Reads as: riskier than 34.4% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.5 vs natl
FAGLIE KELLY
9 facilities
connection
Owner fleet risk far above national
+24.5 vs natl
GONZALES HECTOR
9 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
ZAMORA RAUL
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
KESSLER WILLIAM
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
GAITONDE GAJANAN
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
GUTIERREZ MONICA
8 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
REG BRIDGE OPCO LLC
20 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
REG OPERATOR HOLDCO LLC
65 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
REGENCY TEXAS HOLDINGS LLC
65 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
DWD TX HOLDINGS LLC
65 facilities
connection
Owner spans multiple chains
8 chains
REGENCY IHS REHAB LLC
68 facilities
connection
Owner spans multiple chains
8 chains
REGENCY IHS CLINICAL CONSULTING LLC
67 facilities
connection
Owner spans multiple chains
7 chains
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC
65 facilities
connection
Owner spans multiple chains
7 chains
REG OPERATOR HOLDCO LLC
64 facilities
connection
Owner spans multiple chains
7 chains
DEKOWSKI DONOVAN
66 facilities
connection
Owner spans multiple chains
7 chains
MANDELBAUM ELLIOT
61 facilities
connection
Owner spans multiple chains
7 chains
DWD TX HOLDINGS LLC
64 facilities
connection
Owner spans multiple chains
7 chains
CSV RHEA MANAGEMENT HOLDCO LLC
63 facilities
connection
Owner spans multiple chains
7 chains
CLAPP BARBARA
66 facilities
connection
Owner spans multiple chains
7 chains
REGENCY TEXAS HOLDINGS LLC
64 facilities
connection
Owner spans multiple chains
7 chains
REGENCY INTEGRATED HEALTH SERVICES LLC
67 facilities
connection
Owner spans multiple chains
6 chains
GIBSON PATRICIA
58 facilities
connection
Owner spans multiple chains
6 chains
CORTESE DAREN
59 facilities
connection
Owner spans multiple chains
6 chains
BAIRD DANIEL
59 facilities
connection
Owner spans multiple chains
5 chains
REG HG OPCO LLC
40 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
2.86
2.67
3.28
2.90–3.77
RN
0.20
0.24
0.39
0.25–0.58
Weekend total
2.75
2.56
3.11
—
Weekday total
2.90
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.0
2.86
0.20
0.78
1.89
2.75
0.0%
2025Q3
92
77.7
2.79
0.23
0.78
1.79
2.71
0.0%
2025Q2
91
79.0
2.55
0.18
0.85
1.52
2.45
0.0%
2025Q1
90
77.8
2.54
0.15
0.90
1.50
2.49
0.0%
2024Q4
92
78.3
2.54
0.17
0.85
1.52
2.44
0.0%
2024Q3
92
76.8
2.41
0.18
0.81
1.42
2.32
0.0%
2024Q2
91
78.5
2.73
0.20
0.81
1.72
2.67
0.0%
2024Q1
91
76.0
2.56
0.09
0.90
1.57
2.48
0.0%
2023Q4
92
77.5
2.47
0.09
0.85
1.54
2.43
0.0%
2023Q3
92
74.9
2.56
0.07
0.90
1.58
2.48
3.0%
2023Q2
91
70.9
3.12
0.08
1.05
1.99
2.87
14.9%
2023Q1
90
71.1
2.74
0.23
0.79
1.71
2.65
2.8%
2022Q4
92
68.8
2.78
0.23
0.80
1.75
2.71
4.2%
2022Q3
92
69.0
2.63
0.23
0.78
1.62
2.56
1.8%
2022Q2
91
68.9
2.63
0.25
0.62
1.76
2.58
0.0%
2022Q1
90
70.8
2.61
0.20
0.70
1.71
2.53
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2026-04-08
2025-08-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-08-14
2025-05-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-05-23
2025-05-22
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
K
2025-05-23
2025-04-16
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-05-09
2025-04-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-05-09
2025-04-16
Health · complaint
F0637
Assess the resident when there is a significant change in condition
D
2025-05-09
2025-04-16
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-05-09
2025-04-16
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-09
2024-03-21
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-08
2024-03-21
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-04-08
2024-03-21
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-04-08
2024-03-01
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-03-02
2023-02-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-03-16
2023-02-03
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-03-16
2023-02-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-03-16
2023-02-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-16
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
57
Owner
Role
Pct
From
Status
Source
2951 US 281 LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
APOLINAR, ADAM
CORPORATE OFFICER
—
2015-07-23
current
pecos_ownership
BAIRD, DANIEL
INDIRECT OWNERSHIP INTEREST
—
2021-04-13
current
pecos_ownership
CLAPP, BARBARA
INDIRECT OWNERSHIP INTEREST
—
2021-06-01
current
pecos_ownership
CONTRERAS, TERRI
CORPORATE OFFICER
—
2019-04-29
current
pecos_ownership
CORTESE, DAREN
INDIRECT OWNERSHIP INTEREST
—
2021-08-10
current
pecos_ownership
CSV RHEA MANAGEMENT HOLDCO, LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
DAYTON, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
DEKOWSKI, DONOVAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-01
current
pecos_ownership
DWD TX HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
ELLIOTT, BENJAMIN
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
FAGLIE, KELLY
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
GAITONDE, GAJANAN
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
GIBSON, PATRICIA
INDIRECT OWNERSHIP INTEREST
—
2021-08-01
current
pecos_ownership
GONZALES, HECTOR
CORPORATE OFFICER
—
2014-06-30
current
pecos_ownership
GRAVES, TRACY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GUTIERREZ, MONICA
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
KESSLER, WILLIAM
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
LARA, LETITIA
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LAWRENCE, PATRICK
DIRECT OWNERSHIP INTEREST
—
2022-01-24
current
pecos_ownership
MANDELBAUM, ELLIOT
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
REG BRIDGE OPCO LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
REG HG OPCO LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
REG OPERATOR HOLDCO LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
REGENCY IHS CLINICAL CONSULTING, LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
REGENCY IHS OF GEORGE WEST LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
REGENCY IHS OF GEORGE WEST LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-01
current
pecos_ownership
REGENCY IHS OF ROCKPORT, LLC
—
—
2024-07-24
current
tx_hhsc_directory
REGENCY IHS REHAB LLC
ADP OF THE SNF
—
2018-10-01
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-01
current
pecos_ownership
REGENCY TEXAS HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2018-10-01
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
—
—
2024-07-24
current
tx_hhsc_directory
UVALDE COUNTY HOSPITAL AUTHORITY
ADP OF THE SNF
—
2025-04-16
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-01
current
pecos_ownership
ZAMORA, RAUL
CORPORATE OFFICER
—
2016-01-13
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-07-16
ended 2026-05-18
pecos_ownership
ADAM APOLINAR
CORPORATE OFFICER
0%
2015-07-23
ended 2026-05-18
pecos_ownership
BARBARA CLAPP
INDIRECT OWNERSHIP INTEREST
0%
2021-06-01
ended 2026-05-18
pecos_ownership
BENJAMIN ELLIOTT
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
DANIEL BAIRD
INDIRECT OWNERSHIP INTEREST
0%
2021-04-13
ended 2026-05-18
pecos_ownership
DAREN CORTESE
INDIRECT OWNERSHIP INTEREST
0%
2021-08-10
ended 2026-05-18
pecos_ownership
ELLIOT MANDELBAUM
INDIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
GAJANAN GAITONDE
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
HECTOR GONZALES
CORPORATE OFFICER
0%
2014-06-30
ended 2026-05-18
pecos_ownership
KELLY FAGLIE
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
LETITIA LARA
DIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
MONICA GUTIERREZ
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
PATRICIA GIBSON
INDIRECT OWNERSHIP INTEREST
0%
2021-08-01
ended 2026-05-18
pecos_ownership
PATRICK LAWRENCE
DIRECT OWNERSHIP INTEREST
0%
2022-01-24
ended 2026-05-18
pecos_ownership
RAUL ZAMORA
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
STEVEN DAYTON
DIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
TERRI CONTRERAS
CORPORATE OFFICER
0%
2019-04-29
ended 2026-05-18
pecos_ownership
TRACY GRAVES
DIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
WILLIAM KESSLER
CORPORATE OFFICER
0%
2016-01-13
ended 2026-05-18
pecos_ownership
DONOVAN DEKOWSKI
ADP OF THE SNF
—
2018-10-01
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.
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
30
Geo
Kind
BR
Amount
As of
Source
county 48297
acs median gross
0
$277
2024-12-31
CENSUS_ACS5
county 48297
fmr
0
$782
2025-10-01
HUD_USER_FMR
county 48297
fmr
1
$787
2025-10-01
HUD_USER_FMR
county 48297
acs median gross
2
$981
2024-12-31
CENSUS_ACS5
county 48297
fmr
2
$1,033
2025-10-01
HUD_USER_FMR
county 48297
acs median gross
3
$895
2024-12-31
CENSUS_ACS5
county 48297
fmr
3
$1,314
2025-10-01
HUD_USER_FMR
county 48297
acs median gross
4
$1,266
2024-12-31
CENSUS_ACS5
county 48297
fmr
4
$1,547
2025-10-01
HUD_USER_FMR
county 48297
acs median gross
$924
2024-12-31
CENSUS_ACS5
county 48297
acs recent mover gross
$1,082
2024-12-31
CENSUS_ACS5
zcta 78022
acs median gross
1
$412
2024-12-31
CENSUS_ACS5
zcta 78022
acs median gross
2
$888
2024-12-31
CENSUS_ACS5
zcta 78022
acs median gross
3
$867
2024-12-31
CENSUS_ACS5
zcta 78022
acs median gross
$864
2024-12-31
CENSUS_ACS5
zip 78022
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 78022
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 78022
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 78022
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 78022
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 110
4
$1,727
2025-10-01
HUD_USER_SAFMR
zip 78022
payment standard 90
4
$1,413
2025-10-01
HUD_USER_SAFMR
zip 78022
safmr
4
$1,570
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.