Reads as: riskier than 47.6% 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
+37.6 vs natl
PRESERVATION FREEHOLD COMPANY
24 facilities
connection
Owner fleet risk far above national
+37.6 vs natl
SANCTUARY LTC LLC
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
FISHER JAMES
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
MCGEHEE WILLIAM
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
STONEGATE SENIOR LIVING LP
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
CAMPBELL SCOTT
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
CHANCE JAMES
24 facilities
connection
Owner fleet risk far above national
+36.8 vs natl
LANGDON THOMAS
24 facilities
connection
Owner fleet risk far above national
+36.3 vs natl
LIFETIME WELLNESS LTD
23 facilities
connection
Owner fleet risk far above national
+36.3 vs natl
REHAB PRO LP
23 facilities
connection
Owner fleet risk far above national
+36.3 vs natl
MARTUS FINANCIAL SERVICES INC
23 facilities
connection
Owner fleet risk far above national
+32.6 vs natl
TAYLOR JOHN
28 facilities
connection
Owner fleet risk far above national
+24.8 vs natl
UMB BANK NATIONAL ASSOCIATION
31 facilities
connection
Owner fleet risk far above national
+22.3 vs natl
PRICE LARRY
26 facilities
connection
Owner spans multiple chains
10 chains
UMB BANK NATIONAL ASSOCIATION
30 facilities
connection
Owner spans multiple chains
9 chains
PHARMERICA DRUG SYSTEMS LLC
32 facilities
connection
Owner spans multiple chains
6 chains
TAYLOR JOHN
26 facilities
connection
Owner spans multiple chains
5 chains
SANCTUARY LTC LLC
24 facilities
connection
Owner spans multiple chains
5 chains
PRESERVATION FREEHOLD COMPANY
24 facilities
connection
Owner spans multiple chains
5 chains
MARTUS FINANCIAL SERVICES INC
23 facilities
connection
Owner spans multiple chains
5 chains
MCGEHEE WILLIAM
24 facilities
connection
Owner spans multiple chains
5 chains
LIFETIME WELLNESS LTD
23 facilities
connection
Owner spans multiple chains
5 chains
LANGDON THOMAS
24 facilities
connection
Owner spans multiple chains
5 chains
STONEGATE SENIOR LIVING LP
24 facilities
connection
Owner spans multiple chains
5 chains
CHANCE JAMES
24 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
2.31
2.67
3.28
2.90–3.77
RN
0.40
0.24
0.39
0.25–0.58
Weekend total
2.19
2.56
3.11
—
Weekday total
2.35
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.3
2.31
0.40
0.52
1.39
2.19
0.0%
2025Q3
92
113.2
2.77
0.40
0.69
1.67
2.57
0.0%
2025Q2
91
110.0
2.92
0.50
0.66
1.77
2.73
0.0%
2025Q1
90
114.5
2.76
0.50
0.65
1.61
2.63
0.0%
2024Q4
92
113.7
2.69
0.40
0.71
1.59
2.59
0.0%
2024Q3
92
111.0
2.73
0.41
0.71
1.61
2.61
0.0%
2024Q2
91
115.2
2.59
0.40
0.72
1.47
2.48
0.0%
2024Q1
91
111.8
2.98
0.43
0.90
1.65
2.75
0.0%
2023Q4
92
108.0
3.11
0.27
1.07
1.76
2.81
0.0%
2023Q3
92
116.6
3.01
0.28
0.97
1.76
2.67
0.0%
2023Q2
91
118.2
2.81
0.31
0.94
1.56
2.46
0.0%
2023Q1
90
114.6
2.92
0.28
1.03
1.60
2.59
0.0%
2022Q4
92
117.4
2.45
0.29
0.82
1.34
2.15
0.1%
2022Q3
92
117.2
2.41
0.40
0.78
1.24
2.24
0.1%
2022Q2
91
120.4
2.22
0.32
0.80
1.11
2.01
0.1%
2022Q1
90
118.6
1.96
0.24
0.71
1.01
1.95
1.9%
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2026-01-05
2025-07-03
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-07-10
2025-07-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-03-03
2025-07-03
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-10
2025-07-03
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-08-06
2025-07-03
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
2025-07-10
2025-07-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-10
2025-07-03
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-10
2025-07-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-07-10
2025-07-03
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2025-07-10
2025-07-03
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
2025-07-10
2025-07-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-10
2025-07-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-10
2025-07-03
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2025-07-10
2025-02-21
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-03-14
2025-02-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-01-13
2024-09-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-20
2024-09-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-09-13
2024-06-06
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
2024-06-14
2024-06-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-06-14
2024-06-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-06-14
2024-06-06
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
2024-06-14
2024-06-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-14
2024-06-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-14
2024-06-06
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2024-06-14
2024-01-10
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-02
2023-04-27
Health
F0642
Ensure a qualified health professional conducts resident assessments.
D
2023-05-05
2023-04-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-05-05
2023-04-27
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
2023-05-05
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
31
Owner
Role
Pct
From
Status
Source
SOUTH LIMESTONE HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-02-27
current
pecos_ownership
CAMPBELL, SCOTT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
CHANCE, JAMES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
FISHER, JAMES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
LANGDON, THOMAS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
LIFETIME WELLNESS, LTD.
ADP OF THE SNF
—
2021-09-23
current
pecos_ownership
MARTUS FINANCIAL SERVICES, INC.
ADP OF THE SNF
—
2023-12-31
current
pecos_ownership
MCGEHEE, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
OBE, OLUKAYODE
ADP OF THE SNF
—
2021-09-01
current
pecos_ownership
OKORO, CHIBUIKE
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
OLVERA, NOEL
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
PF IRVING SNF OPS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-23
current
pecos_ownership
PF IRVING SNF OPS, LLC
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
PF IRVING SNF OPS, LLC
—
—
2025-02-27
current
tx_hhsc_directory
PHARMERICA DRUG SYSTEMS LLC
ADP OF THE SNF
—
2017-08-27
current
pecos_ownership
PRESERVATION FREEHOLD COMPANY
ADP OF THE SNF
—
2021-09-23
current
pecos_ownership
PRICE, LARRY
CORPORATE OFFICER
—
—
current
pecos_ownership
REHAB PRO LP
ADP OF THE SNF
—
2021-09-23
current
pecos_ownership
SANCTUARY LTC, LLC
ADP OF THE SNF
—
2021-09-23
current
pecos_ownership
SOUTH LIMESTONE HOSPITAL DISTRICT
—
—
2025-02-27
current
tx_hhsc_directory
STONEGATE SENIOR LIVING, LP
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-22
current
pecos_ownership
STONEGATE SENIOR LIVING, LP
ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
TAYLOR, JOHN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
UMB BANK NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST
—
2021-09-23
current
pecos_ownership
YAFT, JOHN
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
UMB BANK NA
5% OR GREATER MORTGAGE INTEREST
100%
2021-09-23
ended 2026-05-18
pecos_ownership
LARRY PRICE
CORPORATE OFFICER
0%
—
ended 2026-05-18
pecos_ownership
CHIBUIKE OKORO
ADP OF THE SNF
—
2023-09-01
ended 2026-05-18
pecos_ownership
JOHN YAFT
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
NOEL OLVERA
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
OLUKAYODE OBE
ADP OF THE SNF
—
2021-09-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$1
—
—
—
—
0
—
2023-09-30
$1
—
—
—
—
0
—
2022-09-30
$1
—
—
—
—
0
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
0
$1,325
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
1
$1,223
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
2
$1,585
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
3
$1,960
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
4
$2,652
2024-12-31
CENSUS_ACS5
zcta 75062
acs median gross
$1,478
2024-12-31
CENSUS_ACS5
zcta 75062
acs recent mover gross
$1,692
2024-12-31
CENSUS_ACS5
zip 75062
payment standard 110
0
$1,639
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 90
0
$1,341
2025-10-01
HUD_USER_SAFMR
zip 75062
safmr
0
$1,490
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 110
1
$1,705
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 90
1
$1,395
2025-10-01
HUD_USER_SAFMR
zip 75062
safmr
1
$1,550
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 110
2
$2,002
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 90
2
$1,638
2025-10-01
HUD_USER_SAFMR
zip 75062
safmr
2
$1,820
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 110
3
$2,519
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 90
3
$2,061
2025-10-01
HUD_USER_SAFMR
zip 75062
safmr
3
$2,290
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 110
4
$3,201
2025-10-01
HUD_USER_SAFMR
zip 75062
payment standard 90
4
$2,619
2025-10-01
HUD_USER_SAFMR
zip 75062
safmr
4
$2,910
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.