-18
ended 2026-05-18
pecos_ownership
CYNTHIA IBARRA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
DAWN KUSSOW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-23
ended 2026-05-18
pecos_ownership
DENISE WARREN
MANAGING CONTROL - GOVERNING BODY
—
2018-10-04
ended 2026-05-18
pecos_ownership
EDWARD PANDO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
ELIZABETH MACE
MANAGING CONTROL - GOVERNING BODY
—
2024-06-18
ended 2026-05-18
pecos_ownership
JACOB LEBLANC
ADP OF THE SNF
—
2025-07-25
ended 2026-05-18
pecos_ownership
JACOB LEBLANC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-22
ended 2026-05-18
pecos_ownership
JOANNE LESKOWICZ
CORPORATE OFFICER
—
2016-04-01
ended 2026-05-18
pecos_ownership
JORDAN ASHER
MANAGING CONTROL - GOVERNING BODY
—
2020-02-24
ended 2026-05-18
pecos_ownership
JOSHUA HAUSMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-04-24
ended 2026-05-18
pecos_ownership
KEVIN LA MARRE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-05
ended 2026-05-18
pecos_ownership
LEE WIELANSKY
MANAGING CONTROL - GOVERNING BODY
—
2015-04-23
ended 2026-05-18
pecos_ownership
LIAM FRY
ADP OF THE SNF
—
2025-07-25
ended 2026-05-18
pecos_ownership
MARK FIORAVANTI
MANAGING CONTROL - GOVERNING BODY
—
2025-04-13
ended 2026-05-18
pecos_ownership
NIKOLAS STENGLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-08
ended 2026-05-18
pecos_ownership
VICTORIA FREED
MANAGING CONTROL - GOVERNING BODY
—
2019-10-29
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
$778,923
—
$778,923
—
—
2
—
2023-12-31
$749,163
—
$749,163
—
—
2
—
2022-12-31
$716,249
—
$716,249
—
—
2
—
2021-12-31
$806,767
—
$806,767
—
—
2
—
2020-12-31
$964,102
—
$964,102
—
—
3
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48453
acs median gross
0
$1,416
2024-12-31
CENSUS_ACS5
county 48453
fmr
0
$1,474
2025-10-01
HUD_USER_FMR
county 48453
acs median gross
1
$1,553
2024-12-31
CENSUS_ACS5
county 48453
fmr
1
$1,562
2025-10-01
HUD_USER_FMR
county 48453
acs median gross
2
$1,849
2024-12-31
CENSUS_ACS5
county 48453
fmr
2
$1,852
2025-10-01
HUD_USER_FMR
county 48453
acs median gross
3
$2,195
2024-12-31
CENSUS_ACS5
county 48453
fmr
3
$2,347
2025-10-01
HUD_USER_FMR
county 48453
acs median gross
4
$2,463
2024-12-31
CENSUS_ACS5
county 48453
fmr
4
$2,760
2025-10-01
HUD_USER_FMR
county 48453
acs median gross
5
$2,958
2024-12-31
CENSUS_ACS5
county 48453
acs median gross
$1,744
2024-12-31
CENSUS_ACS5
county 48453
acs recent mover gross
$1,845
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
0
$702
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
1
$1,626
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
2
$2,257
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
3
$1,902
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
4
$3,175
2024-12-31
CENSUS_ACS5
zcta 78734
acs median gross
$1,851
2024-12-31
CENSUS_ACS5
zcta 78734
acs recent mover gross
$2,662
2024-12-31
CENSUS_ACS5
zip 78734
payment standard 110
0
$2,013
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 90
0
$1,647
2025-10-01
HUD_USER_SAFMR
zip 78734
safmr
0
$1,830
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 110
1
$2,134
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 90
1
$1,746
2025-10-01
HUD_USER_SAFMR
zip 78734
safmr
1
$1,940
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 110
2
$2,530
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 90
2
$2,070
2025-10-01
HUD_USER_SAFMR
zip 78734
safmr
2
$2,300
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 110
3
$3,201
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 90
3
$2,619
2025-10-01
HUD_USER_SAFMR
zip 78734
safmr
3
$2,910
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 110
4
$3,773
2025-10-01
HUD_USER_SAFMR
zip 78734
payment standard 90
4
$3,087
2025-10-01
HUD_USER_SAFMR
zip 78734
safmr
4
$3,430
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.