Reads as: riskier than 18.5% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.5 vs natl
BOULWARE SANDRA
18 facilities
connection
Owner spans multiple chains
9 chains
BOULWARE STEVEN
40 facilities
connection
Owner spans multiple chains
8 chains
PRIORITY MANAGEMENT GROUP LLC
36 facilities
connection
Owner spans multiple chains
7 chains
BOULWARE DOUGLAS
38 facilities
connection
Owner spans multiple chains
6 chains
PROGRESSIVE REHAB SOLUTIONS LLC
33 facilities
connection
Owner spans multiple chains
5 chains
BOULWARE SANDRA
17 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
LA median
National median
National p25–p75
Total nurse
2.87
3.38
3.28
2.90–3.77
RN
0.14
0.10
0.39
0.25–0.58
Weekend total
2.56
3.09
3.11
—
Weekday total
2.99
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
142.4
2.87
0.14
0.75
1.98
2.56
0.0%
2025Q3
92
143.4
2.43
0.14
0.74
1.55
2.27
0.0%
2025Q2
91
136.0
2.56
0.13
0.78
1.65
2.42
0.0%
2025Q1
90
138.1
2.51
0.08
0.82
1.61
2.38
0.0%
2024Q4
92
143.4
2.13
0.09
0.78
1.26
2.04
0.0%
2024Q3
92
141.4
2.21
0.13
0.77
1.31
2.11
0.0%
2024Q2
91
143.2
2.37
0.11
0.78
1.48
2.26
0.0%
2024Q1
91
144.2
2.37
0.13
0.74
1.50
2.26
0.0%
2023Q4
92
142.3
2.40
0.12
0.76
1.52
2.27
0.0%
2023Q3
92
134.6
2.43
0.15
0.82
1.46
2.16
0.0%
2023Q2
91
141.2
2.33
0.20
0.75
1.38
2.12
0.0%
2023Q1
90
136.3
2.04
0.13
0.44
1.46
1.67
0.0%
2022Q4
92
135.8
2.49
0.11
0.80
1.58
2.19
0.0%
2022Q3
92
146.2
2.09
0.13
0.60
1.36
1.61
0.0%
2022Q2
91
143.7
2.08
0.13
0.63
1.32
1.60
0.9%
2022Q1
90
133.3
1.85
0.08
0.43
1.34
1.30
1.6%
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
18
D × 13E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-17
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.
D
2026-04-14
2026-03-17
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-14
2026-03-17
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-04-14
2025-09-04
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-10
2025-09-04
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
2025-10-10
2025-09-04
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
2025-10-10
2025-09-04
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
2025-10-10
2025-09-04
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-10-10
2025-09-04
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-10
2025-09-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-10
2025-01-29
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
2025-02-26
2024-06-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-07-31
2024-06-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-07-31
2023-10-25
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2023-11-30
2023-10-25
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-11-30
2023-10-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-30
2023-06-13
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-07-13
2023-06-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-13
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
24
Owner
Role
Pct
From
Status
Source
DNS HEALTHCARE, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
51%
2023-01-01
current
pecos_ownership
WOODLANDS HEALTHCARE CENTER
Individual has financial interest in both related organization and provider
26%
2024-01-01
current
hcris_a_8_1
WOODLANDS HEALTHCARE CENTER
Individual has financial interest in both related organization and provider
26%
2023-01-01
current
hcris_a_8_1
LORD, GREGORY
5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
2023-01-01
current
pecos_ownership
JDR&C NURSING HOME INV, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
18%
2023-01-01
current
pecos_ownership
ROGENMOSER, ROBERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2023-01-01
current
pecos_ownership
LUBBOS, HANNA
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2023-01-01
current
pecos_ownership
BOULWARE, DOUGLAS
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BOULWARE, SANDRA
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BOULWARE, STEVEN
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
BOULWARE, STEVEN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-05
current
pecos_ownership
BOULWARE, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
MCCOY, BETTY
ADP OF THE SNF
—
2025-04-13
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
ADP OF THE SNF
—
2025-05-27
current
pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
STEVEN BOULWARE
OPERATIONAL/MANAGERIAL CONTROL
100%
2023-01-01
ended 2026-05-18
pecos_ownership
DOUGLAS BOULWARE
5% OR GREATER SECURITY INTEREST
26%
2023-01-01
ended 2026-05-18
pecos_ownership
SANDRA BOULWARE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY LORD
5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
2023-01-01
ended 2026-05-18
pecos_ownership
ROBERT ROGENMOSER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2023-01-01
ended 2026-05-18
pecos_ownership
HANNA LUBBOS
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2023-01-01
ended 2026-05-18
pecos_ownership
BETTY MCCOY
ADP OF THE SNF
—
2025-04-13
ended 2026-05-18
pecos_ownership
STEVEN BOULWARE
ADP OF THE SNF
—
2025-04-13
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
$4,799,692
$2,128,079
$10,650
$2,092,863
$203,643
15
propco
2023-12-31
$4,076,654
$1,579,200
$8,234
$2,028,745
$169,755
15
propco
2022-12-31
$2,298,978
—
$7,705
$1,862,625
$151,209
9
—
2021-12-31
$1,889,592
—
—
$1,492,375
$125,819
9
—
2020-12-31
$1,979,200
—
—
$1,606,313
$108,464
9
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
36
Geo
Kind
BR
Amount
As of
Source
county 22115
acs median gross
0
$814
2024-12-31
CENSUS_ACS5
county 22115
fmr
0
$788
2025-10-01
HUD_USER_FMR
county 22115
acs median gross
1
$613
2024-12-31
CENSUS_ACS5
county 22115
fmr
1
$793
2025-10-01
HUD_USER_FMR
county 22115
acs median gross
2
$978
2024-12-31
CENSUS_ACS5
county 22115
fmr
2
$1,041
2025-10-01
HUD_USER_FMR
county 22115
acs median gross
3
$1,128
2024-12-31
CENSUS_ACS5
county 22115
fmr
3
$1,336
2025-10-01
HUD_USER_FMR
county 22115
acs median gross
4
$1,335
2024-12-31
CENSUS_ACS5
county 22115
fmr
4
$1,433
2025-10-01
HUD_USER_FMR
county 22115
acs median gross
5
$1,178
2024-12-31
CENSUS_ACS5
county 22115
acs median gross
$1,068
2024-12-31
CENSUS_ACS5
county 22115
acs recent mover gross
$1,021
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
0
$606
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
1
$611
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
2
$871
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
3
$1,019
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
4
$1,387
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
5
$1,205
2024-12-31
CENSUS_ACS5
zcta 71446
acs median gross
$935
2024-12-31
CENSUS_ACS5
zcta 71446
acs recent mover gross
$968
2024-12-31
CENSUS_ACS5
zip 71446
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 71446
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 71446
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 71446
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 71446
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 110
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 71446
payment standard 90
4
$1,296
2025-10-01
HUD_USER_SAFMR
zip 71446
safmr
4
$1,440
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.