Reads as: riskier than 47.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 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
3.01
2.67
3.28
2.90–3.77
RN
0.29
0.24
0.39
0.25–0.58
Weekend total
2.77
2.56
3.11
—
Weekday total
3.10
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.4
3.01
0.29
0.94
1.77
2.77
0.0%
2025Q3
92
113.3
3.23
0.32
0.99
1.92
3.00
0.0%
2025Q2
91
114.5
3.20
0.27
0.99
1.94
2.91
0.0%
2025Q1
90
120.8
2.99
0.35
0.89
1.75
2.75
0.0%
2024Q4
92
116.6
3.05
0.34
0.90
1.81
2.83
0.0%
2024Q3
92
124.1
2.91
0.33
0.83
1.75
2.63
0.0%
2024Q2
91
122.2
2.79
0.30
0.86
1.63
2.52
0.0%
2024Q1
91
117.9
2.95
0.19
1.00
1.76
2.68
0.0%
2023Q4
92
121.9
2.87
0.14
1.02
1.70
2.54
0.0%
2023Q3
92
122.2
2.96
0.15
1.08
1.73
2.58
0.1%
2023Q2
91
135.9
2.54
0.17
0.94
1.43
2.21
0.0%
2023Q1
90
140.5
2.47
0.18
0.87
1.42
2.15
8.3%
2022Q4
92
124.5
2.98
0.17
1.12
1.70
2.78
25.8%
2022Q3
92
127.9
2.57
0.18
0.88
1.51
2.24
10.0%
2022Q2
91
104.0
3.18
0.17
1.14
1.88
2.61
12.4%
2022Q1
90
108.6
2.60
0.10
1.08
1.42
2.12
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 the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-09-05
2025-09-04
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-09-05
2025-03-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-04-04
2024-11-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-10-06
2024-11-07
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-11-15
2024-09-04
Health · complaint
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.
D
2024-09-27
2023-09-01
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
2023-09-30
2023-09-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-09-16
2023-09-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2023-09-30
2023-09-01
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-09-16
2023-09-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-09-04
2023-09-01
Health
F0814
Dispose of garbage and refuse properly.
D
2023-09-04
2023-09-01
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-09-30
2022-06-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2022-06-24
2022-06-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2022-06-24
2022-06-16
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.
D
2022-06-24
2022-06-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-06-24
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
49
Owner
Role
Pct
From
Status
Source
BALSAMO, KRYSTAL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-29
current
pecos_ownership
CHP FRIENDSWOOD SNF LLC
ADP OF THE SNF
—
2025-06-27
current
pecos_ownership
CIBC BANK USA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
CIBC BANK USA
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
CULP, ROLAND
OPERATIONAL/MANAGERIAL CONTROL
—
2012-02-01
current
pecos_ownership
DASPIT, LAURENCE
ADP OF THE SNF
—
2012-02-01
current
pecos_ownership
DOHN, WILLIAM
ADP OF THE SNF
—
2019-03-27
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
FRIENDSWOOD TRS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
HMG PARK MANOR OF FRIENDSWOOD, LLC
—
—
2024-04-01
current
tx_hhsc_directory
MURRELL, EDWARD
CORPORATE OFFICER
—
2012-11-01
current
pecos_ownership
MURRELL, EDWARD
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
NAESETH, JODDIE
ADP OF THE SNF
—
2001-08-20
current
pecos_ownership
NODARSE, YEISLENY
ADP OF THE SNF
—
2022-08-30
current
pecos_ownership
PICO, ANA
ADP OF THE SNF
—
2012-02-01
current
pecos_ownership
PRINCE, DEREK
ADP OF THE SNF
—
2012-02-01
current
pecos_ownership
REINARZ, CHRISTIAN
ADP OF THE SNF
—
2024-05-13
current
pecos_ownership
ROLLO, JEFFERY
CORPORATE OFFICER
—
2012-11-01
current
pecos_ownership
ROLLO, JEFFERY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
STANBRIDGE, NORMA
ADP OF THE SNF
—
2014-09-29
current
pecos_ownership
STRAMECKI, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
STRAMECKI, ANTHONY
CORPORATE DIRECTOR
—
2016-11-01
current
pecos_ownership
VRATIS, KACEY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
WALSH, BRENT
ADP OF THE SNF
—
—
current
pecos_ownership
WALSH, BRENT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-03
current
pecos_ownership
WAY, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT
—
—
2024-04-01
current
tx_hhsc_directory
ZIONS BANCORPORATION
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
ANTHONY STRAMECKI
CORPORATE DIRECTOR
100%
2016-11-01
ended 2026-05-18
pecos_ownership
ANTHONY STRAMECKI
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-04-01
ended 2026-05-18
pecos_ownership
EDWARD MURRELL
CORPORATE OFFICER
100%
2012-11-01
ended 2026-05-18
pecos_ownership
JEFFERY ROLLO
CORPORATE OFFICER
100%
2012-11-01
ended 2026-05-18
pecos_ownership
WINNIE-STOWELL HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-04-01
ended 2026-05-18
pecos_ownership
ANA PICO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2012-02-01
ended 2026-05-18
pecos_ownership
DEREK PRINCE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2012-02-01
ended 2026-05-18
pecos_ownership
LAURENCE DASPIT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2012-02-01
ended 2026-05-18
pecos_ownership
ROLAND CULP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2012-02-01
ended 2026-05-18
pecos_ownership
BRENT WALSH
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
BRENT WALSH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-03
ended 2026-05-18
pecos_ownership
CHRISTIAN REINARZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-13
ended 2026-05-18
pecos_ownership
EDWARD MURRELL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
GEORGE WAY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
JEFFERY ROLLO
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
JODDIE NAESETH
ADP OF THE SNF
—
2001-08-20
ended 2026-05-18
pecos_ownership
KACEY VRATIS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
KRYSTAL BALSAMO
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-29
ended 2026-05-18
pecos_ownership
NORMA STANBRIDGE
ADP OF THE SNF
—
2014-09-29
ended 2026-05-18
pecos_ownership
WILLIAM DOHN
ADP OF THE SNF
—
2019-03-27
ended 2026-05-18
pecos_ownership
YEISLENY NODARSE
ADP OF THE SNF
—
2022-08-30
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.
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
36
Geo
Kind
BR
Amount
As of
Source
county 48167
acs median gross
0
$1,161
2024-12-31
CENSUS_ACS5
county 48167
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48167
acs median gross
1
$1,190
2024-12-31
CENSUS_ACS5
county 48167
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48167
acs median gross
2
$1,424
2024-12-31
CENSUS_ACS5
county 48167
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48167
acs median gross
3
$1,762
2024-12-31
CENSUS_ACS5
county 48167
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48167
acs median gross
4
$2,132
2024-12-31
CENSUS_ACS5
county 48167
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48167
acs median gross
5
$2,233
2024-12-31
CENSUS_ACS5
county 48167
acs median gross
$1,404
2024-12-31
CENSUS_ACS5
county 48167
acs recent mover gross
$1,454
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
0
$1,287
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
1
$1,197
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
2
$1,561
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
3
$2,080
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
5
$2,917
2024-12-31
CENSUS_ACS5
zcta 77546
acs median gross
$1,734
2024-12-31
CENSUS_ACS5
zcta 77546
acs recent mover gross
$1,766
2024-12-31
CENSUS_ACS5
zip 77546
payment standard 110
0
$1,771
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 90
0
$1,449
2025-10-01
HUD_USER_SAFMR
zip 77546
safmr
0
$1,610
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 110
1
$1,826
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 90
1
$1,494
2025-10-01
HUD_USER_SAFMR
zip 77546
safmr
1
$1,660
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 110
2
$2,178
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 90
2
$1,782
2025-10-01
HUD_USER_SAFMR
zip 77546
safmr
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 110
3
$2,926
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 90
3
$2,394
2025-10-01
HUD_USER_SAFMR
zip 77546
safmr
3
$2,660
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 110
4
$3,652
2025-10-01
HUD_USER_SAFMR
zip 77546
payment standard 90
4
$2,988
2025-10-01
HUD_USER_SAFMR
zip 77546
safmr
4
$3,320
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.