Reads as: riskier than 52.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 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
NC median
National median
National p25–p75
Total nurse
2.91
3.08
3.28
2.90–3.77
RN
0.41
0.30
0.39
0.25–0.58
Weekend total
2.80
2.93
3.11
—
Weekday total
2.95
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.4
2.91
0.41
0.43
2.08
2.80
0.0%
2025Q3
92
55.9
3.05
0.40
0.51
2.15
2.75
0.0%
2025Q2
91
55.9
3.24
0.23
0.67
2.34
3.00
0.0%
2025Q1
90
56.8
2.75
0.20
0.67
1.89
2.60
0.5%
2024Q4
92
56.6
3.09
0.28
0.61
2.19
2.73
0.6%
2024Q3
92
56.6
3.20
0.19
0.66
2.35
2.85
0.0%
2024Q2
91
55.2
4.63
0.40
0.84
3.39
4.09
0.0%
2024Q1
91
56.1
4.66
0.48
0.71
3.47
3.97
0.0%
2023Q4
92
56.2
4.66
0.32
0.62
3.72
4.01
0.0%
2023Q3
92
56.9
4.28
0.28
0.81
3.19
3.83
0.0%
2023Q2
91
57.4
4.02
0.24
0.94
2.83
3.39
0.0%
2023Q1
90
57.9
3.67
0.23
0.91
2.54
3.11
0.0%
2022Q4
92
56.4
3.87
0.46
0.80
2.60
3.40
0.0%
2022Q3
92
55.0
4.01
0.44
0.86
2.71
3.43
2.6%
2022Q2
91
67.2
3.40
0.35
0.76
2.29
2.74
6.1%
2022Q1
90
73.1
2.79
0.20
0.81
1.77
2.44
15.7%
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.
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
2026-03-06
2025-01-24
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-02-19
2025-01-24
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-05-03
2025-01-24
Health
F0732
Post nurse staffing information every day.
B
2025-02-19
2025-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-19
2024-02-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-02-17
2024-02-08
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-02-17
2023-08-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-09-11
2023-08-21
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2022-11-12
2023-08-21
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-09-11
2023-08-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-11
2023-08-21
Health · complaint
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
2023-05-22
2023-08-21
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2023-09-11
2023-08-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-09-11
2023-08-21
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2023-09-11
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
18
Owner
Role
Pct
From
Status
Source
DANNER, JAMES
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-02
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
MAYNARD, CATHERINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-26
current
pecos_ownership
QAZI, MOHAMMAD
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
STOBB, DAVID
CORPORATE OFFICER
—
2016-02-01
current
pecos_ownership
ZENITH FINANCIAL GROUP, LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
ZENITH FINANCIAL GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
ANIS KHAN
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL ACQUISITION HOLDING CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE HOLDINGS, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
CATHERINE MAYNARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-26
ended 2026-05-18
pecos_ownership
JAMES DANNER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
2024-09-30
$387,636
—
$387,636
—
—
3
—
2023-09-30
$369,243
—
$369,243
—
—
3
—
2022-09-30
$376,901
—
$376,901
—
—
3
—
2021-09-30
$317,807
—
—
—
$69,498
3
—
2020-09-30
$275,662
—
—
—
$62,949
3
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 37159
fmr
0
$952
2025-10-01
HUD_USER_FMR
county 37159
acs median gross
1
$870
2024-12-31
CENSUS_ACS5
county 37159
fmr
1
$958
2025-10-01
HUD_USER_FMR
county 37159
acs median gross
2
$991
2024-12-31
CENSUS_ACS5
county 37159
fmr
2
$1,196
2025-10-01
HUD_USER_FMR
county 37159
acs median gross
3
$1,106
2024-12-31
CENSUS_ACS5
county 37159
fmr
3
$1,573
2025-10-01
HUD_USER_FMR
county 37159
acs median gross
4
$1,924
2024-12-31
CENSUS_ACS5
county 37159
fmr
4
$2,006
2025-10-01
HUD_USER_FMR
county 37159
acs median gross
5
$3,139
2024-12-31
CENSUS_ACS5
county 37159
acs median gross
$1,013
2024-12-31
CENSUS_ACS5
county 37159
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 28147
acs median gross
0
$1,821
2024-12-31
CENSUS_ACS5
zcta 28147
acs median gross
1
$1,195
2024-12-31
CENSUS_ACS5
zcta 28147
acs median gross
2
$1,079
2024-12-31
CENSUS_ACS5
zcta 28147
acs median gross
3
$1,337
2024-12-31
CENSUS_ACS5
zcta 28147
acs median gross
$1,158
2024-12-31
CENSUS_ACS5
zcta 28147
acs recent mover gross
$1,257
2024-12-31
CENSUS_ACS5
zip 28147
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 28147
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 28147
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 28147
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 110
3
$1,771
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 90
3
$1,449
2025-10-01
HUD_USER_SAFMR
zip 28147
safmr
3
$1,610
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 28147
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 28147
safmr
4
$2,050
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.