Reads as: riskier than 72.0% 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.
ML signals — parallel engine
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
50% fined
NORMAN 5571 LLC
8 facilities
connection
Owner fleet enforcement cluster
44% fined
LEPS 2003 FAMILY TRUST
9 facilities
connection
Owner fleet enforcement cluster
44% fined
SUMMER SOUTH LLC
9 facilities
connection
Owner fleet enforcement cluster
40% fined
CK 2008 FAMILY TRUST
10 facilities
connection
Owner fleet enforcement cluster
40% fined
RL 2008 FAMILY TRUST
10 facilities
connection
Owner fleet enforcement cluster
40% fined
ROBIN 2008 LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
RSBRM SOUTH MANAGER LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
SPRINGROCK SOUTH LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
NORMAN 5571 FAMILY LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
DRM SOUTH LLC
10 facilities
connection
Owner fleet enforcement cluster
40% fined
LAUREN 2020 LLC
10 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
NC median
National median
National p25–p75
Total nurse
2.93
3.08
3.28
2.90–3.77
RN
0.14
0.30
0.39
0.25–0.58
Weekend total
2.95
2.93
3.11
—
Weekday total
2.92
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.4
2.93
0.14
0.97
1.82
2.95
0.0%
2025Q3
92
104.9
2.88
0.16
0.94
1.78
2.90
0.0%
2025Q2
91
106.4
2.74
0.14
0.93
1.66
2.71
2.2%
2025Q1
90
104.2
2.75
0.17
0.97
1.60
2.74
1.0%
2024Q4
92
102.7
3.05
0.19
1.03
1.84
2.98
0.3%
2024Q3
92
105.1
3.08
0.19
1.03
1.86
2.97
0.8%
2024Q2
91
103.5
3.17
0.15
1.05
1.96
3.02
3.3%
2024Q1
91
103.7
3.11
0.17
1.10
1.84
2.85
6.8%
2023Q4
92
101.1
3.19
0.24
1.01
1.94
2.98
3.4%
2023Q3
92
101.8
3.16
0.32
0.94
1.91
2.95
4.2%
2023Q2
91
102.5
3.02
0.21
0.95
1.85
2.80
18.2%
2023Q1
90
103.2
3.05
0.14
0.97
1.94
2.94
16.2%
2022Q4
92
104.1
3.06
0.13
1.04
1.90
2.85
31.7%
2022Q3
92
103.0
2.63
0.13
1.14
1.36
2.42
19.1%
2022Q2
91
102.6
2.02
0.10
0.89
1.03
1.94
21.6%
2022Q1
90
97.1
2.15
0.15
0.89
1.12
2.01
29.7%
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
28
D × 18E × 6F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-18
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-04-15
2026-03-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-04-15
2026-03-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-15
2026-03-18
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
2026-04-15
2026-03-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-15
2025-04-17
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-05-15
2025-04-17
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-05-22
2025-04-17
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
2025-06-01
2025-04-17
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2024-05-28
2025-04-17
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-05-15
2025-04-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-15
2025-04-17
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-22
2025-04-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-15
2025-04-17
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
2025-05-15
2025-04-17
Health · complaint
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
2025-05-15
2025-04-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-06-01
2025-04-17
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-06-01
2025-04-17
Health · complaint
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.
E
2025-05-15
2025-04-17
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F
2025-05-15
2024-01-24
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-02-21
2024-01-24
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
2024-02-21
2024-01-24
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.
E
2024-02-21
2024-01-24
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-02-21
2024-01-24
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2024-02-21
2024-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-21
2024-01-24
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2024-02-21
2023-11-09
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-11-24
2023-06-15
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-07-14
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
21
Owner
Role
Pct
From
Status
Source
GUILFORD HOLDINGS ILL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-05-28
current
pecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
CK 2008 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
DRM SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
LAUREN 2020 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
LEPS 2003 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
NORMAN 5571 & FAMILY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
NORMAN 5571 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
RAJCHENBACH, MOSHE
CORPORATE OFFICER
—
2021-05-28
current
pecos_ownership
RL 2008 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
ROBIN 2008 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
RSBRM SOUTH MANAGER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-28
current
pecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
SPIEGEL, HINDY
CORPORATE OFFICER
—
2021-05-28
current
pecos_ownership
SPRINGROCK SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
SUMMER SOUTH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-28
current
pecos_ownership
SWANSON, STEPHEN
W-2 MANAGING EMPLOYEE
—
2021-05-28
current
pecos_ownership
STEPHEN SWANSON
W-2 MANAGING EMPLOYEE
100%
2021-05-28
ended 2026-05-18
pecos_ownership
HINDY SPIEGEL
CORPORATE OFFICER
—
2021-05-28
ended 2026-05-18
pecos_ownership
MOSHE RAJCHENBACH
CORPORATE OFFICER
—
2021-05-28
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-05-27
$412,233
—
$380,908
—
$31,325
1
—
2020-09-30
$580,543
—
$540,747
—
$39,796
1
—
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 37081
acs median gross
0
$1,077
2024-12-31
CENSUS_ACS5
county 37081
fmr
0
$1,159
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
1
$1,040
2024-12-31
CENSUS_ACS5
county 37081
fmr
1
$1,213
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
2
$1,122
2024-12-31
CENSUS_ACS5
county 37081
fmr
2
$1,330
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
3
$1,358
2024-12-31
CENSUS_ACS5
county 37081
fmr
3
$1,703
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
4
$1,655
2024-12-31
CENSUS_ACS5
county 37081
fmr
4
$1,960
2025-10-01
HUD_USER_FMR
county 37081
acs median gross
5
$2,116
2024-12-31
CENSUS_ACS5
county 37081
acs median gross
$1,163
2024-12-31
CENSUS_ACS5
county 37081
acs recent mover gross
$1,374
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
0
$1,196
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
1
$1,113
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
2
$1,060
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
3
$1,284
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
4
$1,643
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
5
$1,831
2024-12-31
CENSUS_ACS5
zcta 27406
acs median gross
$1,149
2024-12-31
CENSUS_ACS5
zcta 27406
acs recent mover gross
$1,455
2024-12-31
CENSUS_ACS5
zip 27406
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 27406
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 110
1
$1,375
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 90
1
$1,125
2025-10-01
HUD_USER_SAFMR
zip 27406
safmr
1
$1,250
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 110
2
$1,507
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 90
2
$1,233
2025-10-01
HUD_USER_SAFMR
zip 27406
safmr
2
$1,370
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 110
3
$1,925
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 90
3
$1,575
2025-10-01
HUD_USER_SAFMR
zip 27406
safmr
3
$1,750
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 110
4
$2,222
2025-10-01
HUD_USER_SAFMR
zip 27406
payment standard 90
4
$1,818
2025-10-01
HUD_USER_SAFMR
zip 27406
safmr
4
$2,020
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.