Reads as: riskier than 38.3% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
7 chains
MCCUE TAMARA
10 facilities
connection
Owner fleet enforcement cluster
46% fined
MCCUE TAMARA
13 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
KS median
National median
National p25–p75
Total nurse
2.95
3.03
3.28
2.90–3.77
RN
0.38
0.44
0.39
0.25–0.58
Weekend total
2.73
2.87
3.11
—
Weekday total
3.04
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.2
2.95
0.38
0.42
2.15
2.73
0.0%
2025Q3
92
55.2
3.30
0.38
0.65
2.27
3.02
0.0%
2025Q2
91
47.6
3.42
0.43
0.56
2.42
3.08
0.0%
2025Q1
90
47.5
3.50
0.38
0.69
2.43
3.13
0.0%
2024Q4
92
46.1
3.20
0.39
0.52
2.29
2.93
0.0%
2024Q3
92
49.1
3.51
0.32
0.61
2.58
3.26
0.0%
2024Q2
91
53.3
3.54
0.43
0.45
2.66
3.37
0.0%
2024Q1
91
54.6
3.70
0.45
0.53
2.72
3.32
0.0%
2023Q4
92
54.5
3.13
0.48
0.46
2.18
2.67
0.0%
2023Q3
92
55.8
3.03
0.47
0.40
2.16
2.54
0.0%
2023Q2
91
57.6
3.18
0.40
0.53
2.25
2.84
0.0%
2023Q1
90
56.0
2.70
0.12
0.48
2.10
2.53
0.0%
2022Q4
92
50.6
3.20
0.14
0.81
2.25
2.83
0.0%
2022Q3
92
52.4
3.10
0.17
0.84
2.08
2.64
21.5%
2022Q2
91
51.2
3.13
0.25
0.85
2.04
2.86
40.6%
2022Q1
90
49.1
2.79
0.29
0.44
2.06
2.52
34.0%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-19
2023-02-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-03-22
2023-02-08
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-03-22
2023-02-08
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
2023-03-22
2023-02-08
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-22
2023-02-08
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-03-22
2023-02-08
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2023-03-22
2023-02-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-03-22
2021-04-20
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2021-05-26
2021-04-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-05-26
2021-04-20
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
2021-05-26
2021-04-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-05-26
2021-04-20
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2021-05-26
2021-04-20
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-05-26
2021-04-20
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2021-05-26
2021-04-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-05-26
2021-04-20
Health
F0814
Dispose of garbage and refuse properly.
F
2021-05-26
2021-04-20
Health
F0880
Provide and implement an infection prevention and control program.
F
2021-05-26
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
77
Owner
Role
Pct
From
Status
Source
ARIA DENTAL CARE PC
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES INC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
AUBURN PHARMACY INC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
BANK OF NY MELLON
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
BRETTON, ANGELICA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
current
pecos_ownership
BRETTON, ANGELICA
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
BURRUS, MICHAEL
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
CAMPBELL, BRIAN
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
CARTER, ANDREA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
CATHOLIC CARE CENTER INC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
CAUDLE, KENDALL
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
DAVIS, BRENDA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
DEHASS, BRENDA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
DETTWILLER RCM CONSULTING, LLC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
ETHEREDGE, WESLEY
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
FUNK, JONATHAN
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
GIRRENS, JONI
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
GUTHRIE, GEORGE
CORPORATE OFFICER
—
2025-05-15
current
pecos_ownership
HAMPEL, MELICIA
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
HEALTH TECHNOLOGIES, INC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
HIEBERT, DEVON
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
HINSHAW, MICAH
CORPORATE OFFICER
—
2025-05-15
current
pecos_ownership
HOFFMAN, MARK
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
IPC HEALTHCARE INC
ADP OF THE SNF
—
2026-01-28
current
pecos_ownership
IPC HEALTHCARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
JADYN RYA SAUNDERS
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
KANSAS STATE BANK
ADP OF THE SNF
—
2017-07-12
current
pecos_ownership
LAFLEUR, CYNTHIA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
LAZAR, JERALD
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
MACIAS, JEAN
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
MCCUE, TAMARA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-01
current
pecos_ownership
MEIER-MCFERREN, SHAWN
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
MEIER, CONNOR
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
NATIONWIDE MUTUAL INSURANCE COMPANY
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
OBLINGER, WARREN
CORPORATE OFFICER
—
2025-05-15
current
pecos_ownership
POOL, SUSAN
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
QUALITY REHAB MANAGEMENT
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
SANDERS, JENNIFER
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
SCHUMER, MARY
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
STRECKER, KEVIN
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
TERESA A. UNRUH
ADP OF THE SNF
—
1990-01-01
current
pecos_ownership
TRAN, DAN
CORPORATE DIRECTOR
—
2025-05-15
current
pecos_ownership
VEGA, DANIELLE
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
WOODROW, FELICIA
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
YORK, PATRICK
CORPORATE OFFICER
—
2025-05-15
current
pecos_ownership
ANDREA CARTER
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
BRENDA DAVIS
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
BRENDA DEHASS
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
BRIAN CAMPBELL
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
CONNOR MEIER
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
CYNTHIA LAFLEUR
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
DAN TRAN
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
DANIELLE VEGA
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
DEVON HIEBERT
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
GEORGE GUTHRIE
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
JEAN MACIAS
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
JENNIFER SANDERS
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
JERALD LAZAR
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
JONATHAN FUNK
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
JONI GIRRENS
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
KEVIN STRECKER
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
MARK HOFFMAN
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
MARY SCHUMER
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
MELICIA HAMPEL
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
MICAH HINSHAW
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
MICHAEL BURRUS
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
PATRICK YORK
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
SHAWN MEIER-MCFERREN
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
SUSAN POOL
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
WARREN OBLINGER
CORPORATE OFFICER
0%
2025-05-15
ended 2026-05-18
pecos_ownership
WESLEY ETHEREDGE
CORPORATE DIRECTOR
0%
2025-05-15
ended 2026-05-18
pecos_ownership
ANGELICA BRETTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-15
ended 2026-05-18
pecos_ownership
ANGELICA BRETTON
ADP OF THE SNF
—
2025-07-01
ended 2026-05-18
pecos_ownership
FELICIA WOODROW
ADP OF THE SNF
—
2025-05-15
ended 2026-05-18
pecos_ownership
KENDALL CAUDLE
ADP OF THE SNF
—
2025-05-15
ended 2026-05-18
pecos_ownership
TAMARA MCCUE
ADP OF THE SNF
—
2020-05-01
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
31
Geo
Kind
BR
Amount
As of
Source
county 20191
acs median gross
0
$349
2024-12-31
CENSUS_ACS5
county 20191
fmr
0
$751
2025-10-01
HUD_USER_FMR
county 20191
acs median gross
1
$499
2024-12-31
CENSUS_ACS5
county 20191
fmr
1
$812
2025-10-01
HUD_USER_FMR
county 20191
acs median gross
2
$1,030
2024-12-31
CENSUS_ACS5
county 20191
fmr
2
$1,065
2025-10-01
HUD_USER_FMR
county 20191
acs median gross
3
$1,108
2024-12-31
CENSUS_ACS5
county 20191
fmr
3
$1,277
2025-10-01
HUD_USER_FMR
county 20191
acs median gross
4
$976
2024-12-31
CENSUS_ACS5
county 20191
fmr
4
$1,410
2025-10-01
HUD_USER_FMR
county 20191
acs median gross
$825
2024-12-31
CENSUS_ACS5
county 20191
acs recent mover gross
$723
2024-12-31
CENSUS_ACS5
zcta 67110
acs median gross
1
$828
2024-12-31
CENSUS_ACS5
zcta 67110
acs median gross
2
$1,079
2024-12-31
CENSUS_ACS5
zcta 67110
acs median gross
3
$1,069
2024-12-31
CENSUS_ACS5
zcta 67110
acs median gross
$1,070
2024-12-31
CENSUS_ACS5
zip 67110
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 67110
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 67110
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 67110
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 110
3
$1,925
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 90
3
$1,575
2025-10-01
HUD_USER_SAFMR
zip 67110
safmr
3
$1,750
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 110
4
$2,321
2025-10-01
HUD_USER_SAFMR
zip 67110
payment standard 90
4
$1,899
2025-10-01
HUD_USER_SAFMR
zip 67110
safmr
4
$2,110
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.