Reads as: riskier than 56.8% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.3 vs natl
PRICE LARRY
26 facilities
connection
Owner fleet risk far above national
+20.4 vs natl
BERGERON BOBBY
15 facilities
connection
Owner fleet enforcement cluster
42% fined
PRICE LARRY
26 facilities
connection
Owner fleet enforcement cluster
42% fined
SOUTH LIMESTONE HOSPITAL DISTRICT
26 facilities
connection
Owner fleet enforcement cluster
40% fined
BERGERON BOBBY
15 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
3.54
2.67
3.28
2.90–3.77
RN
0.35
0.24
0.39
0.25–0.58
Weekend total
3.20
2.56
3.11
—
Weekday total
3.67
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.9
3.54
0.35
1.07
2.12
3.20
0.6%
2025Q3
92
43.3
2.93
0.30
0.89
1.74
2.69
2.0%
2025Q2
91
39.8
2.95
0.14
1.00
1.81
2.71
2.2%
2025Q1
90
42.2
2.98
0.08
1.07
1.82
2.84
1.5%
2024Q4
92
44.0
3.08
0.11
1.00
1.97
2.91
0.0%
2024Q3
92
45.4
2.91
0.08
1.05
1.78
2.75
0.0%
2024Q2
91
45.5
2.95
0.06
1.04
1.85
2.80
0.0%
2024Q1
91
46.4
2.78
0.06
0.94
1.79
2.73
0.0%
2023Q4
92
48.5
2.87
0.01
0.94
1.92
2.84
0.0%
2023Q3
92
50.3
2.96
0.08
1.02
1.86
2.80
2.2%
2023Q2
91
46.3
3.02
0.06
1.13
1.82
2.98
8.9%
2023Q1
90
46.6
2.92
0.06
1.07
1.79
2.77
18.9%
2022Q4
92
44.4
3.26
0.12
1.29
1.86
3.01
32.4%
2022Q3
92
45.2
3.28
0.04
1.43
1.82
3.06
35.8%
2022Q2
91
44.6
3.13
0.01
1.26
1.86
3.22
37.3%
2022Q1
90
45.0
3.84
0.03
1.59
2.22
3.81
46.4%
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.
Ensure each resident receives an accurate assessment.
D
2025-12-19
2025-12-18
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-12-19
2025-11-15
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
2025-11-21
2025-11-15
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2025-12-15
2025-08-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-21
2024-09-25
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-10-15
2024-09-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-10-15
2024-09-25
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
2024-10-15
2024-09-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-10-15
2023-08-08
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-09-08
2023-08-08
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-09-08
2023-08-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-08
2023-08-08
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
2023-09-08
2023-08-08
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-09-08
2023-08-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-09-08
2023-08-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-08
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
17
Owner
Role
Pct
From
Status
Source
SOUTH LIMESTONE HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-04-01
current
pecos_ownership
BERGERON, BOBBY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
HART-LINE ASSOCIATES LP
5% OR GREATER MORTGAGE INTEREST
—
2018-04-01
current
pecos_ownership
MEXIA LTC PARTNERS INC
—
—
2024-04-01
current
tx_hhsc_directory
MEXIA LTC PARTNERS, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
MEXIA LTC PARTNERS, INC.
ADP OF THE SNF
—
2025-04-23
current
pecos_ownership
NICHOLSON, LOUIS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
PRICE, LARRY
CORPORATE OFFICER
—
2018-04-01
current
pecos_ownership
RETTIG, JEFFREY
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
SALING, MARTHA
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
SOUTH LIMESTONE HOSPITAL DISTRICT
ADP OF THE SNF
—
2025-04-23
current
pecos_ownership
SOUTH LIMESTONE HOSPITAL DISTRICT
—
—
2024-04-01
current
tx_hhsc_directory
LARRY PRICE
CORPORATE OFFICER
0%
2018-04-01
ended 2026-05-18
pecos_ownership
BOBBY BERGERON
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
JEFFREY RETTIG
ADP OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
LOUIS NICHOLSON
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
MARTHA SALING
ADP OF THE SNF
—
2018-04-01
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.
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
34
Geo
Kind
BR
Amount
As of
Source
county 48293
acs median gross
0
$445
2024-12-31
CENSUS_ACS5
county 48293
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 48293
acs median gross
1
$902
2024-12-31
CENSUS_ACS5
county 48293
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 48293
acs median gross
2
$877
2024-12-31
CENSUS_ACS5
county 48293
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 48293
acs median gross
3
$1,158
2024-12-31
CENSUS_ACS5
county 48293
fmr
3
$1,231
2025-10-01
HUD_USER_FMR
county 48293
acs median gross
4
$747
2024-12-31
CENSUS_ACS5
county 48293
fmr
4
$1,432
2025-10-01
HUD_USER_FMR
county 48293
acs median gross
$905
2024-12-31
CENSUS_ACS5
county 48293
acs recent mover gross
$957
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
0
$427
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
1
$745
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
2
$963
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
3
$1,170
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
4
$641
2024-12-31
CENSUS_ACS5
zcta 76667
acs median gross
$958
2024-12-31
CENSUS_ACS5
zcta 76667
acs recent mover gross
$968
2024-12-31
CENSUS_ACS5
zip 76667
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 76667
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 76667
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 76667
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 76667
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 76667
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 76667
safmr
4
$1,460
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.