Reads as: riskier than 44.4% 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 fleet risk far above national
+23.6 vs natl
FREUDENBERGER JOSEPH
35 facilities
connection
Owner fleet risk far above national
+23.0 vs natl
OAKBEND MEDICAL CENTER
32 facilities
connection
Owner fleet enforcement cluster
58% fined
SHKOP AHARON
12 facilities
connection
Owner fleet enforcement cluster
50% fined
OAKBEND MEDICAL CENTER
32 facilities
connection
Owner fleet enforcement cluster
49% fined
FREUDENBERGER JOSEPH
35 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
15
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
2.66
2.67
3.28
2.90–3.77
RN
0.11
0.24
0.39
0.25–0.58
Weekend total
2.51
2.56
3.11
—
Weekday total
2.72
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
103.6
2.66
0.11
0.96
1.59
2.51
0.0%
2025Q3
92
99.8
2.66
0.14
0.89
1.63
2.48
0.0%
2025Q2
91
96.8
2.71
0.14
0.80
1.76
2.56
0.3%
2025Q1
90
96.7
2.64
0.17
0.78
1.69
2.51
0.0%
2024Q4
92
98.8
2.71
0.26
0.73
1.72
2.58
0.0%
2024Q3
92
95.2
3.08
0.32
0.74
2.02
2.93
0.0%
2024Q2
91
100.0
2.70
0.19
0.81
1.69
2.52
0.0%
2024Q1
91
105.7
2.54
0.13
0.67
1.75
2.31
0.0%
2023Q4
92
108.8
2.42
0.13
0.61
1.69
2.20
0.1%
2023Q3
92
107.3
2.50
0.19
0.55
1.76
2.25
0.0%
2023Q1
90
99.7
2.36
0.28
0.54
1.54
2.10
0.4%
2022Q4
92
94.4
2.33
0.36
0.43
1.54
2.00
0.8%
2022Q3
92
93.6
2.46
0.29
0.59
1.59
2.09
5.9%
2022Q2
91
100.8
2.11
0.33
0.52
1.26
1.71
1.5%
2022Q1
90
100.7
2.20
0.24
0.59
1.38
1.71
23.2%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-11
2026-04-10
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2026-04-11
2026-04-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-04-11
2026-01-21
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
2026-01-28
2025-12-11
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.
D
2025-12-16
2025-12-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-12-16
2025-12-11
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
2025-12-16
2025-12-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-12-16
2025-12-11
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-12-16
2025-12-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-12-16
2025-12-10
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-12-11
2025-12-10
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-12-11
2025-08-18
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
2025-08-22
2025-08-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-08-22
2025-08-12
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
2025-08-15
2025-08-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-08-07
2025-08-05
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-08-18
2025-06-12
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
2025-06-13
2025-03-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-03-25
2024-12-20
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-01-10
2024-09-26
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-10-18
2024-09-26
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-10-18
2024-09-26
Health
F0814
Dispose of garbage and refuse properly.
C
2024-10-18
2024-09-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-18
2024-09-13
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-26
2024-09-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-26
2024-05-08
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-05-23
2024-02-14
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
2024-02-19
2024-02-14
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
J
2024-02-19
2023-07-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-08-31
2023-07-28
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2023-08-31
2023-07-28
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-08-31
2023-07-28
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2023-08-31
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
8
Owner
Role
Pct
From
Status
Source
OAKBEND MEDICAL CENTER
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-01
current
pecos_ownership
FREUDENBERGER, JOSEPH
W-2 MANAGING EMPLOYEE
—
2022-10-01
current
pecos_ownership
NORTHWEST NURSING & REHABILITATION LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
NORTHWEST NURSING & REHABILITATION LLC
—
—
2025-10-01
current
tx_hhsc_directory
OAKBEND MEDICAL CENTER
—
—
2025-10-01
current
tx_hhsc_directory
SHKOP, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
current
pecos_ownership
AHARON SHKOP
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-10-01
ended 2026-05-18
pecos_ownership
JOSEPH FREUDENBERGER
W-2 MANAGING EMPLOYEE
100%
2022-10-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-09-30
$381,060
—
$381,060
—
—
2
—
2021-12-31
$569,626
—
$569,626
—
—
2
—
2020-12-31
$564,799
—
$564,799
—
—
3
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 48201
acs median gross
0
$1,177
2024-12-31
CENSUS_ACS5
county 48201
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
1
$1,196
2024-12-31
CENSUS_ACS5
county 48201
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
county 48201
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
3
$1,764
2024-12-31
CENSUS_ACS5
county 48201
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
4
$2,148
2024-12-31
CENSUS_ACS5
county 48201
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
5
$2,339
2024-12-31
CENSUS_ACS5
county 48201
acs median gross
$1,401
2024-12-31
CENSUS_ACS5
county 48201
acs recent mover gross
$1,495
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
0
$1,068
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
2
$1,408
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
3
$1,646
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
4
$2,167
2024-12-31
CENSUS_ACS5
zcta 77090
acs median gross
$1,255
2024-12-31
CENSUS_ACS5
zcta 77090
acs recent mover gross
$1,397
2024-12-31
CENSUS_ACS5
zip 77090
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 77090
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 110
1
$1,419
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 90
1
$1,161
2025-10-01
HUD_USER_SAFMR
zip 77090
safmr
1
$1,290
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 77090
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 110
3
$2,277
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 90
3
$1,863
2025-10-01
HUD_USER_SAFMR
zip 77090
safmr
3
$2,070
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 110
4
$2,838
2025-10-01
HUD_USER_SAFMR
zip 77090
payment standard 90
4
$2,322
2025-10-01
HUD_USER_SAFMR
zip 77090
safmr
4
$2,580
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.