Reads as: riskier than 88.7% 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 risk far above national
+28.5 vs natl
MAK DAVID
31 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
42% fined
MAK DAVID
31 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
TX median
National median
National p25–p75
Total nurse
2.46
2.67
3.28
2.90–3.77
RN
0.16
0.24
0.39
0.25–0.58
Weekend total
2.31
2.56
3.11
—
Weekday total
2.52
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.7
2.46
0.16
0.78
1.52
2.31
0.0%
2025Q3
92
55.6
2.76
0.40
0.70
1.66
2.71
0.0%
2025Q2
91
52.6
2.60
0.33
0.74
1.52
2.53
0.0%
2025Q1
90
49.5
2.82
0.23
0.92
1.67
2.62
0.0%
2024Q4
92
49.2
2.98
0.25
0.90
1.84
2.84
0.0%
2024Q3
92
49.2
2.75
0.10
0.97
1.68
2.72
0.0%
2024Q2
91
45.0
2.67
0.09
1.12
1.46
2.81
0.0%
2024Q1
91
41.8
2.33
0.07
1.19
1.08
2.35
0.0%
2023Q4
92
40.0
2.26
0.19
0.98
1.09
2.20
0.0%
2023Q3
92
38.7
2.32
0.25
0.97
1.10
2.33
0.0%
2023Q2
91
41.1
2.05
0.21
0.95
0.90
1.83
0.0%
2023Q1
90
39.8
1.94
0.35
0.68
0.91
1.95
3.7%
2022Q4
92
46.0
2.28
0.14
0.97
1.17
2.18
32.6%
2022Q3
92
47.4
2.40
0.07
0.97
1.36
2.50
29.1%
2022Q2
91
43.9
2.50
0.18
1.09
1.23
2.41
22.9%
2022Q1
90
42.6
1.98
0.08
0.91
0.98
1.85
18.6%
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
23
D × 20E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-06
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-04-20
2026-01-14
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-02-15
2026-01-14
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-15
2026-01-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-02-15
2026-01-14
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-02-15
2026-01-14
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
2026-02-15
2026-01-14
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
2026-02-15
2026-01-14
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
2026-02-15
2026-01-14
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-02-15
2026-01-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-15
2026-01-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-15
2025-11-18
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-11-19
2025-02-19
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-02-20
2025-02-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-02-20
2025-02-19
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-02-20
2024-10-09
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-10-10
2024-10-09
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.
E
2024-10-10
2024-10-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-10
2024-10-09
Health
F0926
Have policies on smoking.
D
2024-10-10
2023-09-13
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-10-06
2023-09-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-06
2023-09-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-06
2023-09-13
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-10-06
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
13
Owner
Role
Pct
From
Status
Source
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
HUGGINS, LINDA
W-2 MANAGING EMPLOYEE
—
2022-06-01
current
pecos_ownership
MAK, DAVID
CORPORATE OFFICER
—
2021-05-17
current
pecos_ownership
RUSK I ENTERPRISES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
RUSK I ENTERPRISES, LLC
—
—
2025-06-01
current
tx_hhsc_directory
WEST WHARTON COUNTY HOSPITAL DISTRICT
—
—
2025-06-01
current
tx_hhsc_directory
HONOR X ENTERPRISES, LLC
OTHER
100%
2022-06-01
ended 2026-05-18
pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-06-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
50%
2022-06-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
W-2 MANAGING EMPLOYEE
0%
2022-06-01
ended 2026-05-18
pecos_ownership
DAVID MAK
CORPORATE OFFICER
—
2021-05-17
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.
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
30
Geo
Kind
BR
Amount
As of
Source
county 48073
acs median gross
0
$702
2024-12-31
CENSUS_ACS5
county 48073
fmr
0
$751
2025-10-01
HUD_USER_FMR
county 48073
acs median gross
1
$741
2024-12-31
CENSUS_ACS5
county 48073
fmr
1
$756
2025-10-01
HUD_USER_FMR
county 48073
acs median gross
2
$930
2024-12-31
CENSUS_ACS5
county 48073
fmr
2
$984
2025-10-01
HUD_USER_FMR
county 48073
acs median gross
3
$972
2024-12-31
CENSUS_ACS5
county 48073
fmr
3
$1,362
2025-10-01
HUD_USER_FMR
county 48073
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 48073
fmr
4
$1,448
2025-10-01
HUD_USER_FMR
county 48073
acs median gross
5
$892
2024-12-31
CENSUS_ACS5
county 48073
acs median gross
$933
2024-12-31
CENSUS_ACS5
county 48073
acs recent mover gross
$1,132
2024-12-31
CENSUS_ACS5
zcta 75785
acs median gross
2
$1,253
2024-12-31
CENSUS_ACS5
zcta 75785
acs median gross
$955
2024-12-31
CENSUS_ACS5
zip 75785
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 75785
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 75785
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 75785
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 75785
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 75785
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 75785
safmr
4
$1,430
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.