Reads as: riskier than 24.1% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
MISTRETTA CASSANDRA
9 facilities
connection
Owner spans multiple chains
7 chains
PFEIFER MARY
7 facilities
connection
Owner spans multiple chains
4 chains
EMPOWER HEALTHCARE MANAGEMENT LLC
4 facilities
connection
Owner spans multiple chains
4 chains
EMPOWER OPCO LLC
4 facilities
connection
Owner fleet enforcement cluster
40% fined
EMPOWER HEALTHCARE MANAGEMENT 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
TX median
National median
National p25–p75
Total nurse
3.11
2.67
3.28
2.90–3.77
RN
0.23
0.24
0.39
0.25–0.58
Weekend total
2.90
2.56
3.11
—
Weekday total
3.19
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.3
3.11
0.23
0.93
1.95
2.90
25.8%
2025Q3
92
30.2
3.42
0.27
1.03
2.11
3.24
32.7%
2025Q2
91
30.4
2.97
0.27
0.87
1.83
2.93
28.4%
2025Q1
90
23.6
3.12
0.54
0.58
1.99
3.02
9.9%
2024Q4
92
26.3
2.94
0.41
0.76
1.76
2.87
11.2%
2024Q3
92
25.2
2.98
0.32
0.88
1.78
3.03
10.6%
2024Q2
91
27.1
2.89
0.26
0.88
1.75
2.89
8.0%
2024Q1
91
26.7
2.88
0.26
0.89
1.72
2.80
0.0%
2023Q4
92
30.3
2.85
0.26
0.90
1.69
2.85
13.9%
2023Q3
92
31.9
2.78
0.24
0.89
1.64
2.78
16.7%
2023Q2
91
31.8
2.83
0.23
0.95
1.66
2.86
12.3%
2023Q1
90
30.8
2.90
0.26
1.03
1.62
2.81
2.1%
2022Q4
92
34.3
2.90
0.22
0.99
1.70
2.86
4.6%
2022Q3
92
36.3
2.96
0.23
1.07
1.66
2.93
18.0%
2022Q2
91
33.9
2.90
0.21
0.98
1.71
2.85
5.1%
2022Q1
90
34.7
3.15
0.29
0.99
1.87
2.81
25.1%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
9
C × 1D × 3E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-13
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.
D
2026-03-31
2026-03-13
Health · complaint
F0949
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
E
2026-04-06
2025-12-27
Health · complaint
F0844
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
C
2026-01-14
2024-12-19
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-12-23
2024-12-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-01-09
2024-07-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-08-06
2023-11-02
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.
E
2023-11-20
2023-11-02
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-21
2023-11-02
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-11-20
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
20
Owner
Role
Pct
From
Status
Source
CHILDRESS COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-04-01
current
pecos_ownership
300 SOUTH JACKSON LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
BRECKENRIDGETX LLC
—
—
2026-04-01
current
tx_hhsc_directory
BRECKERIDGETX LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
CHILDRESS COUNTY HOSPITAL DISTRICT
—
—
2026-04-01
current
tx_hhsc_directory
EMPOWER HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
EMPOWER OPCO LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
GRAY, DEANNE
ADP OF THE SNF
—
2023-03-20
current
pecos_ownership
HOLCOMB, HOLLY
CORPORATE OFFICER
—
2021-05-29
current
pecos_ownership
MISTRETTA, CASSANDRA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-03-24
current
pecos_ownership
PFEIFER, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
current
pecos_ownership
PRATER, WILLIAM
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
STRATTON, EMILEE
CORPORATE OFFICER
—
2018-03-18
current
pecos_ownership
TEXAS SENIOR REALTY VENTURES LLC
ADP OF THE SNF
—
2025-08-01
current
pecos_ownership
EMILEE STRATTON
CORPORATE OFFICER
—
2018-03-18
ended 2026-05-18
pecos_ownership
EMILEE STRATTON
W-2 MANAGING EMPLOYEE
—
2014-05-07
ended 2026-05-18
pecos_ownership
HOLLY HOLCOMB
W-2 MANAGING EMPLOYEE
—
1996-04-15
ended 2026-05-18
pecos_ownership
HOLLY HOLCOMB
CORPORATE OFFICER
—
2021-05-29
ended 2026-05-18
pecos_ownership
KASHA SMITH
W-2 MANAGING EMPLOYEE
—
2020-07-29
ended 2026-05-18
pecos_ownership
VILLA HAVEN HEALTH CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
30
Geo
Kind
BR
Amount
As of
Source
county 48429
fmr
0
$789
2025-10-01
HUD_USER_FMR
county 48429
acs median gross
1
$808
2024-12-31
CENSUS_ACS5
county 48429
fmr
1
$811
2025-10-01
HUD_USER_FMR
county 48429
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
county 48429
fmr
2
$1,015
2025-10-01
HUD_USER_FMR
county 48429
acs median gross
3
$1,301
2024-12-31
CENSUS_ACS5
county 48429
fmr
3
$1,321
2025-10-01
HUD_USER_FMR
county 48429
fmr
4
$1,493
2025-10-01
HUD_USER_FMR
county 48429
acs median gross
$846
2024-12-31
CENSUS_ACS5
county 48429
acs recent mover gross
$1,102
2024-12-31
CENSUS_ACS5
zcta 76424
acs median gross
1
$808
2024-12-31
CENSUS_ACS5
zcta 76424
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
zcta 76424
acs median gross
3
$1,301
2024-12-31
CENSUS_ACS5
zcta 76424
acs median gross
$845
2024-12-31
CENSUS_ACS5
zcta 76424
acs recent mover gross
$1,102
2024-12-31
CENSUS_ACS5
zip 76424
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 76424
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 76424
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 76424
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 110
3
$1,441
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 90
3
$1,179
2025-10-01
HUD_USER_SAFMR
zip 76424
safmr
3
$1,310
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 76424
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 76424
safmr
4
$1,490
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.