Reads as: riskier than 95.3% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.9 vs natl
DEPIANO RICH
7 facilities
connection
Owner fleet risk far above national
+31.9 vs natl
SENIOR HEALTH SOUTH EX LLC
7 facilities
connection
Owner fleet risk far above national
+29.9 vs natl
SENIOR HEALTH PROPERTIES SOUTH INC
8 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
RICHMOND PENNY
25 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
FACILITY SUPPORT COMPANY LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
KANE FINANCIAL SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
CONSULTING SUPPORT SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
JAFFE HOWARD
37 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
MULLEN ANN
10 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 facilities
connection
Owner spans multiple chains
7 chains
OMEGA HEALTHCARE INVESTORS INC
44 facilities
connection
Owner fleet enforcement cluster
43% fined
DEPIANO RICH
7 facilities
connection
Owner fleet enforcement cluster
43% fined
SENIOR HEALTH SOUTH EX LLC
7 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 lease_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
FL median
National median
National p25–p75
Total nurse
2.98
3.42
3.28
2.90–3.77
RN
0.13
0.45
0.39
0.25–0.58
Weekend total
3.04
3.31
3.11
—
Weekday total
2.95
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.1
2.98
0.13
0.77
2.08
3.04
0.4%
2025Q3
92
59.7
3.08
0.21
0.70
2.17
3.12
3.0%
2025Q2
91
59.4
3.04
0.28
0.63
2.12
3.04
1.8%
2025Q1
90
62.0
3.00
0.29
0.65
2.06
3.06
0.1%
2024Q4
92
63.1
2.98
0.23
0.73
2.02
2.97
0.0%
2024Q3
92
54.2
3.10
0.21
0.78
2.11
3.13
0.1%
2024Q2
91
55.7
3.04
0.30
0.67
2.08
3.10
0.0%
2024Q1
91
58.6
3.10
0.37
0.61
2.13
3.00
0.1%
2023Q4
92
56.9
3.17
0.43
0.63
2.11
3.29
0.0%
2023Q3
92
58.6
3.04
0.46
0.55
2.03
3.17
0.0%
2023Q2
91
54.6
2.95
0.34
0.60
2.01
3.14
0.0%
2023Q1
90
54.0
3.03
0.39
0.60
2.04
3.19
0.0%
2022Q4
92
54.9
3.03
0.47
0.50
2.05
3.23
0.0%
2022Q3
92
59.4
3.09
0.45
0.53
2.11
3.28
0.0%
2022Q2
91
60.6
3.06
0.43
0.55
2.08
3.16
0.0%
2022Q1
90
61.5
3.38
0.41
0.59
2.39
3.44
0.0%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-05-25
2026-04-25
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-05-25
2026-04-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-05-25
2025-10-15
Health · complaint
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
2025-12-05
2025-10-15
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-12-05
2025-10-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-12-05
2025-09-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-09-22
2025-04-25
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-05-25
2025-04-25
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-05-25
2025-04-25
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2025-05-25
2025-04-25
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-05-25
2025-04-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-25
2025-02-13
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
2025-03-17
2025-02-13
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2025-03-17
2025-02-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-03-17
2025-02-13
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
2025-03-17
2025-02-13
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-03-17
2025-02-13
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-03-17
2025-02-13
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
2025-03-17
2025-02-13
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-03-17
2025-02-13
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
2025-03-17
2025-02-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-17
2025-02-13
Health
F0908
Keep all essential equipment working safely.
F
2025-03-17
2023-02-10
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-03-12
2023-02-10
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-03-12
2023-02-10
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
2023-03-12
2023-02-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2023-03-12
2023-02-10
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.
E
2023-03-12
2023-02-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-03-12
2023-02-10
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2023-03-12
2021-05-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2021-06-20
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
23
Owner
Role
Pct
From
Status
Source
SENIOR HEALTH PROPERTIES-SOUTH INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2000-11-30
current
pecos_ownership
SENIOR HEALTH SOUTH EX LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2000-11-20
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-28
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
CROCKETT WILSON, NEKEISHA
ADP OF THE SNF
—
2010-04-08
current
pecos_ownership
DEPIANO, RICH
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-06
current
pecos_ownership
MULLEN, ANN
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS, INC
ADP OF THE SNF
—
2005-09-01
current
pecos_ownership
RICHMOND, PENNY
CORPORATE OFFICER
—
2009-04-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
SENIOR HEALTH SOUTH EX LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
WHITE, SAMANTHA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-21
current
pecos_ownership
ANN MULLEN
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
PENNY RICHMOND
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
RICH DEPIANO
CORPORATE OFFICER
0%
2009-04-01
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
CORPORATE OFFICER
—
2009-04-01
ended 2026-05-18
pecos_ownership
NEKEISHA CROCKETT WILSON
ADP OF THE SNF
—
2010-04-08
ended 2026-05-18
pecos_ownership
SAMANTHA WHITE
ADP OF THE SNF
—
2021-10-21
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
$313,077
$50,088
—
—
—
7
—
2023-12-31
$283,483
$48,599
—
—
—
7
—
2022-12-31
$265,192
—
—
—
—
6
—
2021-12-31
$262,438
—
—
—
—
6
—
2020-12-31
$264,528
—
—
—
—
6
—
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 12103
acs median gross
0
$1,353
2024-12-31
CENSUS_ACS5
county 12103
fmr
0
$1,593
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
1
$1,391
2024-12-31
CENSUS_ACS5
county 12103
fmr
1
$1,696
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
2
$1,712
2024-12-31
CENSUS_ACS5
county 12103
fmr
2
$1,977
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 12103
fmr
3
$2,527
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
4
$2,324
2024-12-31
CENSUS_ACS5
county 12103
fmr
4
$3,077
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
5
$2,476
2024-12-31
CENSUS_ACS5
county 12103
acs median gross
$1,642
2024-12-31
CENSUS_ACS5
county 12103
acs recent mover gross
$1,906
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
0
$1,542
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
1
$1,226
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
2
$1,668
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
3
$1,978
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
4
$1,939
2024-12-31
CENSUS_ACS5
zcta 33705
acs median gross
$1,526
2024-12-31
CENSUS_ACS5
zcta 33705
acs recent mover gross
$2,177
2024-12-31
CENSUS_ACS5
zip 33705
payment standard 110
0
$1,793
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 90
0
$1,467
2025-10-01
HUD_USER_SAFMR
zip 33705
safmr
0
$1,630
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 33705
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 110
2
$2,222
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 90
2
$1,818
2025-10-01
HUD_USER_SAFMR
zip 33705
safmr
2
$2,020
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 110
3
$2,838
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 90
3
$2,322
2025-10-01
HUD_USER_SAFMR
zip 33705
safmr
3
$2,580
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 110
4
$3,454
2025-10-01
HUD_USER_SAFMR
zip 33705
payment standard 90
4
$2,826
2025-10-01
HUD_USER_SAFMR
zip 33705
safmr
4
$3,140
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.