Reads as: riskier than 66.0% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
EDURO HEALTHCARE LLC
10 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
MONROE DUSTIN
9 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
THOMPSON CHRISTOPHER
11 facilities
connection
Owner fleet risk far above national
+21.6 vs natl
ECAPITAL HEALTHCARE CORP
26 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
BEWSEY MICHAEL
31 facilities
connection
Owner spans multiple chains
18 chains
CTR PARTNERSHIP LP
99 facilities
connection
Owner spans multiple chains
15 chains
CARETRUST REIT INC
96 facilities
connection
Owner spans multiple chains
11 chains
CARETRUST GP LLC
89 facilities
connection
Owner spans multiple chains
6 chains
BEWSEY MICHAEL
29 facilities
connection
Owner spans multiple chains
6 chains
ECAPITAL HEALTHCARE CORP
24 facilities
connection
Owner fleet enforcement cluster
62% fined
ECAPITAL HEALTHCARE CORP
26 facilities
connection
Owner fleet enforcement cluster
56% fined
MONROE DUSTIN
9 facilities
connection
Owner fleet enforcement cluster
50% fined
EDURO HEALTHCARE LLC
10 facilities
connection
Owner fleet enforcement cluster
48% fined
BEWSEY MICHAEL
31 facilities
connection
Owner fleet enforcement cluster
46% fined
THOMPSON CHRISTOPHER
11 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
MT median
National median
National p25–p75
Total nurse
2.09
3.25
3.28
2.90–3.77
RN
0.36
0.62
0.39
0.25–0.58
Weekend total
2.06
3.12
3.11
—
Weekday total
2.10
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.9
2.09
0.36
0.29
1.43
2.06
6.0%
2025Q3
92
64.7
2.13
0.35
0.31
1.48
2.03
7.8%
2025Q2
91
64.8
1.68
0.25
0.32
1.11
1.76
14.0%
2025Q1
90
67.6
1.89
0.21
0.35
1.33
1.99
38.6%
2024Q4
92
64.3
1.92
0.15
0.35
1.41
1.88
46.5%
2024Q3
92
66.3
1.98
0.14
0.51
1.33
1.88
37.0%
2024Q2
91
64.7
2.13
0.17
0.53
1.43
1.77
23.4%
2024Q1
91
66.0
2.15
0.19
0.51
1.45
2.05
28.3%
2023Q4
92
64.2
2.07
0.15
0.55
1.36
1.82
23.9%
2023Q3
92
65.2
2.03
0.22
0.46
1.35
1.84
15.2%
2023Q2
91
65.1
2.14
0.22
0.38
1.54
1.88
9.6%
2023Q1
90
62.6
1.97
0.09
0.48
1.40
1.94
20.1%
2022Q4
92
61.2
2.21
0.12
0.57
1.52
2.07
31.1%
2022Q3
92
65.6
1.96
0.21
0.43
1.33
1.89
22.9%
2022Q2
91
63.6
1.95
0.28
0.41
1.26
2.00
11.8%
2022Q1
90
63.5
1.96
0.19
0.45
1.32
1.93
12.9%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
26
D × 15E × 7F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-10
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-03-10
2026-02-10
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-03-10
2026-02-10
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-03-10
2026-02-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-10
2026-02-10
Health
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.
E
2026-03-10
2026-02-10
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2026-03-10
2026-02-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-10
2026-02-10
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-03-10
2026-02-10
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-03-10
2026-02-10
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.
F
2026-03-10
2026-02-10
Health
F0791
Provide or obtain dental services for each resident.
D
2026-03-10
2026-02-10
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2026-03-10
2026-02-10
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2026-03-10
2026-02-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-10
2026-02-10
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2026-03-10
2026-02-10
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-03-10
2024-12-19
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-01-10
2024-12-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-10
2024-12-19
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-01-10
2024-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-10
2024-12-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-10
2023-12-19
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
2024-01-10
2023-12-19
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
2024-01-10
2023-12-19
Health
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.
E
2024-01-10
2023-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-01-10
2023-12-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-01-10
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
29
Owner
Role
Pct
From
Status
Source
ALLRED JACKSON, P.C.
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
ALLRED JACKSON, P.C.
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
BEWSEY ENTERPRISES LLC
INDIRECT OWNERSHIP INTEREST
—
2020-09-01
current
pecos_ownership
BEWSEY, MICHAEL
CORPORATE DIRECTOR
—
2020-09-01
current
pecos_ownership
BUTLER, SCOTT
ADP OF THE SNF
—
2023-02-27
current
pecos_ownership
CARETRUST GP LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
CARETRUST REIT INC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
CTR PARTNERSHIP LP
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
DODGE, JENIFER
ADP OF THE SNF
—
2023-09-22
current
pecos_ownership
ECAPITAL HEALTHCARE CORP
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
ECAPITAL HEALTHCARE CORP
5% OR GREATER SECURITY INTEREST
—
2020-09-01
current
pecos_ownership
EDURO HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
HORN, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-31
current
pecos_ownership
KIRKPATRICK, KAREN
ADP OF THE SNF
—
2023-09-18
current
pecos_ownership
MARSH, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
MCGAHA, BRENDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
MOFFITT, KATHLEEN
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
MONROE, DUSTIN
CORPORATE OFFICER
—
2020-09-01
current
pecos_ownership
THOMPSON, CHRISTOPHER
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
WILLIAMS, HEIDI
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
WSRP, LLC
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
WSRP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
EDURO HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2020-07-07
ended 2026-05-18
pecos_ownership
ELKHORN REALTY COMPANY
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-09-30
hcris_a_8_1
MICHAEL BEWSEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-07-07
ended 2026-05-18
pecos_ownership
BRENDA MCGAHA
W-2 MANAGING EMPLOYEE
—
2022-05-03
ended 2026-05-18
pecos_ownership
DUSTIN MONROE
CORPORATE OFFICER
—
2023-06-01
ended 2026-05-18
pecos_ownership
JENIFER DODGE
W-2 MANAGING EMPLOYEE
—
2024-01-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$375,029
—
—
—
$31,403
4
—
2023-12-31
$407,138
—
—
—
$91,580
5
—
2022-12-31
$356,916
—
—
—
$8,502
5
—
2021-12-31
$430,100
—
—
—
—
3
—
2020-12-31
$93,206
—
—
—
—
4
—
2020-09-30
$331,497
—
—
—
—
7
propco
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
27
Geo
Kind
BR
Amount
As of
Source
county 30043
fmr
0
$968
2025-10-01
HUD_USER_FMR
county 30043
acs median gross
1
$406
2024-12-31
CENSUS_ACS5
county 30043
fmr
1
$1,070
2025-10-01
HUD_USER_FMR
county 30043
acs median gross
2
$887
2024-12-31
CENSUS_ACS5
county 30043
fmr
2
$1,404
2025-10-01
HUD_USER_FMR
county 30043
acs median gross
3
$1,191
2024-12-31
CENSUS_ACS5
county 30043
fmr
3
$1,946
2025-10-01
HUD_USER_FMR
county 30043
acs median gross
4
$985
2024-12-31
CENSUS_ACS5
county 30043
fmr
4
$1,954
2025-10-01
HUD_USER_FMR
county 30043
acs median gross
$925
2024-12-31
CENSUS_ACS5
zcta 59634
acs median gross
1
$775
2024-12-31
CENSUS_ACS5
zcta 59634
acs median gross
$994
2024-12-31
CENSUS_ACS5
zip 59634
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 59634
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 59634
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 59634
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 110
3
$2,673
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 90
3
$2,187
2025-10-01
HUD_USER_SAFMR
zip 59634
safmr
3
$2,430
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 110
4
$2,772
2025-10-01
HUD_USER_SAFMR
zip 59634
payment standard 90
4
$2,268
2025-10-01
HUD_USER_SAFMR
zip 59634
safmr
4
$2,520
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.