Reads as: riskier than 76.8% 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
17
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+35.0 vs natl
HOUSE JANELLE
5 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
6 facilities
WINNIE-STOWELL HOSPITAL DISTRICT
6 facilities
connection
Owner spans multiple chains
5 chains
HOUSE JANELLE
5 facilities
connection
Owner fleet enforcement cluster
60% fined
HOUSE JANELLE
5 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 facilities
connection
Owner fleet enforcement cluster
46% fined
MURRELL EDWARD
76 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
2.44
2.67
3.28
2.90–3.77
RN
0.00
0.24
0.39
0.25–0.58
Weekend total
2.25
2.56
3.11
—
Weekday total
2.52
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.1
2.44
0.00
0.59
1.85
2.25
0.0%
2025Q3
92
38.2
2.40
0.03
0.52
1.85
2.19
0.0%
2025Q2
91
37.5
1.87
0.08
0.39
1.39
1.70
0.0%
2025Q1
90
35.3
2.64
0.15
0.63
1.86
2.60
0.0%
2024Q4
92
38.0
2.50
0.01
0.60
1.89
2.46
0.0%
2024Q3
92
39.1
2.70
0.07
0.84
1.79
2.66
0.0%
2024Q2
91
43.2
3.04
0.09
1.11
1.84
3.08
15.1%
2024Q1
91
41.9
2.99
0.05
1.18
1.76
2.83
2.4%
2023Q4
92
48.0
2.76
0.04
0.99
1.73
2.72
0.6%
2023Q3
92
50.5
2.83
0.08
0.99
1.76
2.83
8.6%
2023Q2
91
49.6
2.99
0.07
1.06
1.85
2.96
19.7%
2023Q1
90
49.5
3.23
0.03
1.15
2.04
3.18
39.7%
2022Q4
92
52.7
3.24
0.03
1.07
2.13
3.00
39.1%
2022Q3
92
50.4
3.21
0.02
1.35
1.84
2.95
38.9%
2022Q2
91
57.8
2.86
0.01
1.08
1.77
2.90
39.9%
2022Q1
90
61.2
2.62
0.02
1.13
1.47
2.64
42.4%
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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-12-05
2025-08-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
—
2025-05-22
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-05-23
2025-05-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-23
2025-05-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-23
2025-05-22
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-05-23
2025-05-22
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-05-23
2025-05-12
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
2025-05-19
2025-05-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-19
2025-05-12
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-05-19
2024-07-01
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
H
2024-07-22
2024-05-31
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.
J
2024-07-02
2024-05-31
Health · complaint
F0659
Provide care by qualified persons according to each resident's written plan of care.
J
2024-07-02
2024-05-31
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-07-02
2024-04-04
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-05-03
2024-04-04
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
2024-05-03
2024-04-04
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
2024-05-03
2024-04-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-03
2024-04-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-03
2024-04-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-05-03
2024-04-04
Health
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
2024-04-26
2024-04-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-05-03
2024-04-04
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
2024-05-03
2024-04-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-26
2023-02-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-03-24
2023-02-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-03-24
2023-02-16
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-03-24
2023-02-16
Health
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
2023-03-24
2023-02-16
Health
F0732
Post nurse staffing information every day.
B
2023-03-24
2023-02-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-03-24
2023-02-16
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2023-03-24
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
27
Owner
Role
Pct
From
Status
Source
BLAKE, GARY
ADP OF THE SNF
—
2024-08-01
current
pecos_ownership
BLAKE, MALISA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
current
pecos_ownership
BOSWELL, JAMES
ADP OF THE SNF
—
2025-04-12
current
pecos_ownership
CAMERON I ENTERPRISES, L.L.C.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
current
pecos_ownership
CAMERON I ENTERPRISES, L.L.C.
ADP OF THE SNF
—
2025-04-12
current
pecos_ownership
CAMERON I ENTERPRISES, LLC
—
—
2026-01-01
current
tx_hhsc_directory
HOUSE, JANELLE
ADP OF THE SNF
—
2025-04-12
current
pecos_ownership
HUGGINS, LINDA
CORPORATE DIRECTOR
—
2024-08-01
current
pecos_ownership
MURRELL, EDWARD
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
MURRELL, EDWARD
MANAGING CONTROL - GOVERNING BODY
—
2012-11-01
current
pecos_ownership
ROLLO, JEFFERY
MANAGING CONTROL - GOVERNING BODY
—
2012-11-01
current
pecos_ownership
STRAMECKI, ANTHONY
MANAGING CONTROL - GOVERNING BODY
—
2016-11-01
current
pecos_ownership
WAY, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
2018-11-01
current
pecos_ownership
WILLIG, ZACHARY
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT
—
—
2026-01-01
current
tx_hhsc_directory
WINNIE-STOWELL HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-01-01
ended 2026-05-18
pecos_ownership
EDWARD MURRELL
CORPORATE OFFICER
0%
2023-01-01
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2024-08-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
ANTHONY STRAMECKI
MANAGING CONTROL - GOVERNING BODY
—
2016-11-01
ended 2026-05-18
pecos_ownership
EDWARD MURRELL
MANAGING CONTROL - GOVERNING BODY
—
2012-11-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
ADP OF THE SNF
—
2024-08-01
ended 2026-05-18
pecos_ownership
GEORGE WAY
MANAGING CONTROL - GOVERNING BODY
—
2018-11-01
ended 2026-05-18
pecos_ownership
JAMES BOSWELL
ADP OF THE SNF
—
2025-04-12
ended 2026-05-18
pecos_ownership
JANELLE HOUSE
ADP OF THE SNF
—
2025-04-12
ended 2026-05-18
pecos_ownership
JEFFERY ROLLO
MANAGING CONTROL - GOVERNING BODY
—
2012-11-01
ended 2026-05-18
pecos_ownership
MALISA BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
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
31
Geo
Kind
BR
Amount
As of
Source
county 48331
acs median gross
0
$932
2024-12-31
CENSUS_ACS5
county 48331
fmr
0
$785
2025-10-01
HUD_USER_FMR
county 48331
acs median gross
1
$619
2024-12-31
CENSUS_ACS5
county 48331
fmr
1
$790
2025-10-01
HUD_USER_FMR
county 48331
acs median gross
2
$940
2024-12-31
CENSUS_ACS5
county 48331
fmr
2
$1,037
2025-10-01
HUD_USER_FMR
county 48331
acs median gross
3
$1,202
2024-12-31
CENSUS_ACS5
county 48331
fmr
3
$1,302
2025-10-01
HUD_USER_FMR
county 48331
acs median gross
4
$3,101
2024-12-31
CENSUS_ACS5
county 48331
fmr
4
$1,626
2025-10-01
HUD_USER_FMR
county 48331
acs median gross
$984
2024-12-31
CENSUS_ACS5
zcta 76520
acs median gross
0
$919
2024-12-31
CENSUS_ACS5
zcta 76520
acs median gross
2
$910
2024-12-31
CENSUS_ACS5
zcta 76520
acs median gross
3
$1,228
2024-12-31
CENSUS_ACS5
zcta 76520
acs median gross
$954
2024-12-31
CENSUS_ACS5
zcta 76520
acs recent mover gross
$904
2024-12-31
CENSUS_ACS5
zip 76520
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 76520
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 76520
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 76520
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 110
3
$1,441
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 90
3
$1,179
2025-10-01
HUD_USER_SAFMR
zip 76520
safmr
3
$1,310
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 110
4
$1,793
2025-10-01
HUD_USER_SAFMR
zip 76520
payment standard 90
4
$1,467
2025-10-01
HUD_USER_SAFMR
zip 76520
safmr
4
$1,630
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.