Reads as: riskier than 43.4% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.7 vs natl
WEISS MARTIN
9 facilities
connection
Owner spans multiple chains
14 chains
BRAND SONNENSCHINE LLP
42 facilities
connection
Owner spans multiple chains
10 chains
LTC CONSULTING SERVICES LLC
18 facilities
connection
Owner fleet enforcement cluster
44% fined
WEISS MARTIN
9 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
TN median
National median
National p25–p75
Total nurse
3.71
3.28
3.28
2.90–3.77
RN
0.31
0.34
0.39
0.25–0.58
Weekend total
3.37
3.10
3.11
—
Weekday total
3.84
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.0
3.71
0.31
1.08
2.32
3.37
12.2%
2025Q3
92
66.7
3.93
0.26
1.23
2.43
3.59
15.7%
2025Q2
91
67.9
3.26
0.16
1.07
2.03
2.77
9.0%
2025Q1
90
66.9
3.42
0.13
1.23
2.06
3.05
18.6%
2024Q4
92
66.6
3.16
0.12
1.08
1.96
2.82
17.2%
2024Q3
92
64.3
2.84
0.20
0.98
1.66
2.47
4.6%
2024Q2
91
60.4
3.30
0.19
1.15
1.97
2.92
8.5%
2024Q1
91
62.8
3.21
0.11
1.17
1.93
2.97
6.0%
2023Q4
92
64.7
3.20
0.20
1.06
1.94
2.86
9.5%
2023Q3
92
63.0
3.27
0.30
1.01
1.96
2.97
12.8%
2023Q2
91
64.9
3.17
0.24
1.04
1.89
2.86
17.5%
2023Q1
90
60.3
3.12
0.31
1.09
1.72
2.86
15.9%
2022Q4
92
61.3
3.35
0.37
1.14
1.85
3.04
23.3%
2022Q3
92
59.8
3.34
0.33
1.16
1.86
3.11
14.7%
2022Q2
91
57.8
2.96
0.20
0.97
1.79
2.81
13.8%
2022Q1
90
58.2
2.56
0.25
0.85
1.46
2.46
1.6%
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
6
D × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-04
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
2025-06-16
2023-08-02
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-09-01
2023-08-02
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
2023-09-01
2019-11-06
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
2019-11-27
2019-11-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2019-11-27
2018-09-26
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2018-10-26
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
66
Owner
Role
Pct
From
Status
Source
EINHORN, NEAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2017-09-14
current
pecos_ownership
WEISS, MARTIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2017-09-14
current
pecos_ownership
BRAND SONNENSCHINE LLP
ADP OF THE SNF
—
2017-09-01
current
pecos_ownership
BROAD RIVER REHABILITATION
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
BROAD RIVER REHABILITATION
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-01
current
pecos_ownership
BURLISON, ROBERT
ADP OF THE SNF
—
2020-03-23
current
pecos_ownership
CHANDLER, JASON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-14
current
pecos_ownership
COAH SERIES I
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
COAH SERIES I
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
COLLINS, STONEY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-17
current
pecos_ownership
COX, CAROL
ADP OF THE SNF
—
2020-02-25
current
pecos_ownership
DANIEL, ANTON
ADP OF THE SNF
—
2020-08-10
current
pecos_ownership
EINHORN, NEAL
ADP OF THE SNF
—
2017-09-10
current
pecos_ownership
GADDY, CHRISTOPHER
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
GADDY, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2013-06-03
current
pecos_ownership
GRIFFIN, CYNTHIA
ADP OF THE SNF
—
2015-03-06
current
pecos_ownership
HIRT, ANNETTE
ADP OF THE SNF
—
2022-06-27
current
pecos_ownership
HOLTSCLAW, JAMIE
ADP OF THE SNF
—
2020-01-06
current
pecos_ownership
HOPSON, BETHANY
ADP OF THE SNF
—
2011-03-16
current
pecos_ownership
HORTON, BRANDIE
OPERATIONAL/MANAGERIAL CONTROL
—
2007-03-07
current
pecos_ownership
HUBBARD, EVA
OPERATIONAL/MANAGERIAL CONTROL
—
2009-10-09
current
pecos_ownership
HUNT, JANA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-17
current
pecos_ownership
JACKSON, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-11
current
pecos_ownership
JAMMA CONSULTING INC
ADP OF THE SNF
—
2018-08-12
current
pecos_ownership
LAWRENCE, REBECCA
ADP OF THE SNF
—
2021-03-15
current
pecos_ownership
LTC CONSULTING SERVICES LLC
ADP OF THE SNF
—
2018-07-17
current
pecos_ownership
MCNABB, RHONDA
ADP OF THE SNF
—
2009-04-10
current
pecos_ownership
MED-NET CONCEPTS, INC.
ADP OF THE SNF
—
2019-10-01
current
pecos_ownership
MILLER, JANICE
ADP OF THE SNF
—
2001-12-14
current
pecos_ownership
PENLEY, VALARIE
ADP OF THE SNF
—
2018-01-05
current
pecos_ownership
POWERS, CANDY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-07-23
current
pecos_ownership
SHADRICK, SHARON
ADP OF THE SNF
—
2021-10-05
current
pecos_ownership
STANCIL, TANYA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-01
current
pecos_ownership
THE FIRST BANK AND TRUST COMPANY
ADP OF THE SNF
—
2001-04-01
current
pecos_ownership
WEISS, MARTIN
LIMITED PARTNERSHIP INTEREST
—
2017-09-10
current
pecos_ownership
WEISS, MARTIN
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
COAH SERIES I
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
NEAL EINHORN
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2017-09-14
ended 2026-05-18
pecos_ownership
MARTIN WEISS
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2017-09-14
ended 2026-05-18
pecos_ownership
ANNETTE HIRT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-27
ended 2026-05-18
pecos_ownership
ANTON DANIEL
ADP OF THE SNF
—
2020-08-10
ended 2026-05-18
pecos_ownership
BETHANY HOPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2011-03-16
ended 2026-05-18
pecos_ownership
BRANDIE HORTON
ADP OF THE SNF
—
2007-03-07
ended 2026-05-18
pecos_ownership
CANDY POWERS
ADP OF THE SNF
—
2013-07-23
ended 2026-05-18
pecos_ownership
CAROL COX
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-25
ended 2026-05-18
pecos_ownership
CHRISTOPHER GADDY
ADP OF THE SNF
—
2025-04-10
ended 2026-05-18
pecos_ownership
CHRISTOPHER GADDY
OPERATIONAL/MANAGERIAL CONTROL
—
2013-06-03
ended 2026-05-18
pecos_ownership
COAH SERIES I
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
COAH SERIES I
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
CYNTHIA GRIFFIN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-03-06
ended 2026-05-18
pecos_ownership
EVA HUBBARD
ADP OF THE SNF
—
2009-10-09
ended 2026-05-18
pecos_ownership
JAMIE HOLTSCLAW
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-06
ended 2026-05-18
pecos_ownership
JANA HUNT
ADP OF THE SNF
—
2021-06-17
ended 2026-05-18
pecos_ownership
JANICE MILLER
OPERATIONAL/MANAGERIAL CONTROL
—
2001-12-14
ended 2026-05-18
pecos_ownership
JASON CHANDLER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-14
ended 2026-05-18
pecos_ownership
MARTIN WEISS
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
MARTIN WEISS
LIMITED PARTNERSHIP INTEREST
—
2017-09-10
ended 2026-05-18
pecos_ownership
MELISSA JACKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-11
ended 2026-05-18
pecos_ownership
NEAL EINHORN
CORPORATE OFFICER
—
2017-09-10
ended 2026-05-18
pecos_ownership
REBECCA LAWRENCE
ADP OF THE SNF
—
2021-03-15
ended 2026-05-18
pecos_ownership
RHONDA MCNABB
ADP OF THE SNF
—
2009-04-10
ended 2026-05-18
pecos_ownership
ROBERT BURLISON
ADP OF THE SNF
—
2020-03-23
ended 2026-05-18
pecos_ownership
SHARON SHADRICK
ADP OF THE SNF
—
2021-10-05
ended 2026-05-18
pecos_ownership
STONEY COLLINS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-17
ended 2026-05-18
pecos_ownership
TANYA STANCIL
ADP OF THE SNF
—
2023-12-01
ended 2026-05-18
pecos_ownership
VALARIE PENLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-05
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$734,336
—
—
—
—
1
propco
2023-12-31
$684,000
—
—
—
—
1
propco
2022-12-31
$684,000
—
—
—
—
1
propco
2021-12-31
$612,534
—
—
—
—
1
propco
2020-12-31
$639,480
—
—
—
—
1
propco
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
31
Geo
Kind
BR
Amount
As of
Source
county 47171
fmr
0
$887
2025-10-01
HUD_USER_FMR
county 47171
acs median gross
1
$547
2024-12-31
CENSUS_ACS5
county 47171
fmr
1
$893
2025-10-01
HUD_USER_FMR
county 47171
acs median gross
2
$748
2024-12-31
CENSUS_ACS5
county 47171
fmr
2
$1,132
2025-10-01
HUD_USER_FMR
county 47171
acs median gross
3
$921
2024-12-31
CENSUS_ACS5
county 47171
fmr
3
$1,398
2025-10-01
HUD_USER_FMR
county 47171
acs median gross
4
$941
2024-12-31
CENSUS_ACS5
county 47171
fmr
4
$1,548
2025-10-01
HUD_USER_FMR
county 47171
acs median gross
$750
2024-12-31
CENSUS_ACS5
county 47171
acs recent mover gross
$1,104
2024-12-31
CENSUS_ACS5
zcta 37650
acs median gross
1
$559
2024-12-31
CENSUS_ACS5
zcta 37650
acs median gross
2
$744
2024-12-31
CENSUS_ACS5
zcta 37650
acs median gross
3
$918
2024-12-31
CENSUS_ACS5
zcta 37650
acs median gross
$722
2024-12-31
CENSUS_ACS5
zcta 37650
acs recent mover gross
$1,277
2024-12-31
CENSUS_ACS5
zip 37650
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 37650
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 37650
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 37650
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 37650
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 110
4
$1,551
2025-10-01
HUD_USER_SAFMR
zip 37650
payment standard 90
4
$1,269
2025-10-01
HUD_USER_SAFMR
zip 37650
safmr
4
$1,410
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.