Reads as: riskier than 78.2% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+30.8 vs natl
AMITY CARE LLC
6 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
LONG DENNIS
6 facilities
connection
Owner fleet risk far above national
+20.6 vs natl
DIMOND MICHAEL
5 facilities
connection
Owner spans multiple chains
9 chains
ORIX REAL ESTATE CAPITAL LLC
17 facilities
connection
Owner fleet enforcement cluster
67% fined
AMITY CARE LLC
6 facilities
connection
Owner fleet enforcement cluster
60% fined
DIMOND MICHAEL
5 facilities
connection
Owner fleet enforcement cluster
57% fined
DUNCAN ROBERT
7 facilities
connection
Owner fleet enforcement cluster
50% fined
LONG DENNIS
6 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
OK median
National median
National p25–p75
Total nurse
2.73
2.78
3.28
2.90–3.77
RN
0.18
0.18
0.39
0.25–0.58
Weekend total
2.65
2.72
3.11
—
Weekday total
2.76
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.8
2.73
0.18
0.87
1.69
2.65
0.8%
2025Q3
92
104.6
3.04
0.13
0.97
1.94
3.01
0.7%
2025Q2
91
102.1
2.83
0.13
0.99
1.71
2.58
2.1%
2025Q1
90
107.3
2.69
0.14
0.91
1.64
2.32
1.3%
2024Q4
92
109.9
2.41
0.18
0.81
1.42
2.34
2.5%
2024Q3
92
116.6
2.22
0.14
0.86
1.22
2.16
2.0%
2024Q2
91
115.5
2.09
0.13
0.83
1.13
1.96
2.3%
2024Q1
91
109.9
2.27
0.14
0.78
1.35
2.17
1.9%
2023Q4
92
106.6
2.30
0.17
0.75
1.38
2.16
0.3%
2023Q3
92
104.6
2.46
0.33
0.77
1.36
2.05
0.1%
2023Q2
91
97.7
2.46
0.36
0.75
1.35
2.00
0.1%
2023Q1
90
102.4
2.20
0.36
0.72
1.12
1.83
1.3%
2022Q4
92
93.2
2.01
0.30
0.71
0.99
1.76
3.3%
2022Q3
92
98.5
2.17
0.28
0.69
1.19
2.01
3.9%
2022Q2
91
92.7
2.32
0.26
0.68
1.39
2.18
1.0%
2022Q1
90
95.2
2.21
0.26
0.76
1.20
2.14
4.7%
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-02-03
2026-01-07
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
2026-02-03
2026-01-07
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
2026-02-03
2026-01-07
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-02-03
2025-08-19
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-08-28
2025-04-24
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2025-05-20
2025-04-08
Health · complaint
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-04-15
2025-02-27
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-03-03
2025-02-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-03-03
2025-01-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-01-08
2024-10-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-09-23
2024-10-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-10-10
2024-09-03
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-10-29
2024-09-03
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2024-10-29
2024-09-03
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.
E
2024-10-29
2024-09-03
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
2024-10-29
2024-09-03
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-10-29
2024-09-03
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.
E
2024-10-29
2024-09-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-10-29
2024-09-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-29
2024-09-03
Health
F0732
Post nurse staffing information every day.
D
2024-10-29
2024-09-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-10-29
2024-09-03
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.
E
2024-10-29
2024-09-03
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.
E
2024-10-29
2024-09-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-10-29
2024-09-03
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2024-10-29
2024-09-03
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-29
2024-09-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-29
2024-07-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-20
2023-07-27
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-09-14
2023-07-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-09-14
2023-07-27
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-09-14
2023-07-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-14
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
27
Owner
Role
Pct
From
Status
Source
BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-12-31
current
pecos_ownership
AMITY CARE, LLC
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
BETHLINWOOD, LLC
ADP OF THE SNF
—
1998-01-01
current
pecos_ownership
BOONE, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
CALFE, AUTUMN
ADP OF THE SNF
—
2025-05-08
current
pecos_ownership
COBLE, WILLIAM
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
COBLE, WILLIAM
CORPORATE OFFICER
—
2020-12-31
current
pecos_ownership
DEROIN, KRISTY
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
DIMOND, MICHAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
DUNCAN, ROBERT
ADP OF THE SNF
—
2022-05-02
current
pecos_ownership
FLP, L.L.C.
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
GRIFFIN, WILLIAM
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KENNETH D. GREINER III REVOCABLE TRUST
5% OR GREATER SECURITY INTEREST
—
2020-12-31
current
pecos_ownership
LONG, DENNIS
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
ORIX REAL ESTATE CAPITAL LLC
5% OR GREATER MORTGAGE INTEREST
—
2014-10-01
current
pecos_ownership
RENEW PROPERTIES, LLC
ADP OF THE SNF
—
2018-03-01
current
pecos_ownership
SATHAIAH, MAGESH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
BRIDGES ESOP, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-12-31
ended 2026-05-18
pecos_ownership
WILLIAM COBLE
CORPORATE OFFICER
100%
2020-12-31
ended 2026-05-18
pecos_ownership
WILLIAM GRIFFIN
CORPORATE DIRECTOR
100%
2021-01-01
ended 2026-05-18
pecos_ownership
AUTUMN CALFE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-08
ended 2026-05-18
pecos_ownership
DENNIS LONG
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
KRISTY DEROIN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MAGESH SATHAIAH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
ended 2026-05-18
pecos_ownership
MICHAEL BOONE
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT DUNCAN
ADP OF THE SNF
—
2022-05-02
ended 2026-05-18
pecos_ownership
WILLIAM COBLE
ADP OF THE SNF
—
2021-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$632,495
—
—
—
—
1
—
2023-12-31
$611,636
—
—
—
$7,968
2
—
2022-12-31
$543,279
—
—
—
—
2
—
2021-12-31
$516,759
—
—
—
—
2
—
2020-12-31
$1,946,491
—
—
$394,337
—
5
—
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 40109
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
county 40109
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 40109
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 40109
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
3
$1,363
2024-12-31
CENSUS_ACS5
county 40109
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 40109
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 40109
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
county 40109
acs recent mover gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
0
$791
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
1
$762
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
2
$1,007
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
3
$1,321
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
4
$1,478
2024-12-31
CENSUS_ACS5
zcta 73008
acs median gross
$1,071
2024-12-31
CENSUS_ACS5
zcta 73008
acs recent mover gross
$1,102
2024-12-31
CENSUS_ACS5
zip 73008
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
1
$900
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
1
$1,000
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 73008
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 73008
safmr
4
$1,820
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.