Reads as: riskier than 90.1% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
GUTMAN ISAAC
22 facilities
connection
Owner spans multiple chains
7 chains
HOFFMAN ALEXANDER
20 facilities
connection
Owner fleet enforcement cluster
40% fined
AJ ARP LLC
5 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
AR median
National median
National p25–p75
Total nurse
2.48
3.38
3.28
2.90–3.77
RN
0.16
0.15
0.39
0.25–0.58
Weekend total
2.33
3.09
3.11
—
Weekday total
2.54
3.46
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.6
2.48
0.16
0.68
1.64
2.33
0.0%
2025Q3
92
78.7
2.92
0.11
0.81
2.00
2.69
0.0%
2025Q2
91
73.6
3.04
0.22
0.83
2.00
2.86
0.0%
2025Q1
90
71.1
3.19
0.22
0.85
2.13
3.14
0.0%
2024Q4
92
70.2
3.28
0.22
0.82
2.25
3.13
0.0%
2024Q3
92
65.8
3.64
0.27
0.86
2.51
3.47
0.0%
2024Q2
91
62.3
3.92
0.39
0.89
2.64
3.63
0.0%
2024Q1
91
60.0
3.73
0.53
0.78
2.42
3.29
0.0%
2023Q4
92
64.7
3.80
0.57
0.72
2.52
3.48
0.0%
2023Q3
92
73.4
3.17
0.41
0.59
2.17
2.90
0.0%
2023Q2
91
74.5
3.10
0.41
0.57
2.11
3.00
0.0%
2023Q1
90
73.6
2.83
0.60
0.49
1.75
2.73
0.0%
2022Q4
92
72.7
2.99
0.51
0.52
1.97
2.90
0.0%
2022Q3
92
73.3
2.63
0.55
0.44
1.65
2.40
0.0%
2022Q2
91
68.4
2.82
0.59
0.51
1.71
2.62
0.0%
2022Q1
90
68.3
2.81
0.41
0.62
1.77
2.55
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-03-27
2025-02-27
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
2025-03-27
2025-02-27
Health · complaint
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.
E
2025-03-27
2025-02-27
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2025-03-27
2025-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-27
2025-02-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-27
2024-05-22
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-06-19
2024-05-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-19
2024-02-02
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
E
2024-03-01
2024-02-02
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2024-03-01
2024-02-02
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
2024-03-01
2024-02-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-03-01
2024-02-02
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-03-01
2024-02-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-03-01
2024-02-02
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-03-01
2024-02-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-01
2024-02-02
Health
F0924
Put firmly secured handrails on each side of hallways.
E
2024-03-01
2022-10-28
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2022-11-27
2022-10-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-11-27
2022-10-28
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2022-11-27
2022-10-28
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.
E
2022-11-27
2022-10-28
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-11-27
2022-10-28
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2022-11-27
2022-10-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-11-27
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
25
Owner
Role
Pct
From
Status
Source
WEST MEMPHIS BUILDING LLC
Individual has financial interest in both related organization and provider
18%
2024-01-01
current
hcris_a_8_1
WEST MEMPHIS BUILDING LLC
Individual has financial interest in both related organization and provider
18%
2023-01-01
current
hcris_a_8_1
AJ-ARP LLC
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
FIGURES, KOYIA
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
GUTMAN, ISAAC
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
HOFFMAN, ALEXANDER
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
HOFFMAN, HELEN
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
KNOWLTON, LAPORTIA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
KURZ, CHAIM
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
KURZ, SOLOMON
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
WEST MEMPHIS BUILDING LLC
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
WHITE RIVER HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
WHITE RIVER HEALTHCARE LLC
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
ALEXANDER HOFFMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
28%
2021-01-01
ended 2026-05-18
pecos_ownership
ISAAC GUTMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
28%
2021-01-01
ended 2026-05-18
pecos_ownership
JACOB TAUB
5% OR GREATER DIRECT OWNERSHIP INTEREST
28%
2021-01-01
ended 2026-05-18
pecos_ownership
WEST MEMPHIS BUILDING LLC
Individual has financial interest in both related organization and provider
18%
2022-01-01
ended 2022-12-31
hcris_a_8_1
WM CRITTENDEN HOLDINGS LLC
Individual has financial interest in both related organization and provider
18%
2021-01-01
ended 2021-12-31
hcris_a_8_1
CHAIM HERZBERG
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2021-01-01
ended 2026-05-18
pecos_ownership
CHAIM KURZ
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
HELEN HOFFMAN
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
KOYIA FIGURES
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
LAPORTIA KNOWLTON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
ended 2026-05-18
pecos_ownership
SOLOMON KURZ
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
WM CRITTENDON HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$1,612,006
—
—
—
$94,215
15
propco
2023-12-31
$1,608,041
—
—
$11,918
$96,379
15
propco
2022-12-31
$474,880
—
—
—
$65,204
17
propco
2021-12-31
$153,930
—
—
—
—
14
propco
2020-12-31
$128,724
—
—
—
—
2
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
33
Geo
Kind
BR
Amount
As of
Source
county 05035
acs median gross
0
$911
2024-12-31
CENSUS_ACS5
county 05035
fmr
0
$1,060
2025-10-01
HUD_USER_FMR
county 05035
acs median gross
1
$655
2024-12-31
CENSUS_ACS5
county 05035
fmr
1
$1,154
2025-10-01
HUD_USER_FMR
county 05035
acs median gross
2
$838
2024-12-31
CENSUS_ACS5
county 05035
fmr
2
$1,274
2025-10-01
HUD_USER_FMR
county 05035
acs median gross
3
$1,114
2024-12-31
CENSUS_ACS5
county 05035
fmr
3
$1,683
2025-10-01
HUD_USER_FMR
county 05035
acs median gross
4
$1,204
2024-12-31
CENSUS_ACS5
county 05035
fmr
4
$1,959
2025-10-01
HUD_USER_FMR
county 05035
acs median gross
$911
2024-12-31
CENSUS_ACS5
county 05035
acs recent mover gross
$886
2024-12-31
CENSUS_ACS5
zcta 72301
acs median gross
1
$486
2024-12-31
CENSUS_ACS5
zcta 72301
acs median gross
2
$823
2024-12-31
CENSUS_ACS5
zcta 72301
acs median gross
3
$1,075
2024-12-31
CENSUS_ACS5
zcta 72301
acs median gross
4
$1,115
2024-12-31
CENSUS_ACS5
zcta 72301
acs median gross
$871
2024-12-31
CENSUS_ACS5
zcta 72301
acs recent mover gross
$852
2024-12-31
CENSUS_ACS5
zip 72301
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 72301
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 72301
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 72301
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 72301
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 72301
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 72301
safmr
4
$1,620
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.