CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 17:26 UTC
Parallel model engine

ML Lab

the parallel engine — runs beside the deterministic composite, never inside it · every finding is a reproducible SQL read
Open anomalies
499
data contradicting peers or own record
Open connections
2,907
implied by the ontology, stated nowhere
Last scan
2026-07-29
weekly · Mondays 09:40 UTC · pg_cron
Learned models
2
score refresh weekly · retrain monthly

Engine runs

KindStartedFinishedOKStats
anomaly_scan2026-07-292026-07-29yesresolved=0 · penalty_spike=234 · staffing_cliff=127 · ownership_churn=0 · staffing_collapse=35 · high_risk_high_stars=103
connection_scan2026-07-292026-07-29yesresolved=0 · serial_acquirer=5 · cross_chain_owner=500 · enforcement_cluster=938 · fleet_risk_signature=1464
retrain2026-08-012026-08-01FAILEDerror=No module named 'numpy'
score_refresh2026-08-032026-08-03FAILEDerror=permission denied for table cii_model_registry
model p_adverse_action_12m2026-07-29v0.1defaultR23/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.
model p_chow_12m2026-07-29v0.1defaultR22/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.
scans execute inside Postgres on pg_cron; score refreshes and retrains run in the API process, triggered over pg_net — the cadence survives sandbox loss

Anomalies — 35 open · Staffing collapse

FacilityTypeSignalSettingStateCityFirst seen
MAISON TECHE NURSING CENTERStaffing collapse5.4σ below state meansnfLAJEANERETTE2026-07-29
Avoyelles Manor Nursing HomeStaffing collapse5.3σ below state meansnfLADUPONT2026-07-29
Rose Linn Care CenterStaffing collapse5.3σ below state meansnfORWEST LINN2026-07-29
Heritage Gardens Health Care CenterStaffing collapse4.5σ below state meansnfCALoma Linda2026-07-29
SAMARITAN KEEP NURSING HOME INCStaffing collapse4.4σ below state meansnfNYWATERTOWN2026-07-29
SAMARITAN SENIOR VILLAGE, INCStaffing collapse4.4σ below state meansnfNYWATERTOWN2026-07-29
REHABILITATION CENTER AT JEFFERSON HILLS, THEStaffing collapse4.3σ below state meansnfPAJEFFERSON HILLS2026-07-29
ST LUKE LIVING CENTERStaffing collapse4.1σ below state meansnfKSMARION2026-07-29
Beaconshire Nursing CentreStaffing collapse4.0σ below state meansnfMIDetroit2026-07-29
Bayou Vista Nursing and Rehab CenterStaffing collapse4.0σ below state meansnfLABUNKIE2026-07-29
Mahoning Operating LLCStaffing collapse3.9σ below state meansnfPALEHIGHTON2026-07-29
DELMAR GARDENS OF LENEXAStaffing collapse3.9σ below state meansnfKSLENEXA2026-07-29
La Bella of MorrisonStaffing collapse3.9σ below state meansnfILMORRISON2026-07-29
Madison Healthcare ServicesStaffing collapse3.8σ below state meansnfMNMADISON2026-07-29
EAMC LANIER NURSING HOMEStaffing collapse3.7σ below state meansnfALVALLEY2026-07-29
PARKVIEW HEALTHCARE CENTERStaffing collapse3.7σ below state meansnfCAANAHEIM2026-07-29
LATIMER NURSING HOMEStaffing collapse3.6σ below state meansnfOKWILBURTON2026-07-29
BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANORStaffing collapse3.6σ below state meansnfTXBOOKER2026-07-29
Hayes ResidenceStaffing collapse3.1σ below state meansnfMNSAINT PAUL2026-07-29
Bywood East Health CareStaffing collapse3.1σ below state meansnfMNMINNEAPOLIS2026-07-29
COLDWATER MANORStaffing collapse3.1σ below state meansnfTXSTRATFORD2026-07-29
HILLSIDE MANOR NURSING HOMEStaffing collapse3.0σ below state meansnfINWASHINGTON2026-07-29
Birchwood Care HomeStaffing collapse2.9σ below state meansnfMNMINNEAPOLIS2026-07-29
REDDING POST ACUTEStaffing collapse2.8σ below state meansnfCAREDDING2026-07-29
Santa Fe Care CenterStaffing collapse2.8σ below state meansnfNMSanta Fe2026-07-29
latest quarter total nurse HPRD ≥2.5 state standard deviations below the state mean (census ≥20, ≥60 days reported)

Connections — 1,464 open · Fleet risk signature

SubjectRelationStrengthEvidenceFirst seen
IOWA 5784 LLCFleet risk signature+47.8 vs national · 5 facilitiesstates: IAfleet mean 97.4 vs national 49.72026-07-29
AMARANTHINE HOLDINGS LLCFleet risk signature+47.2 vs national · 5 facilitiesstates: IAfleet mean 96.8 vs national 49.72026-07-29
CARESAGE ADMINISTRATIVE CONSULTING LLCFleet risk signature+47.2 vs national · 5 facilitiesstates: IAfleet mean 96.8 vs national 49.72026-07-29
JSJ 2020 FAMILY TRFleet risk signature+47.2 vs national · 5 facilitiesstates: IAfleet mean 96.8 vs national 49.72026-07-29
HOWARD DANIELFleet risk signature+46.2 vs national · 6 facilitiesstates: MDfleet mean 95.9 vs national 49.72026-07-29
PANCER AARONFleet risk signature+46.0 vs national · 6 facilitiesstates: ILfleet mean 95.6 vs national 49.72026-07-29
KEYSTONE HOLDING GROUP II LLCFleet risk signature+45.7 vs national · 5 facilitiesstates: ILfleet mean 95.4 vs national 49.72026-07-29
HCF HOMECARE INCFleet risk signature+45.4 vs national · 5 facilitiesstates: OH, PAfleet mean 95.1 vs national 49.72026-07-29
BLOOMING WILLOW PARTNERS LLCFleet risk signature+45.3 vs national · 5 facilitiesstates: MOfleet mean 95 vs national 49.72026-07-29
DERHOBEN TRUSTFleet risk signature+45.3 vs national · 5 facilitiesstates: MOfleet mean 95 vs national 49.72026-07-29
PAS B SOL TRUSTFleet risk signature+45.3 vs national · 5 facilitiesstates: MOfleet mean 95 vs national 49.72026-07-29
WILDFLOWER HEALTHCARE LLCFleet risk signature+45.3 vs national · 5 facilitiesstates: MOfleet mean 95 vs national 49.72026-07-29
GOLDEN LAURENFleet risk signature+44.8 vs national · 8 facilitiesstates: TXfleet mean 94.5 vs national 49.72026-07-29
DOYLE MARIAFleet risk signature+44.7 vs national · 5 facilitiesstates: IN, KYfleet mean 94.3 vs national 49.72026-07-29
JACOBS HYMANFleet risk signature+44.7 vs national · 8 facilitiesstates: NJfleet mean 94.3 vs national 49.72026-07-29
WATSON NATHANFleet risk signature+44.7 vs national · 5 facilitiesstates: TXfleet mean 94.4 vs national 49.72026-07-29
SHABAT RONALDFleet risk signature+44.6 vs national · 5 facilitiesstates: ILfleet mean 94.2 vs national 49.72026-07-29
GOLDEN SHAWNFleet risk signature+44.4 vs national · 5 facilitiesstates: TXfleet mean 94.1 vs national 49.72026-07-29
SLM INVESTMENTS LLCFleet risk signature+44.4 vs national · 5 facilitiesstates: TXfleet mean 94.1 vs national 49.72026-07-29
CHAD UNVERFERTHFleet risk signature+44.1 vs national · 6 facilitiesstates: OH, PAfleet mean 93.8 vs national 49.72026-07-29
METTERNICH CHRISTOPHERFleet risk signature+44.1 vs national · 8 facilitiesstates: NJfleet mean 93.8 vs national 49.72026-07-29
CELESTE KLAYFleet risk signature+43.9 vs national · 6 facilitiesstates: OH, PAfleet mean 93.6 vs national 49.72026-07-29
KERRI ROMESFleet risk signature+43.9 vs national · 6 facilitiesstates: OH, PAfleet mean 93.6 vs national 49.72026-07-29
PRINCE DANNYFleet risk signature+43.9 vs national · 12 facilitiesstates: TXfleet mean 93.6 vs national 49.72026-07-29
SCOTT UNVERFERTHFleet risk signature+43.9 vs national · 6 facilitiesstates: OH, PAfleet mean 93.6 vs national 49.72026-07-29
owner fleets of 5+ scored facilities whose mean composite sits 20+ points above the national mean