Reads as: riskier than 62.6% 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 fleet enforcement cluster
43% fined
HATLESTAD STEVEN
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 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
3.25
3.03
3.28
2.90–3.77
RN
0.40
0.44
0.39
0.25–0.58
Weekend total
3.28
2.87
3.11
—
Weekday total
3.23
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.8
3.25
0.40
0.62
2.23
3.28
5.3%
2025Q3
92
37.5
3.06
0.47
0.57
2.02
2.99
4.8%
2025Q2
91
37.8
2.81
0.48
0.42
1.91
2.76
3.5%
2025Q1
90
33.5
2.99
0.47
0.37
2.16
3.08
0.0%
2024Q4
92
35.7
3.52
0.46
0.73
2.34
3.56
6.1%
2024Q3
92
35.9
3.39
0.59
0.55
2.25
3.21
0.4%
2024Q2
91
37.5
3.12
0.62
0.46
2.04
2.78
0.0%
2024Q1
91
38.3
3.25
0.45
0.62
2.18
3.19
0.0%
2023Q4
92
40.9
3.39
0.41
0.62
2.35
3.06
0.0%
2023Q3
92
41.4
3.21
0.46
0.57
2.18
3.17
0.0%
2023Q2
91
37.3
3.23
0.46
0.51
2.26
3.08
0.0%
2023Q1
90
39.5
3.22
0.63
0.36
2.23
3.07
0.0%
2022Q4
92
38.0
3.35
0.70
0.37
2.28
3.09
0.0%
2022Q3
92
36.5
3.48
0.71
0.47
2.30
3.13
0.0%
2022Q2
91
36.7
3.36
0.69
0.43
2.25
2.97
0.0%
2022Q1
90
37.7
3.10
0.58
0.39
2.13
2.97
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2026-03-24
2026-03-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
G
2026-03-24
2026-03-30
Health · complaint
F0610
Respond appropriately to all alleged violations.
G
2026-03-24
2025-04-16
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-30
2025-04-16
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
2025-05-30
2025-04-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-05-30
2025-04-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-30
2025-04-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-30
2025-04-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-05-30
2025-04-16
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-05-30
2025-04-16
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-05-30
2025-04-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-30
2025-04-16
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2025-05-30
2023-07-27
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
2023-08-16
2023-07-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-16
2023-07-27
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
2023-08-16
2023-07-27
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2023-08-16
2023-07-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-16
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
20
Owner
Role
Pct
From
Status
Source
R H MONTGOMERY PROPERTIES, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2003-01-01
current
pecos_ownership
MONTGOMERY, ANNA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-01-01
current
pecos_ownership
MONTGOMERY, RICHARD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
—
current
pecos_ownership
AMERICARE SYSTEMS, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2002-04-01
current
pecos_ownership
CROSSON, CLAY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-03-17
current
pecos_ownership
HATLESTAD, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2002-04-01
current
pecos_ownership
MONTGOMERY, RICHARD
CORPORATE DIRECTOR
—
2003-01-16
current
pecos_ownership
REIKER, JAMES
CONTRACTED MANAGING EMPLOYEE
—
2002-04-01
current
pecos_ownership
REIKER, JAMES
W-2 MANAGING EMPLOYEE
—
2003-01-01
current
pecos_ownership
SCHADE, KYLE
CONTRACTED MANAGING EMPLOYEE
—
2021-03-01
current
pecos_ownership
WINDHAM, JACLYN
W-2 MANAGING EMPLOYEE
—
2019-01-01
current
pecos_ownership
JACLYN WINDHAM
W-2 MANAGING EMPLOYEE
100%
2019-01-01
ended 2026-05-18
pecos_ownership
ANNA MONTGOMERY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-01-01
ended 2026-05-18
pecos_ownership
RICHARD MONTGOMERY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
—
ended 2026-05-18
pecos_ownership
CLAY CROSSON
OPERATIONAL/MANAGERIAL CONTROL
0%
2013-03-17
ended 2026-05-18
pecos_ownership
KYLE SCHADE
CORPORATE OFFICER
0%
2021-03-01
ended 2026-05-18
pecos_ownership
JAMES REIKER
CONTRACTED MANAGING EMPLOYEE
—
2002-04-01
ended 2026-05-18
pecos_ownership
JAMES REIKER
W-2 MANAGING EMPLOYEE
—
2003-01-01
ended 2026-05-18
pecos_ownership
RICHARD MONTGOMERY
CORPORATE DIRECTOR
—
2003-01-16
ended 2026-05-18
pecos_ownership
STEVEN HATLESTAD
OPERATIONAL/MANAGERIAL CONTROL
—
2002-04-01
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
2024-12-31
$168,801
—
—
—
—
2
—
2023-12-31
$144,237
—
—
—
—
2
—
2022-12-31
$126,130
—
—
—
—
2
—
2021-12-31
$105,004
—
—
—
—
2
—
2020-12-31
$120,067
—
—
—
—
2
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 20021
acs median gross
0
$667
2024-12-31
CENSUS_ACS5
county 20021
fmr
0
$664
2025-10-01
HUD_USER_FMR
county 20021
acs median gross
1
$524
2024-12-31
CENSUS_ACS5
county 20021
fmr
1
$668
2025-10-01
HUD_USER_FMR
county 20021
acs median gross
2
$786
2024-12-31
CENSUS_ACS5
county 20021
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20021
acs median gross
3
$1,040
2024-12-31
CENSUS_ACS5
county 20021
fmr
3
$1,157
2025-10-01
HUD_USER_FMR
county 20021
acs median gross
4
$852
2024-12-31
CENSUS_ACS5
county 20021
fmr
4
$1,161
2025-10-01
HUD_USER_FMR
county 20021
acs median gross
$799
2024-12-31
CENSUS_ACS5
county 20021
acs recent mover gross
$870
2024-12-31
CENSUS_ACS5
zcta 66739
acs median gross
2
$775
2024-12-31
CENSUS_ACS5
zcta 66739
acs median gross
3
$1,091
2024-12-31
CENSUS_ACS5
zcta 66739
acs median gross
$782
2024-12-31
CENSUS_ACS5
zip 66739
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 66739
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 110
1
$737
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 90
1
$603
2025-10-01
HUD_USER_SAFMR
zip 66739
safmr
1
$670
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 110
2
$968
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 90
2
$792
2025-10-01
HUD_USER_SAFMR
zip 66739
safmr
2
$880
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 110
3
$1,276
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 90
3
$1,044
2025-10-01
HUD_USER_SAFMR
zip 66739
safmr
3
$1,160
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 110
4
$1,276
2025-10-01
HUD_USER_SAFMR
zip 66739
payment standard 90
4
$1,044
2025-10-01
HUD_USER_SAFMR
zip 66739
safmr
4
$1,160
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.