Reads as: riskier than 99.8% 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
19
Kind
Finding
Signal
Subject
First seen
anomaly
Federal penalty spike
41.1x prior
this facility
2026-07-29
connection
Owner fleet risk far above national
+41.4 vs natl
CLANTON AUSTON
6 facilities
connection
Owner fleet risk far above national
+37.8 vs natl
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
WILLIG ZACHARY
82 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
HUGGINS LINDA
139 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE MALISA
137 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
15 chains
WILLIG ZACHARY
81 facilities
connection
Owner spans multiple chains
13 chains
BLAKE MALISA
137 facilities
connection
Owner spans multiple chains
13 chains
HUGGINS LINDA
139 facilities
connection
Owner spans multiple chains
13 chains
BLAKE GARY
137 facilities
connection
Owner spans multiple chains
5 chains
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet enforcement cluster
83% fined
CLANTON AUSTON
6 facilities
connection
Owner fleet enforcement cluster
80% fined
EAMIGUEL CHRISTOPHER
10 facilities
connection
Owner fleet enforcement cluster
56% fined
CREATIVE SOLUTIONS IN HEALTHCARE INC
45 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE MALISA
137 facilities
connection
Owner fleet enforcement cluster
49% fined
BLAKE GARY
137 facilities
connection
Owner fleet enforcement cluster
48% fined
HUGGINS LINDA
139 facilities
connection
Owner fleet enforcement cluster
48% fined
WILLIG ZACHARY
82 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 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
4
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
1.89
2.67
3.28
2.90–3.77
RN
0.23
0.24
0.39
0.25–0.58
Weekend total
1.72
2.56
3.11
—
Weekday total
1.95
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.8
1.89
0.23
0.47
1.18
1.72
0.0%
2025Q3
92
83.9
1.59
0.22
0.49
0.87
1.42
0.0%
2025Q2
91
78.7
1.81
0.49
0.27
1.04
1.51
0.0%
2025Q1
90
76.8
2.04
0.31
0.45
1.28
1.85
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
—
2025-12-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-12-23
2025-12-22
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-12-23
2025-12-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-12-10
2025-12-09
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
2025-12-10
2025-08-29
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-08-30
2025-08-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-08-30
2025-08-29
Health · complaint
F0732
Post nurse staffing information every day.
B
2025-08-30
2025-06-03
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-06-04
2025-06-03
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-04
2025-05-15
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-05-16
2025-04-23
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-04-24
2025-04-23
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-04-24
2025-04-23
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
2025-04-24
2025-04-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-04-24
2025-04-23
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-04-24
2025-04-23
Health
F0732
Post nurse staffing information every day.
C
2025-04-24
2025-04-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-04-24
2025-04-23
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-04-24
2025-04-23
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
2025-04-24
2025-04-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-24
2025-04-23
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-04-24
2025-04-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-24
2025-01-26
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-01-27
2025-01-26
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
2025-01-27
2025-01-26
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
G
2025-01-27
2024-10-16
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
2024-10-17
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
23
Owner
Role
Pct
From
Status
Source
BLAKE, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
BLAKE, GARY
CORPORATE OFFICER
—
2000-07-05
current
pecos_ownership
BLAKE, MALISA
ADP OF THE SNF
—
2024-03-01
current
pecos_ownership
CLANTON, AUSTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
COLLEGE STATION III ENTERPRISES, LLC
—
—
2025-03-12
current
tx_hhsc_directory
COLLEGE STATION SKILLED PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
CREATIVE SOLUTIONS IN HEALTHCARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
EAMIGUEL, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
GRILLO, KELLY
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
HUGGINS, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
KOTHMANN, KRYSTA
ADP OF THE SNF
—
2025-02-20
current
pecos_ownership
WILLIG, ZACHARY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
MALISA BLAKE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-02-25
ended 2026-05-18
pecos_ownership
LINDA HUGGINS
CORPORATE DIRECTOR
0%
2024-03-01
ended 2026-05-18
pecos_ownership
AUSTON CLANTON
CORPORATE OFFICER
—
2024-12-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER EAMIGUEL
CORPORATE OFFICER
—
2024-03-01
ended 2026-05-18
pecos_ownership
GARY BLAKE
CORPORATE OFFICER
—
2000-07-05
ended 2026-05-18
pecos_ownership
GARY BLAKE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
ended 2026-05-18
pecos_ownership
HONOR X ENTERPRISES, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2024-03-01
ended 2026-05-18
pecos_ownership
KELLY GRILLO
ADP OF THE SNF
—
2025-02-20
ended 2026-05-18
pecos_ownership
KRYSTA KOTHMANN
ADP OF THE SNF
—
2025-02-20
ended 2026-05-18
pecos_ownership
MALISA BLAKE
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
ZACHARY WILLIG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
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
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 48041
acs median gross
0
$987
2024-12-31
CENSUS_ACS5
county 48041
fmr
0
$1,025
2025-10-01
HUD_USER_FMR
county 48041
acs median gross
1
$1,074
2024-12-31
CENSUS_ACS5
county 48041
fmr
1
$1,082
2025-10-01
HUD_USER_FMR
county 48041
acs median gross
2
$1,109
2024-12-31
CENSUS_ACS5
county 48041
fmr
2
$1,186
2025-10-01
HUD_USER_FMR
county 48041
acs median gross
3
$1,631
2024-12-31
CENSUS_ACS5
county 48041
fmr
3
$1,649
2025-10-01
HUD_USER_FMR
county 48041
acs median gross
4
$1,774
2024-12-31
CENSUS_ACS5
county 48041
fmr
4
$1,928
2025-10-01
HUD_USER_FMR
county 48041
acs median gross
5
$1,036
2024-12-31
CENSUS_ACS5
county 48041
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 48041
acs recent mover gross
$1,322
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
0
$1,592
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
1
$1,227
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
2
$1,180
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
3
$1,749
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
4
$2,040
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
5
$765
2024-12-31
CENSUS_ACS5
zcta 77845
acs median gross
$1,431
2024-12-31
CENSUS_ACS5
zcta 77845
acs recent mover gross
$1,862
2024-12-31
CENSUS_ACS5
zip 77845
payment standard 110
0
$1,232
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 90
0
$1,008
2025-10-01
HUD_USER_SAFMR
zip 77845
safmr
0
$1,120
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 77845
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 110
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 90
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 77845
safmr
2
$1,300
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 110
3
$1,991
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 90
3
$1,629
2025-10-01
HUD_USER_SAFMR
zip 77845
safmr
3
$1,810
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 110
4
$2,321
2025-10-01
HUD_USER_SAFMR
zip 77845
payment standard 90
4
$1,899
2025-10-01
HUD_USER_SAFMR
zip 77845
safmr
4
$2,110
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.