Reads as: riskier than 43.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 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
MO median
National median
National p25–p75
Total nurse
2.55
2.41
3.28
2.90–3.77
RN
0.19
0.25
0.39
0.25–0.58
Weekend total
2.50
2.24
3.11
—
Weekday total
2.57
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.9
2.55
0.19
0.39
1.97
2.50
0.0%
2025Q3
92
68.7
2.58
0.25
0.34
1.98
2.48
0.0%
2025Q2
91
70.4
2.45
0.13
0.40
1.92
2.32
0.0%
2025Q1
90
70.4
2.21
0.10
0.53
1.57
2.29
0.0%
2024Q4
92
67.8
2.32
0.17
0.56
1.59
2.37
0.0%
2024Q3
92
68.8
2.31
0.23
0.49
1.59
2.30
0.0%
2024Q2
91
71.4
2.27
0.24
0.38
1.66
2.21
0.0%
2024Q1
91
71.1
2.21
0.21
0.48
1.52
2.15
0.0%
2023Q4
92
71.3
2.03
0.14
0.46
1.43
2.02
0.0%
2023Q3
92
69.9
2.29
0.21
0.46
1.61
2.28
0.0%
2023Q2
91
72.3
2.20
0.23
0.44
1.52
2.18
0.0%
2023Q1
90
71.5
2.08
0.22
0.48
1.38
2.03
0.0%
2022Q4
92
71.6
2.09
0.21
0.49
1.39
2.08
0.0%
2022Q3
92
71.4
2.23
0.24
0.51
1.48
2.16
0.0%
2022Q2
91
72.6
2.43
0.20
0.50
1.72
2.34
0.0%
2022Q1
90
76.8
2.14
0.21
0.46
1.47
2.03
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.
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
9
D × 9
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-01-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-01
2024-11-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-01-02
2024-11-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-01
2024-11-22
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-02
2024-11-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-02
2024-11-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-02
2024-11-22
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-01-02
2024-11-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-02
2024-09-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-04
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
44
Owner
Role
Pct
From
Status
Source
ABRAMS, KENDIKA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
ASHWORTH, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-17
current
pecos_ownership
BABB, DONALD
MANAGING CONTROL - GOVERNING BODY
—
—
current
pecos_ownership
BANNER, KATRINA
MANAGING CONTROL - GOVERNING BODY
—
2022-11-17
current
pecos_ownership
CALHOUN, MICHAEL
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
CALHOUN, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2022-01-02
current
pecos_ownership
DAWSON, ERAN
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
current
pecos_ownership
FINNELL, HEATHER
ADP OF THE SNF
—
2021-11-21
current
pecos_ownership
FINNELL, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2024-06-27
current
pecos_ownership
FRANCKA, TIM
ADP OF THE SNF
—
2024-02-18
current
pecos_ownership
FULBRIGHT, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-17
current
pecos_ownership
HANAK, SARAH
ADP OF THE SNF
—
2020-01-05
current
pecos_ownership
HANCOCK, JANIECA
MANAGING CONTROL - GOVERNING BODY
—
2018-03-15
current
pecos_ownership
KALLENBACH, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2019-06-20
current
pecos_ownership
MEENTS, DANA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-14
current
pecos_ownership
MEYER, RENEE
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
MEYER, RENEE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-12
current
pecos_ownership
OAKSTAR BANCSHARES
5% OR GREATER MORTGAGE INTEREST
—
2024-05-08
current
pecos_ownership
REED-HOOPER, ANITA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
SKOPEC, RYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-19
current
pecos_ownership
SKOPEC, RYAN
ADP OF THE SNF
—
2024-02-12
current
pecos_ownership
SMITH, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2023-03-30
current
pecos_ownership
ANITA REED-HOOPER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
DANA MEENTS
OPERATIONAL/MANAGERIAL CONTROL
—
2010-10-14
ended 2026-05-18
pecos_ownership
DONALD BABB
MANAGING CONTROL - GOVERNING BODY
—
—
ended 2026-05-18
pecos_ownership
ERAN DAWSON
MANAGING CONTROL - GOVERNING BODY
—
2022-04-01
ended 2026-05-18
pecos_ownership
GARY FULBRIGHT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-17
ended 2026-05-18
pecos_ownership
HEATHER FINNELL
ADP OF THE SNF
—
2021-11-21
ended 2026-05-18
pecos_ownership
HEATHER FINNELL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
ended 2026-05-18
pecos_ownership
JAMES ASHWORTH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-17
ended 2026-05-18
pecos_ownership
JANIECA HANCOCK
MANAGING CONTROL - GOVERNING BODY
—
2018-03-15
ended 2026-05-18
pecos_ownership
JOHN KALLENBACH
MANAGING CONTROL - GOVERNING BODY
—
2019-06-20
ended 2026-05-18
pecos_ownership
KATRINA BANNER
MANAGING CONTROL - GOVERNING BODY
—
2022-11-17
ended 2026-05-18
pecos_ownership
KENDIKA ABRAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
ended 2026-05-18
pecos_ownership
KENNETH SMITH
ADP OF THE SNF
—
2023-03-30
ended 2026-05-18
pecos_ownership
MICHAEL CALHOUN
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL CALHOUN
MANAGING CONTROL - GOVERNING BODY
—
2022-01-02
ended 2026-05-18
pecos_ownership
RENEE MEYER
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
RENEE MEYER
ADP OF THE SNF
—
2020-01-12
ended 2026-05-18
pecos_ownership
RYAN SKOPEC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-19
ended 2026-05-18
pecos_ownership
RYAN SKOPEC
ADP OF THE SNF
—
2024-02-12
ended 2026-05-18
pecos_ownership
SARAH HANAK
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-05
ended 2026-05-18
pecos_ownership
TIM FRANCKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-18
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
2025-05-31
$538,919
—
—
—
$13,347
7
—
2024-05-31
$548,782
—
—
$14,617
$2,370
6
—
2023-05-31
$526,447
—
—
$16,104
—
3
—
2022-05-31
$529,520
—
—
$16,680
—
3
—
2021-05-31
$520,747
—
—
$19,104
—
3
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 29167
acs median gross
0
$825
2024-12-31
CENSUS_ACS5
county 29167
fmr
0
$729
2025-10-01
HUD_USER_FMR
county 29167
acs median gross
1
$565
2024-12-31
CENSUS_ACS5
county 29167
fmr
1
$733
2025-10-01
HUD_USER_FMR
county 29167
acs median gross
2
$802
2024-12-31
CENSUS_ACS5
county 29167
fmr
2
$888
2025-10-01
HUD_USER_FMR
county 29167
acs median gross
3
$1,015
2024-12-31
CENSUS_ACS5
county 29167
fmr
3
$1,235
2025-10-01
HUD_USER_FMR
county 29167
acs median gross
4
$1,296
2024-12-31
CENSUS_ACS5
county 29167
fmr
4
$1,490
2025-10-01
HUD_USER_FMR
county 29167
acs median gross
$814
2024-12-31
CENSUS_ACS5
county 29167
acs recent mover gross
$832
2024-12-31
CENSUS_ACS5
zcta 65613
acs median gross
1
$576
2024-12-31
CENSUS_ACS5
zcta 65613
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
zcta 65613
acs median gross
3
$1,066
2024-12-31
CENSUS_ACS5
zcta 65613
acs median gross
4
$1,364
2024-12-31
CENSUS_ACS5
zcta 65613
acs median gross
$818
2024-12-31
CENSUS_ACS5
zcta 65613
acs recent mover gross
$850
2024-12-31
CENSUS_ACS5
zip 65613
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 65613
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 65613
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 110
2
$990
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 90
2
$810
2025-10-01
HUD_USER_SAFMR
zip 65613
safmr
2
$900
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 65613
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 65613
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 65613
safmr
4
$1,510
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.