Reads as: riskier than 8.5% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
WILLIAMSON JAMES
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
PA median
National median
National p25–p75
Total nurse
4.51
3.38
3.28
2.90–3.77
RN
1.20
0.45
0.39
0.25–0.58
Weekend total
4.53
3.27
3.11
—
Weekday total
4.51
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.0
4.51
1.20
0.80
2.51
4.53
2.3%
2025Q3
92
54.5
4.40
1.12
0.77
2.51
4.34
0.1%
2025Q2
91
54.0
4.59
1.29
0.66
2.64
4.54
3.5%
2025Q1
90
52.1
4.64
1.44
0.60
2.60
4.71
7.4%
2024Q4
92
52.6
4.58
1.17
0.72
2.69
4.62
15.3%
2024Q3
92
54.4
4.29
1.26
0.61
2.42
4.20
13.3%
2024Q2
91
56.3
4.29
1.23
0.77
2.28
4.17
19.5%
2024Q1
91
54.1
4.23
1.00
0.95
2.28
4.11
20.0%
2023Q4
92
52.9
4.49
1.01
1.03
2.44
4.36
13.6%
2023Q3
92
54.7
4.34
0.93
1.04
2.37
4.10
14.4%
2023Q2
91
55.1
4.14
0.83
1.06
2.25
4.00
20.4%
2023Q1
90
49.9
4.00
0.89
0.97
2.14
3.90
19.9%
2022Q4
92
53.1
4.14
1.00
1.00
2.13
3.98
23.6%
2022Q3
92
56.8
3.24
0.69
0.88
1.68
3.05
7.8%
2022Q2
91
56.9
4.17
0.76
1.05
2.36
4.11
24.6%
2022Q1
90
54.6
4.06
0.81
1.18
2.07
3.75
17.8%
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
29
D × 26E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-28
Health · complaint
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
—
2026-04-28
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
—
2026-02-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-04-08
2026-02-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-04-08
2026-02-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-04-08
2026-02-18
Health
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
D
2026-04-08
2026-02-18
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2026-04-08
2026-02-18
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2026-04-08
2026-02-18
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-04-08
2025-01-09
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2025-02-25
2025-01-09
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-02-25
2025-01-09
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-02-25
2025-01-09
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-02-25
2025-01-09
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-02-25
2025-01-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-25
2025-01-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-02-25
2025-01-09
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
2025-02-25
2025-01-09
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2025-02-25
2025-01-09
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-02-25
2024-12-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-02-03
2024-12-26
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-02-03
2024-12-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-02-03
2024-12-26
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-02-03
2024-12-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-02-03
2024-05-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-28
2024-03-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-04-10
2024-02-22
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-04-10
2024-02-22
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-04-10
2024-02-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-10
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
29
Owner
Role
Pct
From
Status
Source
BOSLAU, TODD
CORPORATE OFFICER
—
2020-09-25
current
pecos_ownership
DONOVAN, JOHN
CORPORATE DIRECTOR
—
2023-02-24
current
pecos_ownership
GRAY, ROBERTA
CORPORATE OFFICER
—
2017-01-01
current
pecos_ownership
GREGORY, MICHAEL
CORPORATE DIRECTOR
—
2020-12-11
current
pecos_ownership
HADEN, BOBBI
CORPORATE DIRECTOR
—
2021-05-14
current
pecos_ownership
HADEN, BOBBI
ADP OF THE SNF
—
2017-10-10
current
pecos_ownership
HARRISON, DOUGLASS
CORPORATE DIRECTOR
—
2010-05-14
current
pecos_ownership
LOCKETT, MONICA
ADP OF THE SNF
—
2016-08-01
current
pecos_ownership
MARSCHIK, ANNEMARIE
CORPORATE DIRECTOR
—
2024-02-23
current
pecos_ownership
PIEFFER, JAMES
CORPORATE DIRECTOR
—
1991-02-28
current
pecos_ownership
PRESBYTERIAN SENIORCARE
OPERATIONAL/MANAGERIAL CONTROL
—
1990-01-01
current
pecos_ownership
SAUNDERS, ROSANNE
CORPORATE DIRECTOR
—
2020-05-15
current
pecos_ownership
SULLIVAN, BARBARA
CORPORATE DIRECTOR
—
2013-05-05
current
pecos_ownership
TRUXELL, ANN
CORPORATE DIRECTOR
—
2023-05-12
current
pecos_ownership
WILLIAMS, JAMES
CORPORATE DIRECTOR
—
2024-02-23
current
pecos_ownership
ANN TRUXELL
CORPORATE DIRECTOR
—
2023-05-12
ended 2026-05-18
pecos_ownership
ANNEMARIE MARSCHIK
CORPORATE DIRECTOR
—
2024-02-23
ended 2026-05-18
pecos_ownership
BARBARA SULLIVAN
CORPORATE DIRECTOR
—
2013-05-05
ended 2026-05-18
pecos_ownership
BOBBI HADEN
ADP OF THE SNF
—
2017-10-10
ended 2026-05-18
pecos_ownership
BOBBI HADEN
CORPORATE DIRECTOR
—
2021-05-14
ended 2026-05-18
pecos_ownership
DOUGLASS HARRISON
CORPORATE DIRECTOR
—
2010-05-14
ended 2026-05-18
pecos_ownership
JAMES PIEFFER
CORPORATE DIRECTOR
—
1991-02-28
ended 2026-05-18
pecos_ownership
JAMES WILLIAMS
CORPORATE DIRECTOR
—
2024-02-23
ended 2026-05-18
pecos_ownership
JOHN DONOVAN
CORPORATE DIRECTOR
—
2023-02-24
ended 2026-05-18
pecos_ownership
MICHAEL GREGORY
CORPORATE DIRECTOR
—
2020-12-11
ended 2026-05-18
pecos_ownership
MONICA LOCKETT
ADP OF THE SNF
—
2016-08-01
ended 2026-05-18
pecos_ownership
ROBERTA GRAY
CORPORATE OFFICER
—
2017-01-01
ended 2026-05-18
pecos_ownership
ROSANNE SAUNDERS
CORPORATE DIRECTOR
—
2020-05-15
ended 2026-05-18
pecos_ownership
TODD BOSLAU
CORPORATE DIRECTOR
—
2020-09-25
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
2024-12-31
$3,150,000
—
—
—
—
1
—
2023-12-31
$3,080,306
—
—
—
—
1
—
2022-12-31
$2,979,382
—
—
—
—
1
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 42003
acs median gross
0
$1,022
2024-12-31
CENSUS_ACS5
county 42003
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
county 42003
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
2
$1,201
2024-12-31
CENSUS_ACS5
county 42003
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42003
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 42003
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
5
$1,697
2024-12-31
CENSUS_ACS5
county 42003
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 42003
acs recent mover gross
$1,351
2024-12-31
CENSUS_ACS5
zcta 15147
acs median gross
0
$2,371
2024-12-31
CENSUS_ACS5
zcta 15147
acs median gross
1
$783
2024-12-31
CENSUS_ACS5
zcta 15147
acs median gross
2
$1,100
2024-12-31
CENSUS_ACS5
zcta 15147
acs median gross
3
$1,328
2024-12-31
CENSUS_ACS5
zcta 15147
acs median gross
$1,127
2024-12-31
CENSUS_ACS5
zcta 15147
acs recent mover gross
$1,053
2024-12-31
CENSUS_ACS5
zip 15147
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 15147
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 110
1
$1,122
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 90
1
$918
2025-10-01
HUD_USER_SAFMR
zip 15147
safmr
1
$1,020
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 110
2
$1,353
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 90
2
$1,107
2025-10-01
HUD_USER_SAFMR
zip 15147
safmr
2
$1,230
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 15147
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 15147
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 15147
safmr
4
$1,690
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.